最新刊期
卷 22 ， 期 6 ， 2024
- 摘要：ObjectiveTo summarize the weak points of hearing screening and healthcare for children in China.MethodsFrom March 2022 to January 2024, 2,938 children who sought medical attention due to unclear articulation or delayed language development were included in this retrospective analysis. The occurrence rate of hearing loss and the audiometric characteristics were analyzed.Results84 children (2.86%) were diagnosed with hearing loss, including 62 cases (73.8%) of sensory hearing loss, 2 cases (2.4%) of auditory neuropathy spectrum disorders, 19 cases (22.6%) of conductive hearing loss, and 1 case (1.2%) of mixed hearing loss. Among them, 52 cases (61.9%) passed, 28 cases (33.3%) failed, and 4 cases (4.8%) did not receive the newborn hearing screening. 72.6% (61/84) and 27.4% (23/84) cases were diagnosed with non-syndromic and syndromic hearing loss, respectively. Bilateral hearing loss was identified in 76 cases (90.5%), while unilateral hearing loss was found in 8 cases (9.5%). Of the 35 cases (41.7%) that had sought medical attention at external hospitals due to speech and language issues, only 19 cases underwent hearing screening during their previous visits, while 16 cases did not undergo any hearing examination at the initial hospital visit.ConclusionsAmong children presenting with speech and language issues and diagnosed with hearing loss, nearly 40% either did not undergo or failed the newborn hearing screening. Hearing screening was not performed for speech and language impaired children in some medical institutes. It is suggested that the hearing screening standardization in China still requires further improvement. All children who seek medical attention due to unclear articulation or delayed language development should undergo hearing screening, with comprehensive hearing diagnosis when necessary, to rule out various hearing loss.关键词：Speech;Language;Hearing loss;Hearing screening;Hearing impairment225|162|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the early rehabilitation of hearing, speech recognition and quality of life of older prelingual deaf patients after cochlear implantation.Methods38 patients with prelingual deafness who underwent cochlear implantation in the Department of Otolaryngology, Head and Neck Surgery, 980 Hospital of Chinese PLA were enrolled in this study. Nineteen patients aged 18-39 years were selected as the control group (Group B). All the patients received cochlear implants and turned on for half a year. Preoperative clinical data were collected. Preoperative assessment included hearing ability, speech intelligibility, quality of life (basic sound perception, Advanced sound perception, speech ability, self-confidence, motor ability, social communication ability), monosyllabic, disyllabic, sentence recognition rate under quiet conditions, etc. Six months after cochlear implantation, the above indicators were re-evaluated and compared before and after surgery and between the two groups.ResultsSix months after cochlear implantation, the patients' hearing ability, speech intelligibility, quality of life and speech discrimination score were significantly improved. There was no significant difference between the two groups (P>0.05).ConclusionCochlear implant has a significant effect on improving the quality of life and speech recognition ability of older prelingual deaf patients. The correlation between quality of life and speech recognition ability needs to be further explored. The preoperative and postoperative evaluation is helpful to evaluate the treatment effect reasonably, which is of great significance in preventing complications, evaluating the curative effect and the difficulty of operation.关键词：Prelingual deafness;Cochlear implant;Quality of life;speech recognition143|100|0更新时间：2026-07-11
- 摘要：ObjectiveTo investigate the risk factors and clinical audiological characteristics of congenital microtia.MethodsThe clinical data of 50 children with congenital microtia and 90 children with normal hearing who came to our hospital from 2018 to 2024 were retrospectively analyzed.ResultsAmong 50 children with microtia, 54% were male, 60.9% were involved on the right side, 70.4% were accompanied by stenosis or atresia of the external auditory canal, and 82% were isolated microtia. According to Marx classification, 50 children with microtia were classified into grade I (7 cases), grade II (15 cases), and grade III (28 cases). The average ABR airway threshold was 60.71±7.51 dB nHL for grade I, 75.33±2.56 dB nHL for grade II and 83.74±2.22 dB nHL for grade III. There were significant differences among different grades of hearing threshold. Microtia is more likely to occur in people living in mining areas, taking medicine for flu in the first three months of pregnancy, taking drugs during pregnancy, and low birth weight.ConclusionsOur study indicates that living in mining areas, pregnancy diseases, virus drugs in the first three months of pregnancy, drugs during pregnancy, and low birth weight are significant risk factors for microtia. The severer of congenital microtia , the higher of ABR air-conduction threshold.