Estimulación temprana y desarrollo lingüístico en niños sordos con implante coclearel primer año de experiencia auditiva

  1. Moreno-Torres Sánchez, Ignacio
  2. Cid Ruiz, Mª del Mar
  3. Santana Hernández, Rafael
  4. Ramos Carrasco, Ángel
Journal:
Revista de Investigación en Logopedia

ISSN: 2174-5218

Year of publication: 2011

Volume: 1

Issue: 1

Pages: 56-75

Type: Article

More publications in: Revista de Investigación en Logopedia

Abstract

The present study analyzes development in a group of 10 deaf children that have been fitted with a cochlear implant (CI) before their second birthday. The main aim of this study is to explore the extent to which post-implantation development is influenced by the degree of stimulation received by the children. Data were obtained about perception (parental questionnaire), and pre-linguistic and linguistic production (spontaneous speech samples and parental questionnaires). Also, a quantitative measure of the degree of stimulation of each child was obtained pre- and post- implantation. Results showed important intra-group variability: 1) in the rate of language development (expressive lexicon after 12 months of CI use); and 2) in the degree of stimulation. Statistic analysis confirmed that the degree of stimulation after 12 months of auditory experience is the only variable that correlates significantly with language development at that moment. The following variables did not correlate with expressive language: age at implantation, perception after three months of CI use, and babbling onset. Such results confirm the major role of early stimulation for the development of CI users, and especially the important role of the family in this process.

Bibliographic References

  • Blamey, P. J., Sarant, J., Paatsch, L., Barry, J. G., Bow, C. P., Wales, R. J., et al. (2001). Relationships among speech perception, production, language, hearing loss, and age in children with impaired hearing. Journal of Speech, Language, and Hearing Research, 44, 264-285.
  • Coninx, F., Weichbold, V., Tsiakpini, L., Autrique, E., Bescond. G., Tamas, L., et al. (2009). Validation of the LittlEARS((R)) Auditory Questionnaire in children with normal hearing. International Journal of Pediatric Otorhinolaryngology, 73, 1761-1768.
  • DesJardin, J. L. (2003). Assessing parental perceptions of self-efficacy and involvement in families of young children with hearing loss. Volta Review, 103, 391–409.
  • DesJardin, J. L. (2006). Family Empowerment: Supporting language development in young children who are deaf or hard of hearing Infants & Young Children, 19, 179–189.
  • Duchesne, L., Sutton, A., y Bergeron, F. (2009). Language achievement in children who received cochlear implants between 1 and 2 years of age: Group trends and individual patterns. Journal of Deaf Studies and Deaf Education,14, 465-485.
  • Ertmer, D. J., y Mellon, J.A. (2001). Beginning to talk at 20 months: Early vocal development in a young cochlear implant recipient. Journal of Speech, Language, and Hearing Research, 44, 192-206.
  • Geers, A. E., Brenner, C., Nicholas, J., y Uchansky, R. (2002). Rehabilitation factors contributing to implant benefit in children. The Annals of Otology, Rhinology & Laryngology,111(5), 127-130.
  • Geers, A. E., Moog, J. S., Biedenstein, J., Brenner, C., y Hayes, H. (2009). Spoken language scores of children using cochlear implants compared to hearing age-mates at school entry. Journal of Deaf Studies and Deaf Education, 14, 371-385.
  • Hopyan-Misakyan, T., Gordon, K. A., Dennis, M., y Papsin, B. C. (2009). Recognition of affective speech prosody and faces in deaf children with cochlear implants. Child Neuropsychology, 15, 136-146.
  • Kong, Y.-Y., Cruz, R., Jones, J. A., y Zeng, F.G. (2004). Music perception with temporal cues in acoustic and electric hearing. Ear and Hearing, 25, 173-185.
  • Lee, K.Y., van Hasselt, C.A., Chiu, S.N., y Cheung, D.M. (2002). Cantonese tone perception ability of cochlear implant children in comparison with normal-hearing children. International Journal of Pediatric Otorhinolaryngology, 63, 137-47.
  • LeNormand, M.T., y Moreno-Torres, I. (en prensa). Atypical lexical and grammatical development in French children with cochlear implant.
  • Lingua.Loizou, P. (2006). Speech processing in vocoder-centric cochlear implants. En A. Moller (ed.), Cochlear and Brainstem Implants. (pp. 109–143)Basel: Karger.
  • López-Ornat, S., Gallego, C., Gallo, P., Karousou, A., Mariscal, S., y Martínez, M (2005). Inventarios de desarrollo comunicativo MacArthur: manual técnico y cuadernillos. Madrid: Ediciones TEA.
  • Moeller, M. P. (2001). Early intervention and language development in children who are deaf and hard of hearing, Pediatrics, 106, 1-9.
  • Moreno-Torres, I., y Torres, S. (2008). From 1 word to 2 words with cochlear implant and cued speech: A case study. Clinical Linguistics and Phonetics, 22, 491-508.
  • Moreno-Torres, I., Torres, S., Cid, M., y Santana, R. (2009). El desarrollo prelingüístico del niño sordo profundo con implante coclear: relaciones entre percepción, implicación familiar y producción. FIAPAS, 130, 54-57.
  • Moreno-Torres, I., Torres, S., y Santana, R. (2010). Lexical and grammatical development in a child with cochlear implant and attention deficit: A case study. Clinical Linguistics and Phonetics, 24, 706-721.
  • Ouellet, C. (2006). Acquisition du langage chez les enfants avec implant cochleáire. Tesis doctoral inédita, Université du Quebec à Montreál
  • Peters, R. W., Moore, B. C., y Baer, T. (1998). Speech reception thresholds in noise with and without spectral and temporal dips for hearing impaired and normal hearing people, Journal of Acoustic Society, 103, 577–587.
  • Pisoni, D. B., y Cleary, M. (2003). Measures of working memory span and verbal rehearsal speed in deaf children after cochlear implantation. Ear & hearing, 24, 106-120.
  • Pisoni, D. B., Conway, C. M., Kronenberger, D. L., Horn, J. K., y Henning, S. C. (2008). Efficacy and effectiveness of cochlear implants in deaf children. En M. Marschark y P. C. Hauser (eds.), Deaf cognition: Foundations and outcomes (pp. 52-101). New York: Oxford University Press.
  • Schauwers, K., Gillis, S., Daemers, K., De Beukelaer, C., y Govaerts, P. J. (2004). The onset of babbling and the audiologic outcome. Otology & Neurotology, 25, 263-270.
  • Stoel-Gammon, C. (2011). Relationships between lexical and phonological development in young children. Journal of Child Language, 38, 1-34.
  • Thelen, E. (1991). Motor aspects of emergent speech: A dynamic approach. En N.A. Krasnegor, D.M. Rumbaugh, R.L. Schiefelbusch, y M. Studdert-Kenndy (eds.), Biological and Behavioral Determinants of Language Development. (pp. 339–362).
  • Lawrence Erlbaum: Hillsdale, NJ. Tomasello, M. (2003). Constructing a Language: A Usage-Based Theory of Language Acquisition. Harvard University Press
  • Vihman, M. (1996). Phonological Development. The origins of Language in the Child.Oxford: Blackwell publishing.
  • Vihman, M., y Croft, W. (2007). Phonological development: Toward a “radical” templatic phonology. Linguistics: An Interdisciplinary Journal of the Language Sciences, 45, 683-725.
  • Walker, E.A., y Bass-Ringdahl, S. (2008). Babbling complexity and its relationship to speech and language outcomes in children with cochlear implants. Otology & Neurotology, 29, 225-229.