最新刊期
卷 22 ， 期 5 ， 2024
- 摘要：The assessment of auditory and speech abilities in hearing-impaired children mainly includes methods such as aided thresholds, real ear measurement, speech tests, and questionnaire assessment. Combining these four methods can comprehensively reflect the development of children's auditory and speech abilities after using hearing instruments. The questionnaire assessment is a method of evaluating children's auditory and speech abilities by asking parents or guardians about information related to the children's relevant abilities. This article separately introduces the contents, scoring standards of commonly used clinical assessment questionnaires, and norm data for children with normal hearing. In the future, a series of studies on the development patterns of auditory and speech abilities of hearing-impaired children with different degrees of hearing loss, using different hearing instruments, and inner ear malformations should also be conducted, which can be used for comparison and guidance of the individual hearing and speech rehabilitation outcomes in hearing-impaired children.关键词：Meaningful auditory integration scale (MAIS);Infant-toddler meaningful auditory integration scale (IT-MAIS);Meaningful use of speech Scale (MUSS);Categories of auditory performance (CAP);Speech intelligibility rating (SIR)
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Expert Forum
- 摘要：ObjectiveThe purpose of the study is to evaluate the auditory performance of infants with cochlear implants, to summarize the development of auditory abilities, investigate the effects of age at cochlear implantation on auditory ability within five years after surgery and provide a reference for their rehabilitation program.Method518 infants with pre-lingually profound hearing loss participated in the study, ranging in age at cochlear implantation from 9 to 36 months. The infants with cochlear implants were divided into three groups according to their ages at implantation. The infants in Group A were implanted under 12 months of age. The infants in Group B were implanted between 13 and 24 months of age. The infants in Group C were implanted between 25 and 36 months of age. Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS) was used to evaluate the auditory ability including vocalization behavior, spontaneous alerting to sound and deriving meaning from sound.ResultThe overall scores of IT-MAIS for infants improved with time after cochlear implantation, and rapidly increased with time in first 30 months after switch-on as a whole. Specifically the score of vocalization behavior rapidly improved with time in 18 months after switch-on. The score of spontaneous alerting to sound and deriving meaning from sound rapidly improved with time in 30 months after switch-on. The difference among the skills of vocalization behavior, spontaneous alerting to sound and deriving meaning from sound was significant in first 24 months after switch-on. Significance was observed in overall scores of IT-MAIS among these three groups in pre-operation and 1 month after switch-on. However, there were no significant differences in other intervals after switch-on.ConclusionThe auditory performance of infants developed gradually with the time of switch-on after cochlear implantation, including vocalization behavior, spontaneous alerting to sound and deriving meaning from sound. Most of infants demonstrated rapid improvement in auditory ability within first 30 months after switch-on. The auditory ability for infants within 3 years after cochlear implantation developed rapidly at the early stage regardless of the age of cochlear implantation.关键词：Infant-Toddler Meaningful Auditory Integration Scale;Cochlear implantation;the development of auditory ability
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo investigate the development of auditory performance in children with Mondini malformation aged 0-3 years within 5 years after cochlear implantation (CI).MethodsA retrospective cohort study design was used in this study, and a total of 235 children who underwent unilateral CI surgery within 36 months of age were included. Based on the imaging findings, they were divided into Mondini group (47 cases) and control group with normal inner ear structure (188 cases). Auditory performance was assessed by the same group of uniformly standardized trained professionals using the Categories of auditory performance (CAP) scale. The assessment was performed before CI and at 1, 2, 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, and 60 months after switch-on, respectively.ResultsThe CAP scores of the two groups were significantly different at pre-CI and at 1 month after switch on (P<0.05), and there were no significant differences at the rest of the follow-up time points (P>0.05). At 42 months, 48 months, 54 months, and 60 months after start-up, the CAP scores of the children in both groups were close to 7. There was a significant difference between the preoperative CAP scores and the CAP scores at 1, 2, 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, and 60 months after start-up in the Mondini group (P<0.05). Within 1 year of switch-on, significant differences were found between 1 month after switch-on and 3 months after switch-on, 2 months after switch-on and 3 months after switch-on, 3 months after switch-on and 9 months after switch-on, 6 months after switch-on and 9 months after switch-on, and 9 months after switch-on and 18 months after switch-on (P<0.05); whereas between 1 year and 3 years after switch-on, 12 months after switch-on and 24 months after switch-on, 18 months after switch-on and 24 months after switch-on, 24 months after switch-on and 36 months after switch-on, 30 months after switch-on and 42 months after switch-on were significantly different (P<0.05); and there were no differences between the follow-up time points after 3 years of switch-on (P>0.05).ConclusionCochlear implantation is an effective way to improve auditory performance in children with Mondini malformation. Children with Mondini malformation aged 0-3 years can obtain a significant improvement in auditory performance within 3 years after CI and enter a plateau period after 3 years. The benefit of CI in children with Mondini malformation is comparable to that in children with normal inner ear structure.