Cochlear Implants

Hearing and speech benefits of cochlear implantation in children: A review of the literature (2020)

  • This article talks about...research published about pediatric cochlear implant (CI) speech perception outcomes published up until July 1, 2019.
  • The study found...speech perception benefits associated with earlier age of implantation. Outcomes for implanted children with multiple disabilities is variable. In some cases, they may not have the same magnitude of gains as children with CIs that do not have another disability, however positive gains in communication with parents were seen. There are many factors that contribute to successful CI implementation including, socioeconomic status, maternal education, early intervention opportunities, etc. Multiple research articles show the benefit of bilateral implantation compared to unilateral implantation.
  • This is important because...there are many things that contribute to speech perception outcomes in children with CIs. Successful CI implementation will depend on various factors, which will be individual for each child. Parents should work closely with their audiologist to know how to best facilitate successful outcomes for their individual situation.
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Academic Performance, Communication, and Psychosocial Development of Prelingual Deaf Children with Cochlear Implants in Mainstream Schools (2020)

  • This article talks about...the academic achievement and perceptions of school aged cochlear implant (CI) users in public schools. Participants included unilateral CI users, bimodal (CI on one side and a hearing aid on the other), and bilateral CI users; outcomes were compared.
  • The study found...that in general, children with unilateral CIs achieved lower academic scores and struggled to communicate more than bimodal or bilaterally implanted CI users. It was generally more difficult for pediatric CI users, regardless of devices used, to listen in background noise at school than at home.
  • This is important because...having sound input from both ears helps CI users academically and helps them feel more confident in communication situations. It is important to remember that even with binaural devices CI users may still need accommodations (i.e. sitting in the front of the classroom) or FM systems to successfully learn in situations where background noise is present.
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Pediatric cochlear implant wear time and early language development (2020)

  • This article talks about...how often young children wore their cochlear implant (CI). Their language outcomes were measured and compared to the amount of time they spent wearing their cochlear implant.
  • The study found...that children’s language scores improved as the amount of time wearing their CIs increased.
  • This is important because...increased CI wear time can help deaf and hard of hearing children improve their language abilities.
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Benefits on language development and auditory perception performance of using a contralateral hearing aid in cochlear implanted children (2019)

  • This article talks about...the outcomes of 25 pediatric patients using a single cochlear implant (CI) and a hearing aid (HA) on the opposite ear. Their outcomes were compared to 50 unilaterally (or single-sided) implanted CI users who do not use a HA on the opposite ear.
  • The study found...that children who used a CI plus a HA performed better on four different tests measuring receptive and expressive language abilities.
  • This is important because...that children who used a CI plus a HA performed better on four different tests measuring receptive and expressive language abilities.
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Parents' View on Quality of Life after Cochlear Implantation in Children with Auditory Neuropathy (2019)

  • This article talks about...parental perceptions of their children with auditory neuropathy spectrum disorder (ANSD) before and after their child received a cochlear implant (CI).
  • The study found...the longer a child used their cochlear implant the more their parents were satisfied with their child’s social development and self-confidence. Positive communication and educational outcomes were also associated with longer CI use.
  • This is important because...cochlear implants for children with severe to profound hearing loss and ANSD can provide support for increased self-confidence and wellbeing, as well as better social, educational and communication outcomes.
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Cochlear Implantation and Social-Emotional Functioning of Children with Hearing Loss (2019)

  • This article is about...the social and emotional development of children who use hearing aids compared to children with cochlear implants.
  • The study found...that younger age of implantation for children with cochlear implants contributes to positive social outcomes.
  • This is important because...early implantation not only has a positive influence on speech and language outcomes, but social outcomes as well. Parents and individuals who provide services to children with cochlear implants should be aware that they may need to provide social intervention for children with cochlear implants, especially if the child was older when they were implanted.
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Health-Related Quality of Life With Cochlear Implants: The Children's Perspective (2019)

  • This article is about...the quality of life for children and adolescents with cochlear implants. Both children and parent perspectives are addressed.
  • The study found...that children with cochlear implants reported similar quality of life as their hearing peers. The areas that were scored the lowest were social and school domains. Good spoken language skills and age positively influenced quality of life. Typically, the older the child the better outlook they had on their life.
  • This is important because...children with cochlear implants can progress similarly to their typical hearing peers. Cochlear implants allow children access to spoken language, which was found to be highly correlated with quality of life.
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Cochlear implant performance in children deafened by congenital cytomegalovirus—A systematic review (2018)

  • This article talks about...a review of studies that investigated cytomegalovirus and whether or not children with this condition benefitted from cochlear implantation (CI).
  • The study found...that children with cytomegalovirus can benefit from cochlear implants. Some studies showed slower progress in speech and language in children with cytomegalovirus compared to CI users without cytomegalovirus. However, this gap usually closed in about 2 years post implantation if no other disabilities were present.
  • This is important because...with proper intervention children with cytomegalovirus who are candidates for CIs can receive benefit. Parents and professionals should be aware that the child may progress in their speech and language development at a slower rate.
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Word Learning in Children With Cochlear Implants: Examining Performance Relative to Hearing Peers and Relations With Age at Implantation (2018)

