| Spoken language development in children following cochlear implantation. | |
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MedLine Citation:
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PMID: 20407059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Cochlear implantation is a surgical alternative to traditional amplification (hearing aids) that can facilitate spoken language development in young children with severe to profound sensorineural hearing loss (SNHL). OBJECTIVE: To prospectively assess spoken language acquisition following cochlear implantation in young children. DESIGN, SETTING, AND PARTICIPANTS: Prospective, longitudinal, and multidimensional assessment of spoken language development over a 3-year period in children who underwent cochlear implantation before 5 years of age (n = 188) from 6 US centers and hearing children of similar ages (n = 97) from 2 preschools recruited between November 2002 and December 2004. Follow-up completed between November 2005 and May 2008. MAIN OUTCOME MEASURES: Performance on measures of spoken language comprehension and expression (Reynell Developmental Language Scales). RESULTS: Children undergoing cochlear implantation showed greater improvement in spoken language performance (10.4; 95% confidence interval [CI], 9.6-11.2 points per year in comprehension; 8.4; 95% CI, 7.8-9.0 in expression) than would be predicted by their preimplantation baseline scores (5.4; 95% CI, 4.1-6.7, comprehension; 5.8; 95% CI, 4.6-7.0, expression), although mean scores were not restored to age-appropriate levels after 3 years. Younger age at cochlear implantation was associated with significantly steeper rate increases in comprehension (1.1; 95% CI, 0.5-1.7 points per year younger) and expression (1.0; 95% CI, 0.6-1.5 points per year younger). Similarly, each 1-year shorter history of hearing deficit was associated with steeper rate increases in comprehension (0.8; 95% CI, 0.2-1.2 points per year shorter) and expression (0.6; 95% CI, 0.2-1.0 points per year shorter). In multivariable analyses, greater residual hearing prior to cochlear implantation, higher ratings of parent-child interactions, and higher socioeconomic status were associated with greater rates of improvement in comprehension and expression. CONCLUSION: The use of cochlear implants in young children was associated with better spoken language learning than would be predicted from their preimplantation scores. |
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Authors:
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John K Niparko; Emily A Tobey; Donna J Thal; Laurie S Eisenberg; Nae-Yuh Wang; Alexandra L Quittner; Nancy E Fink; |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: JAMA : the journal of the American Medical Association Volume: 303 ISSN: 1538-3598 ISO Abbreviation: JAMA Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-21 Completed Date: 2010-04-22 Revised Date: 2011-07-28 |
Medline Journal Info:
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Nlm Unique ID: 7501160 Medline TA: JAMA Country: United States |
Other Details:
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Languages: eng Pagination: 1498-506 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. jnipark1@jhmi.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Case-Control Studies Child, Preschool Cochlear Implants* Female Hearing Loss, Sensorineural Humans Infant Language Development* Male Prospective Studies Speech* |
| Grant Support | |
ID/Acronym/Agency:
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R01 DC004797/DC/NIDCD NIH HHS; R01 DC004797-01A1/DC/NIDCD NIH HHS; R01 DC004797-02/DC/NIDCD NIH HHS; R01 DC004797-03/DC/NIDCD NIH HHS; R01 DC004797-04/DC/NIDCD NIH HHS; R01 DC004797-05/DC/NIDCD NIH HHS; R01 DC004797-06A1/DC/NIDCD NIH HHS; R01 DC004797-06A1S1/DC/NIDCD NIH HHS; R01 DC004797-07/DC/NIDCD NIH HHS; R01 DC004797-08/DC/NIDCD NIH HHS; R01 DC004797-09/DC/NIDCD NIH HHS |
| Investigator | |
Investigator/Affiliation:
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Laurie S Eisenberg / ; Karen Johnson / ; Traci Critton / ; Jean DesJardin / ; Melinda Gillinger / ; William Luxford / ; Amy Martinez / ; Louise Mebane / ; Jennifer Regnery / ; Leslie Visser-Dumont / ; John K Niparko / ; Steve Bowditch / ; Jill Chinnici / ; James Clark / ; Howard Francis / ; Jennifer Mertes / ; Rick Ostrander / ; Jennifer Yeagle / ; Jiovani Visaya / ; Josef Coresh / ; Nancy Mellon / ; Mary O'Leary Kane / ; Sarah Wainscott / ; Jennifer Wallace / ; Annelle Hodges / ; Thomas Balkany / ; Alina Lopez / ; Leslie Goodwin / ; Stacy Payne / ; Teresa Zwolan / ; Amy Donaldson / ; H Alexander Arts / ; Brandi Butler / ; Hussam El-Kashlam / ; Krista Heavner / ; Mary Beth O'Sullivan / ; Steve Telian / ; Ellen Thomas / ; Anita Vereb / ; Carolyn J Brown / ; Holly F B Teagle / ; Craig A Buchman / ; Carlton Zdanski / ; Hannah Eskridge / ; Harold C Pillsbury / ; Emily A Tobey / ; Betty Loy / ; Paul Bauer / ; Angela Boyd / ; Laura Cantu / ; Carol Cokely / ; Sarah Florence / ; Janee Gisclair / ; Laura Levitan / ; Joy Penrad / ; Shannon Raby / ; Jamie Rasmus / ; Peter Roland / ; Heather MacFadyen / ; Donise Pearson / ; Deborah M Rekart / ; Lauren Sacar / ; Melissa Sweeney / ; Linsey Wagner / ; Nicole Weissner / ; Berkley Williams / ; Nancy E Fink / ; Patricia Bayton / ; Daniel Habtemarian / ; Neil R Powe / ; Thelma Vilche / ; Nae-Yuh Wang / ; Alexandra L Quittner / ; David Barker / ; Pam Leibach / ; Ivette Cruz / ; John K Niparko / ; Laurie S Eisenberg / ; Nancy E Fink / ; Alexandra L Quittner / ; Donna Thal / ; Emily A Tobey / ; Nae-Yuh Wang / ; Noel Cohen / ; Julia Evans / ; Ann Geers / ; Karen Iler Kirk / ; Anil Lalwani / |
| Comments/Corrections | |
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