关键词：Mondini deformity;Cochlear implantation;Categories of auditory performance
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveBased on the existing comprehensive language assessment methods, this study aimed to observe the language rehabilitation progress of children with cochlear implants and investigate the language acquisition abilities of children with early implantation of cochlear implants, while summarizing the potential factors that may affect the rehabilitation outcomes.MethodsA total of 158 prelingually deaf children from the Beijing Tongren Hospital, Capital Medical University's Artificial Auditory Center were selected as the research subjects. The average age of implantation was (17.6±8.8) months. The Mandarin Communicative Development Inventory (MCDI) was used to study the differences in scores at the time of activation, and at 6, 12, 24, and 36 months post-activation. The subjects were divided into Group A (0-18 months old) and Group B (19-36 months old) based on the age of implantation, and Group C (normal inner ear morphology) and Group D (inner ear malformation) based on inner ear morphology. The language ability scores of the children were analyzed at the time of cochlear implant activation and at 6 and 12 months post-activation.ResultsThe language abilities of the children generally improved after rehabilitation, but the rate of improvement varied. Except for the "sentences and phrases" section, the scores of the other sections showed statistically significant differences between activation and 6 months post-activation, and approached maximum scores at 24 or 36 months post-activation. There was no statistically significant difference in the MCDI "spoken vocabulary" scores of Group A and Group B at 12 months post-activation. The MCDI "spoken vocabulary" scores of Group C and Group D was no statistically significant differences at the time of activation.ConclusionThe language abilities of children with cochlear implants showed relatively rapid growth in the early stages of activation. There was no significant difference in the language development abilities of children implanted before 18 months and those implanted between 19 and 36 months after 12 months of activation. Inner ear malformation significantly affected the language development of children after activation.关键词：Prelingual;Cochlear implant;Language ability;MCDI
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Assessment of Auditory and Verbal Abilities in Children with Hearing Impairment by Using a Questionnaire
- 摘要：ObjectiveTo explore the correlation between hearing abnormalities and cognitive functions in elderly patients with hearing loss, and provide reference for audiological intervention in cognitive decline.MethodThis study included 100 elderly patients with deafness, all of whom underwent pure tone audiometry and speech recognition ability assessment before receiving the Mini Mental State Examination (MMSE).ResultsIn this study, there were 46 males and 54 females, with an average age of 71.20 ± 6.86 years. The MMSE score for the 60-69 age group was 27.64 ± 2.57; the MMSE score of the 70-79 age group was 26.56 ± 2.14, and the MMSE score of the ≥ 80 age group was 23.1 ± 2.12. The comparison among the three groups was statistically significant (P<0.05), with significant differences in MMSE scores between each two groups (P<0.05). The MMSE score for the mild hearing loss group was 28.50 ± 2.38, for the moderate hearing loss group it was 26.29 ± 2.60, for the moderate to severe hearing loss group it was 26.13 ± 3.06, for the severe hearing loss group it was 27.17 ± 2.59, and the MMSE score for the extremely severe hearing loss group it was 26.25 ± 2.55. There was no significant statistical difference among the groups (P>0.05). The MMSE score of the low speech recognition ability group was 24.25 ± 2.51, while the MMSE score of the high speech recognition ability group was 26.34 ± 2.73. The lower the speech recognition ability of elderly deaf patients, the lower their MMSE score, and the difference between the two groups was significant (P<0.05).ConclusionThe older the age, the more severe the hearing loss, and the lower the speech recognition ability, the more susceptible the cognitive function of elderly deaf patients is to be affected.关键词：Elderly deafness;The degree of hearing loss;Speech recognition ability;Cognitive function
