Bharadwaj Sneha V, Matzke Patricia L, Maricle Denise
Department of Communication Sciences and Disorders, Texas Woman's University, P.O. Box 425737, Denton, TX 76204, USA.
Pediatric Occupational Therapist, Plano, TX, USA.
Cochlear Implants Int. 2021 Jan;22(1):17-28. doi: 10.1080/14670100.2020.1799151. Epub 2020 Aug 1.
This study examined the consequences of long-term auditory deprivation on visuospatial functions, visuomotor functions, and visual attention skills in adults with early-onset hearing loss.
Fifteen adults with bilateral, early-onset (before age 3), severe-to-profound hearing loss who used spoken language participated in this study. Visuospatial (figure ground, form constancy, visual perception) and visuomotor functions (visuomotor integration, visual search) were examined using norm-referenced tests. Visual attention scales were examined using a computerized program, IVA plus continuous performance test.
As a group, participants performed in the average range on visuospatial and visuomotor functions when compared to normative data presented in the test instruments. However, participants demonstrated below average performance on sustained visual attention. Duration of cochlear implant use positively correlated with one of the visual attention scales, namely visual speed.
The findings of the current study suggest that adults with early-onset hearing loss may demonstrate difficulties in sustaining attention to visual information. Data also suggest that increased experience with cochlear implant may ameliorate deficits associated with visual attention. Future studies should explore challenges experienced by adults with early-onset hearing loss in their daily activities that may result from this deficit and intervention programs that may enhance visual attention skills.
本研究探讨了早发性听力损失成人长期听觉剥夺对视空间功能、视运动功能和视觉注意力技能的影响。
15名双侧早发性(3岁之前)、重度至极重度听力损失且使用口语的成人参与了本研究。使用常模参照测试对视空间(图形背景、形状恒常性、视觉感知)和视运动功能(视运动整合、视觉搜索)进行检测。使用计算机程序IVA加连续性能测试对视觉注意力量表进行检测。
与测试工具中呈现的常模数据相比,作为一个群体,参与者在视空间和视运动功能方面表现处于平均水平。然而,参与者在持续视觉注意力方面表现低于平均水平。人工耳蜗使用时长与其中一项视觉注意力量表即视觉速度呈正相关。
本研究结果表明,早发性听力损失成人在持续关注视觉信息方面可能存在困难。数据还表明,增加人工耳蜗使用经验可能会改善与视觉注意力相关的缺陷。未来的研究应探索早发性听力损失成人在日常活动中可能因这一缺陷而遇到的挑战,以及可能增强视觉注意力技能的干预方案。