最新刊期
卷 23 ， 期 3 ， 2025
- 摘要：The comprehensive application of methods such as aided thresholds, real ear measurement, speech tests, and questionnaire assessment can more comprehensively reflect the development of auditory and speech abilities of hearing-impaired children after using hearing instruments. Questionnaire assessment, due to its ease of administration and ability to reflect the auditory and speech performance of hearing-impaired children in daily life, is widely used in evaluating rehabilitation outcomes of hearing-impaired children. This study used the aforementioned scales to assess the auditory and speech abilities of hearing-impaired children with normal cochlear structure who underwent cochlear implantation at different ages (before 3 years old and between 3～6 years old) across various evaluation stages within five years post-surgery and summarized their development patterns. In the future, the development patterns of auditory and speech abilities of hearing-impaired children with inner ear malformations after cochlear implantation can also be summarized to form more complete data for the comparison and guidance of individual hearing and speech rehabilitation training outcomes after cochlear implantation in hearing-impaired children.关键词：Meaningful auditory integration scale;Infant-Toddler Meaningful Auditory Integration Scale;Meaningful use of speech Scale;Categories of auditory performance;Speech intelligibility rating158|165|0更新时间：2026-07-11
Expert Forum
- 摘要：ObjectiveTo analyze the accuracy of consonants production and the substitution error in Mandarin-speaking prelingually deaf children with cochlear implants.Methods30 prelingually deaf children at mean age of 3.83 years (SD=1.53) who received unilateral cochlear implantation (CI) under the age of 3 while 30 age-matched normal hearing (NH) children at mean age of 4.13 years (SD=0.54) were participated in the test. We selected word lists developed by Institute of Linguistics, Chinese Academy of Social Sciences. The accuracy of the consonants (stop b/d/p/t/k/g, affricate j/q/z/c/zh/ch, and fricative sh/s/x/f/h) and substitution error type was analyzed.Results① The accuracy of the all the test consonants in the CI group was lower than that in the NH group. The accuracy of the affricate and fricative in the two groups was significantly different (P＜0.001). In terms of articulation place, the accuracy of alveolar in CI group was (especially alveolar fricative and affricate) significantly lower than in the NH group (P＜0.001). ② Error type: The error type of CI children's pronunciation was similar to NH group. The main error was substitution error in that the both of the groups showed mutual substitution between alveolar and retroflex, but the degree of confusion in CI group was higher. Each consonant was easily replaced by fricative /h/.ConclusionThe ability of consonant production in CI group was poorer than that in NH group, CI children achieved higher stop consonant scores but lower alveolar accuracy. The error type of CI children's consonant output was similar to NH group, but a little difference in substitution errors and a higher degree of confusion, which suggests that hearing impairment and pronunciation posture both affected consonant production in CI children.关键词：Cochlear implant;Consonant production;Error type169|204|0更新时间：2026-07-11
- 摘要：ObjectiveTo analyze and obtain the production characteristics and pronunciation development patterns of stop consonants in normal-hearing children aged 2 to 6 years.MethodsForty normal-hearing children aged 2 to 6 years were selected and divided into four age groups (2, 3, 4, 5 and 6 years old groups), with 10 children in each group. A stop consonant word list was used for testing. The total correct rates of all stop consonants in different age groups and the correct rates of each stop consonant were calculated and analyzed for their production and pronunciation error characteristics.ResultsThe total correct rates of all stop consonants in different age groups from high to low were 5-6 years old > 4 years old > 3 years old > 2 years old, with correct rates of 89.53%, 86.13%, 73.45%, and 62.17%, respectively. The results of variance analysis indicated that except for the difference in correct rates between the 4 year-old and 5-6 year-old groups, which was not statistically significant, the differences between the other age groups were statistically significant (P < 0.05). The correct rates of each stop consonant from high to low were /d/ > /p/ > /b/ > /t/ > /k/ > /g/, with correct rates of 91.80%, 87.14%, 86.07%, 81.08%, 68.47%, and 68.36%, respectively. The results of variance analysis indicated that the differences between /g/ and /k/ and /b/, /p/, /d/, and /t/ were statistically significant (P<0.05). The characteristics of stop consonant production: /p/ and /d/ are acquired at 3 years old, /b/ at 4 years old, /t/ at 5-6 years old, and /g/ and /k/ are the most difficult to acquire. Characteristics of stop consonant pronunciation errors: the main error type was substitution errors, among which /g/ was easily substituted by /d/ and /k/ was easily substituted by /t/, and the substitution rates were relatively high.ConclusionThe overall trend in the development of stop consonant production in healthy hearing children is an improvement in accuracy with increasing age, although individual differences are significant.