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveEvaluating the initial experience of hearing aid use in middle-aged and elderly patients with hearing impairment, and discussion on the application status of domestic hearing aids.Methods86 middle-aged and elderly individuals aged 50 to 80 years with moderate to moderately-severe sensorineural hearing loss were recruited for a randomized controlled study evaluating the effectiveness of hearing aid fittings; they alternately wore domestic all made and imported hearing aids. Pure tone audiometry and sentence recognition rates under quiet conditions were used at the baseline to compare speech test evaluations before and after fitting with both types of hearing aids. A hearing aid effect questionnaire was employed to assess the performance of the two hearing aids.Results86 participants completed the trial. After fitting and imported hearing aids, both hearing aids improved speech (sentence) recognition rate, but they showed a significant difference (P=0.000). Comparing the difference in speech (sentence) recognition rates before and after using the two types of hearing aids, there was a significant difference between the imported and hearing aids in terms of aided sentence recognition effect (P=0.000). For self-assessment questionnaire for hearing aid effectiveness, two hearing aids have differences in appearance and sound quality (P=0.000, P=0.008), while there are no differences in ease of operation, clarity, emotion, and social skills.ConclusionThe both and imported hearing aids can provide effective auditory compensation for middle-aged and elderly patients with hearing impairments, improving their speech recognition capabilities. Under quiet conditions, imported hearing aids show better post-fitting speech (sentence) recognition than domestic ones. Patients generally have a positive attitude towards the effectiveness of hearing aids, but still have concerns about the impact of the appearance of the hearing aids on personal image and changes in sound quality.关键词：Hearing aid fitting;speech recognition;Hearing aid effectiveness questionnaire;Hearing aid effectiveness
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the differences in horizontal sound source recognition and localization abilities among people with normal hearing under different noise conditions.Methods78 normal hearing individuals examined at our hospital from August 2022 to August 2023 were selected to test the root mean square error (RMSE) and the average response time of the speaker and speaker under quiet conditions, with white noise of 35 dB SPL, white noise of 40 dB SPL, and speech noise of 40 dB SPL.ResultsThere was no statistically significant difference in the average response time of subjects under different noise conditions (P>0.05). The RMSE of the subjects under quiet conditions was (10.21 ± 1.55) °, significantly lower than that under white noise conditions of 35 dB SPL, white noise conditions of 40 dB SPL, and speech noise conditions of 40 dB SPL (P<0.05). The RMSE of subjects under white noise 40 dB SPL and speech noise 40 dB SPL conditions were (15.02 ± 2.22) ° and (15.16 ± 2.06) °, respectively, significantly higher than those under white noise 35 dB SPL and (P<0.05). There was no statistically significant difference in the average response time of subjects to low-frequency, intermediate, and high-frequency stimuli under quiet, white noise 35 dB SPL, white noise 40 dB SPL, and speech noise 40 dB SPL conditions (P>0.05). Under the conditions of 35 dB SPL and 40 dB SPL white noises, the RMSE of subjects to high-frequency stimuli was higher than that of low-frequency and intermediate stimuli (P<0.05). Under the condition of 40 dB SPL speech noise, the RMSE of subjects to high-frequency stimuli was higher than that to low-frequency stimuli (P<0.05). Under the conditions of quietness, white noises of 35 dB SPL, and 40 dB SPL, and speech noise of 40 dB SPL, the RMSE of the subjects towards the front sound source was significantly lower than that of other directions (P<0.05). There was no statistically significant difference in the average response time of subjects to the front and other directional sound sources under quiet, white noise 35 dB SPL, white noise 40 dB SPL, and speech noise 40 dB SPL conditions (P>0.05). There was no statistically significant difference in RMSE and average response time among subjects of different genders and ages under quiet, white noise 35 dB SPL, white noise 40 dB SPL, and speech noise 40 dB SPL conditions (P>0.05).ConclusionNoise has a significant impact on the ability of normal hearing individuals to identify and locate sound sources. Under different noise conditions, subjects are more likely to locate sound sources from the front.关键词：Normal hearing;Sound source localization;White noise;Speech noise
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo understand the satisfaction of elderly hearing impaired patients with hearing aids in their daily lives, and to provide scientific basis for improving the technical level of fitting profession and enhancing satisfaction in the future.MethodElderly people with hearing impairments who were previously tested and wearing hearing aids at the chain store of Nanning-Xinshengda Hearing Equipment Technology Co. Ltd. in Guangxi were selected as the research subjects. The SADL scale was used to survey the degree of hearing loss, type of hearing aid, noise reduction function, number of channels, multiple microphones, historical wearing time, daily wearing time, and 15 items of the SADL survey scale. The scores of positive effects, service prices, negative effects, self-image and appearance, and total average were calculated. SPSS25.00 statistical software was used for inter group mean comparison t-test or F-test and multiple linear stepwise regression analysis.Results319 people were surveyed, with