关键词：Microtia;Marx classification;Risk factors;ABR threshold92|237|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the efficacy and hearing test results of hyperbaric oxygen combined with music therapy in the treatment of hearing impairment caused by hypoxic-ischemic encephalopathy in infants and young children.Methods64 infants and young children with hearing impairment caused by hypoxic-ischemic encephalopathy admitted to our hospital from June 2022 to June 2023 were selected as the research subjects. The Random number table method was used for division. The control group (n=32) received hyperbaric oxygen therapy, while the observation group (n=32) received music therapy in addition to the control group. The treatment effects, mean pure tone hearing threshold, relevant laboratory indicators, adverse reactions, and evaluation of family satisfaction were compared between the two groups.ResultsAfter treatment, the mean pure tone hearing threshold and laboratory indicators of both groups of children showed a decrease. The observation group had a lower mean pure tone hearing threshold than the control group, and lower whole blood specific viscosity (WBV), red blood cell aggregation index (AI), and immune function indicators than the control group (P<0.05). The incidence of adverse reactions in the observation group was higher than that in the control group, but there was no significant difference between the groups (P>0.05). Compared with the control group's family members, the satisfaction survey results of the observation group's family members were higher, and there was a significant difference in the data comparison (P<0.05).ConclusionFor children with hypoxic-ischemic encephalopathy, providing hyperbaric oxygen combined with music therapy can effectively improve their hearing status, improve their laboratory indicators, and reduce the incidence of adverse reactions. The satisfaction of the children's families is high, and it is suitable for clinical promotion and application.关键词：Hyperbaric oxygen;Music therapy;Baby;Hypoxic-ischemic encephalopathy;Hearing impairment40|41|0更新时间：2026-07-11
- 摘要：ObjectiveTo analyze the changes in hearing and self-esteem in elderly patients with varying degrees of hearing loss after using hearing aids, and explore whether these changes affect their willingness to wear hearing aids.Methods107 elderly individuals with moderate to moderately severe sensorineural hearing loss were recruited. Based on the severity of their hearing loss, they were provided with an immediate hearing aid experience. Pure-tone audiometry, speech tests in quiet conditions, self-esteem scales, hearing aid evaluation forms, and assessments of willingness to use hearing aids were conducted before and after the fitting.ResultsThe hearing thresholds in both ears and the speech (sentence) recognition rates in a quiet environment significantly improved after using hearing aids (P<0.05). Comparing the self-esteem scale scores before and after using hearing aids, the severe group showed a significant decrease in self-esteem after wearing hearing aids (P<0.05). Specifically, scores on items 1, 3, and 7 of the self-esteem scale decreased, while the score on item 8 increased, highlighting the importance of hearing aids in terms of functionality, comfort, and social impact on patients' self-esteem. The willingness to wear hearing aids in the mild to moderate hearing loss group was significantly affected by the unaided average hearing threshold, with a higher degree of hearing loss correlating with stronger willingness to wear hearing aids (P<0.05). In the severe hearing loss group, the post-hearing aid self-esteem scores had a significant impact on the willingness to wear hearing aids, with lower self-esteem scores after using hearing aids correlating with a stronger willingness to wear them (P<0.05).ConclusionFor elderly patients with hearing impairment, professional hearing aid fitting can significantly improve their listening ability and speech recognition. Proper selection and fitting of hearing aids not only improve hearing but also impact the self-esteem of elderly individuals with hearing impairment. There is a close relationship between the degree of hearing loss, the patient's self-esteem, and their willingness to wear hearing aids. To achieve comprehensive and effective hearing rehabilitation, attention must also be paid to psychological aspects such as the patient's self-esteem.关键词：Hearing loss;Self-esteem;Hearing aid fitting;Willingness to use69|165|0更新时间：2026-07-11
Clinical Research