关键词：Stop consonant;Accuracy rate;Production characteristics;Pronunciation error characteristics168|141|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the methods and effects of hearing and speech rehabilitation in prelingually Deafened Late Implanted Cochlear Implant User, so as to provide referential experience for such patients to return to the world of sound.Methods9 elderly patients with prelingual deafness were included in the study. After 40 days of hearing and speech rehabilitation training, SIR, CAP, MAIS, MUSS, NCIQ, SSQ were collected before training, 1 month and 3 months after training. The hearing aid threshold was measured before training, 2 weeks and 4 weeks after the begin of training.ResultsCompared with before training, the hearing threshold of 4 patients was significantly improved after 4 weeks. Compared with before training, after three months, 1 patient's NCIQ increased, 5 patients' MUSS improved, 2 patients' MAIS improved, and all patients' SSQ did not improve significantly.ConclusionShort-term hearing and speech rehabilitation training can improve the hearing and speech ability of some elderly patients with prelingual deafness, and most patients need long-term continuous rehabilitation training to improve their quality of life. In addition, there is an urgent need to develop new rehabilitation training means to speed up this rehabilitation process, and the home-school collaborative full-scene multi-element online rehabilitation platform is expected to achieve this goal.关键词：Prelingually;Deafeness in older age;Cochlear implant;Hearing and speech rehabilitation182|227|0更新时间：2026-07-11
- 摘要：ObjectiveThe main purpose of the study was to assess the development of speech perception and the effects of the age at implantation in CI children after long-term follow up.MethodsA total of 1,258 participants were divided into six groups based on their cochlear implantation age: Group 1 (6～12 months), Group 2 (13～24 months), Group 3 (25～36 months), Group 4 (37～48 months), Group 5 (49～60 months), and Group 6 (61～72 months). The Meaningful Use of Speech Scale (MUSS) was used to assess speech abilities at 0, 6, 12, 24, 36, 48, and 60 months post-surgery.ResultsSpeech abilities of groups 1～3 showed significant increases from 0 to 48 months post-surgery (P<0.05). Groups 4～5 exhibited rapid growth from 0 to 36 months post-surgery (P<0.05). Group 6 demonstrated a significant increases from 0 to 24 months post-surgery (P<0.05), followed by slower growth in subsequent assessment periods (P>0.05).ConclusionThe MUSS questionnaire is an effective tool for evaluating speech abilities in infants and children after cochlear implantation. While the trend in speech ability is similar across different implantation ages, each group exhibits distinct characteristics. The growth rate of speech ability is faster and lasts longer in those implanted before the age of 3. Although early speech ability are higher in those implanted after 3 compared to those implanted earlier, their speech development progresses at a slower rate, and the period of rapid growth is shorter. Therefore, early cochlear implantation is necessary关键词：Cochlear implant;children;Meaningful use of speech Scale142|82|0更新时间：2026-07-11
- 摘要：ObjectiveTo investigate the auditory and speech rehabilitation outcomes in children with auditory neuropathy (AN) within 5 years after cochlear implantation (CI).MethodsA total of 89 unilateral CI children with prelingual deafness who had normal inner ear structures were included in this study, and they were divided into the AN group (34 cases) and the control group (55 cases) with ordinary severe or very severe sensorineural hearing loss (SNHL) according to the diagnosis of audiology. Auditory and speech rehabilitation outcomes were assessed by the same group of uniformly standardized trained professionals using the Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) standard scales. The assessment time points were preoperative and 1, 3, 6, 12, 18, 24, 36, 48, and 60 months after CI.ResultsThe CAP scores of the children in the AN group were significantly lower than those of the control group at 6, 12, 24, and 36 months after switch-on (P<0.05), and the differences between the two groups were not statistically significant at preoperative, and 1, 3, 18, 48, and 60 months after switch-on (P>0.05). Their SIR scores were significantly lower than those of the control group only at 18 months after switch-on (P <0.05), and there was no statistically significant difference between the two groups at the rest of the follow-up time points (P>0.05). The differences in the CAP scores of the AN group were significant (P <0.05) between the preoperative period and 1 month after switch-on, 1 month after switch-on and 3 months after switch-on, and 6 months after switch-on and 12 months after switch-on, whereas the differences in the CAP scores between the adjacent follow-up time points after 1 year of switch-on were not statistically significant (P>0.05), and for the comparisons between the non-adjacent follow-up time points, there was no statistically significant difference between the 3-year after switch-on and the 4-year after switch-on (P>0.05). The differences in their SIR scores between 6 months after switch-on and 12 months after switch-on, and between 18 months after switch-on and 24 months after switch-on were significant (P<0.05), and there were no statistically significant differences between the rest of the adjacent follow-up time points (P>0.05), and for the comparisons between the non-adjacent follow-up time points, the differences between 1 month after switch-on and 6 months after switch-on, as well as between 18, 24, 36, 48, and 60 months the differences between follow-up time points were not statistically significant (P>0.05).ConclusionCI can effectively improve the auditory and speech abilities of AN children and its long-term auditory- speech rehabilitation effect is similar to that of non-AN regular SNHL. The postoperative auditory ability of children with AN after CI increased rapidly within 1 year after CI, and then slowed down in the later period; the speech intelligibility increased rapidly within 6 months to 2 years after CI, and then slowed down in the later period.关键词：Auditory neuropathy;Cochlear implantation;Auditory- speech rehabilitation effects112|235|0更新时间：2026-07-11