a total average score of 5.15, standard-reaching rate of 63.95%, the positive effect score of 5.60, standard-reaching rate of 85.27%, the service and price score of 5.69, and standard-reaching rate of 83.70%. However, the negative effect score was 3.06, and the self-image and appearance score was 4.46, which was lower than the SADL standard score. Univariate analysis showed that in the positive effect dimension, there were statistically significant differences in age, number of channels, and wearing time (P<0.05). In the service and price dimensions, the difference in multiple microphones was statistically significant, while the other univariate analyses showed no statistically significant differences. Multiple linear regression analysis showed that in the positive effect dimension, three independent variables: channel numbers, multiple microphones, and wearing time were introduced into the equation. In the dimensions of service and price, multiple microphones are introduced into the equation, while no variables were introduced in the other dimensions.ConclusionThe average satisfaction score and standard-reaching rate of SADL are relatively high, and multiple microphones and wearing time have a positive correlation, while the number of channels has a negative correlation. Hearing aid fitter need to strengthen communication with wearers, set reasonable expectations, and enhance learning of new technologies to improve wearing satisfaction.关键词：Elderly hearing loss;Hearing aids;Satisfaction;SADL
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo observe the normal range of Vestibular-evoked myogenic potentials (VEMPs) by 500 Hz CE-chirp and 500 Hz tone-burst stimuli in sitting position.Methods21 normal hearing adult volunteers (42 ears, 11 males and 10 females) included (without ear diseases). 500 Hz tone-burst and 500 Hz CE-chirp stimuli were used to conduct VEMPs. The intensity began from 110 dB nHL to threshold, 5 dB as a step. We recorded and analyzed each data by different intensities.ResultsThe thresholds of cVEMP and oVEMP by different stimulations were as followed: Tone-burst cVEMP (85.00±6.10) dB nHL, CE-chirp cVEMP (84.63±4.99) dB nHL. Tone-burst oVEMP (83.38±6.54) dB nHL, CE-chirp oVEMP (82.50±6.20) dB nHL. The p1 and n1 latency of different stimulations had significant differences (P<0.05). The p1-n1 interval latency, p1-n1 amplitude, inter-aural asymmetry and bilateral amplitude ratio found no statistically difference (P>0.05).ConclusionIn the sitting position, The extraction rate of VEMPs was 100% in normal young people when two kinds of stimuli were given to 100 dB nHL,CE-Chirp can be used as the stimulus sound of VEMPs test in clinic to evaluate the function of utricle and saccule.关键词：Cervical vestibular-evoked myogenic potential;Ocular vestibular-evoked myogenic potential;CE-Chirp;Tone-burst;Sitting posture
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo analyze the clinical manifestation, hearing rehabilitation method, and effect in a patient with complicated neurofibromatosis type II (NF2). To study the hearing reconstruction method and postoperative rehabilitation effect of a special type of NF2.MethodsThe clinical manifestations, past history, preoperative examination, clinical surgical method, and follow-up hearing rehabilitation effect were summarized.ResultsThe patient had bilateral acoustic neuroma and severe sensorineural hearing loss in both ears. A peripheral blood test did not detect any related gene mutations and she was considered a chimera. She had an inner ear schwannoma (IES) on right side and very poor vision in both eyes. Cochlear implantation was performed in the right ear. Home-based hearing and speech rehabilitation lasted for two months after the operation, and the auditory ability grade (categorization of auditory performance, CAP) increased from 0 to 5 points.ConclusionNF2 has complex clinical manifestations and a poor clinical prognosis. Hearing can be reconstructed in NF2 patients with small IES by cochlear implantation with tumor survival.关键词：Neurofibromatosis type II;Inner ear schwannoma;Hearing rehabilitation;Cochlear implantation
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the relationship between tone burst auditory brainstem response (tb-ABR) and IT-MAIS score in infants with hearing loss.Methods120 infants with hearing loss admitted to the hospital from November 2020 to November 2023 were selected as the study group, and 50 infants with normal hearing underwent hearing examination in the hospital were selected as the control group. All the patients underwent tb-ABR measurement and IT-MAIS score evaluation. The tb-ABR threshold and IT-MAIS score of the two groups were compared and their correlation was analyzed. The value of tb-ABR threshold and IT-MAIS score for hearing loss were evaluated, while tb-ABR threshold and IT-MAIS score in infants with different hearing loss were compared, and the correlation between tb-ABR threshold, IT-MAIS score and the degree of hearing loss was analyzed.ResultsThe tb-ABR threshold in the study group was higher than that in the control group at the average hearing thresholds of 0.5 kHz, 1 kHz, 2 kHz and 4 kHz, and the IT-MAIS score was lower (P<0.05). Pearson correlation analysis showed that the tb-ABR threshold was negatively correlated with the IT-MAIS score at 0.5 kHz, 1 kHz, 2 kHz and 4 kHz (r=-0.511, -0.432, -0.309, -0.472; P<0.05). The receiver operating characteristic curve showed that the AUC values of tb-ABR threshold and IT-MAIS score in the diagnosis of infant hearing loss were 0.769, 0.797, 0.662, 0.713 and 0.829 respectively at the conditions of average hearing threshold, 0.5 kHz, 1 kHz, 2 kHz and 4 kHz. With the severity of hearing loss, the tb-ABR threshold increased gradually, while the IT-MAIS score decreased at 0.5 kHz, 1 kHz, 2 kHz and 4 kHz (P<0.05). Spearman correlation analysis showed that the tb-ABR threshold was positively correlated with the degree of hearing loss in infants at 0.5 kHz, 1 kHz, 2 kHz and 4 kHz (r=0.576, 0.411, 0.457, 0.486; P<0.05), and the IT-MAIS score was negatively correlated with the degree of hearing loss (r=-0.418; P<0.05).Conclusionstb-ABR is related to IT-MAIS, which can be used not only to diagnose hearing loss in infants, but also to assess the severity of hearing loss.