Subscribe to RSS
DOI: 10.1055/s-0042-1750765
Communicative and Hearing Performance in Individuals with Cochlear Implants and Delayed Neuropsychomotor Development: A Longitudinal Analysis
Funding The author(s) received no financial support for the research.
Abstract
Introduction Between 15% to 30% of individuals with bilateral prelingual sensorineural hearing loss present with associated disabilities. Cochlear implant (CI) is an alternative treatment that provides consistent access to environmental and speech sounds, which results in significant benefits regarding quality of life and auditory and language development.
Objectives To study the auditory and communicative performance of individuals with CI and delayed neuropsychomotor development after a minimum of five years using the device.
Methods A total of eight patients were included in the study. We collected the multidisciplinary clinical records of participants, as well as the answers for the questionnaires applied remotely, which included the Children with Cochlear Implants: Parental Perspectives (CCIPP), International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY), and the Gross Motor Function Classification System (GMFCS).
Results We found that throughout the years of CI use, the auditory threshold means improved significantly in all tested frequencies, as did the speech detection threshold and the language and hearing results. Regarding parental perception, parents evaluated aspects related to their children's social relations to be positive, and had worse perceptions regarding aspects related to their education.
Conclusion We observed a progression in the participants' auditory and language skills throughout the years of CI use; even in the presence of other associated disabilities. Future multicentric studies with larger samples are needed to further the advancement of rehabilitation in patients with other associated disabilities.
Publication History
Received: 23 March 2022
Accepted: 15 May 2022
Article published online:
04 August 2023
© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 United Nations News [Internet]. WHO warns that hearing loss could affect more than 900 million by 2050; 2020 Mar 3 [cited 2020 Nov 6]. Available from: https://news.un.org/pt/story/2020/03/1705931
- 2 Daneshi A, Hassanzadeh S. Cochlear implantation in prelingually deaf persons with additional disability. J Laryngol Otol 2007; 121 (07) 635-638 https://pubmed.ncbi.nlm.nih.gov/17147840/ cited 2020 Nov 6 [Internet]
- 3 Birman CS, Elliott EJ, Gibson WPR. Pediatric cochlear implants: additional disabilities prevalence, risk factors, and effect on language outcomes. Otol Neurotol 2012; 33 (08) 1347-1352 https://pubmed.ncbi.nlm.nih.gov/22975903/ cited 2020 Nov 6 [Internet]
- 4 Edwards LC. Children with cochlear implants and complex needs: a review of outcome research and psychological practice. J Deaf Stud Deaf Educ 2007; 12 (03) 258-268 https://pubmed.ncbi.nlm.nih.gov/17493953/ cited 2020 May 26 [Internet]
- 5 Rosenbaum P, Paneth N, Leviton A. et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109: 8-14 https://pubmed.ncbi.nlm.nih.gov/17370477/ cited 2020 May 26 [Internet]
- 6 Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à pessoa com paralisia cerebral. Ministério da Saúde. 1st ed.. Brasília: 2013. [cited 2020 Nov 7]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_atencao_paralisia_cerebral.pdf
- 7 Bacciu A, Pasanisi E, Vincenti V. et al. Cochlear implantation in children with cerebral palsy. A preliminary report. Int J Pediatr Otorhinolaryngol 2009; 73 (05) 717-721 https://pubmed.ncbi.nlm.nih.gov/19201488/ cited 2020 Nov 6 [Internet]
