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:: Volume 20, Issue 2 (29 2011) ::
aud 2011, 20(2): 30-37 Back to browse issues page
Improvement of speech perception in children with cochlear implant
Nasim Manouchehri1, Mansoureh Adel Ghahraman1, Farzad Mobedshahi2, Massud Motesadi Zarandi2, Belghis Rovshan3
1- Department of Audiology, Faculty of Rehabilitation, Tehran University of Medical Sciences, Iran
2- Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Iran
3- Department of Linguistics and Foreign Languages, Payame Noor University, Tehran, Iran
Abstract:   (12585 Views)

Background and Aim: Although the ability of speech perception has been improved in implanted subjects with recent progress in technology, cochlear implantation alone is not enough and more aural rehabilitation is necessary. The aim of this study was to assess improvement of speech perception in children with cochlear implant.
Methods: Fourteen cochlear implanted children with a mean age of 5.5 years participated in this study. Auditory training was performed in 10 to 43 sessions. Speech recognition and perception were evaluated every 3 months. Third evaluation was done only for 4 patients.
Results: Mean total score of the first evaluation was 43.21%, of the second was 63.76%, and of the third evaluation was 78%. All children obtained complete score for sound awareness at the first evaluation. In environmental sounds discrimination, 71.3%, 84.36%, and 100% answered completely to the questions of three evaluations respectively. In speech sounds discrimination, 34.7% in the first, 57.04% in the second, and 85% in the third evaluation obtained the complete score, and in auditory memory, complete responses were 21% for the first, 57.12% for the second, and 83% for third evaluation. In story rephrasing and comprehension, no one answered to questions completely. However, 12.83% obtained the complete score in the second and third evaluations. There were statistically significant differences between the first and the second evaluation (p=0.002(.
Conclusion: Sound awareness ability seems to be achieved rapidly. Development of speech and environmental sound discrimination abilities, particularly speech comprehension which is the most important skill, need more impressive training.

Keywords: Auditory speech perception, cochlear implant, auditory training, sound discrimination, sound awareness, auditory memory
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Type of Study: Research |
Received: 2010/10/30 | Accepted: 2011/04/28 | Published: 2013/10/14
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Volume 20, Issue 2 (29 2011) Back to browse issues page
شنوایی شناسی - دانشگاه علوم پزشکی تهران Bimonthly Audiology - Tehran University of Medical Sciences
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