The Language Test for Children (SETK 3-5) is an appropriate test procedure to be used for language assessment of children who received a CI. It can be used from age 3 on to administer data on receptive and expressive language development and auditory memory.
The phonological development of children with CI is not equivalent to their hearing age and is structured differently to that of normal-hearing children.
Long term goal in early cochlea implantation in children without any additional disabilities is an age-appropriate speech development. Speech development in deaf children with cochlear-implant(s) (n=60) was examined with the german language test battery SETK-2 ("Sprachentwicklungstest für 2-jährige Kinder") 2 years after first mapping of the speech processor. More than 68% of the subjects show in all 4 subtests hearing-age equivalent results in receptive and expressive language. 12 children were additionally evaluated by chronological age. 4 of these children show age-appropriate results. There is no significant difference between the children implanted earlier in life (≤12 months) and later implanted children (≥13 months). But it must be kept in mind, that children who were implanted earlier show the same results at a younger age. The discrepancy between their chronological age and their speech development-age is smaller. Speech development in children who grow up bilingually was delayed in German. The results lead to the conclusion that the time of the cochlea implantation is crucial for further development of the children who were born deaf. Rehabilitation concepts have to put a special focus on children who grow up with more than one language.
Frühkindliche Hörstörungen sind häufig und haben unversorgt lebenslange, negative Folgen für die Entwicklungschancen eines Kindes. Nur eine frühzeitige Diagnostik, adäquate apparative Versorgung und kompetente ärztliche sowie pädagogisch/therapeutische Begleitung ermöglichen eine optimale Entwicklung. Dieser Beitrag schildert die physiologische Hör- und Sprachentwicklung und geht auf die besondere Entwicklung von Kindern mit Hörschädigungen ein.
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