- 8 Lachowska M, Rózycka J, Łukaszewicz Z, Konecka A, Niemczyk K. [Auditory skills in multi-handicapped children with cochlear implants]. Otolaryngol Pol 2010; 64 (07) 22-26 https://pubmed.ncbi.nlm.nih.gov/21171306/ cited 2020 Nov 6 [Internet]
- 9 Berrettini S, Forli F, Genovese E. et al. Cochlear implantation in deaf children with associated disabilities: challenges and outcomes. Int J Audiol 2008; 47 (04) 199-208 cited 2020 Nov 6. Doi: 10.1080/14992020701870197 [Internet]
- 10 Castiquini EAT, Bevilacqua MC. Scale of significant auditory integration: adapted procedure for the assessment of speech perception. Rev Soc Bras Fonoaudiol 2000; 4 (06) 51-60 . Available from https://repositorio.usp.br/item/001110055 cited 2020 Nov 6 [Internet]
- 11 Nascimento LT. Uma proposta de avaliação da linguagem oral [Monografia]. Bauru: Especialização em Audiologia, Universidade de São Paulo; 1997
- 12 Geers A. Techniques for Assessing Auditory Speech Perception and Lipreading Enhancement in Young Deaf Children. Volta Review 1994; 96 (05) 85-96 . Available from https://eric.ed.gov/?id=EJ505099 cited 2020 Nov 6 [Internet]
- 13 Bevilacqua MC, Delgado EM, Moret AL. Clinical case studies of children from the Educational Center for the Hearing Impaired (CEDAU), Proceedings of the International Audiology Meeting. ; March 30th to April 2nd; Bauru, Brazil: 1996
- 14 Bevilacqua MC, Tech EA. A method for assessing speech perception in deaf children—more than five years. Marchesan IQ, Zorzi JL, Gomes ICD. editors. Topics in speech therapy. São Paulo: Lovise; 1996: 411-433
- 15 Delgado EMC, Bevilacqua MC. List of words to evaluated the speech perception in deaf children. Pro Fono 1999; 11 (01) 59-64 . Available from https://repositorio.usp.br/item/001224091 cited 2020 Nov 6 [Internet]
- 16 Oliveira ST. Assessment of speech perception using everyday sentences [dissertation]. São Paulo: PUC; 1992
- 17 Graciano MIG. Socioeconomic study: a technical-operative instrument. Proceedings of the Congenital Labiopalatine Anomalies Course. ; Bauru, University of São Paulo, Hospital for the Rehabilitation of Craniofacial Anomalies, São Paulo; 2013
- 18 Archbold SM, Lutman ME, Gregory S, O'Neill C, Nikolopoulos TP. Parents and their deaf child: their perceptions three years after cochlear implantation. Deaf Educ Int 2002
- 19 Fortunato-Tavares T, Befi-Lopes D, Bento RF, Andrade CR. Children with cochlear implants: communication skills and quality of life. Rev Bras Otorrinolaringol (Engl Ed) 2012; 78 (01) 15-25 https://www.scielo.br/j/bjorl/a/HkHsm6vPFxMjkrRHqMwhKcg/?lang=en cited 2020 Nov 7 [Internet]
- 20 World Health Organization. CIF-CJ: Classificação Internacional de Funcionalidade, Incapacidade e Saúde, Versão para Crianças e Jovens. Edusp; 2011
- 21 Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 1997; 39 (04) 214-223 https://www.ncbi.nlm.nih.gov/pubmed/9183258 cited 2020 Nov 6 [Internet]
- 22 Silva DBR, Pfeifer LI, Funayama CAR. GMFCS - E&R: Gross motor function classification system - expanded and revised [Internet]. 2010 [cited 2020 Nov 6]; Available from: https://repositorio.usp.br/item/002175082
- 23 Vieira S. Introdução à Bioestatística. Elsevier Brasil; 2015
- 24 Sharma A, Dorman MF, Spahr AJ. A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 2002; 23 (06) 532-539 cited 2020 Nov 6 DOI: 10.1097/00003446-200212000-00004 [Internet].
- 25 Cejas I, Hoffman MF, Quittner AL. Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes. Pediatric Health Med Ther 2015; 6: 45-63 cited 2020 Nov 8 DOI: 10.2147/phmt.s65797 [Internet].