Questionnaire Evaluation of the Developmental Patterns of Auditory and Verbal Abilities in Children with Hearing Impairment
- 摘要：ObjectiveStudy of the maximum safe volume for lymphatic fluid extraction from the inner ear of guinea pigs,safety and efficacy of the procedure of extracting perilympha and then injecting drugs through a round window membrane (RWM).MethodsFifteen normal guinea pigs were taken and randomized into groups, and the maximum safe volume of outer lymphatic fluid to be extracted was determined by gradient extraction of outer lymphatic fluid from the inner ear followed by audiometry.Afterwards, 20 normal guinea pigs were randomly divided into 3 groups: a blank control group, a systemic drug administration group, and an extracting perilympha and then injecting drugs via RWM group (group injecting the same volume of dexamethasone after via RWM extracting perilympha with the maximum safe extraction volume).(1)Efficacy experiment: the drug distribution efficiency was determined by comparing the fluorescence staining expression of the drug in the inner ear 2h after treatment.(2)Safety experiment: the safety of the operation was determined by comparing the mean thresholds of each frequency band of ABR 24 h after treatment.ResultsThe maximum safe dose for guinea pig lymphatic fluid extraction through the inner ear was 4 μL.Dexamethasone was more efficiently distributed in the group of extracting perilympha and then injecting drugs via RWM.The mean ABR thresholds of the 24h postoperative in the extracting perilympha and then injecting drugs via RWM group had a short-term rise only at 32 kHz and did not affect the hearing thresholds at other frequencies.ConclusionThe method of extracting perilympha and then injecting drugs via RWM can realize the efficient distribution of inner ear drugs with short-term damage to high-frequency hearing only.关键词：Inner ear;Round window injection;Perilympha;Auditory brainstem response238|459|0更新时间：2026-07-11
Basic Research
- 摘要：ObjectiveTo examine the reliability and validity of the Professional Quality of Life Scale (ProQOL) among audiology practitioners, providing a reliable tool to measure the professional quality of life for these professionals.MethodsThe study employed a translated and modified ProQOL questionnaire, collecting data from audiologists and hearing aid fitters, among other audiology practitioners. The research was divided into a pre-experiment and a formal experiment, with the pre-experiment distributing 150 questionnaires and retrieving 130 valid responses, yielding a response rate of 86.6%. The formal experiment distributed 250 questionnaires and retrieved 241 valid responses, achieving a response rate of 96.4%. The pre-experiment utilized statistical methods, such as item analysis, content validity check, and exploratory factor analysis, while the formal experiment conducted confirmatory factor analysis and internal consistency checks to assess the scale's reliability and validity.ResultsThe results of the pre-experiment showed that all the items had a content validity index (CVI) greater than 0.9, indicating good content validity. After removing some items that performed poorly in item analysis and exploratory factor analysis, the variance increased from 52.560% to 57.287%. In the formal experiment, internal consistency reliability analysis revealed Cronbach's Alpha values of 0.910 for the Compassion Satisfaction subscale, 0.866 for the Secondary Traumatic Stress subscale and 0.729 for the Burnout subscale. The confirmatory factor analysis results indicated a good model fit, with a chi-square to degrees of freedom ratio (χ²/df) of 2.297, root mean square error of approximation (RMSEA) value of 0.074, and comparative fit index (CFI) and incremental fit index (IFI) values both at 0.911.ConclusionThe ProQOL scale is suitable for assessing the professional quality of life of Chinese audiology practitioners, demonstrating good reliability and validity, and providing a reliable tool for the occupational health assessment of audiology practitioners.关键词：Professional quality of life;Audiology professionals;Reliability;Validity;Scale132|88|0更新时间：2026-07-11
- 摘要：ObjectiveExploring and analyzing the application effect of continuous Theta Burst Stimulation (cTBS) combined with language training in the treatment of articulation disorders in Parkinson's patients.MethodsA total of 110 Parkinson's patients with dysarthria who underwent treatment at the hospital from March 2022 to March 2024 were selected. They were andomly divided into a control group (language training, 55 cases) and a study group (cTBS combined with language training, 55 cases) using a computer. Compare the motor and speech functions of the articulation organs between the two groups of patients.ResultsAfter treatment, the study group had a higher score for French Dysphhria Assessment (FDA) compared to the control group, with a statistically significant difference (P<0.05). The speech content scores of Part II (daily life) and Part III (exercise examination) of the Unified Parkinson's Disease Rating Scale (UPDRS) in the research group were higher than those in the control group, and the difference was statistically significant (P<0.05).ConclusionThe combination of cTBS and language training can improve the motor function of the articulatory organs in patients with Parkinson's articulation disorder and enhance their speech function.关键词：Continuous theta burst stimulation;Language training;Parkinson's disease;Dysarthria106|502|0更新时间：2026-07-11