关键词：Hearing loss;Tone burst auditory brainstem response;IT-MAIS score;Correlation
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Clinical Research
- 摘要：As an avant-garde modality for rehabilitation, game-based rehabilitation has been ubiquitously implemented in the domain of children's speech and language disorders in China. But a standardized system has not yet been built up. The intent of this paper is to elaborately expound upon the definition of game-based rehabilitation, its role and internal mechanism, the current practical application in clinical practice, and the impediments encountered by this field, thereby establishing a theoretical foundation for subsequent theoretical research and practical progression.关键词：Game-based rehabilitation;children;Language disorders;Speech disorders
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：Speech naturalness is an important part of speech rehabilitation, representing. At present, there are few research on speech naturalness in the field of speech rehabilitation in China, and the understanding of the concept, evaluation and intervention techniques of speech naturalness is still unclear. This article reviews and analyzes the current research status of the influencing factors, evaluation, and treatment methods of speech naturalness from the perspective of clinical application of speech rehabilitation. It is hoped to attract the attention of speech rehabilitation professionals and provide reference for clinical diagnosis and treatment of speech naturalness.关键词：Speech naturalness;Influencing factors;Evaluation methods;Treatment methods
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Review
- 摘要：ObjectiveTo investigate the activation of phonological and semantic information in sign language production under different stimulus onset asynchrony (SOA) conditions (-100 ms, 0 ms, and 100 ms), providing a basis for references and suggestions in the acquisition and education of sign language for hearing-impaired children.MethodThis experiment employed a picture-word interference paradigm, where the interfering sign language and images were presented simultaneously (or 100 ms earlier or later). Participants were asked to perform the sign language representation of the target image.ResultsWhen SOA=-100 ms and SOA=100 ms, semantic and phonological interference effects appear respectively. Under the condition of SOA=100ms, when the position of the interfering sign language word was consistent with the target word, the interference effect was the most significant, resulting in a phonological interference effect.Conclusionsign language production shares similarities with written language production but also has its own unique characteristics. The results support the independent two-stage model of speech production.关键词：Sign language production;Phonological;Semantic
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the language and communication abilities of hearing-impaired students in inclusion and special education environments, as well as the influence factors.MethodGroup hearing-impaired students in different educational placement environments, observe their classroom performance, interview parents and teachers of the main subjects (Chinese and mathematics), collect data, and summarize and analyze the information.ResultsThe independent sample t-test was conducted on the periodic evaluation results of the two groups of students, and there was a significant difference (P<0.05).ConclusionThe language and communication abilities of school aged hearing-impaired students are still in a rapidly growing stage. Providing them with an inclusion educational environment is an effective way to help hearing-impaired students adapt to campus learning and life.关键词：Inclusion education;Special education;Hearing impaired students;Language;Communication
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the effect of operational games on the learning ability of preschool hearing-impaired children.Methods40 hearing-impaired children in the large class of 12 integrated kindergartens were selected. According to the random number table, they were divided into a control group and an experimental group with 20 in each group.The control group recieved routine teaching, and the experimental group was added with operational game training.The difference between the two groups of children's learning ability before and after the experiment was analyzed by using the Hiskey-NPhraska learning ability assessment scale.ResultsThe mean value of Hiskey-NPhraska learning ability in the control group was 87.35 points, while the mean value of Hiskey-NPhraska learning ability in the experimental group was 96.25 points. The mean value of learning ability in the experimental group was significantly better than that in the control group (P<0.05).ConclusionOperational games can effectively improve the learning ability of hearing-impaired young children.关键词：Operational games;Hearing-impaired children;Learning ability
