Objective

2

To explore the effectiveness of rehabilitation intervention for children with white matter abnormalities(WMA)combined with sensorineural sudden deafness (SSN)

and to provide useful references and insights for the rehabilitation training of such children.

Methods

2

A study was conducted on a child with WMA combined with SSN using a closed-loop model of assessment-intervention-reassessment. Multidimensional assessment tools were employed to cover hearing function

neurodevelopment

vestibular function

problematic behaviors

psychological state

and daily functioning. Based on the assessment results

a personalized comprehensive rehabilitation intervention program was developed

including vestibular rehabilitation training (balance training

ramp walking exercises)

auditory rehabilitation training

psychological therapy

and behavior modification techniques (positive reinforcement method). The intervention period was 2 months

followed by a 6-month follow-up after the intervention to dynamically monitor the recovery of functions and residual impairments.Ensure that the assessment results can accurately guide rehabilitation interventions.

Results

2

After 2 months of comprehensive rehabilitation interventions

the child's rehabilitation outcomes were significant

mainly including: a significant improvement in auditory discrimination ability

with precise recognition of daily monosyllabic words and short sentence commands

meeting daily communication and environmental sound recognition needs; a symptom control remission period lasting 4 months

with no dizziness

instability

or other discomforts during daytime walking and daily activities; full recovery of self-care ability

with a self-perceived functional recovery of 90% compared to the initial diagnosis;no significant limitations in core life scenarios. After voluntarily stopping vestibular rehabilitation

the child exhibited occasional mild instability during rapid walking in low-light environments at night and significant balance impairment when descending steep slopes of 15°

requiring handrails for assistance without severe discomfort such as falling.

Conclusion

2

The rehabilitation strategy for children with white matter abnormalities combined with sensorineural sudden deafness requires comprehensive consideration of medical treatment

rehabilitation training

psychotherapy

educational support

and lifestyle adjustments. In clinical practice

emphasis should be placed on individualized program adjustments and long-term maintenance training.Through comprehensive rehabilitation strategies

symptoms in children can be effectively improved

and their quality of life can be enhanced.