- 摘要：ObjectiveTo analyze the clinical features and influencing factors of basal ganglia aphasia after stroke.Methods120 patients with basal ganglia stroke admitted to the Department of Intensive Care Medicine of the First People's Hospital of Suqian City from August 2022 to May 2024 were selected as the study objects. According to whether aphasia occurred after stroke, they were divided into an aphasia group (32 cases) and a normal speech group (88 cases). The baseline data, such as clinical general data and laboratory examination indicators, were collected, and clinical language scale and neuropsychological scale were evaluated in the both groups. The clinical features of basal ganglia aphasia after stroke were analyzed, and the influencing factors of basal ganglia aphasia after stroke were analyzed by multivariate Logistic regression.ResultsThere were significant differences in age and lesion site between the aphasia group and the normal speech group (P<0.05).On the aphasia battery of Chinese (ABC), Fluency, Reading, Nomenclature, Listening Comprehension, aphasia quotient, AQ score, Montreal cognitive assessment Scale (MoCA) score and Mini-Mental State examination (MMSE) score were all lower than those of the normal speech group (P<0.05). Patient health questionnaire (PHQ-9) score and Hamilton depression scale-17 score of aphasia group HAMD-17 score and Hamilton anxiety scale-17 score were higher than those of the normal speech group(P<0.05). Multivariate Logistic regression analysis showed that age increased (OR=8.776,95%CI= 2.479-31.069), lesion location was left basal ganglia (OR=6.430,95%CI= 2.019-20.478), MoCA score decreased (OR=3.838, MOCA score decreased (OR=3.838.95%CI=1.513～9.738), MMSE score decreased (OR=2.672,95%CI=1.183～6.040), PHQ-9 score increased (OR=2.399,95%CI=1.187～4.848), HAMD-17 score increased (OR=3.575,95%CI= 1.293-9.887) and increased HAMA-17 score (OR=3.261,95%CI= 1.077-9.869) were the influential factors for basal ganglia aphasia after stroke (P<0.05).ConclusionThe patients with basal ganglia aphasia after stroke have impaired language function, and may show cognitive dysfunction and obvious anxiety and depression. The occurrence of aphasia is related to age, left basal ganglia lesion, reduced cognitive function, and increased anxiety and depression.关键词：Stroke;Basal ganglia;Aphasia;Clinical features;Influencing factor137|916|0更新时间：2026-07-11
- 摘要：ObjectiveTo develop an online hearing-test system based on "Mandarin Seven-sound Test", and to evaluate the feasibility of the system and the effectiveness "Mandarin Seven-sound Test" across multiple speakers.Method31 participants (15 normal-hearing adults, and 16 deaf adults), with an average age of 21.77±2.43 years old, were included in this study. All the participants completed the "Mandarin Seven-sound Test" recorded by multiple speakers using the online hearing-test system in a quiet environment.Results(1)All 31 participants reported that the online hearing-test system operated well, and it could accurately record choices and reaction time, and provide immediate feedback based on results. (2) Hearing-loss participants had the lowest recognition accuracy on/s/and/ɕ/.(3)The reaction time and recognition accuracy measured by the online testing system showed significant differences among different categories of participants: the normal-hearing participants were better than the hearing-loss participants.(4)The reaction times and accuracy of normal-hearing participants were significantly influenced by the age of speakers, but not significantly affected by the gender of speakers.The reaction times and accuracy of hearing-loss participants were not significantly influenced by the age or gender of speakers.ConclusionThe "Mandarin Seven-sound Test" can effectively detect the frequency bands of hearing deficiency in deaf individuals. The online testing system for the "Mandarin Seven-sound Test" has sufficient capability and could be further used for daily monitoring of hearing conditions of deaf individuals.关键词：Mandarin seven-sound;Online hearing test;System development;Effect verification134|194|0更新时间：2026-07-11
- 摘要：ObjectiveThis study aims to assess the auditory function in children with obstructive sleep apnea (OSA) and to construct a machine learning-based predictive model for hearing loss in pediatric OSA patients.MethodsChildren diagnosed with OSA through polysomnography (PSG) were enrolled as study subjects, categorized into a mild group (64 ears) and a moderate-to-severe group (96 ears). A control group of 94 ears from healthy children undergoing routine physical examinations during the same period was also included. Comprehensive auditory function assessments were conducted on all the participants. Three machine learning methods:Support Vector Machine, Logistic Regression, and Naive Bayes were employed to construct predictive models for hearing loss in children with OSA. The optimal model was selected based on performance metrics.Results①No significant differences were observed in hearing thresholds at 0.25-2 kHz across the three groups. However, significant differences were noted at frequencies ≥4 kHz and in the extended high-frequency range (P<0.05).