Assessing Cochlear Implant Benefit in Very Young Children

Zimmerman‐Phillips, Susan; Robbins, Amy McConkey; Osberger, Mary Joe

doi:10.1177/0003489400109s1217

Cited by 144 publications

(75 citation statements)

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“…The three levels encompass sound awareness (Level I), phonetic discrimination (Level II), and word recognition (Level III). To elaborate, Level I represents awareness or attentiveness to sound, typically assessed through basic audiometric testing and parent report (e.g., Ling Developmental Schedules [7]; IT-MAIS [8]). Level II relates to complex encoding of stimuli at higher neural levels, which entails differentiation between speech sounds spanning broad phonetic categories.…”

Section: Successful Implementation Of Early Hearing Detection and Intmentioning

confidence: 99%

Assessing auditory capabilities in young children

Eisenberg

Martinez

Boothroyd

2007

International Journal of Pediatric Otorhinolaryngology

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Objective-Early detection of hearing loss in infants and toddlers has created a need for ageappropriate tests of auditory perceptual capabilities. This article describes a progressive test battery we have developed to evaluate phonetic contrast perception, phoneme recognition, and word recognition in children 6 months to 5 years. This battery is part of a clinical research protocol designed to track auditory development in this population.Methods-The progressive test battery originated from a model of auditory perceptual development to assess phonetic discrimination and word recognition. Phonetic discrimination is evaluated using the Battery of Auditory Speech Perception Tests for Infants and Toddlers (BATIT). The BATIT is composed of four measures (VRASPAC, PLAYSPAC, OLIMSPAC, and VIDSPAC) intended to assess the child's ability to distinguish between phonologically significant contrasts using developmentally appropriate tasks. Designed for children aged 6 months and up, performance is represented either by percent correct or by the level of confidence that the child's responses are not random. Phoneme and word recognition are assessed in children 4 years and older using lists of consonant-vowel-consonant (CVC) phonemes in words and lexically controlled words both in and out of sentence context (LEXSEN).Results-Cross-sectional data show that children with normal hearing may be assessed by the age of 7 months on VRASPAC; by 3 years on PLAYSPAC and OLIMSPAC; and by 4 to 5 years on VIDSPAC, CVC phonemes in words, and LEXSEN words in isolation and in sentences. Data from infants with hearing loss showed that VRASPAC was sensitive to degree of hearing loss, but performance with normally hearing children on this test declined after 12 months of age.Conclusion-Assessment of phonetic discrimination and word recognition is, for the most part, attainable in young children using a progressive test battery, but none of the tests used here was effective between 1 and 3 years of age. Continued development will be required to fill this gap and to separate auditory from non-auditory influences in performance.

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Section: Successful Implementation Of Early Hearing Detection and Intmentioning

confidence: 99%

Assessing auditory capabilities in young children

Eisenberg

Martinez

Boothroyd

2007

International Journal of Pediatric Otorhinolaryngology

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“…The test is a structured interview schedule that queries parents about their child's spontaneous listening behaviors in everyday situations. 8 The IT-MAIS is not a questionnaire in which parents are asked direct questions regarding their child's auditory behavior. Rather, the test uses interview elicitation techniques similar to those used with the Vineland Adaptive Behavior Scales.…”

Section: Test Materialsmentioning

confidence: 99%

Effect of Age at Cochlear Implantation on Auditory Skill Development in Infants and Toddlers

Robbins¹,

Koch²,

Osberger³

et al. 2004

Arch Otolaryngol Head Neck Surg

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273

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“…Several studies have shown that early implantation can be beneficial not only for speech perception, but also for the development of speech and language (1)(2)(3). Moreover, early intervention for children with hearing loss facilitates successful educational integration at the earliest possible age (4).…”

Section: Introductionmentioning

confidence: 99%

Language development in Japanese children who receive cochlear implant and/or hearing aid

Iwasaki

Nishio

Moteki

et al. 2012

International Journal of Pediatric Otorhinolaryngology

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Objectives: This study aimed to investigate a wide variety of factors that influence auditory, speech, and language development following pediatric cochlear implantation (CI). Study design:Prospective collection of language tested data in profound hearing-impaired children.Hypothesis: Pediatric CI can potentially be effective to development of practical communication skills and early implantation is more effective. Methods:We proposed a set of language tests (assessment package of the language development for Japanese hearing-impaired children; ALADJIN) were CI-hearing aid (HA) users, and 2 (1.1%) were bilateral CI users.Hearing loss level of CI users was significantly (p < 0.01) worse than that of HA-only users. However, the threshold level, maximum speech discrimination score, and speech intelligibility rating in CI users were significantly (p < 0.01) better than those in HA-only users. The scores for PVT-R (p < 0.01), SCTAW, and WFT in CI users were better than those in HA-only users. STA and TQAID scores in CI-HA users were significantly (p < 0.05) better than those in unilateral CI-only users. The high correlation (r=0.52) has been found between the age of CI and maximum speech discrimination score. The scores of speech and language tests in the implanted children before 24 months of age have been better than those in the implanted children after 24 months of age. Conclusions:We could indicate that CI was effective for language 5 development in Japanese hearing-impaired children and early CI was more effective for productive vocabulary and syntax.6

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Assessing Cochlear Implant Benefit in Very Young Children

Cited by 144 publications

References 1 publication

Assessing auditory capabilities in young children

Assessing auditory capabilities in young children

Effect of Age at Cochlear Implantation on Auditory Skill Development in Infants and Toddlers

Language development in Japanese children who receive cochlear implant and/or hearing aid

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