The language profile of children who use CI for five years is devious and similar to that of five year old hearing children regarding Expression and to that of four year old hearing regarding Comprehension; time of sensorial privation was statistically significant for the score obtained in C--receptive language--and for the score obtained in the E section (Ec)--expressive language, as well as in the overall score of RDLS.
Processi ng acoustic clues from the sounds of speech depends on the proper perception of the frequency and duration of stimuli as a sequence of events. Aim: To assess the capacity for temporal organization in users of multichannel CI. Method: 14 normal hearing individuals formed the control group, matching in age and gender other 14 users of multichannel CI, who made up the study group, and they were assessed and compared as to the Frequency Patterns Test (FPT) and Duration Patterns Test (DPT). Results: CI users had good performance in temporal organization tasks, with mean results of 48.7% in the FPT and 59.6% in the DPT. For the control group, mean performance at the FPT was of 63.4% and in the DPT of 64.6%. We did not see statistically significant difference between the results from the control and study groups. Conclusion: the CI provided favorable performance in the tasks that required temporal organization skill for individuals evaluated in this study.
Aim: to evaluate the effects of different signal-tonoise ratios on speech recognition obtained by the use of cochlear implant (CI); to compare the speech recognition in noise with different types of multichannel cochlear implants (CIs) and to evaluate the degree of difficulty for speech understanding in noise in daily life situations. Study design: cohort transversal. Material and Method: Forty adults with post-lingual hearing loss implanted with Nucleus 22, Nucleus 24, Combi 40, Combi 40+ and Clarion. We evaluated the recognition for CPA sentences in quiet and in S/N +15, +10 and +5 dB. We also applied the Social Hearing Handicap Index (SHHI) questionnaire for self-assessment in daily life. Results and Conclusion: All the implanted adults presented a significant reduction in the scores for sentences recognition as the S/N decreased. The medians´ curve for sentence recognition reached 50% in the signal-tonoise ratio of +10 dB. There was no statistically significant difference in sentences' recognition scores and difficulty scores obtained with the SHHI, for all types of implants. The difficulties of implanted adults were rare in quiet and occasional in noisy situations according to SHHI questionnaire.
RESUMO Objetivo Avaliar a qualidade de vida (QV) de adultos usuários de implante coclear (IC), comparando-a com a QV de adultos com audição normal, além de estudar a influência, na QV dos adultos usuários de IC, destas variáveis: nível socioeconômico, escolaridade, idade na avaliação, tempo de privação sensorial auditiva, tempo de uso do dispositivo e desempenho nos testes de percepção auditiva da fala. Desenho A QV foi avaliada segundo o questionário genérico de avaliação World Health Organization Quality of Life (WHOQOL-bref). Amostra do estudo Setenta adultos usuários de IC formaram o grupo experimental (GE) e 50 adultos com audição normal fizeram parte do grupo controle (GC). Resultados O GE apresentou escores muito próximos à pontuação máxima que representa QV satisfatória para todos os domínios do questionário WHOQOL-bref e houve resultados semelhantes entre os GE e GC. Na avaliação, as variáveis idade, tempo de privação sensorial auditiva, tempo de uso do IC e desempenho em percepção auditiva da fala não influenciaram os resultados de QV de adultos usuários de IC. Conclusão Avaliar a QV deve ser uma preocupação das equipes interdisciplinares em IC para uma intervenção com um cuidado humanizado.
A meningite é a principal causa de deficiência auditiva neurossensorial adquirida, o paciente pode apresentar ao mesmo tempo déficit motor, distúrbio visual, distúrbio de linguagem, déficit vestibular, déficit de atenção e incapacidade para a aprendizagem. Caracteristicamente a deficiência auditiva pós-meningite é sensorioneural, profunda, bilateral, simétrica e descendente, mais comum no sexo masculino e em crianças abaixo de 5 anos e traz não só graves implicações quanto ao desenvolvimento social e emocional dos sujeitos por ela afetados, como também sérias alterações na linguagem oral já adquirida e/ou em estágio de aquisição. Objetivo: O trabalho objetiva realizar um estudo comparativo de um grupo de crianças com deficiên-cia auditiva sensorioneural devido a meningite e um grupo de crianças com deficiência auditiva sensorioneural de etiologias diversas, implantadas no período pré-lingual, na faixa etária de 1 ano e 10 meses a 6 anos. Forma de estudo: Coorte transversal. Material e Método: Foram avaliadas 63 crianças com deficiência auditiva neurossensorial profunda bilateral pré-lingual, usuárias de implante coclear multicanal, sendo 25 (40%) do sexo masculino 38 (60%) do sexo feminino. Em 12 casos (19%) a deficiência auditiva foi decorrente da meningite e em 51 casos (81%) de outras etiologias. Todos os indivíduos selecionados foram submetidos a avaliações otorrinolaringológicas e audiológicas clínicas e objetivas. Conclusões: A ocorrência de inserção parcial dos eletrodos foi maior no grupo com deficiên-cia auditiva pós-meningite. Não houve diferenças estatisticamente significantes quanto ao reconhecimento de palavras e fonemas e nos questionários de avaliação das habilidades auditivas (MAIS) e de linguagem (MUSS) entre os grupos estudados. Meni ngitis is the main cause of acquired sensorineural hearing loss in children. The patient may also present motor disorders, visual, vestibular, language and attention deficits as well as inability for learning. Characteristically the hearing loss due to meningitis is bilateral profound sensorineural symmetric and descendent and it is more common in males and in children under 5 years old and it brings severe implications in the emotional, social and development. Aim: To compare the performance of two groups of pre-lingually deaf implanted children, with age varying from 1 year and 10 months to 6 years, with hearing loss due to meningitis and other varied causes. Study design: Transversal cohorte. Material and Method: 63 profoundly deaf implanted children were evaluated, 25 (40%) were male and 38 (60%) were females. In 12 cases (19%) the hearing loss was caused by meningitis and in 51 cases (81%) hearing loss was due to a variety of causes. All participants were submitted to ear nose throat examination and clinical and objective audiological evaluation. Conclusions: the occurrence of partial insertion was higher in the meningitis group. There were no statically significant differences on word and phoneme recognition as well as in the questionnaire for evaluation of t...
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