Outcomes of cochlear implanted children with cerebral palsy: A holistic approach.
作者信息
dos Santos Maria Jaquelini Dias, Lamônica Dionísia Aparecida Cusin, Ribeiro Maria Valeriana Leme de Moura, McCracken Wendy, Silva Leandra Tabanez do Nascimento, Costa Orozimbo Alves
机构信息
Department of Audiology and Speech Language Pathology, University of São Paulo, Al. Octávio Pinheiro Brisola, 9-75, Vila Universitária, Bauru, São Paulo, Brazil.
Department of Neurology, University of Campinas, R. Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Campinas, São Paulo, Brazil.
出版信息
Int J Pediatr Otorhinolaryngol. 2015 Jul;79(7):1090-5. doi: 10.1016/j.ijporl.2015.04.038. Epub 2015 May 6.
OBJECTIVE
Analyze the progress of hearing and language in a group of children with cerebral palsy (CP) who have received cochlear implants (CI) and compare their progress in the clinical and functional domains.
METHODS
This is a prospective transdisciplinary study developed within a tertiary referral center, with a group of nine cochlear-implanted children with CP, two- to seven-year-old. The assessments undertaken included audiological, language, and communication assessments complemented by the assessment of functional abilities and the level of independence as evaluated by the Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Classification System (GMFCS).
RESULTS
The outcomes varied, as two children achieved hearing comprehension in open-set evaluations. These children presented the same type of CP, athetosis, but with different functional skills and GMFCS levels. Only one of the subjects had any spoken language at the single-word level.
CONCLUSIONS
A holistic view of change and development is central to understanding progress made in children with CP who received cochlear implants (CI). The functional evaluation of these children with CP is a useful tool for monitoring their progress and measuring their outcomes with CI.
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