Listening skill progress in children with cochlear implants in the first three months after implantation
Keywords:Listening skills, Listening progress profile, Cochlear implantation
Background: Development of auditory skills is triggered as soon as cochlear implantation is done. Very few studies have reported development of listening skills in cochlear implanted children in the immediate period following the implantation. The present study aims to profile the development of auditory skills in children with cochlear implants during the first three months following implantation.
Methods: The tool used is Listening Progress Profile (LiP) which was used to collect information about listening skills one week prior to cochlear implantation, within a week of switch on and once every two weeks till the end of three months after implantation. Twelve children in the age range of one year to five years with congenital bilateral profound hearing loss, who were scheduled for unilateral cochlear implantation were included as participants.
Results: Results indicate a statistically significant improvement in LiP scores at each test interval. No significant difference was found in the listening skill progress for children implanted before and after three years of age. Younger male participants performed consistently better than older males and younger and older females.
Conclusions: LiP can be used as a major tool for assessing the development of listening skills in young children during the immediate post implantation period as it provides detailed information regarding the auditory performance towards a variety of stimuli.
Lin FR, Niparko JK. Measuring health related quality of life after pediatric cochlear implantation: A systematic review. Int J Pediatr Otorhinolaryngol. 2006;70(10):1695–706.
Laurent Clerc National Deaf Education Centre, Suggested Scales of Development and assessment tools: Gallaudet University. 2015. www.gallaudet.edu/clerc_center/resources/suggested_scales_of_development_and_assessment_tools.html
Miyamoto RT, Houston DM, Kirk KI, Perdew AE, Svirsky MA. Language development in deaf infants following cochlear implantation. Acta Oto-Laryngol. 2003;123:241-4.
Nikolopoulos TP, Dyar D, Archbold S, O’Donoghue GM. Development of spoken language grammar following cochlear implantation in prelingually deaf children. Arch Otolaryngol Head Neck Surg. 2004;130(5):629-33.
Geers AE. Factors influencing spoken language outcomes in children following early cochlear implantation. Adv Otorhinolaryngol. 2006;64:50-65.
James D, Rajput K, Brinton J, Giswani U. Phonological awareness, vocabulary and word reading in children who use cochlear implants: Does age of implantation explain individual variability in performance outcomes and growth? J Deaf Stud Deaf Educ. 2008;13:117-37.
Nicholas JG, Geers A. Will they catch up? The role of age of cochlear implantation in the spoken language development of children with severe to profound hearing loss. J Speech Lang Hear Res. 2007;50:1048-62.
Gibbin KP. Peadiatric cochlear implantation. Arch Dis Child. 1992;67:664–71.
Wolvin AD. Listening and Human communication in 21st century. United Kingdom: Blackwell Publishing Ltd; 2010.
Sharma A, Dorman MF, Spahr AJ, Todd N. A sensitive period for the development of the central auditory system in children with cochlear implants: Implications of age of implantation. Ear Hearing. 2002;23:532-9.
Bosco E, D’Agosta L, Mancini P, Traisci G, D’Elia C, Filipo R. Speech Perception Results in Children Implanted with Clarion Devices: Hi-Resolution and Standard Resolution modes. Acta Otolaryngol. 2005;125:148-58.
Stacey PC, Fortnum HM, Barton GR, Summerfield AQ. Hearing impaired children in the United Kingdom, I: Auditory Performance, Communication skills, Educational achievements, Quality of Life & Cochlear implantation. Ear Hearing. 2006;27(2):161–86.
Nikolopoulos TP, Wells P, Archbold SM. Using Listening Progress Profile (LiP) to assess early functional auditory performance in young implanted children. Deafness Education Int. 2000;2(3):142–51.
Max, Iwaki T, Kubo T. The change of the auditory function in children with cochlear implant. J Clin Otorhinolaryngol. 2005;19(13):598–9.
Zakirullah, Mukhtar N, Khan MI, Ahsan M, Shah SA. Evaluation of auditory perception skills development in profoundly deaf children following cochlear implantation – preliminary report. J Ayub Med Coll Abbottabad. 2008;20(1):94–7.
Sainz M, Skarzynski H, Allum JH, Helms J, Rivas A, Martin J, et al. Assessment of auditory skills in 140 cochlear implant children using the EARS protocol. J Oto-Rhino-Laryngol. 2003;65(2):91–6.
Anderson I, Weichbold V, D’Haese PSC, Szuchnik J, Quevedo MS, Martin J, et al. Cochlear Implantation in children under the age of two – what do the outcomes show us? Int J Ped Otorhinolaryngol. 2004;68(4):425–31.
Kameswaran M, Raghunandhan S, Natarajan K, Basheeth N. Clinical audit of outcomes in cochlear implantations - An Indian experience. Indian J Otolaryngol Head Neck Surg. 2006;58(1):69–73.
Archbold SM. Monitoring progress in children at the preverbal stage. In: McCormick B, Archbold S, Sheppard S, editors. Cochlear implants for young children. London: Whurr Publishers Ltd; 1994: 197-213.
Bakshaee M, Sharifian MR, Ghasemi MM, Naimi M, Moghiman T. Speech development and auditory performance in children after cochlear implantation. Med J Islamic Republic of Iran. 2007;20(4):184–91.
Robbins AM, Koch DB, Osberger MJ, Zimmerman – Philips S, Kishon – Rabin L. Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Arch Otolaryngol Head Neck Surg. 2007;130(5):570–4.
Zimmerman-Phillips S, Robbins AM, Osberger MJ. Assessing cochlear implant benefit in very young children. Annals Otolo Rhinol Laryngol. 2000;109(12):42-3.