The Effect of communication mode on auditory development for the children with cochlear implant

1、沟通方式：所有人工耳蜗患儿从幼年学期起就通过全程沟通接受教育。但是，有许多儿童增加了对听觉形式的依赖，因为更多的是听觉信息，而不使用手语。在有意使用听力较少的教育环境下，父母与人工耳蜗儿童的互动主要依赖于手语。听觉的实际应用也没有进步。然后，需要查询交互。2、对手签（日语签名）用户的语义网络扩展不够。然而，在学龄前至一年级期间，儿童的语言概念在日常生活环境中发生了显著的变化。3、语音习得：语音清晰度在发音、韵律、语调、语音质量、对话表达等方面均有明显提高，发音评分较高，且与使用人工耳蜗年限成正比。言语能力的提高在入学前后尤为显著。然而，一些关节仍然存在扭曲或替代。4、对听觉学习的影响：随着人工耳蜗听力能力的提高，对侧助听器不能正常使用。探讨了助听器的配具强调低频。人工耳蜗听力在所有语音频率范围内均能获得辅助阈值25 ~ 40db。因此，对环境声音、单词、句子的听力能力有了明显的提高。从以上结果可以看出，交流方式对人工耳蜗儿童听觉发育的影响。如果教育者不解决意图，手语交流和听觉交流就会相互竞争。2、当听觉与手势积极结合使用时，即使使用手势，听觉能力也能得到充分的提高。当植入人工耳蜗的儿童与周围有关时，他们对听力的需求是有意的，听力转向听觉；当日常生活中一直使用手语时，人们猜测手语成为优势。少

1,Communication mode : All the cochlear implant children had received education through the total communication from the childhood term. But, there were many children who increased the dependence to auditory modality as much more auditory information, and did not use manual sign. Under the educational environment with little intentional use to hearing, parent `interaction to their child with cochlear implant depended mainly on manual sign. And auditory practical use did not progress. Then, it needs to be inquired the interaction.2,Expansion of the semantic network in manual sign (signed Japanese) user was not necessarily enough. However during preschool aged to first year of school age, children had an expansion of language concept with a remarkable change in their daily life environment.3,Acquisition of speech : intelligibility of speech improved remarkably in articulation, prosody, intonation, and the quality of voice, expression of dialog etc, and the articulation score became high … More in proportion to the years for using cochlear implant. The improvement of speech was especially remarkable before and after entering school. However, some articulations were remained with distortion or substitution.4,Influence on auditory learning : The hearing aid by the opposite side was not apt to function as listening ability with cochlear implant increases. It is inquired that fitting of hearing aid emphasizes low frequency. The listening capability with cochlear implant was able to acquire the aided threshold, 25-40dB in all the speech frequency. Thereby, the listening capability of environmental sounds, words, sentences have improved remarkably.It became clear from the above result that communication mode was effect to auditory development of cochlear implant children.1, If the educator does not tackle an intention, manual sign communication and auditory one have a rivalry relation mutually.2, When auditory is positively used together with manual, auditory ability may fully be improved even if using manual sign.3, When cochlear implant children were involved with the circumference, and their needs for hearing were intended, it shifted to auditory, When manual sign was always used all time in daily life, it was guessed that manual became predominance. Less