Oral communication and auditory skills of hearing impaired children and adolescents and the speech therapy rehabilitation process

Rafaela Da Silva Bicas,Eliane Maria Carrit Delgado-Pinheiro,Laura Mochiatti Guijo

doi:10.1590/1982-0216201719412516

Rafaela Da Silva Bicas, Eliane Maria Carrit Delgado-Pinheiro + Show 1 more

Open Access

https://doi.org/10.1590/1982-0216201719412516

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Journal: Revista CEFAC	Publication Date: Aug 1, 2017
Citations: 15	License type: cc-by

Affiliation: Universidade Estadual Paulista (Unesp)

Abstract

ABSTRACT Purpose: to analyze auditory and oral communication behaviors in a group of children and adolescents, users of cochlear implants and to establish a relationship with factors that interfere with aural rehabilitation. Methods: participants were 13 children or adolescents with profound bilateral sensorineural hearing loss. Standardized procedures were applied to check: the auditory and oral communication behaviors of participants and their relationships with the child's age at diagnosis period; the interval between diagnosis and intervention, adaptation onset of the cochlear implant; the hearing age and aural rehabilitation period. Results: statistically significant data were found to correlate the interval between diagnosis and intervention with the scores in the evaluation procedures of oral communication. Conclusion: there was a significant impact on the development of oral communication when the period elapsed between the diagnosis and intervention was analyzed, in such way that the faster the intervention time, the better the results. It was also evident that the earlier the beginning of the use of cochlear implants, the greater the hearing age, and the longer the rehabilitation period, the better the scores in the procedures that evaluated auditory and verbal development.

Highlights

Profound sensorineural hearing loss for many years has been a limitation for the auditory and communicative development in prelingual deaf children, due to insufficient stimulus to promote the development of spoken language[1,2]
Technological advances and public policies allow for a transformation in the panorama of the quality of life of these children, as there is the possibility of detection of hearing loss and early intervention[7,8,9,10,11]
The results demonstrate that among the variables involved in the aural rehabilitation process, the time interval between diagnosis and intervention was what demonstrated significant correlation with the results of oral communication, obtaining the value of significance p = 0.033, it can be observed that this same variable, when correlated to the auditory behavioral scores presented p = 0,094, in a margin near the value established as that of significance

Summary

Introduction

Profound sensorineural hearing loss for many years has been a limitation for the auditory and communicative development in prelingual deaf children, due to insufficient stimulus to promote the development of spoken language[1,2]. Over the years in Brazil, there have been public health ordinances developed that directly benefited the population of hearing impaired children. Technological advances and public policies allow for a transformation in the panorama of the quality of life of these children, as there is the possibility of detection of hearing loss and early intervention[7,8,9,10,11]. Studies have shown that in developing countries there is a relatively extensive period between diagnosis and intervention when compared to the ideal period for the development of auditory and oral skills[15]

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Conclusion