- 摘要：Age-related hearing loss is a common chronic disease in the elderly population, and its prevention and treatment have received much attention from the medical community. Studies have shown that rational dietary modification can significantly delay hearing loss and reduce the incidence of age-related hearing loss. Therefore, the aim of this paper is to explore the causes of age-related hearing loss, to study in depth the relationship between nutrients and age-related hearing loss as well as the mechanism of action, and to put forward scientific dietary recommendations, so as to provide new ideas for the further prevention and treatment of age-related hearing loss.关键词：Age-related hearing loss;Nutrients;Reasonable diet;Hearing protection60|112|0更新时间：2026-07-11
- 摘要：Intonation, as a form of expression of paralanguage, carries rich semantic and emotional information through the configuration and change of phonetic pitch, duration and intensity and so on, and plays an important role in the development of children's language and cognitive ability, such as vocabulary. It includes both lexical tone determined mainly by the base frequency and sentences tone mainly affected by the duration. The neural development of intonation processing is earlier than speech, so this paper preliminarily introduces the acoustic characteristics of Chinese Mandarin lexical tone and sentence tone, summarizes the development rules of their perception and output, and the acoustic measurement parameters reflecting the level of children's intonation acquisition, such as the rate of base frequency change, so as to help develop early childhood screening tools. Because the performance of intonation acquisition level is closely related to its neural processing function, this paper further summarizes the related research of the neural mechanism hypothesis and processing center of intonation, to provide reference for the early screening of specific brain areas of risk children through electrophysiology or brain function imaging, such as mismatch negativity (MMN) and so on.关键词：Lexical tone;Sentence tone;Acoustic Characteristics;Rules of Development;Neural processing144|394|0更新时间：2026-07-11
- 摘要：Articulation disorders refer to abnormal movement of the articulatory organs or failure to understand the pronunciation characteristics of the target phoneme, resulting in abnormal phonological tones. Most of the problems related to speech pronunciation in China are named after articulation disorders. Most children with hearing, language, and mental disabilities have articulation disorders which lead to a decrease in their speech intelligibility, thereby affecting communication and lowering their quality of life. Interventions for articulation disorders can improve children's speech clarity and fluency, enhance their language communication skills, and greatly help them receive education and integrate into the society. Therefore, intervention for articulation disorders is crucial. This article summarizes the commonly used intervention methods for speech disorders both domestically and internationally, including traditional treatment methods, phonological therapy, motor kinesthetic training, core vocabulary methods, and auxiliary and alternative communication systems. It analyzes the target children, effects, and daily intervention precautions applicable to each method, in order to provide ideas for the intervention of speech disorders in children.关键词：Articulation disorders;Children with special needs;Intervention methods255|1400|0更新时间：2026-07-11
- 摘要：A language development disorder is one of the core characteristics of autism spectrum disorder (ASD)individuals, especially in semantic processing, there are many defects. This paper makes a visual analysis of the research literatures published in CNKI from 2000 to 2020 by using CiteSpace software to map knowledge, clustering and co-occurrence of keywords. It is found that there is few literature on semantic processing of ASD children in China, and there are both cooperative and independent research projects among the research institutions and scholars. The research on semantic processing of ASD children in China focuses on metaphor processing and pronoun processing. Through the analysis of the the research focus, the author further draws the enlightenment and prospect of the research on autistic children's semantic processing.关键词：Autism spectrum disorder;Semantic processing;Research hotspots100|270|0更新时间：2026-07-11
