The Effect of communication mode on the auditory information processing development in the children with cochlear implant

1)在家庭中，家长意识表现出对声音检测的缓解感，在孩子进入小学阶段之前，家长有意识地使用听力模式。但是，在融入普通学校的情况下，他们意识到自己的良好沟通模式。然而，在许多情况下，听力意识并不能完全维持。在学校中，聋哑教师使用听觉模式的意识不强，普通学校的课堂教师对听觉信息的考虑不够。2)孩子的变化(1)交流方式：在普通学校的孩子中，他们以听-说的方式进行交流。但是，不能用听-说模式进行交流的孩子会同时使用手语。在这种情况下，父母和孩子都不能充分使用手语，他们只能在日常生活中使用简单的手语。由于交际不足，儿童不能形成扩大的语义概念。(2)听觉信息处理：尽管交流方式不同，但随着术后时间的增加，听觉信息处理能力得到了更大的提高。我们认为这些能力不仅受到电极插入状态的影响，而且受到手术前听觉体验的影响。在小学低年级阶段，儿童在汉字阅读、词汇阅读、语法阅读和阅读理解四个方面都具有与年龄相适应的能力。听觉信息接受能力不足的儿童随着年龄的增长，其听觉信息接受能力的提高幅度不大。(4)语音清晰度早期植入儿童的语音清晰度每年都有明显改善。发音在很大程度上取决于听觉能力。个体差异也很大。在许多病例中，部分关节扭曲并鼻化。发音的指导是必需的。上述倾向与手动沟通模式下的孩子一样强烈。人们认为，在任何项目中，个体差异都是如此之大。我们对植入儿童的意识，与术后表现有很大关系。少

1) In home, parents' consciousness showed the sense of relief offer the appearance of sound detection, and parents used hearing mode consciously before their children enter elementary wheal In the case of the school for the deaf parents used manual sign mainly. But, in the case of mainstreaming into the regular school, they were conscious of their good communication mode. However, the consciousness to hearing was not filly able to maintain them in many cases. In schools, the teacher for the deaf was not strongly consciousness of using auditory mode, and the classroom teacher for the regular school did not consider to auditory information enough.2) The change of the child (1) Communication mode: In the case of regular school children, they communicated in auditory-oral mode. But, the children who couldn't communicate in auditory-oral mode used sign language together with it. In this case, parents and their child couldn't sufficiently sign language, and they could use only the easy sign … More language in daily life. M a result of inadequate communication, child couldn't form the enlarged semantic conception.(2) Auditory information processing In spite of communication mode, the auditory information processing capability was more improved together with postoperative years. We considered that these capabilities had been greatly influenced not only by the state of insertion of electrodes, but by the auditory experience before operation.(3) Linguistic competence In the low grade of the elementary school, children had his ability suitable for age in each domain of reading kanji character, vocabulary, grammar, and reading comprehension. The performance of the children whose auditory information receptiveness was not enough made little increase as upper age.(4) Speech articulation Early implanted children had been significantly improved their articulation in every year. The articulation was greatly dependent on auditory capability. And individual difference was also large. A part of articulation was distorted and was nasalized in many cases. Instruction of pronunciation was required. Above tendency was as strong as the child in manual communication mode.It is considered that individual difference is so large in any item. And our consciousness surrounding implanted children, significantly relates to postoperative performances. Less