Department of Otolaryngology-Head and Neck Surgery, Indiana University School of Medicine, Indianapolis 46202, USA.
Int J Audiol. 2012 Jun;51(6):491-8. doi: 10.3109/14992027.2012.664291. Epub 2012 Apr 17.
The objective of this study was to evaluate the development of functional auditory skills, language, and adaptive behavior in deaf children with cochlear implants (CI) who also have additional disabilities (AD).
A two-group, pre-test versus post-test design was used.
Comparisons were made between 23 children with CIs and ADs, and an age-matched comparison group of 23 children with CIs without ADs (No-AD). Assessments were obtained pre-CI and within 12 months post-CI.
All but two deaf children with ADs improved in auditory skills using the IT-MAIS. Most deaf children in the AD group made progress in receptive but not expressive language using the preschool language scale, but their language quotients were lower than the No-AD group. Five of eight children with ADs made progress in daily living skills and socialization skills; two made progress in motor skills. Children with ADs who did not make progress in language, did show progress in adaptive behavior.
Children with deafness and ADs made progress in functional auditory skills, receptive language, and adaptive behavior. Expanded assessment that includes adaptive functioning and multi-center collaboration is recommended to best determine benefits of implantation in areas of expected growth in this clinical population.
本研究旨在评估患有耳蜗植入物 (CI) 并有其他残疾 (AD) 的聋儿的功能性听觉技能、语言和适应行为的发展。
使用了两组，预测试与后测试设计。
将 23 名患有 CI 和 AD 的儿童与年龄匹配的 23 名无 AD 的 CI 儿童（无 AD 组）进行了比较。评估在 CI 之前和 CI 后 12 个月内进行。
除了两名患有 AD 的聋儿外，所有聋儿在使用 IT-MAIS 时在听觉技能方面都有所提高。大多数 AD 组的聋儿在使用学前语言量表时在接受性语言方面取得了进步，但他们的语言商数低于无 AD 组。8 名 AD 儿童中有 5 名在日常生活技能和社交技能方面取得了进步；2 名在运动技能方面取得了进步。在语言方面没有取得进步的 AD 儿童在适应行为方面取得了进步。
患有耳聋和 AD 的儿童在功能性听觉技能、接受性语言和适应行为方面取得了进步。建议进行扩展评估，包括适应功能和多中心合作，以最好地确定在这一临床人群预期增长领域中植入的益处。
