Auditory Cortex Maturation and Language Development in Children with Hearing Loss and Additional Disabilities.

Auditory Cortex Maturation and Language Development in Children with Hearing Loss and Additional Disabilities.
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听觉损失和额外残疾儿童的听觉皮层成熟和语言发展。

DOI:
10.3390/children10111813
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发表时间:
2023-11-15
期刊:
影响因子:
2.4
通讯作者:
Sharma, Anu
Sharma, Anu
中科院分区:
医学4区
文献类型:
--
作者:
Lamminmaki, Satu;Cormier, Kayla;Davidson, Hanna;Grigsby, Jim;Sharma, Anu

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很大一部分听力受损儿童有其他残疾,但关于他们听觉皮层成熟的数据很少。在这些儿童中,行为测试往往是不可靠的,诊断和随访需要客观的测试。本研究旨在探讨听觉皮层成熟和语言发育,以及基于脑电图的客观生物标志物在多重残疾儿童中的可用性。在65名助听器和人工耳蜗使用者(36名女性; 36名多重残疾; 44.3 ± 18.5个月,平均值± SD)中,使用P1皮层听觉诱发反应生物标志物检查听觉处理,并使用学前语言量表第5版(PLS-5)检查语言发育。在研究期间,所有的孩子都接受了为期六个月的强化额外语言治疗。在P1潜伏期发育、异常P1潜伏期的比例或研究期间P1潜伏期从异常变为正常的儿童数量方面,未发现组间有显著差异。PLS-5语言总分、听觉理解得分或表达沟通得分在两组之间也没有差异。P1潜伏期与语言成绩呈显著负相关。结果表明,听觉皮层的发展是相似的听障儿童/没有额外的残疾,和P1生物标志物是一个可行的工具,以评估中枢听觉成熟的儿童与多重残疾。
A significant portion of hearing-impaired children have additional disabilities, but data about the maturation of their auditory cortex are scarce. In these children, behavioral tests are often unreliable, and objective tests are needed for diagnostics and follow-up. This study aimed to explore auditory cortical maturation and language development, and the usability of an objective electroencephalogram-based biomarker in children with multiple disabilities. In 65 hearing aid and cochlear implant users (36 females; 36 with multiple disabilities; 44.3 ± 18.5 months of age, mean ± SD), auditory processing was examined using the P1 cortical auditory evoked response biomarker, and language development with the Preschool Language Scales 5th edition (PLS-5). During the study, all of the children received intensive extra language therapy for six months. No significant differences were found between the groups in P1 latency development, the proportion of abnormal P1 latencies, or the number of children whose P1 latencies changed from abnormal to normal during the study. The PLS-5 total language scores, auditory comprehension scores, or expressive communication scores did not differ between groups either. The P1 latencies showed meaningful negative correlations with the language scores. The results suggest that auditory cortex development is similar in hearing-impaired children with/without additional disabilities, and the P1 biomarker is a feasible tool to evaluate central auditory maturation in children with multiple disabilities.
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