  • This article is about...children between the ages of 6 and 10 who were implanted when they were 3 and a half years old or younger. The children completed word learning activities that tested their ability to understand and produce language. Their results were compared to their peers and to children who had the same vocabulary level that they did, regardless of age.
  • The study found...that the children with cochlear implants were able to understand just as well as their same aged peers. However, when asked to produce speech they performed below their peers. The size of a child’s vocabulary positively correlated with speech production.
  • This is important because...a simple way to help a child with a cochlear implant improve their speech is to expose them to new words. Giving them the opportunity to learn new words through repetition, reading out loud and other language related activities can help a them improve their vocabulary and speech production.
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Cochlear implant: the family’s perspective (2018)

  • This article is about...how having a child with a cochlear implant affects the family, including what was difficult, what else they would want to know, and how the cochlear implant helped their child.
  • The study found...parents don’t always get all the information and support they need, but over time they learn more and are thankful that their child has a cochlear implant.
  • This is important because...it will help families that are new to learning about cochlear implants know the experiences of some parents.
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Inconsistent device use in pediatric cochlear implant users: Prevalence and risk factors (2018)

  • This article is about...how many hours per day children use their cochlear implants.
  • The study found...half of the children wore their cochlear implants less than full time. When this happened, the children were younger, had additional disabilities, lower maternal education, were on Medicaid, or they had a smaller dynamic range in the cochlear implant map.
  • This is important because...children need to wear their cochlear implants eight hours or more per day. Checking data logging can help audiologists recognize when there is a problem. Providing parents with resources and support can help them work through challenges.
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Considerations for pediatric cochlear implant recipients with unilateral or asymmetric hearing loss: Assessment, device fitting, and habilitation (2017)

  • This article talks about...children who have a significant hearing loss in just one ear and use a cochlear implant.
  • This study found...children did well with the implant when they had structured therapy that focused on hearing with the implanted ear, and when parents provided regular practice at home.
  • This is important because...children with hearing loss in one ear or have one ear with a more significant hearing loss, have the potential to get useful information from a cochlear implant.
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Early Postimplant Speech Perception and Language Skills Predict Long-Term Language and Neurocognitive Outcomes Following Pediatric Cochlear Implantation (2017)

  • This article talks about...looking at speech and children’s language skills soon after they are implanted to see what to expect about their later language development.
  • This study found...that speech and language skills measured as early as 6 months after implantation predicted later development. Growth in skills from 6 to 18 months after implantation predicted later language and verbal working memory.
  • This is important because...measuring children’s speech and language skills early can help identify children at risk for poorer outcomes. The first 18 months after implantation is important for speech and language development.
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Early Sign Language Exposure and Cochlear Implantation Benefits (2017)

  • This article talks about...how early sign language exposure affects spoken language outcomes for children who have cochlear implants.
  • This study found...children who were not exposed to sign language did better on spoken language and reading measures.
  • This is important because...parents of children with cochlear implants need to make decisions about using sign language to support spoken language development. The findings provide evidence-based information for parents.
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Parent Perceptions of their Child’s Communication and Academic Experience with Cochlear Implants (2016)

  • This article talks about...parents' views of how their children are communicating and doing in school with their cochlear implants.
  • This study found...most children communicated using spoken language. Parents thought their children were doing as well as or better than other children of the same age in school. Parents said it was important to have an audiologist skilled in working with cochlear implants.
  • This is important because...parents are key to the intervention process, and their views provide essential insights.
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Oral Communicating Children Using a Cochlear Implant: Good Reading Outcomes are Linked to Better Language and Phonological Processing Abilities (2013)

  • This article talks about...children who use cochlear implants to listen and talk, and what can affect learning how to read.
  • This study found...children who had good language scores and could put speech sounds together were better at reading words. Children who had good language scores and could read words could understand what they read.
  • This is important because...children can do better in school when they are good at reading.
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Influence of Implantation Age on School-age Language Performance in Pediatric Cochlear Implant Users (2013)

  • This article talks about...how children who have cochlear implants do on language tests. Language tests were repeated over time, and children who were implanted early were compared to children who were implanted later.
  • This study found...scores were better for children implanted before 2 ½ years old. Children implanted later were more likely to have continued language delays.
  • This is important because...implanting at a younger age can impact the language development of a child over time.
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Children with Hearing Impairment–Living with Cochlear Implants or Hearing Aids (2011)

  • This article talks about...daily hearing device use and attitude of children about their hearing loss.
  • This study found...children with cochlear implants use their devices more than children with hearing aids. Children with hearing aids and implants did not find their hearing loss to be a problem in peer groups.
  • This is important because...device use is crucial for language development. Parents and caregivers need to help children address problems with use.
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Educational Factors Contributing to Cochlear Implant Benefit in Children (2003)

  • This article talks about...how education can affect outcomes for children who use cochlear implants.
  • This study found...several factors can affect how well children do. Children in auditory and speech educational environments have better outcomes.
  • This is important because...understanding the factors that can lead to your child’s success can help your family decide what your child needs to be successful with their implants.
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A Comparative Study of Psychosocial Development in Children who Receive Cochlear Implants (2013)

  • This article talks about...the benefits and problems impacting quality of life reported by pediatric cochlear implant users.
  • This study found...pediatric cochlear implant users reported significant benefit in speech understanding, making new friends, and speech production. It also found that pediatric users find care of the device to be burdensome and loud sounds to be problematic.
  • This is important because...understanding how pediatric cochlear implant recipients feel about their quality of life with their cochlear implant can help clinicians support issues and improve outcomes for children.
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