Effects of bimodal intervention on the development of auditory and speech ability in infants with unilateral cochlear implantation
10.3760/cma.j.issn.1673-0860.2018.03.007
- VernacularTitle: 双模式干预对婴幼儿单侧人工耳蜗植入后早期听觉言语发育的影响
- Author:
Meiping HUANG
1
;
Haibin SHENG
1
;
Yan REN
1
;
Yun LI
1
;
Zhiwu HUANG
1
;
Hao WU
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Jiaotong University School of Medicine Ear Institute, Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases, Shanghai 200011, China
- Publication Type:Journal Article
- Keywords:
Cochlear implantation;
Hearing aids;
Child;
Rehabilitation of speech and language disorders
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2018;53(3):203-208
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of bimodal intervention on the development of auditory and speech ability in the infants with unilateral cochlear implantation(CI).
Methods:Total 35 bilateral profound sensorineural hearing loss infants with unilateral CI, aged 0.7 to 2.8 years old, were selected. The subjects were divided into two groups: the group with unilateral CI(cochlear implant alone, n= 15), and the bimodal group with CI and contralateral fitting hearing aid(n= 20). Their auditory and speech abilities were estimated at the different time points after switch-on(the 0th, 0.5th, 1st, 3rd, 6th, 12th, 18th, and 24th month, respectively) using Infant Toddler-Meaningful Auditory Integration Scale(IT-MAIS), Meaningful Use of Speech Scale(MUSS), Categories of Auditory Performance(CAP), and Speech Intelligibility Rating(SIR) scores.
Results:The IT-MAIS scores of bimodal group after switch-on were higher than unilateral CI group(the 0.5th, 1st, 3rd, 6th, 12th, and 18th month), the statistical significances were identified at the 0.5th, 1st, 3rd, 6th, and 12th month, respectively(P<0.05). The CAP scores of bimodal group before CI operation and after switch-on(the 0.5th, 1st, 3rd, 6th, 12th, 18th and 24th month)were higher than unilateral CI group, the statistical significances were seen at the 3rd, 6th, 12th, 18th and 24th month after switch-on(P<0.05). The MUSS scores of bimodal group after switch-on were higher than unilateral CI group(the 1st, 3rd, 6th, 12th, 18th and 24th month), the statistical significances were found at the 12th, 18th and 24th month, respectively(P<0.05). The SIR scores of bimodal group after switch-on were higher than unilateral CI group(the 3rd, 6th, 12th, 18th and 24th month), and significant differences appeared at the 12th, 18th and 24th month after switch-on(P<0.05).
Conclusion:Bimodal intervention could be helpful to the development of auditory and speech ability of infants.
