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Intervention strategies in children with cochlear implants having attention deficit hyperactivity disorder

Munish Pundir1, Anu N Nagarkar, Naresh K Panda

  • 1Department of Otolaryngology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. pundir_munish@rediffmail.com

International Journal of Pediatric Otorhinolaryngology
|March 30, 2007
PubMed

Insights

Attention deficit hyperactivity disorder (ADHD) can impede language development in hearing-impaired children undergoing cochlear implant therapy. Medication significantly improved hyperactivity and attention span in two pediatric cases, enhancing therapy outcomes.

Area of Science:

  • Neurodevelopmental Disorders
  • Pediatric Audiology
  • Child Psychiatry

Background:

  • Attention deficit hyperactivity disorder (ADHD) is a common childhood neurodevelopmental disorder impacting education and social success.
  • ADHD can hinder language acquisition, particularly in hearing-impaired children undergoing auditory verbal therapy post-cochlear implantation.
  • Limited attention spans in these children can restrict the effectiveness of speech and language therapies.

Observation:

  • Two cases of pediatric cochlear implant recipients presented with symptoms suggestive of ADHD.
  • Initial auditory verbal therapy showed minimal progress in listening skills and language development over three months.
  • Referral to psychiatry confirmed ADHD diagnoses in both children.

Findings:

  • Behavior modification techniques provided some improvement.
  • Pharmacological intervention for ADHD led to significant reductions in hyperactivity.
  • Increased attention span was observed in both children following ADHD medication.

Implications:

  • ADHD diagnosis and management are crucial for optimizing speech and language outcomes in hearing-impaired children with cochlear implants.
  • Medication for ADHD can enhance a child's ability to engage in and benefit from auditory verbal therapy.
  • This highlights the importance of a multidisciplinary approach involving audiology, speech therapy, and psychiatry for pediatric cochlear implant patients.

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