Changes in auditory behaviors of multiply handicapped children with deafness after hearing aid fitting.

Kimitaka Kaga, Mitsuko Shindo, Fumi Tamai, Yoshisato Tanaka
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引用次数: 7

Abstract

Conclusion: The early diagnosis of deafness and the early fitting of hearing aids in multiply handicapped children are recommended for language development in these children even when their neurological or mental status is poor.

Subjects and methods: The subjects consisted of 5 hearing-impaired infants with no other problems and 28 hearing-impaired children with multiple handicaps. Behavioral audiometry and auditory brainstem responses were used for evaluating hearing impairment. The 5 hearing-impaired infants with no other problems underwent hearing aid fitting at approximately 1 year of age and the 28 hearing-impaired children with multiple handicaps underwent hearing aid fitting at various times from 1 to 5 years of age. The effects of their hearing aids were compared on the basis of auditory behavioral changes. The developmental scale of auditory behaviors in infancy that we proposed was introduced to evaluate the development of auditory behaviors.

Results: The auditory behaviors of the hearing-impaired children with no other problems showed constant changes with age after hearing aid fitting. However, among the 28 hearing-impaired children with multiple handicaps, 17 showed improvement in auditory behaviors, 5 showed no improvement in auditory behaviors because of the associated severe motor and mental retardation, and epilepsy, and 6 were unable to adapt to wearing hearing aids.

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多种残疾聋儿配戴助听器后听觉行为的改变。
结论:早期诊断耳聋,早期配装助听器,有利于多残疾儿童的语言发展,即使这些儿童的神经或精神状况较差。对象与方法:5名无其他问题的听障婴儿和28名有多重障碍的听障儿童。行为听力学和听觉脑干反应用于评估听力损害。5名没有其他问题的听障婴儿在大约1岁时进行了助听器安装,28名有多种残疾的听障儿童在1至5岁的不同时间进行了助听器安装。在听力行为改变的基础上比较助听器的效果。引入了我们提出的婴幼儿听觉行为发展量表来评价幼儿听觉行为的发展。结果:无其他问题的听障儿童在配戴助听器后,其听觉行为随年龄的变化呈持续变化。然而,在28名多重残疾的听障儿童中,17名儿童的听觉行为有所改善,5名儿童的听觉行为因相关的严重运动和智力发育迟缓以及癫痫而没有改善,6名儿童无法适应佩戴助听器。
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