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Expectations for Children Receiving a Cochlear Implant at Age One. presented by: Betsy Moog Brooks, MS-CED. The Moog Center for Deaf Education St. Louis, Mo. Faculty Disclosure Information.

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slide1

Expectations for Children

Receiving a Cochlear Implant

at Age One

presented by:

Betsy Moog Brooks, MS-CED

The Moog Center for Deaf Education

St. Louis, Mo

faculty disclosure information
Faculty Disclosure Information
  • In the past 12 months, I have not had a significant financial interest or other relationship with the manufacturer of the product or provider of the services that will be discussed in my presentation.
  • This presentation will not include discussion of pharmaceuticals or devices that have not been approved by the FDA.
new information draft benchmarks
New Information/Draft Benchmarks
  • 7 children
  • 5/7 identified by newborn screening
    • aided 2-6 months
  • Other 2 aided at 6 months and 11 months
  • Implanted between the ages of 10-14 months
  • All received parent education
  • All received/ing early intervention
    • at least 2 times per week
    • 1 hour individual therapy
    • 2 ½ hours group instruction
comparison of information
Comparison of Information
  • Children implanted around age 2
  • Children implanted around age 1
almost immediately after activation
Almost Immediately After Activation
  • Detection of sound
    • both groups
    • parents report observing
  • Detects Ling 6 sounds
    • older children may demonstrate with behavioral activities
    • younger group will demonstrate by observation
  • Detects environmental sounds
    • parents report observing
0 4 months post activation
0-4 Months Post Activation
  • A “listening” time
4 6 months post activation
4-6 Months Post Activation
  • Children implanted around age 2
    • identify 35 to 50 words
    • produce about 75% of those words prompted
    • use single words spontaneously
  • Children implanted around age 1
    • begin to demonstrate comprehension about 9-11 months post activation (21-23 months old)
    • identify 20-50 words, in sets of three
    • produce up to 25% of those words prompted
1 year post activation
1 Year Post Activation
  • Children implanted around age 2 (3 years old)
    • identify 75-100 words
    • produces 50%-75%
    • understand and produce some early developing two-word combinations
    • use single words, common phrases and expressions spontaneously
  • Children implanted around age 1 (2 years old, data on 4)
    • identify 100-125 words
    • produce 25%-50%
15 18 months post activation
15-18 Months Post Activation
  • Children implanted around age 2 (3 ½ years old)
    • a language explosion seems to occur
    • vocabulary is learned in a variety of environments
    • vocabulary increases to more than 250 words
    • comprehension of simple three- and four- word sentences
    • use a variety of two-word combinations spontaneously
  • Children implanted around age 1 (2 ½ years old)
    • vocabulary increases to 270-485 (data on 4)
    • produce greater than 60% of vocabulary prompted
    • understand and produce word combinations in a variety of settings
2 years post activation
2 Years Post Activation
  • Children implanted around age 2 (4 years old)
    • vocabulary of more than 500 words
    • comprehension of a variety of simple sentences and questions
    • use simple sentences of 4-6 words spontaneously
  • Children implanted around age 1 (3 years old,data on 4)
    • similar comprehension
      • 390- more than 500 words
      • understands a variety of simple sentences and early-developing questions
    • production similar or slightly less
      • produce at least 75% of vocabulary words
      • produce word combinations spontaneously
factors which may affect the child s potential
Factors Which May Affect the Child’s Potential
  • Normal intelligence
  • Be a consistent wearer of his/her cochlear implant
  • No speech or oral motor concerns
  • Appropriate MAP
video excerpts

Video Excerpts

Longitudinal Studies