- 摘要：This review systematically examines the application of hearing aids (HA) and cochlear implants (CI) in the language rehabilitation of children with hearing impairments, focusing on the impact of differences between unilateral and bilateral devices, the importance of early intervention, and the influence of hearing loss severity on rehabilitation outcomes. A literature review was conducted, analyzing 28 studies published between 2014 and 2024, both domestically and internationally. Bilateral devices outperform unilateral ones in improving vocabulary and grammatical skills, especially in complex language environments. Early intervention before the age of three significantly enhances rehabilitation outcomes, though some studies indicate that interventions initiated after three years of age can still be effective with sufficient family support. The severity of hearing loss affects rehabilitation outcomes: children with severe and profound hearing loss require longer-term interventions, while mild hearing loss, if left unaddressed, can lead to developmental delays. Future research should promote the integration of emerging technologies with traditional rehabilitation methods, utilizing personalized, data-driven models to enhance intervention outcomes. Optimizing family support and policy frameworks is essential to ensure that all children with hearing impairments have equal opportunities for development.关键词：Hearing-impaired children;Assistive hearing devices;Language rehabilitation142|362|0更新时间：2026-07-11
Review
- 摘要：Attention Deficit Hyperactivity Disorder (ADHD) is the result of the multiple factors of bio-psycho-social interactions. Currently, scholars and colleagues recommend psychological behavior interventions and advocate the active implementation of a medical education integration linkage and monitoring model. However, the linkage mechanism of medical education integration and how to build a social support system are still explored. This article is based on the ecological systems theory, and elaborates on the factors that affect the development of children with ADHD and their relationships from the perspectives of microsystem, mesosystem, exosystem, macrosystem, and chronosystem. Corresponding treatment and support plans are proposed in order to provide theoretical guidance for multi-model ADHD intervention strategies and better support for ADHD children and families.关键词：Attention deficit hyperactivity disorder;Ecological systems theory;Intervention model166|171|0更新时间：2026-07-11
- 摘要：ObjectiveThis study aimed to analyze the language developmental milestones in children with Autism Spectrum Disorder (ASD) aged 2 to 7 years and to explore their association with symptom severity, providing a basis for early identification and personalized intervention.Methods341 children with ASD treated in the Department of Pediatrics of the First Affiliated Hospital of Air Force Military Medical University from June 2019 to August 2023 were selected, and the sequence of language milestone development was determined by Mokken scale analysis. The random forest model combined with Boruta algorithm was used to predict the severity of symptoms based on the acquisition of language milestones.ResultsThe study found that the acquisition sequence of language milestones in ASD children differed from that of typically developing children. The Mokken Scale Analysis identified 33 items related to language understanding and expression, demonstrating the stage-like nature of language development. The Random Forest model revealed characteristic sets of language milestones in ASD children of different age groups, highlighting the importance of early identification. A subgroup analysis by gender and symptom severity revealed potential differences in language development among ASD children.ConclusionLanguage developmental milestones in ASD children are closely related to their symptom severity. The study emphasizes the necessity of early language skill assessment and individualized intervention strategies. Future research should conduct long-term follow-up on ASD children to assess the impact of early language milestones on long-term development.关键词：Autism spectrum disorder;Language development;Mokken scale;Random forest model88|124|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the effect of cochlear implantation on the rehabilitation of hearing and speech in children with internal auditory canal stenosis and white matter abnormalities.MethodsThe hearing and speech ability of a child with internal auditory canal stenosis and cerebral white matter abnormality in the rehabilitation period of 2 years were analyzed by tracing the results of sound field hearing threshold, Ling's six sounds test, auditory language ability, categories of auditory performance (CAP) and speech intelligibility rating (SIR), and the staged evaluation of her learning ability.ResultsThere is a difference in the stuble hearing threshold between the left and right ears of the child after CI, and the right ear cannot recognize the Ling's six sounds and speech after 2 years, the hearing and language abilities of the child reached Grade 2, the auditory behavior reached Grade 5, and the speech intelligibility reached Grade 3.ConclusionCochlear implantation can improve the hearing and speech ability of children with internal auditory canal stenosis and white matter abnormalities. According to the particularity of children, it is necessary to flexibly use rehabilitation teaching methods to improve the quality of rehabilitation.关键词：Stenosis of internal auditory canal;Cerebral white matter abnormalities;Cochlear implant;Hearing and speech ability;Individual case31|32|0更新时间：2026-07-11