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the feasibility and effectiveness of auditory speech grammar in rehabilitation training for children with speech retardation,and to provide evidence for clinical application.MethodsThirty children with developmental language delay aged 1-3 years were diagnosed and treated in our hospital from September 2020 to February 2023 and they were selected for the study. They were divided into a study group and a control group based on a random number table method, with 15 in each group. The control group received routine language rehabilitation training, while the research group received auditory oral grammar interventions.After 8 weeks of intervention, the GDS-C scale was used to evaluate the speech behavior status of the children, while the speech intelligibility was evaluated, and the total effective rate was evaluated. The general self-efficacy scale (GSES) was also used to evaluate the self-efficacy of the parents of the children.ResultsThrough intervention, the GDS score and speech intelligibility of both groups were improved compared to before intervention, and the study group was significantly higher than the control group (P<0.05). The total effective rate of the research group was 86.67%, while the control group was 73.33%, with a statistically significant difference (P<0.05). The GSES score of the study group's parents after intervention was significantly higher than that of the control group (P<0.05).ConclusionThe auditory speaking method can effectively improve the language function of children with delayed language development, and help enhance the sense of efficacy of parents.关键词：Auditory oral grammar;Speech retardation;Language rehabilitation;Language function
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：Verb Network Strengthening Treatment (VNeST) is a Verb-centered training method, and can improve the extraction of nouns and verbs in sentences by training the target verbs and their thematic roles. VNeST is a semantic-based therapy,and intervention effect of target verbs can be generalized to the naming and sentence production of untrained verbs. VNeST has shown positive effect on language ability of aphasia patients whose mother tongue is English and Korean. If the materials are adjusted according to the grammatical rules of different languages, VNeST can be used in other languages.关键词：Verb network strengthening;Verb production;Semantic treatment;Aphasia
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo analyze the current situation of perceived vulnerability and subjective well-being of parents of hearing-impaired children, and explore the mediating effect of psychological capital between the two.MethodA survey was conducted on 110 parents of hearing-impaired children admitted to our hospital using a self-made questionnaire, psychological capital questionnaire, parental perceived vulnerability scale, and Chinese version of overall well-being scale, 110 questionnaires were distributed and 106 valid questionnaires were collected, with an effective response rate of 96.36%.ResultsThe psychological capital score of parents of hearing-impaired children as 84.55±9.67, the perceived vulnerability score of parents was 12.06±2.06, and the subjective well-being score was 58.15±8.72. There was a negative correlation between the perceived vulnerability score of parents of hearing-impaired children and their subjective well-being score and psychological capital score. There was a positive correlation between psychological capital score and subjective well-being score (P<0.05). The path results showed that the direct effect of perceived vulnerability by parents of hearing-impaired children on their subjective well-being score was -0.451, and there was a mediating effect of psychological capital between the two, with an indirect effect of -0.116 (P<0.05).ConclusionParents of hearing-impaired children have a high level of perceived vulnerability. The subjective well-being of parents of hearing-impaired children can be directly predicted through perceived vulnerability, and can also be influenced by the mediating effect of psychological capital. In addition to paying attention to the development of the condition of hearing-impaired children, clinical staff should also timely evaluate the psychological status of the parents of the children, and use diverse means to improve their psychological capital level and reduce their perceived vulnerability level as much as possible. This is of great significance for improving the level of happiness that parents of the children pay attention to.关键词：Hearing impaired;Perceive vulnerability;Psychological capital;Subjective well-being
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Rehabilitation Education
-
Clinical Effect Analysis of ADOPT Mode Training in School-age Children with Autism Spectrum Disorder
