Doosti Afsaneh, Jalalipour Maryam, Ahmadi Tayebeh, Hashemi Seyed Basir, Haghjou Shapour, Bakhshi Enayatollah
Department of Audiology, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran and Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Speech Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran and Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran J Otorhinolaryngol. 2018 Mar;30(97):77-83.
Sensory deprivations such as hearing impairment that affect sensory input have a secondary impact on cognitive functions such as working memory (WM). WM capacity is an important cognitive component that processes language-related activities. Moreover, several studies have shown a deficit in WM in children with a cochlear implant (CI). We aimed to assess the performance of children with CIs in pre- and post-training sessions and compare their scores on a battery of WM tests to investigate the efficacy of a WM training program.
Twenty-five children aged 7-10 years with a CI participated in this study. To train their WM, a computer game was used. In order to examine auditory WM, a test battery including standardized digit span (forward and backward variations), non-word and sentence repetition (subtest of the Test of Language Development-Primary) were assessed in pre- and post-training test sessions at Shiraz Implant Center.
There were statistically significant differences between pre- and post-training test scores on all subtests. Test score differences were statistically significant for forward digit span (P=0.003), backward digit span (P=0.001), non-word repetition (P=0.001), and sentence repetition tasks (P=0.003) before and after training sessions.
Training may enhance WM capacity. With regards to the importance of WM in literacy and learning, it seems applying such intervention programs may be helpful in the rehabilitation of implanted children.
诸如听力障碍等影响感觉输入的感觉剥夺对诸如工作记忆(WM)等认知功能有继发性影响。WM容量是处理与语言相关活动的重要认知组成部分。此外,多项研究表明,接受人工耳蜗植入(CI)的儿童存在WM缺陷。我们旨在评估接受CI植入的儿童在训练前和训练后的表现,并比较他们在一系列WM测试中的得分,以研究WM训练计划的效果。
25名7至10岁接受CI植入的儿童参与了本研究。为训练他们的WM,使用了一款电脑游戏。为检测听觉WM,在设拉子植入中心的训练前和训练后测试环节中,对包括标准化数字广度(顺背和倒背变体)、非词和句子重复(语言发展初级测试的子测试)在内的测试组进行了评估。
所有子测试的训练前和训练后测试得分之间存在统计学上的显著差异。训练前后,顺背数字广度(P=0.003)、倒背数字广度(P=0.001)、非词重复(P=0.001)和句子重复任务(P=0.003)的测试得分差异具有统计学意义。
训练可能会增强WM容量。鉴于WM在读写能力和学习中的重要性,应用此类干预计划似乎可能有助于植入儿童的康复。