Speech Perception Outcome in Multiply Disabled Children Following Cochlear Implantation: Investigating a Predictive Score

Abstract

Prediction of outcomes following cochlear implantation in multiply disabled children can be facilitated using this newly developed functional disability score as an adjunct to traditional candidacy assessments.

Low Pediatric Cochlear Implant Failure Rate<subtitle>Contributing Factors in Large-Volume Practice</subtitle>

“…The score, which ranges from 0 to 34, has been tested in this population and was designed by preparing a hierarchy of the individual speech perception tests (Figure 2). 13 PROSPER scores either improved (n = 10) or remained stable (n=11) after CIri (Figure 2). Many of these children already had excellent speech perception scores and thus had PROSPER scores reaching or approaching the maximum value of 34.…”

“…The PROSPER score was created to integrate all available speech perception outcomes results into one score that could be followed over time because of the typical change in speech perception tests used as children age and acquire oral speech and language. 13 For this study, the PROSPER score was used to make comparisons of hearing ability before and after CIri. Because the ceiling of PROSPER scores is reached when PBK accuracy exceeds 50%, we also analyzed PBK scores in children who were able to complete this test.…”

Limiting asymmetric hearing improves benefits of bilateral hearing in children using cochlear implants

“…To evaluate changes across repeated tests completed by the same child, scores were converted to a P ediatric R anked O rder S peech Per ception (PROSPER) score 82 , which hierarchizes score (<50%, ≥50%) and type of test into one score that could be followed over time. This accounts for a possible change in score by virtue of moving from a simpler to more challenging test.…”

Longitudinal functional performance among children with cochlear implants and disabilities: A prospective study using the Pediatric Evaluation of Disability Inventory

“…Children with additional disabilities who have received cochlear implants have been reported to have made measurable progress in the areas of speech intelligibility [1][2][3][4][5][6][7], auditory skill development [8,9], and language skills [10,11]. However, quantifying ''appropriate'' progress that applies to the broad group of children has been challenging due to the heterogeneity of children with complex needs.…”