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Updated: Jun 28, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Cognitive development in children with cochlear implants: relations to reading and communication.
Björn Lyxell1, Birgitta Sahlén, Malin Wass
1The Swedish Institute for Disability Research, Linköping University, Linköping, Sweden. Bjorn.Lyxell@liu.se
Children with cochlear implants (CI) show lower cognitive skills but can achieve good reading comprehension. Working memory impacts communication, highlighting educational and rehabilitation needs.
Area of Science:
- Developmental Psychology
- Neuroscience
- Audiology
Background:
- Cochlear implants (CI) offer auditory input but cognitive development in deaf children remains a focus.
- Understanding the impact of CIs on cognitive and communicative skills is crucial for intervention.
Purpose of the Study:
- To provide an overview of laboratory studies on cognitive and communicative development in children with cochlear implants (CI).
- To analyze the performance of children with CIs on various cognitive tasks and communication.
Main Methods:
- Cognitive assessments were administered to children with CIs.
- Communicative development was evaluated using referential communication tasks.
- Phonological processing and working memory capacities were analyzed.
Main Results:
- Children with CIs performed significantly lower on most cognitive tasks, especially those demanding phonological processing.
- A notable proportion achieved reading comprehension comparable to hearing peers despite weaker phonological skills.
- Working memory capacity correlated with question types in referential communication tasks.
Conclusions:
- Children with CIs exhibit specific cognitive challenges, particularly in phonological processing.
- Reading comprehension can be achieved, suggesting alternative compensatory strategies.
- Findings underscore the importance of tailored educational and rehabilitation strategies for children with CIs.
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