摘要：ObjectiveTo explore the clinical effects of Attitude-definition-open mind-planning-try it out （ADOPT) mode training in school-age autism spectrum disorder (ASD) children with language disorder.Methods73 school-age ASD children admitted to our hospital were randomly divided into an observation group (38 cases) and a control group (35 cases). The control group received routine rehabilitation training, while the observation group received ADOPT mode training. The language barrier and development of the two groups were compared.ResultsBefore the intervention, there was no significant difference in Autism treatment evaluation checklist (ATEC) score, Childhood autism rating scale (CARS) score, Autism behavior checklist (ABC) score and Gesell score between the two groups (P>0.05). After intervention, ATEC score, CARS score and ABC score of the two groups decreased significantly (P<0.05), and the observation group was significantly lower than that of the control group (P<0.05). Gesell score of the two groups increased significantly (P<0.05), and the observation group was significantly higher than that of the control group (P<0.05). After intervention, the incidence of language barrier (not liking to talk, not understanding instructions, lack of active language, confusion of expression, slight language barrier) in the observation group was significantly lower than that in the control group (P<0.05).ConclusionADOPT mode training applied to school-age ASD children's language disorder can effectively relieve their autistic symptoms, reduce the language disorder, and obviously promote their development.关键词：Autism spectrum disorder;School age children;Language barrier- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveExploring the impact of sports games on the language communication ability of children with autism spectrum disorder (ASD).MethodsSixty children aged 3-6 with ASD in our hospital were selected as the research subjects and randomly divided into an experimental group and a control group, 30 in each group. We use the Childhood Autism Rating Scale (CARS) and Autism Treatment Evaluation Checklist (ATEC) to evaluate the language communication ability of children before and after the intervention, and compare the differences before and after the intervention using repeated measures analysis of variance.ResultsThere was a significant statistical significance (P<0.05) in the comparison of the scores of each item on the CARS and ATEC scales without the behavioral score after intervention between the two groups. The average number of active language communication attempts in the experimental group during the baseline period was 1.4. The average number of expected interventions reached 4.8, and the trend of active language communication was constantly improving. The average frequency during the maintenance period was 3.4 and still showed a slow upward trend. After intervention, the active eye contact, body movements, and language communication behavior in the experimental group increased by 12.8 times, 1.3 times, and 1.5 times, respectively, and the progress rate of body language and active language communication increased.ConclusionSports game intervention methods can effectively improve the language communication ability of ASD children, alleviating their communication and social barriers.关键词：Sports games;Language communication;Autism spectrum disorder;Intervention effectiveness
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveThis study analyzes the application of online language rehabilitation to children with autism spectrum disorder, explores the advantages and limitations of online rehabilitation training through practice, and proposes follow-up optimization suggestions.MethodWe practiced and analyzed the application of online language rehabilitation in 108 children with autism spectrum disorder during the epidemic period. Through online teaching, training was carried out on children's mouth shape imitation, pronunciation, vocabulary pronunciation, sentence imitation, nursery rhyme recitation, role performance, etc. We evaluated the training effect through pretest and posttest.ResultAfter six months of online language rehabilitation, the improvement in children's mouth shape imitation was 26.90%, with the most significant improvement. Children's speech training, vocabulary pronunciation, sentence imitation, nursery rhyme recitation, and role performance abilities had also been improved to varying degrees.ConclusionOnline rehabilitation has achieved positive results, with a higher parental participation rate than traditional language rehabilitation. However, there are also problems such as difficulty maintaining attention, limited interaction, lack of physical contact, and potential visual impairments that require further research and optimization.关键词：Autism spectrum disorders;children;Speech rehabilitation;Online teaching
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo demonstrate the characteristics of motor skill disorders in children with autism spectrum disorder (ASD) and explore the relationship between motor skill disorders with language and cognitive functions.MethodsChildren with ASD at the Rehabilitation Department of Guangzhou Women and Children's Medical Center were selected in this study. All the subjects received motor skills, language, cognitive functions, and social life ability assessment. The motor skills were assessed using the Movement Assessment Battery for Children-second edition (MABC-2). The language and cognitive functions were assessed using the Sign-Significate relations and the Wechsler Preschool and Primary Scale of Intelligence 4th edition (WPPSI-IV) or Wechsler Intelligence Scale for Children 4th edition (WISC-IV). Pearson's test or Spearman's test was used to analyse the relationship between motor skills with language and cognitive functions.Results57 children with ASD were included in this study, and the prevalence of motor skill disorders was 64.9%. Children with ASD with delayed language functions exhibited poorer motor skills compared to those without language delays, showing a statistically significant difference (P<0.05). Motor skills were found to be highly correlated with language (r=0.602) and cognitive functions (r=0.591).ConclusionThe prevalence of motor skill disorders in children with ASD is high and closely related with language and cognitive functions, which needs more clinic focus.关键词：Autism spectrum disorder;Motor skill;Language function;Cognitive function