- 摘要：ObjectiveTo investigate changes in respiratory characteristics of patients after stroke and their relationship with speech prosody function.MethodsFrom January 2022 to June 2022, 35 stroke patients were collected as the experimental group, among them, 12 were randomly assigned to Group A (intervention group), while the remaining 23 were in Group B (non-intervention group). 32 healthy adults matched for age and gender were collected as the control group. All the participants read short texts aloud and were recorded. The respiration parameters, including Maximum Phonation Time (MPT), Maximum Count Ability (MCA), s/z ratio, and acoustic analysis of speech prosody from three dimensions were analyzed. A comparison was made between the experimental and control groups, and a correlation analysis was conducted between respiratory characteristics and speech prosody parameters. Group A received speech respiration training, the acoustic parameters of respiration and speech prosody were compared before and after the trainings.ResultsThe MPT, MCA, SR, AR, F0SD and F0 slope of whole interrogative sentences in the experimental group were significantly lower than those in the control group (P<0.05), while the unnatural pause number and the duration of stressed syllables in the experimental group were significantly higher than those in the control group (P<0.05). The unnatural pause number, SR, AR, F0 slope of whole interrogative sentences, duration of stressed syllables and average intensity of stressed syllables were significantly correlated with MPT (P<0.05). The unnatural pause number, SR and F0 slope of whole interrogative sentences were correlated with MCA (P<0.05). Significant improvements were observed in MPT, MCA, unnatural pause number, SR, AR and F0 slope of whole interrogative sentences after respiration training (P<0.05).ConclusionPatients after stroke exhibit respiratory deficiencies, characterized by insufficient respiratory support and poor coordination between respiration and phonation, which were related to speech prosody function.关键词：Stroke;Respiration;Speech prosody;Acoustic analysis60|78|0更新时间：2026-07-11
- 摘要：ObjectiveExploring the relationship between neuropsychological development, social adaptability, and family environment in children with delayed language development.Methods84 children with language retardation admitted to our hospital from February 2022 to January 2024 were selected as the study objects. Gesell development scale, Social maturity scale (S-M scale) and family environment scale-Chinese version (FES-CV) were used to evaluate the neuropsychological development level, social adaptability and family environment of all children. Gesell development of children of different ages was compared with S-M and FES-CV scores. The classification distribution of Gesell development level in children was analyzed, the correlation between Gesell score and S-M and FES-CV score was analyzed, and the accuracy of predictive variables was evaluated by ROC curve.ResultsThe development quoitent (DQ) values of adaptive behavior and language in children aged 3 years and above were significantly lower than those in children aged 3 years and below (P<0.05). Among the 84 children with language delay, the Gesell developmental of two level cases (2.38%) were normal, 6 cases (7.14%) were borderline, 47 cases (55.95%) were mild, 26 cases (30.95%) were moderate, and 3 cases (3.57%) were severe. The scores of Gesell, S-M and FES-CV in the non-defect group were significantly higher than those in the defect group (P<0.05). Pearson correlation coefficient showed that fine motor, adaptive behavior and language ability area in Gesell score were significantly positively correlated with S-M score (P<0.05), and adaptive behavior, language and personal social behavior in Gesell score were significantly positively correlated with FES-CV score (P<0.05).ROC analysis showed that the S-M and FES-CV scores had higher sensitivity and specificity in predicting the neuropsychological development of children with delayed language development, and there was a significant difference (P<0.05).ConclusionThe S-M and FES-CV scores are positively correlated with the Gesell score, and both are important influencing factors for the neuropsychological development of children with delayed language development.