②Distortion product otoacoustic emission (DPOAE) amplitudes showed no significant differences at 0.75-3 kHz but exhibited significant variations at 4, 6 and 8 kHz (P<0.05).③Auditory brainstem response (ABR) measurements revealed no significant differences in Wave I and III latencies or the I-III interpeak interval. However, significant differences were observed in Wave V latency and the III-V and I-V interpeak intervals (P<0.05).④The Naive Bayes-based model demonstrated superior performance in predicting hearing loss in children with OSA.⑤Feature importance analysis identified the lowest oxygen saturation and oxygen desaturation index as the most influential predictors of hearing loss.ConclusionThis study establishes a significant association between OSA and hearing loss in children, with the severity of hypoxemia emerging as a critical determinant. The Naive Bayes-based predictive model offers a robust tool for identifying hearing loss risk in pediatric OSA patients, highlighting the importance of early intervention and monitoring.关键词：Obstructive sleep apnea;children;Hearing loss;Machine learning124|119|0更新时间：2026-07-11
- 摘要：ObjectiveTo develop a shortened WAB-C version (PNAT) using IRT for efficient aphasia assessment.MethodsWe selected 100 items from WAB-C (yes/no question, word recognition, and object naming) and then applied Mokken scale analysis to building a Monotone homogeneity model (MHM). Optimized 4-parametric IRT model was selected through model-data fitting and model-model comparison.ResultsThe sample contained 116 individuals. The optimum pIRM was a 4-parametric logistic model (4PLM) composed of 66 items. The dichotomous 66-item form had good reliability with Cronbach'sα=0.9707 and latent class reliability coefficient (LCRC)=0.9817. The values of person ability (θ) were estimated. Clinical insights from the item-person mapping were discussed with a specific case.ConclusionThe 66-item shortened WAB-C offers a new option for the efficient application in clinical scenarios. The IRT-driven 4PLM bridges evaluation to personalize therapy planning.关键词：Aphasia;Mokken scale analysis;Western aphasia battery;Item response theory413|338|0更新时间：2026-07-11
Clinical Research
- 摘要：Autism Spectrum Disorder (ASD) is widely recognized as a neurological and psychiatric disorder, characterized by a lack of social communication and interaction skills, as well as stereotyped and repetitive behaviors. In recent years, in addition to paying attention to magnetic resonance imaging abnormalities and specific neurophysiological markers in the early stages of brain development, scholars have also begun to explore the comprehensive use of these biomarkers to form a joint model for early diagnosis of ASD. The in-depth research in this direction aims to provide more diagnostic clues for early detection of ASD and have a positive impact on the prognosis of patients.关键词：Autistic spectrum disorder;Infant;Magnetic resonance imaging;Neuroelectrophysiology;Early diagnosis304|214|0更新时间：2026-07-11
- 摘要：Repetitive and stereotyped vocal is one of the most prominent features of autism spectrum disorder (ASD) and an important factor in the development of appropriate language and communication skills. Response interruption and redirection (RIRD) are often used in intervention studies on repetitive and stereotyped vocal. By analyzing the study object and characteristics, intervention environment, definition and classification of repetitive and stereotyped vocal, functional analysis methods and functions of repetitive and stereotyped vocal, intervention methods and results, we reviewed 26 studies on repetitive and stereotyped vocal intervention in ASD with response interruption and redirection being conducted systematically. Among them, the study subjects are mainly children under 8 years old, with fewer adults. Interventions focused on isolated environments; Repetitive and stereotyped vocal had multiple definitions and no systematic classification. The behavioral function analysis was mainly based on experimental method, and the main function was automatic reinforcement. RIRD can effectively inhibit the repetitive and stereotyped vocal of ASD. If changing the content and number of redirection in this method does not affect the behavior improvement, it may be more effective to use it together with other methods.关键词：Autism spectrum disorder;Repetitive and stereotyped vocal;Response interruption and redirection160|115|0更新时间：2026-07-11
Review
- 摘要：ObjectiveTo evaluate the quality of life level as well as the variability in children after cochlear implant surgery. To analyze the factors influencing the quality of life of children after cochlear implant surgery.MethodsThe Family quality of life table of the implanted children (Children Using Hearing Implants Quality of Life, CuHIQoL) was used to evaluate the postoperative quality of life of 50 children with cochlear implants in Beijing. The t-test and variance analysis were used to study the quality of children's quality of life, different genders, cochlear implantation, cochlear use time (under 3 years, 3～6 years and more than 6 years) and different ages (0-3 years old, 3-6 years and 6 years old). Stestepwise regression analysis and stepwise stepwise method were used to explore the effects of ages, lateral sides, ages of confirmed hearing impairment, durations of cochlear use, forms of postoperative rehabilitation course, contents of postoperative rehabilitation course and frequency on their quality of life.ResultsAll the samples of the different age groups showed significant values for quality of life (P<0.05), while none of the other samples showed significance (P>0.05). The stepwise regression analysis model was: quality of life =2.738-0.108 * age + 0.159 * rehabilitation frequency. Ages had a significant negative effect on QoL, and rehabilitation frequency had a significant positive effect on QoL.ConclusionPay attention to the quality of life of cochlear implant children of different ages after surgery, and ensure the frequency of rehabilitation training.关键词：Children with cochlear implant;Quality of life;Influencing factors134|189|0更新时间：2026-07-11
