A Modified Pediatric Ranked Order Speech Perception Score to Assess Speech Recognition Development in Children With Cochlear Implants.
A Modified Pediatric Ranked Order Speech Perception Score to Assess Speech Recognition Development in Children With Cochlear Implants.
复制标题
改进的儿科排序言语感知评分，用于评估人工耳蜗植入儿童的言语识别发展。
DOI：
10.1044/2022_aja-21-00212
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发表时间：
2022
影响因子：
1.8
通讯作者：
Arenberg,JulieG
中科院分区：
文献类型：
--
作者：
Arjmandi,MeisamK;Herrmann,BarbaraS;Caswell-Midwinter,Benjamin;Doney,ElizabethM;Arenberg,JulieG
目的由于测试类型的差异，对植入人工耳蜗儿童的语音识别发展进行表征和比较具有挑战性。本回顾性队列研究修改了儿童语音感知分级（PROSPER）评分系统，以：(a)纵向分析CI患儿的语音感知；(b)检查CI激活年龄、聆听模式（即单侧或双侧植入）和植入间隔时间的作用。方法对31例接受CIs治疗的语前重度至重度听力损失儿童（12例单侧CI [UniCI]， 13例顺序双侧CI [SEQ BiCIs]， 6例同时bi）的植入后语音识别评分进行分析。数据来自马萨诸塞州眼耳听力学数据库。通过将不同测试的原始分数映射到一个分数中，对PROSPER分数的一个版本进行了修改，以整合不同的测试类型。利用PROSPER评分构建移植耳廓的语音识别生长曲线，其特征为生长期斜率、激活至平台期时间、平台期评分。结果植入术后儿童的语音识别能力有了明显提高，但生长速率和高原期的评分变化较大。在首次植入的耳朵中，较晚的植入与较差的平台评分相关（β = - 0.15,p= 0.01），但与生长率无关。bici患儿首次植入耳的高原评分高于UniCI患儿（β = 0.59,p= 0.02）。SEQ BiCIs患儿较短的植入间隔促进了第一次植入耳的语音识别发育。结论改进后的PROSPER评分可用于临床跟踪CIs患儿的语音识别发展情况，评估影响因素，并有助于制定和评估患者特异性干预策略。补充Materialhttps: / / doi.org/10.23641/asha.20113538
PurposeCharacterizing and comparing speech recognition development in children with cochlear implants (CIs) is challenging because of variations in test type. This retrospective cohort study modified the Pediatric Ranked Order Speech Perception (PROSPER) scoring system to (a) longitudinally analyze the speech perception of children with CIs and (b) examine the role of age at CI activation, listening mode (i.e., unilateral or bilateral implantation), and interimplant interval.MethodPostimplantation speech recognition scores from 31 children with prelingual, severe-to-profound hearing loss who received CIs were analyzed (12 with unilateral CI [UniCI], 13 with sequential bilateral CIs [SEQ BiCIs], and six with simultaneous BiCIs). Data were extracted from the Massachusetts Eye and Ear Audiology database. A version of the PROSPER score was modified to integrate the varying test types by mapping raw scores from different tests into a single score. The PROSPER scores were used to construct speech recognition growth curves of the implanted ears, which were characterized by the slope of the growth phase, the time from activation to the plateau onset, and the score at the plateau.ResultsWhile speech recognition improved considerably for children following implantation, the growth rates and scores at the plateau were highly variable. In first implanted ears, later implantation was associated with poorer scores at the plateau (β = −0.15,p= .01), but not growth rate. The first implanted ears of children with BiCIs had better scores at the plateau than those with UniCI (β = 0.59,p= .02). Shorter interimplant intervals in children with SEQ BiCIs promoted faster speech recognition growth of the first implanted ears.ConclusionThe modified PROSPER score could be used clinically to track speech recognition development in children with CIs, to assess influencing factors, and to assist in developing and evaluating patient-specific intervention strategies.Supplemental Materialhttps://doi.org/10.23641/asha.20113538