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the incidence of sleep problems in children with autism spectrum disorder (ASD) and its influencing factors.Methods272 children with ASD and 235 healthy children from two hospitals of Hai'an People's Hospital and Jiangsu Provincial People's Hospital were selected by convenient sampling. The children's sleep habits questionnaire (CSHQ) was used to investigate the sleep problems of the two groups of children, and the Child Autism Rating Scale (CARS) Social Response Scale (SRS), Autism Behavior Checklist (ABC), and the revised children's neuropsychological and behavior scale (CNBS-R2016), gesell developmental schedule (GDS) were used to investigate the developmental behavior of children with ASD.ResultsThe incidence of poor sleep in children with ASD was 65.81% (179/272), and that in healthy children was 45.96% (108/235). The difference between the two groups was statistically significant (P<0.05). We compared the two groups with poor sleep and normal sleep in the ASD group. The sleep status of ASD children with different age, living environment and living style was different (P<0.05). The total scores of CARS, SRS, ABC and GDS in children with poor sleep were significantly higher than those in normal sleep group (P<0.05). There was no statistical difference between the scores of CNBS-R2016 in the two groups (P>0.05).ConclusionThe incidence of poor sleep in children with ASD is higher than that in normal children. Age, living environment and living style are the influencing factors. Sleep problems may be related to multiple behavioral manifestations of children with ASD, but may not be related to neurodevelopment.关键词：Autism spectrum disorder children;Sleep;Behavior development
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05 - 摘要：ObjectiveTo explore the efficacy of digital cognitive intervention on the cognitive function of children with autism spectrum disorder (ASD).MethodsForty-three children aged 2-8 years with ASD were recruited from a rehabilitation and randomly divided into a digital cognitive intervention group (n=24) and a conventional intervention group (n=19). The both groups received conventional offline intervention training, while the children in the digital cognitive intervention group received digital cognitive intervention training on this basis for a total of 10 weeks. The cognitive function and overall development of the two groups of children were evaluated before training (baseline) and after training (endpoint) using the Third Edition of the Revised Chinese Version of Psycho-Educational Profile (C-PEP-3).ResultsIn the digital cognitive intervention group, the developmental months in all fields and total developmental months of C-PEP-3 were significantly higher at the end of training than at baseline (P<0.05). Except for hand-eye coordination, the developmental months of C-PEP-3 in the conventional intervention group were also significantly higher at the end of training than at baseline (P<0.05). The digital cognitive intervention group showed significantly greater progress (endpoint minus baseline) in cognitive performance and overall development of C-PEP-3 than conventional intervention group (P<0.05). The average number of daily training rounds of digital cognitive intervention for children was moderately positively correlated with the progress of cognitive performance and overall development of C-PEP-3 (r=0.42-0.57, P<0.05).ConclusionDigital cognitive intervention could effectively promote the cognitive development and overall development of children with ASD, and the more the ASD children participate in the training of digital cognitive intervention, the greater the progress of their cognitive development and overall development.关键词：Autism spectrum disorder;Digital cognitive intervention;children
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Intervention Study on Behavior and Language Development of Children with Autism Spectrum Disorder
- 摘要：Electroencephalogram (EEG) is non-invasive, high-temporal-resolution and objective, which can reflect the process of sound in the auditory system. Electrophysiological measures provide objective cognitive assessment after cochlear implantation (CI). They are of great significance for clinical practice and research. This article summarizes EEG and its clinical significance for the assessment of cognitive function for CI users, including the short latency response, the auditory middle latency response and the long latency auditory evoked potential. Thus, we emphasize the important role of electrophysiological measures in the cognitive assessment after CI.关键词：Cochlear implant;Cognitive function;Electrophysiological measures
- 0
- |
- 0
- |
- 0
发布时间：2024-09-05
Post Education
- Technical support is provided by Beijing Founder electronics co., LTD 京ICP备2023010756号-1
京公网安备11010502052338 - It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
- Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.
0