- 摘要：ObjectiveTo analyze the value of constructing health education graphic book based on knowledge visualization in improving elderly patients with hearing impairment caused by cerebral hemorrhage.MethodsA group comparative trial was conducted on 112 elderly patients with hearing impairment caused by cerebral hemorrhage admitted to XX Hospital. The cases were collected from October 2022 to September 2024. Te patient were randomly divided into two groups: the research group (56 cases) and the reference group (56 cases) receiving regular health education. Disease-related knowledge and behavior, hearing recovery, (Chinese version of POMS), coping style (Chinese version of MCMQ), quality of life before and after intervention (Chinese version of Health Effectiveness Index-HUI3) were compared between the two groups.ResultsAfter intervention, the research group had higher levels of disease-related knowledge, beliefs, and behaviors compared to the control group, better hearing rehabilitation, lower Profile of Mood States (POMS) scores compared to the control group, and significantly improved face-to-face scores in the Medical Coping Modes Questionnaire (MCMQ) and the Chinese version of the Health Utility Index Mark 3 (HUI3) scores compared to the control group (P<0.05).ConclusionFor elderly patients with hearing impairment caused by cerebral hemorrhage, not only can the application of health education book based on knowledge visualization can not only improve their disease-related knowledge and behavior level, improve their mood state and coping style, but also actively promote the recovery of hearing and guarantee their quality of life.关键词：Knowledge visualization;Health education;Old age;Cerebral hemorrhage;Hearing impairment;Knowledge, faith and practice level51|42|0更新时间：2026-07-11
- 摘要：ObjectiveTo analyze the impact of attitude-definition-open mind-planning-try it out (ADOPT) training on children with language disorders.MethodFrom January 2021 to December 2023, 100 children with language disorders admitted to our hospital were prospectively collected and randomly divided into an observation group (n=50) and a control group (n=50). The observation group received ADOPT training, while the control group received routine rehabilitation. The rehabilitation status of the two groups was compared.ResultsThere were no significant differences in language behavior, adaptive behavior, personal social behavior scores, speech clarity, anxiety and depression self-assessment scores, and mandibular, lip, and tongue motor function between the two groups of children before treatment (P>0.05). After treatment, the observation group showed a significant increase in language behavior (P=0.003), adaptive behavior (P=0.013), and personal social behavior scores (P=0.006); The rate of excellent speech clarity was significantly higher than that of the control group (P=0.016). The anxiety self-assessment scale (P=0.001) and the depression self-assessment scale (P=0.013) scores significantly decreased. The scores of mandibular motor function (P=0.008), lip motor function (P<0.001) and tongue motor function (P=0.011) were significantly increased.ConclusionADOPT mode training can significantly improve the speech function and mental health status of children with language disorders.关键词：Language barrier;children;Recovery;Attitude-definition-open mind-planning-try it out101|126|0更新时间：2026-07-11
- 摘要：ObjectiveTo study the effects of health education based on Green model combined with auditory cognitive training on sudden deafness in the elderly.Methods102 elderly patients with sudden deafness from the Rehabilitation Medicine Department of West China Hospital of Sichuan University from May 2022 to May 2024 were randomly divided into two groups using a random number table method, with 51 patients in each group. The control group received conventional health education combined with auditory cognitive training, while the research group received health education combined with auditory cognitive training based on the Green's model. Compare the level of knowledge, self-efficacy, quality of life and hearing recovery of two groups.ResultsAfter 2 months of intervention, the total effective rate of the study group was significantly higher than that of the control group (P<0.05). After 1 and 2 months of intervention, the scores of knowledge and behavior, General Self-efficacy Scale(GSES) scores and Short Form 36 Health Survey Questionnaire (SF-36) scores of the two groups were significantly increased compared with those before intervention (P<0.05), and the scores of the study group were higher than those of the control group (P<0.05).ConclusionsHealth education based on Green model combined with auditory cognitive training can improve the level of knowledge, self-efficacy, quality of life and hearing recovery in elderly patients with sudden deafness.关键词：Green model;Health education;Auditory cognitive training;Sudden deafness;Elderly135|551|0更新时间：2026-07-11
