Department of Audiology, Faculty of Health Sciences, Hacettepe University, Ankara, 06100, Turkey.
Eur Arch Otorhinolaryngol. 2024 Sep;281(9):4593-4602. doi: 10.1007/s00405-024-08635-8. Epub 2024 Apr 17.
The purpose of this study was to investigate the relations between functional hearing, language, social, bilateral coordination and manual dexterity skills in children with early cochlear implants (CIs).
Thirty children with CIs were included in this study. The manual dexterity and bilateral coordination development of the participants were evaluated with Manual Dexterity and Bilateral Coordination subtests of Bruininks-Oseretsky Motor Proficiency-2 (BOT-2). Their language skills were assessed by the Test of Early language Development-3. To assess the functional hearing of participants the Functioning After Pediatric Cochlear Implantation scale (FAPCI) was administered their caregivers. Also, the Social Skills Evaluation Scale was administered to participants' teachers to asses their social skills.
There were significant correlations between participants' receptive and expressive language skills, Manual Dexterity, and FAPCI scores (p < 0.05). There were also significant relationships between the SSES and FAPCI scores of the participants (p < 0.05). However, the Bilateral Coordination subtest did not show any significant correlation with any of the measurements (p > 0.05).
The results suggest that the language, manual dexterity and functional hearing abilities of children with CIs are closely related. Although, there were no significant correlations between all of the measurement, it is important to look beyond hearing and speech evaluations to assess the whole child.
本研究旨在探讨早期人工耳蜗植入儿童的功能性听力、语言、社会、双侧协调和手眼协调技能之间的关系。
本研究纳入了 30 名人工耳蜗植入儿童。参与者的手眼协调和双侧协调发育通过 Bruininks-Oseretsky 运动能力测试-2(BOT-2)中的手动灵巧和双侧协调子测试进行评估。他们的语言技能通过早期语言发展测试-3 进行评估。为了评估参与者的功能性听力,他们的照顾者填写了儿童人工耳蜗植入后功能量表(FAPCI)。此外,还向参与者的老师发放社会技能评估量表,以评估他们的社会技能。
参与者的接受性和表达性语言技能、手动灵巧度和 FAPCI 评分之间存在显著相关性(p<0.05)。参与者的 SSES 和 FAPCI 评分之间也存在显著关系(p<0.05)。然而,双侧协调子测试与任何测量值均无显著相关性(p>0.05)。
研究结果表明,植入人工耳蜗的儿童的语言、手眼协调和功能性听力能力密切相关。尽管所有测量值之间没有显著相关性,但重要的是要超越听力和言语评估来全面评估儿童。