Expectations for Children Receiving a Cochlear Implant at

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 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 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 Children implanted around age 2 Children implanted around age 1

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 A “listening” time

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 Children implanted around age 2 (3 years old) – identify 75 -100 words – produces 50%-75% – understand 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 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 produce word combinations a variety of settings in

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 Normal intelligence Be a consistent wearer of his/her cochlear implant No speech or oral motor concerns Appropriate MAP

Video Excerpts Longitudinal Studies

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