- 摘要：ObjectiveTo investigate and analyze the age distribution and teaching implementation status of teachers' service cases in auditory-verbal telepractice.MethodsA questionnaire survey was conducted with teachers of hearing-impaired children who had taught auditory-oral remote teaching as the survey subjects. The survey focused on the difficulties of auditory-verbal remote teaching, preparation of the home environment, teaching aids, and challenges encountered in teaching implementation. A total of 54 questionnaires were collected.ResultsFor the service cases, the teachers serving hearing-impaired children aged 3-4 years acounted the most for 61%. Telepractice was the most difficult for hearing-impaired children under 2 years old ,followed by children over 6 years old. In the case of preparation for telepractice, 62.9% of teachers believed that the equipment at home was not suitable. In preparation for playing teaching aids, 59.3% of teachers believed that the play aids prepared by parents faild to meet the requirements.For preparation for teaching aids it was insufficient. For teaching implementation, 83.3% of teachers believed that children's behavior habits affected the implementation of teaching.ConclusionAlthough telepracitce solves the problem that parents and children cannot participate in offline teaching, there are also factors that affect the teaching effect. We should fully consider the age characteristics of children in telepracitce to help parents solve problems, such as teaching equipment and preliminary preparations, and to assist parents to cultivate children's behavior habits will help the smooth development of telepracitce.关键词：Hearing impaired children;Telepractice;Auditory verbal therapy;Challenge114|208|0更新时间：2026-07-11
- 摘要：ObjectiveAs for the children with recurrent vertigo with unilateral peripheral vestibular dysfunction but normal balance function, the video-guided family vestibular rehabilitation training was carried out for 4 weeks under nurse supervision remotely. The feasibility and effectiveness of this strategy were studied.MethodsFifty participants (4-13 years old) diagnosed with recurrent vertigo, unilateral peripheral vestibular dysfunction, and normal balance function were randomly divided into two groups: observation group (supervised by nurse) and control group (unsupervised). The both groups underwent remote vestibular rehabilitation training via rehabilitation video. The Pediatric Vestibular Symptoms Questionnaire (PVSQ) score was evaluated before and after training for 2 and 4 weeks. The canal paralysis (CP) value of caloric test and normal ratio of calorie test were evaluated before and after 4-week training.ResultsTraining completion degree: 69.29% in the observation group higher than 53.14% in the control group at the end of the training period (P < 0.05). The PVSQ score: The observation group 0.21(0.18,0.23),0.05(0.01,0.09),0.00(0.00,0.01) and the control group 0.21(0.18,0.23),0.13(0.06,0.17),0.01(0.00,0.07) before and after training for 2 and 4 weeks , respectively. The difference of each group before and after training was statistically significant. After training for 2 and 4 weeks, the difference between the two groups was statistically significant. The training completion rate at 4 weeks was negatively correlated with PVSQ score (r=-0.302, P < 0.05) and CP value (r=-0.331, P < 0.05). The ratio of caloric test returning normal after 4 weeks of training was 80% in the observation group and 68% in the control group, and the difference was not statistically significant. The CP value: before and after training for 4 weeks, the observation group were (37.16±12.33, 14.16±10.91) and the control group were (32.32±8.69, 19.04±9.30) showed statistically significant differences before and after training within each group, but there was no statistically significant difference between the two groups after training for 4 weeks.ConclusionFor the children with recurrent vertigo accompanied by unilateral vestibular dysfunction and normal balance function, the remote supervision vestibular rehabilitation training mode is effective for the both groups of children, and the obsevation group is superior compared to the control group as the completion rate of the experimental group was significantly higher than that of the control group at various stages of the entire training cycle, indicating that the training mode with researcher supervision has a significant advantage in completion rate ,which is feasible.关键词：Romte training;Vestibular rehabilitation;Recurrent vertigo;Unilateral vestibular dysfunction;Child;Vestibulo-ocular reflex222|110|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the characteristics of parental stress in parents of hearing-impaired children,and to analyze the relationship between parental stress and psychological flexibility.MethodA questionnaire survey was conducted on 135 parents of hearing-impaired children using Parental Stress Scale, Acceptance Action Questionnaire－Ⅱ(AAQ－II), and Cognitive Fusion Questionnaire (CFQ).ResultsParental stress among 47.4% of parents of hearing-impaired children were at high and very high level. There were significant differences in parental stress among parents of hearing-impaired children with different education level and per capita monthly household income (P＜0.01); The total score of parental stress and three dimensions including parental distress, dysfunctional parent-child interaction and difficult children among parents of hearing-impaired children were significantly positively correlated with empirical avoidance and cognitive integration of psychological flexibility (P＜0.01). The results of multiple regression analysis showed that the per capita monthly income of families had a negative predictive effect on parental stress, while empirical avoidance and cognitive fusion had positive predictive effect on parental stress, explaining respectively 27% and 37% of the variation in parental stress.ConclusionThe parental stress among parents of hearing-impaired children is at a higher level, and psychological flexibility has an important impact on the stress. Enhancing these parents'psychological flexibility can improve their parental stress.关键词：Parents of hearing-impaired children;Parental stress;Psychological flexibility110|440|0更新时间：2026-07-11
