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Updated: Apr 5, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Working memory, short-term memory and reading proficiency in school-age children with cochlear implants
Sneha V Bharadwaj1, Denise Maricle2, Laura Green1
1Department of Communication Sciences and Disorders, Texas Woman's University, P.O. Box 425737, Denton, TX 76204, USA.
Children with cochlear implants show stronger visual memory than auditory memory. Visual memory skills correlate with better reading outcomes, suggesting tailored reading instruction for hearing-impaired children.
Area of Science:
- Cognitive Psychology
- Neuroscience
- Speech and Hearing Sciences
Background:
- Children with cochlear implants (CIs) often face challenges in auditory processing and language development.
- Understanding their cognitive strengths and weaknesses, particularly in memory, is crucial for educational interventions.
Purpose of the Study:
- To investigate short-term memory (STM) and working memory (WM) abilities in school-aged children with CIs using both visual and auditory tasks.
- To explore the relationship between these memory skills and reading/language outcomes in this population.
Main Methods:
- Assessed STM and WM (auditory and visual) and verbal knowledge in 10 children (ages 7-11) with early-onset hearing loss using standardized cognitive tests.
- Evaluated reading outcomes using the Woodcock Reading Mastery Test III.
Main Results:
- Children with CIs performed within the average range for visual STM and WM but below average for auditory STM and WM.
- Verbal knowledge measures were also below average.
- Reading comprehension scores were below average and positively correlated with visual STM, visual WM, and auditory STM.
Conclusions:
- CI users demonstrated superior visual (spatial) memory skills compared to auditory memory skills.
- Visual WM significantly correlated with reading outcomes.
- WM capacity appears modality-specific in children with hearing loss, supporting the use of visual memory-based reading strategies.
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