Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey,
Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Audiol Neurootol. 2021;26(3):173-181. doi: 10.1159/000510584. Epub 2021 Jan 26.
Young children are able to explore new objects and practice language through the acquisition of motor skills that lead to their overall development. Congenital hearing loss and total vestibular loss may contribute to the delay in speech and motor skill development.
To investigate the relationship between motor development performance, speech perception, and language performance in children with auditory brainstem implant (ABI).
Ten children, aged 4-17 years (mean age 9.76 ± 4.03), fitted with unilateral ABI for at least 2 years due to the presence of labyrinthine aplasia and rudimentary otocyst at least 1 side were included in the study. Several standardized tests, such as Bruininks-Oseretsky Motor Proficiency Test-2 (BOT-2), Children's Auditory Perception Test Battery, Meaningful Auditory Integration Scale (MAIS), and Test of Early Language Development-3, were performed to evaluate their skills of fine motor control, balance, manual dexterity, language, and auditory perception.
A significant correlation was established between the BOT-2 manual dexterity and MAIS scores (r = 0.827, p < 0.05) and between the manual dexterity and language skills (for expressive language, r = 0.762, p < 0.05; for receptive language, r = 0.650, p < 0.05). Some of the BOT-2 balance tasks, such as standing on 1 leg on a line with eyes closed, standing on 1 leg on a balance beam with eyes open, standing heel-to-toe on a balance beam, and walking forward heel-to-toe on a line, showed a strong correlation with their receptive and expressive language performance (p < 0.05).
The current study has indicated that significantly poor manual and balance performances are associated with poor speech perception and language skills in children with ABI. The authors recommend performing a vestibular assessment before and after ABI surgery and the use of a holistic rehabilitation approach, including auditory and vestibular rehabilitation, to support development of the children with ABI.
幼儿通过获得运动技能来探索新物体和练习语言，从而促进全面发展。先天性听力损失和全迷路缺失可能导致言语和运动技能发育迟缓。
研究人工耳蜗植入（ABI）患儿的运动发育表现、言语感知和语言表现之间的关系。
本研究纳入了 10 名年龄在 4-17 岁（平均年龄 9.76 ± 4.03 岁）的儿童，他们因单侧内耳发育不全和/或发育不良的耳石器而至少单侧存在先天性听力损失，并且至少一侧接受了 ABI 植入，植入时间至少 2 年。使用 Bruininks-Oseretsky 运动能力测试-2（BOT-2）、儿童听觉感知测试包、有意义听觉整合量表（MAIS）和语言发展早期测试-3 等多项标准化测试来评估他们的精细运动控制、平衡、手眼协调、语言和听觉感知技能。
BOT-2 手灵巧性与 MAIS 评分（r = 0.827，p < 0.05）以及手灵巧性与语言技能（表达性语言，r = 0.762，p < 0.05；接受性语言，r = 0.650，p < 0.05）之间存在显著相关性。BOT-2 平衡任务中的一些项目，如闭眼单腿站立、睁眼单腿站在平衡木上、足跟对足尖站在平衡木上和沿直线足跟对足尖行走，与他们的接受性和表达性语言表现之间存在较强的相关性（p < 0.05）。
本研究表明，ABI 患儿的手灵巧性和平衡能力显著较差与言语感知和语言技能较差相关。作者建议在 ABI 手术前后进行前庭评估，并采用包括听觉和前庭康复在内的整体康复方法，为 ABI 患儿提供支持。