Rehabilitation Education
- 摘要：ObjectiveThe effect of mind mapping to improve the reading comprehension ability of children with autism.MethodsThis study used the method of action research to select a student with autism spectrum disorder who had difficulty reading as a case, and used mind mapping as a teaching aid to carry out two-month teaching action research. Pre- and post-test assessments were conducted using the elementary-level version of the National Language Proficiency Test for the school age group (NLPT) and a self-designed reading test.ResultsThe case demonstrated improvement in five components of the National Language Proficiency Test for the school age group, with particularly significant progress in the reading comprehension section. From the self-designed reading assessment indicated that the case made the most substantial gains in narrative and expository texts, while showing particularly notable effects in information retrieval question types.ConclusionThe use of mind mapping for reading teaching helps to improve the language reading comprehension ability of the case, and has a more significant effect on improving the information retrieval ability, but the effect of improving the expression ability is not obvious; The use of mind mapping for reading teaching helps to improve the language reading interest of the case; The language reading teaching mode based on the use of mind mapping is feasible.关键词：Autism spectrum disorder;Reading comprehension;Mind mapping;Action research159|365|0更新时间：2026-07-11
- 摘要：ObjectiveExploring the application and effectiveness of the IFHP model to hearing and speech rehabilitation for young children with hearing impairment.MethodsThrough observation, interview, auditory language assessment, and a 21-month individualized family help plan (IFHP) intervention, this study took a 14-month-old child with hearing impairment as an example to explore.ResultsThere was no significant difference in the rehabilitation effect between the child in this case and the hearing-impaired peers taking the institutional rehabilitation during the same period. The gaps in listening, speech, language and movement, cognition, social interaction, and other aspects gradually narrowed and the child's abilities tended to accord.ConclusionThe systematic, standardized, and professional IFHP model intervention has a positive impact on the hearing and speech rehabilitation of young hearing-impaired children and the mastery of parental core knowledge and skills. It is a new model of effective family early intervention.关键词：Individualized family help plan model;Young children with hearing impairment;Hearing and speech rehabilitation134|257|0更新时间：2026-07-11
- 摘要：ObjectiveTo explore the effectiveness of using Pivotal Response Treatment (PRT) to improve the active questioning skills of a child with autism and strategies for its use.MethodsA case study method was used to select a preschool child with autism who was 7 years and 1 month old, and the intervention consisted of asking "What is this?" with objects. The study process included a baseline period, an intervention period, a maintenance period, and a second maintenance period,and the intervention was expected to last a total of 2 weeks.ResultsIn the intervention period, the active questioning skills of the cases maintained a positive and stable development, with a gradual increase in the rate of correctness; the rate of correctness of the active questioning skills of the cases in the structured environment in the maintenance period remained relatively stable, with a good maintenance effect; the rate of correctness of the active questioning skills of the cases in the natural environment in the second maintenance period decreased, but remained stable overall; Parents and teachers confirm the effectiveness of PRT intervention for active questioning skills in children with autism.ConclusionPRT was effective in improving the autistic child's active questioning skills;PRT had a positive cascading effects in other areas such as social, communication and cognition, with good immediate, maintenance effects, and good social validity;There is individual variability in the teaching strategies of PRT.关键词：Pivotal response treatment;Autism spectrum disorder;Active questioning179|882|0更新时间：2026-07-11
Case Study
- 摘要：This paper explores the nature and conditions of language acquisition in hearing-impaired children from a linguistic perspective. In the chain of verbal communication, hearing is an indispensable link. It determines whether a person can acquire language, and the linguistic challenges faced by hearing-impaired children stem precisely from language acquisition barriers caused by hearing loss. Addressing these challenges, language rehabilitation depends on three key conditions: auditory conditions, environmental conditions, and educational conditions.关键词：Speech chain;The nature of hearing-impairment;Language rehabilitation202|466|0更新时间：2026-07-11
Post Education
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