BACKGROUND: Diadochokinetic rate reflects the motion state and synergic level of oral, lingual and speech muscle group, and it is an important index to judge the speech articulation, it is also very significant in the...BACKGROUND: Diadochokinetic rate reflects the motion state and synergic level of oral, lingual and speech muscle group, and it is an important index to judge the speech articulation, it is also very significant in the training and evaluation of vocal ability and the correction and treatment of speech. OBJECTIVE: To compare the diadochokinetic rate between deaf children and normal children. DESIGN: A comparative observation. SETTING: College of Hearing and Speech Sciences, Zhejiang University of Traditional Chinese Medicine. PARTICIPANTS: Twenty deaf children and 20 normal children of 6-7 years old, half boys and half girls, were selected from Hangzhou Rehabilitation Center for Deaf Children and Hangzhou Fuxing Kindergarten between January and March, 2006. The influences of organic dysarthria on our study had been eliminated, including intellectual and oral diseases, etc. Informed consents were obtained from the guardians of all the enrolled children. METHODS: ① The deaf children all cooperated with the study after proper communication with them. They practiced to pronounce /pa/, /ta/, /ka/ clearly in order, then pronounced them together, that was /pataka/. They should slow down at first in order to pronounce clearly and cohere them together, then speeded up to practice, so that the results could not be affected by the unfamiliar pronunciation. After practice, the deaf children were tested by pronouncing /pataka/ for five time continuously, and they were asked to pronounce clearly and correctly with uniform intensity, loudness, speed, etc. They were tested for three times by the same methods, and the durations of the three times were recorded to obtain the average value, then the velocity was calculated. The tests for the normal children were the same as those mentioned above. ② The differences of the measurement data were compared by the t test. MAIN OUTCOME MEASURES: Results of diadochokinetic rate compared between deaf children and normal children. RESULTS: All the 20 normal children and 20 deaf children were involved in the analysis of results. The diadochokinetic rate was obviously lower in the deaf children than in the normal children [(0.64±0.18), (2.41±0.47) times/s, P < 0.01]. CONCLUSION: The diadochokinetic rate is lower in deaf children than in normal children. It is also suggested that the training of diadochokinetic function should be enhanced in the speech training of deaf children to improve their lingual and oral flexibility and speech articulation.展开更多
Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,alt...Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,although such programs are already established for metabolic diseases.The acquisition of spoken language is a time-dependent process,and some form linguistic input should be present before the first 6 mo of life for a child to become linguistically competent.Therefore,profoundly deaf children should be detected early,and referred timely for the process of auditory rehabilitation to be initiated.Hearing assessment methods should reflect the behavioural audiogram in an accurate manner.Additional disabilities also need to be taken into account.Profound congenital SNHL is managed by a multidisciplinary team.Affected infants should be bilaterally fitted with hearing aids,no later than 3 mo after birth.They should be monitored until the first year of age.If they are not progressing linguistically,cochlear implantation can be considered after thorough preoperative assessment.Prelingually deaf children develop significant speech perception and production abilities,and speech intelligibility over time,following cochlear implantation.Age at intervention and oral communication,are the most important determi-nants of outcomes.Realistic parental expectations are also essential.Cochlear implant programs deserve the strong support of community members,professional bodies,and political authorities in order to be successful,and maximize the future earnings of pediatric cochlear implantation for human societies.展开更多
