脑瘫患者的听力康复：人工耳蜗植入后的语言与听力发展
Hearing rehabilitation in cerebral palsy: development of language and hearing after cochlear implantation.
作者信息
Hilgenberg Anacléia Melo da Silva, Cardoso Carolina Costa, Caldas Fernanda Ferreira, Tschiedel Renata de Sousa, Deperon Tatiana Medeiros, Bahmad Fayez
机构信息
Department of Health Sciences, Universidade de Brasília (UnB), Brasília, DF, Brazil.
Department of Health Sciences, Universidade de Brasília (UnB), Brasília, DF, Brazil; Department of Psychology, Centro Universitário Planalto do Distrito Federal (UNIPLAN), Brasília, DF, Brazil.
出版信息
Braz J Otorhinolaryngol. 2015 May-Jun;81(3):240-7. doi: 10.1016/j.bjorl.2014.10.002. Epub 2014 Oct 19.
INTRODUCTION
Auditory rehabilitation in children with bilateral severe-to-profound sensorineural hearing loss with cochlear implant has been developed in recent decades; however, the rehabilitation of children with cerebral palsy still remains a challenge to otolaryngology and speech therapy professionals.
OBJECTIVE
To verify the effectiveness of cochlear implants in the development of auditory and language skills in children with cerebral palsy.
METHODS
A prospective analytical study. The evaluation of auditory responses to speech test was applied to the children in this study at regular intervals following implantation. Standardized tests that assess and quantify the development of auditory and language skills were administered and speech therapy video records and speech therapy files were analyzed. All children went through individually tailored intensive audiological rehabilitation programs following cochlear implantation.
RESULTS
Two participants had gradual auditory and language development when compared to other participants who reached advanced levels in hearing and oral language classifications.
CONCLUSION
The use of the Cochlear implant enabled participants to reach advanced stages of hearing and language skills in three of the five participants with cerebral palsy in this study. This electronic device is a viable therapeutic option for children with cerebral palsy to help them achieve complex levels of auditory and language skills.
引言
近几十年来，针对双侧重度至极重度感音神经性听力损失儿童的人工耳蜗听觉康复已得到发展；然而，对于脑瘫儿童的康复，仍然是耳鼻喉科和言语治疗专业人员面临的一项挑战。
目的
验证人工耳蜗对脑瘫儿童听觉和语言技能发展的有效性。
方法
一项前瞻性分析研究。本研究中的儿童在植入后定期接受言语测试的听觉反应评估。实施评估和量化听觉及语言技能发展的标准化测试，并分析言语治疗视频记录和言语治疗文件。所有儿童在人工耳蜗植入后都接受了量身定制的强化听力学康复计划。
结果
与在听力和口语语言分类方面达到高级水平的其他参与者相比，两名参与者的听觉和语言逐渐发展。
结论
在本研究中，五名脑瘫参与者中有三名使用人工耳蜗后达到了听力和语言技能的高级阶段。这种电子设备是脑瘫儿童实现复杂听觉和语言技能水平的一种可行治疗选择。
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