关键词：Delayed language development;Neuropsychological development;Social adaptability;Family environment84|271|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the application effect of immersive virtual reality (VR) speech rehabilitation system combined with transcranial direct current stimulation in the rehabilitation treatment of patients with aphasia after stroke.Methods90 patients with post-stroke aphasia admitted to Xuzhou Rehabilitation Hospital from June 2020 to June 2023 were divided into control group and observation group with 45 cases in each group by random number table method. The control group was given transcranial direct current stimulation treatment, and the observation group was given immersive VR speech rehabilitation system training combined with transcranial direct current stimulation treatment. The both groups were continuously intervened for 12 weeks. The clinical efficacy of the two groups was compared, and the scores of the Western Aphasia Inventory Test (WAB), Aphasia Quotient (AQ), Functional Verbal Communication Ability Scale (CFCP), and Stroke Aphasia Quality of Life Scale (SAQOL-39g) were used before and after treatment.ResultsThe scores of WAB scale, AQ, CFCP and SAQOL-39g scale were significantly higher in two groups after treatment than before (P<0.05). After treatment, the scores of WAB scale, AQ, CFCP and SAQOL-39g scale in observation group were significantly higher than those in control group (P<0.05). The total effective rate of the observation group was significantly higher than that of the control group (93.33% vs. 77.78%, P<0.05).ConclusionTraining based on immersive VR speech rehabilitation system combined with transcranial direct current stimulation can significantly improve the efficacy of aphasia patients after stroke, improve their aphasia symptoms and language communication ability, and improve their quality of life.关键词：Post-stroke aphasia;Immersive virtual reality;Speech rehabilitation system;Transcranial direct current stimulation;Rehabilitation55|24|0更新时间：2026-07-11
- 摘要：ObjectiveTo study the effect of step questioning training strategy on active questioning in children with intellectual disabilities.MethodsUsing the cross-behavior multiple test experiment design and interview method of a single subject, two target questions of one subject were selected for intervention, which compared the results after intervention and obtained social validity.ResultsThe step questioning training strategy had good immediate and maintenance effect on improving the active questioning ability of school-age children with mental disabilities. The step questioning training strategy had a better effect on improving the active questioning ability of children with mental disabilities. The training strategy of step questioning sentence had good social validity.ConclusionThis study verifies that the stepped questioning sentence training strategy has an immediate, maintenance and classification effect on improving the active questioning skills of school-age intellectual disabilities children, and can also promote the development of other skills.关键词：Step adder questioning training strategy;Children with intellectual disabilities;Active questioning ability44|268|0更新时间：2026-07-11
- 摘要：ObjectiveTo understand the basic situation of children with suspected speech disabilities, intellectual disabilities, and mental disabilities in Beijing, and make a preliminary analysis of their rehabilitation effects.MethodsThe rehabilitation assessment data of 1005 suspected disabled children who applied for rehabilitation services were analyzed.ResultsBasic information of three types of suspected disabled children: the proportion of boys was higher, accounting for 71.54%. The age range was 0.5-12.5 years old, aged 2-4 was the majority, accounting for 54.93%. In terms of disability types, children with suspected speech disabilities were the largest, accounting for 71.44%. The number of suspected disabled children applying for rehabilitation services had been increasing year by year from 2020 to 2023. 226 suspected disabled children had applied for rehabilitation services for at least two consecutive years. The age of the first rehabilitation assessment of children with suspected speech disabilities was significantly younger than that of children with suspected intellectual and mental disabilities (P<0.01). The age of the first rehabilitation assessment of children with suspected intellectual disabilities was significantly younger than that of children with suspected mental disabilities (P<0.01). Rehabilitation effect: The rehabilitation assessment results of 226 suspected disabled children for two consecutive years were compared, the gap between the language age and actual age of children with suspected speech disabilities narrowed (P<0.01), the intelligence quotient of children with suspected intellectual disabilities increased (P<0.05), and the CARS score of children with suspected mental disabilities decreased (P<0.01);A correlation analysis showed that there was a significant negative correlation between the age of first rehabilitation assessment and the rehabilitation effect of children with suspected speech disabilities (P<0.01), but there was no significant correlation between the age of the first rehabilitation assessment and the rehabilitation effect of the children with suspected intellectual disabilities and mental disabilities (P>0.05).ConclusionEarly, sustained, and effective rehabilitation can help suspected disabled children recover their functions and reduce the degree of disability.