- 26 Fernandes NF, Yamaguti EH, Morettin M, Costa OA. Speech perception in users of hearing aid with auditory neuropathy spectrum disorder. CoDAS 2016; 28 (01) 22-26 cited 2020 Nov 8 DOI: 10.1590/231. 7-1782/20162014157 [Internet]
- 27 Hoshino ACH, da Cruz DR, Goffi-Gomez MVS. et al. Audiometric evolution in multichannel cochlear implant users. Rev CEFAC 2013; 15 (02) 297-304 . Available from https://www.scielo.br/scielo.php?script=sci_arttext&pid=S151618462013000200005 cited 2020 Nov 6 [Internet]
- 28 Alvarenga Kde F, Vicente LC, Lopes RCF. et al. Development of P1 cortical auditory evoked potential in children with sensorineural hearing loss after cochlear implantation: longitudinal study. CoDAS 2013; 25 (06) 521-526 https://www.scielo.br/scielo.php?pid=S231717822013000600521&script=sci_arttext&tlng=pt cited 2020 Nov 7 [Internet]
- 29 Silva BCS, Moret ALM, Silva LTDN, Costa OAD, Alvarenga KF, Silva-Comerlatto MPD. Glendonald Auditory Screening Procedure (GASP): clinical markers of the development of auditory recognition and comprehension abilities in children using cochlear implants. CoDAS 2019; 31 (04) e20180142
- 30 dos Santos MJD, Lamônica DAC, Ribeiro Mde M, McCracken W, Silva LT, Costa OA. Outcomes of cochlear implanted children with cerebral palsy: A holistic approach. Int J Pediatr Otorhinolaryngol 2015; 79 (07) 1090-1095 https://pubmed.ncbi.nlm.nih.gov/25977237/ cited 2020 Nov 6 [Internet]
- 31 Steven RA, Green KMJ, Broomfield SJ, Henderson LA, Ramsden RT, Bruce IA. Cochlear implantation in children with cerebral palsy. Int J Pediatr Otorhinolaryngol 2011; 75 (11) 1427-1430 https://pubmed.ncbi.nlm.nih.gov/21893352/ cited 2020 Nov 6 [Internet]
- 32 von der Hagen M, Pivarcsi M, Liebe J. et al. Diagnostic approach to microcephaly in childhood: a two-center study and review of the literature. Dev Med Child Neurol 2014; 56 (08) 732-741 https://pubmed.ncbi.nlm.nih.gov/24617602/ cited 2020 Nov 6 [Internet]
- 33 Byun H, Moon IJ, Kim EY. et al. Performance after timely cochlear implantation in prelingually deaf children with cerebral palsy. Int J Pediatr Otorhinolaryngol 2013; 77 (06) 1013-1018 https://pubmed.ncbi.nlm.nih.gov/23639338/ cited 2020 Nov 6 [Internet]
- 34 Moeller MP. Early intervention and language development in children who are deaf and hard of hearing. Pediatrics 2000; 106 (03) E43 https://www.ncbi.nlm.nih.gov/pubmed/10969127 cited 2019 Oct 14 [Internet]
- 35 Padovani CMCA, Teixeira ER. From babbling to speech - reflections on the importance of initial linguistic activities and the development of oral language in children with hearing impairment. Distúrb Comun 2005;17(01): Available from https://revistas.pucsp.br/dic/article/view/11681 cited 2020 Nov 6 [Internet]
- 36 Spinazola Cde C. Azevedo TL de, Gualda DS, Cia F. Correlation between socioeconomic status, needs, social support and family resources of mothers of children with physical disabilities, Down syndrome and autism. Rev Educ Espec 2018; 31 (62) 697-712
- 37 Shin M-S, Kim S-K, Kim S-S, Park M-H, Kim C-S, Oh S-H. Comparison of cognitive function in deaf children between before and after cochlear implant. Ear Hear 2007; 28 (02) , Suppl) 22S-28S
- 38 Pantelemon C, Necula V, Berghe A-S. et al. Neurodevelopmental Aspects and Cortical Auditory Maturation in Children with Cochlear Implants. Medicina 2020;56(07):