<strong>Introduction:</strong> Hearing impairment is the most common sensory deficit at birth. It is a public health problem because of the repercussions on the communication development, on the education ...<strong>Introduction:</strong> Hearing impairment is the most common sensory deficit at birth. It is a public health problem because of the repercussions on the communication development, on the education and subsequent social integration of the child. The objective of this study was to determine the epidemiological, clinical, audiometric and etiological profiles of child deafness in Casamance, South of Senegal. <strong>Materials and Methods:</strong> This was a retrospective multicenter study, which extended a period of 7 years from January 1<sup>st</sup>, 2012 to December 31<sup>st</sup>, 2019. All children aged between 1 to 18 years old and received during their first ENT consultations at the regional and PEACE hospital in Ziguinchor were included. <strong>Results:</strong> One hundred and seventy-eight records of children were collected during this period, that is a prevalence of 1.30%. The average age was 9 years old. Conductive hearing loss was found in 68% of patients, followed by reception hearing deafness in 24%. The deafness was acquired in the majority of cases (93%) and the predominant etiology was infectious. However, the cause was unknown in 7.51% of cases. <strong>Conclusion:</strong> Child deafness is common in Casamance and is most often underdiagnosed. The acquired forms are the most common, hence the importance of early detection after a rigorous family investigation.展开更多
目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B...目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B组接受一侧植入人工耳蜗、对侧配戴助听器干预。分别于开机前、开机6个月、12个月时采用婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,IT-MAIS)、简易版普通话早期言语感知测试(low-verbal mandarin early speech perception test,LV-MESP)评价患儿听觉能力和言语感知能力;采用言语空间听觉质量量表-父母版问卷(speech,spatial and other qualities of hearing scale for parents,SSQ-P)评价患儿空间听觉能力,采用中文版人工耳蜗植入儿童家长观点调查问卷(mandarin children with cochlear implants:parental perspectives,MPP)评价患儿生活质量。结果B组患儿开机6个月时的IT-MAIS和LV-MESP得分显著高于A组(P<0.05),但两组开机12个月时的IT-MAIS和LV-MESP得分无显著差异(P>0.05)。B组患儿开机6个月时SSQ-P量表中空间听力和听力质量维度评分显著高于A组(P<0.05),两组患儿不同时间言语感知维度评分和开机12个月时的空间听力和听力质量维度评分比较均无显著差异(P>0.05)。两组患儿开机12个月时的MPP量表各维度评分均无显著差异(P>0.05)。结论双模式干预治疗低龄语前聋患儿的短期疗效优于双侧人工耳蜗植入,但二者长期干预效果接近,临床应根据手术风险、患儿是否为对称性耳聋、患儿家庭经济情况进行合理选择。展开更多
文摘BACKGROUND: Diadochokinetic rate reflects the motion state and synergic level of oral, lingual and speech muscle group, and it is an important index to judge the speech articulation, it is also very significant in the training and evaluation of vocal ability and the correction and treatment of speech. OBJECTIVE: To compare the diadochokinetic rate between deaf children and normal children. DESIGN: A comparative observation. SETTING: College of Hearing and Speech Sciences, Zhejiang University of Traditional Chinese Medicine. PARTICIPANTS: Twenty deaf children and 20 normal children of 6-7 years old, half boys and half girls, were selected from Hangzhou Rehabilitation Center for Deaf Children and Hangzhou Fuxing Kindergarten between January and March, 2006. The influences of organic dysarthria on our study had been eliminated, including intellectual and oral diseases, etc. Informed consents were obtained from the guardians of all the enrolled children. METHODS: ① The deaf children all cooperated with the study after proper communication with them. They practiced to pronounce /pa/, /ta/, /ka/ clearly in order, then pronounced them together, that was /pataka/. They should slow down at first in order to pronounce clearly and cohere them together, then speeded up to practice, so that the results could not be affected by the unfamiliar pronunciation. After practice, the deaf children were tested by pronouncing /pataka/ for five time continuously, and they were asked to pronounce clearly and correctly with uniform intensity, loudness, speed, etc. They were tested for three times by the same methods, and the durations of the three times were recorded to obtain the average value, then the velocity was calculated. The tests for the normal children were the same as those mentioned above. ② The differences of the measurement data were compared by the t test. MAIN OUTCOME MEASURES: Results of diadochokinetic rate compared between deaf children and normal children. RESULTS: All the 20 normal children and 20 deaf children were involved in the analysis of results. The diadochokinetic rate was obviously lower in the deaf children than in the normal children [(0.64±0.18), (2.41±0.47) times/s, P < 0.01]. CONCLUSION: The diadochokinetic rate is lower in deaf children than in normal children. It is also suggested that the training of diadochokinetic function should be enhanced in the speech training of deaf children to improve their lingual and oral flexibility and speech articulation.
