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Updated: Apr 25, 2026

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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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Global developmental abilities of cochlear implanted children with spastic cerebral palsy: two experimental groups
Dionísia Aparecida Cusin Lamônica1, Maria Jaquelini Dias dos Santos1, Cora Sofia Takaya Paiva1
1Dental School of Bauru, Universidade de São Paulo, Bauru, SP, Brazil.
Codas
|August 15, 2014
Summary
Cochlear implants (CI) in children with cerebral palsy (CP) and hearing loss (HL) improved language and social skills compared to those with CP alone. Both groups showed developmental delays but maintained social function.
Area of Science:
- Pediatric Rehabilitation
- Neurodevelopmental Disorders
- Auditory Implants
Background:
- Cerebral palsy (CP) often co-occurs with hearing loss (HL), impacting development.
- Cochlear implantation (CI) is a potential intervention for HL in children with CP.
- Understanding developmental trajectories in these complex cases is crucial.
Purpose of the Study:
- To compare gross motor, fine motor-adaptive, language, and social function in children with CP and CI versus children with CP without HL.
- To assess communicative behaviors in these groups.
- To benchmark performance against typically developing children.
Main Methods:
- Prospective cross-sectional study of 12 children (mean age 63 months).
- Groups: CP with CI (G1), CP without HL (G2), typically developing (G3).
- Utilized Denver Developmental Screening Test II and Communicative Behavior Observation (CBO).
Main Results:
- Typically developing children (G3) outperformed both CP groups (G1, G2) across all measures.
- Children with CP without HL (G2) showed better language, communication, and fine motor skills than those with CP and CI (G1).
- Gross motor skills were comparable between CP groups; personal-social skills showed no significant differences.
Conclusions:
- Motor impairment and HL negatively affected development in children with CP.
- Personal-social development was not significantly restricted by these factors.
- Cochlear implants facilitated oral language reception and social interaction, positively influencing quality of life.