关键词：Suspected disabled children;Rehabilitation assistance;Rehabilitation effect23|142|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the relationship between parenting stress and anxiety level of hearing-impaired children, and to reveal the moderating effect of children's effortful control between the two.MethodThis study conducted a questionnaire survey on 103 parents of hearing-impaired children with the Parenting Stress Index-Short,the Children's Behavior Questionnaire,the Children's Anxiety scale (parent-reported). We intended to explore the effects of parenting stress on anxiety levels in children with hearing loss and the role of young children's intrinsic temperament factors in the relationship between them.ResultsParenting stress can significantly positively predict hearing-impaired children's anxiety.Children's effortful control plays a moderating role in the effect of maternal parenting stress on hearing-impaired children's anxiety. The moderating effect of children's effort control was more significant in the low effort control group, that is, the hearing-impaired children with high level of effort control were better able to regulate and control their emotions and have a better buffering effect on the negative environment than the hearing-impaired children with low level of parental parenting pressure.ConclusionParenting stress and children's effort control influence anxiety levels in young children with hearing impairment.关键词：Parenting stress;Hearing-impaired children;Anxiety;Effortful control39|83|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the rehabilitation effect of music therapy strategies guided by the principle of co-development of sensory perceptual abilities in children with pre-lingual hearing loss and cochlear implantation (CI) on tone perception ability.MethodA total of 68 children aged 3 to 9 years old who underwent unilateral cochlear implantation were selected. They were divided into an intervention group and a control group, with an interval of no less than 6 months between the first start-up and debugging of the cochlear implant. Based on the principle of co development of sensory perception, such as visual, auditory, tactile, proprioceptive and vestibular senses, a music therapy strategy was constructed for control group for 24 training sessions.The control group received traditional rehabilitation training methods.ResultIn the four tests of monosyllabic and disyllabic tests, speech perception ability, social anxiety scale for children (SASC), and children using hearing implants quality of life questionnaire (CuHIQol), parents' expectations were significantly improved in the training group after training compared to the control group (p-values of 0.009, 0.018, 0.010, and 0.006, respectively), and the training effect was better than that of the control group.ConclusionMusic therapy training based on the principle of co-development of sensory perception can significantly improve CI children's speech tone, language perception, auditory and other abilities, effectively improving their quality of life. This method not only helps with the psychological construction, self-confidence building, and social status improvement of CI children, but also alleviates the psychological pressure and anxiety of parents during their children's growth process.关键词：Co-development of sensory perception;Music therapy;Tone perception ability72|312|0更新时间：2026-07-11
Rehabilitation Education
- 摘要：ObjectiveTo investigate the characteristics and precautions of postoperative nursing for elderly patient of cochlear implantation with sensorineural hearing loss after liver transplantation.MethodsA 62-year-old female with sensorineural hearing loss in both ears (total deafness according to WHO 2021 classification criteria) for more than 10 years after liver transplantation. Anti-rejection and hormone have been used for a long time after liver transplantation, and cochlear implantation was implemented 8 years after liver transplantation. According to the patient's special medical history and physical conditions, systematic management was given after cochlear implantation, including postoperative observation of the operative area, liver function protection, postoperative psychological nursing and discharge guidance, and other measures, to evaluate the patient's hearing and psychological state.ResultsThrough reasonable treatment and post operation care, the hearing of the patient was restored after cochlear implantation. The psychological state and the quality of life were significantly improved. No complication related to liver transplantation was observed.ConclusionsA cochlear implant is a safe and effective intervention for elderly patients receiving immunosuppressive therapy after liver transplantation. In view of the special requirements of the safety of cochlear implantation for liver transplant patients, comprehensive professional and meticulous nursing should be carried out to highlight anti-infection and enhance immunity.