文摘Profound congenital sensorineural hearing loss(SNHL) is not so infrequent,affecting 1 to 2 of every 1000 newborns in western countries.Nevertheless,universal hearing screening programs have not been widely applied,although such programs are already established for metabolic diseases.The acquisition of spoken language is a time-dependent process,and some form linguistic input should be present before the first 6 mo of life for a child to become linguistically competent.Therefore,profoundly deaf children should be detected early,and referred timely for the process of auditory rehabilitation to be initiated.Hearing assessment methods should reflect the behavioural audiogram in an accurate manner.Additional disabilities also need to be taken into account.Profound congenital SNHL is managed by a multidisciplinary team.Affected infants should be bilaterally fitted with hearing aids,no later than 3 mo after birth.They should be monitored until the first year of age.If they are not progressing linguistically,cochlear implantation can be considered after thorough preoperative assessment.Prelingually deaf children develop significant speech perception and production abilities,and speech intelligibility over time,following cochlear implantation.Age at intervention and oral communication,are the most important determi-nants of outcomes.Realistic parental expectations are also essential.Cochlear implant programs deserve the strong support of community members,professional bodies,and political authorities in order to be successful,and maximize the future earnings of pediatric cochlear implantation for human societies.
文摘<strong>Introduction:</strong> Hearing impairment is the most common sensory deficit at birth. It is a public health problem because of the repercussions on the communication development, on the education and subsequent social integration of the child. The objective of this study was to determine the epidemiological, clinical, audiometric and etiological profiles of child deafness in Casamance, South of Senegal. <strong>Materials and Methods:</strong> This was a retrospective multicenter study, which extended a period of 7 years from January 1<sup>st</sup>, 2012 to December 31<sup>st</sup>, 2019. All children aged between 1 to 18 years old and received during their first ENT consultations at the regional and PEACE hospital in Ziguinchor were included. <strong>Results:</strong> One hundred and seventy-eight records of children were collected during this period, that is a prevalence of 1.30%. The average age was 9 years old. Conductive hearing loss was found in 68% of patients, followed by reception hearing deafness in 24%. The deafness was acquired in the majority of cases (93%) and the predominant etiology was infectious. However, the cause was unknown in 7.51% of cases. <strong>Conclusion:</strong> Child deafness is common in Casamance and is most often underdiagnosed. The acquired forms are the most common, hence the importance of early detection after a rigorous family investigation.
文摘目的比较双侧人工耳蜗植入和双模式干预对低龄语前聋患儿的临床疗效。方法回顾性分析本院耳鼻咽喉头颈外科2019年7月~2021年6月收治的88例低龄语前聋患儿临床资料,根据干预方法分为A组(n=45)和B组(n=43),A组接受双侧人工耳蜗植入干预,B组接受一侧植入人工耳蜗、对侧配戴助听器干预。分别于开机前、开机6个月、12个月时采用婴幼儿有意义听觉整合量表(infant-toddler meaningful auditory integration scale,IT-MAIS)、简易版普通话早期言语感知测试(low-verbal mandarin early speech perception test,LV-MESP)评价患儿听觉能力和言语感知能力;采用言语空间听觉质量量表-父母版问卷(speech,spatial and other qualities of hearing scale for parents,SSQ-P)评价患儿空间听觉能力,采用中文版人工耳蜗植入儿童家长观点调查问卷(mandarin children with cochlear implants:parental perspectives,MPP)评价患儿生活质量。结果B组患儿开机6个月时的IT-MAIS和LV-MESP得分显著高于A组(P<0.05),但两组开机12个月时的IT-MAIS和LV-MESP得分无显著差异(P>0.05)。B组患儿开机6个月时SSQ-P量表中空间听力和听力质量维度评分显著高于A组(P<0.05),两组患儿不同时间言语感知维度评分和开机12个月时的空间听力和听力质量维度评分比较均无显著差异(P>0.05)。两组患儿开机12个月时的MPP量表各维度评分均无显著差异(P>0.05)。结论双模式干预治疗低龄语前聋患儿的短期疗效优于双侧人工耳蜗植入,但二者长期干预效果接近,临床应根据手术风险、患儿是否为对称性耳聋、患儿家庭经济情况进行合理选择。