关键词：Sensorineural hearing loss;Cochlear implant;Liver transplantation35|75|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the diagnosis and treatment strategy of a case with profound sensorineural hearing loss associated with Noonan syndrome (NS, Noonan syndrome).MethodsThe clinical manifestations, genetic characteristics, diagnosis and treatment points, and reorganization and rehabilitation of a child with NS-related SNHL were reported.ResultsThrough the analysis of the literature, it was found that the children had typical clinical manifestation. Early warnings for typical facial and facial deformities and genetic analysis would benefit the diagnosis of NS. It is suitable for cochlear implantation on one ear, and wearing hearing aids on the opposite side in the case of partial residual hearing in both ears, high-frequency steep drop hearing loss. Perioperative evaluation of bleeding tendency and cardiac function is necessary. Surgical rehabilitation training is a challenge.ConclusionTypical facial deformities and genetic testing are the key to early diagnosis. Noonan syndrome is not a contraindication to cochlear implantation, but restoration and rehabilitation are challenging.关键词：Noonan syndrome;Hearing disorders;Cochlear implantation;Auditory rehabilitation61|61|0更新时间：2026-07-11
Case Report
- 摘要：Focusing on children's family, this research established the rehabilitation pattern of institution+family+community, explored multidisciplinary rehabilitation team to form professional combining strength, and guided family members to make full use of manpower, material resources, financial capacity and environment resources from family and community. Through these works, support and intervention of rehabilitation were effectively performed on children with communication disorders, to improve children's communication ability, abatement their symptom, and promote their living qualities and family life.关键词：Communication disorders;children;Guidance of family rehabilitation84|235|0更新时间：2026-07-11
Experience Exchange
- 摘要：Neuroimaging measures can locate and explore different brain regions, and thus provide important information for the neural mechanisms of cognitive function after cochlear implant (CI). With the development of neuroimaging technology, various objective neuroimaging measures have begun to be used to evaluate cortical function of CI users. This article provides an overview of the commonly used neuroimaging measures for cognitive assessment after CI, including positron emission tomography (PET), single photon emission computed tomography (SPECT), functional near-infrared spectroscopy (fNIRS), functional magnetic resonance imaging (fMRI), transcranial Doppler ultrasonography (TCD), and magnetoencephalography (MEG). The aim is to provide suggestions for neuroimaging assessment of cognitive function after CI.关键词：Cochlear implant;Cognitive function;Neuroimaging measures65|63|0更新时间：2026-07-11
Post Education
- 摘要：ObjectiveTo observe the effect of occupational therapy by appling early intervention Denver model, behavioral analysis of the rehabilitation techniques to the improvement of eating behavior of preschool children with autism spectrum disorder (ASD) under the intervention mode of medical education.Methods80 preschool children with ASD who recovered from the Children's Rehabilitation Center of Ningbo Rehabilitation Hospital were given dietary ability intervention training for 20 weeks. Before and after the intervention, the children were evaluated using the Peabody Development Motor Scale-2nd edition of Grasping Scale, Individual Independent Eating Rating Scale Ⅰ-Ⅳ in the Early Denver Model of Intervention for infants with autism, and the autistic children's self-care ability rating scale in Psychoeducational Profile-3rd edition.ResultsAfter intervention, the dietary ability of the children in the observation group and the control group was improved, and the grasping ability, dietary ability and self-care ability of the children in the observation group with the combination of medical education strategy were significantly improved. It was also alleviated in behavior control and emotion management ability.ConclusionsThe combination of medical education strategy can effectively improve the eating behavior of preschool children with autism spectrum disorder, and also has a certain intervention effect on alleviating children's behavior problems.关键词：Autism spectrum disorder;Preschool children;Combination of medicine and education;Eating behavior48|61|0更新时间：2026-07-11
Autism Rehabilitation
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