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Updated: Jul 29, 2025

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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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Verbal, Figural, and Arithmetic Fluency of Children with Cochlear Implants
Renata Skrbic1, Vojislava Bugarski-Ignjatovic1,2, Zoran Komazec1,3
1Faculty of Medicine, University of Novi Sad, 21 137 Novi Sad, Serbia.
Behavioral Sciences (Basel, Switzerland)
|May 26, 2023
Summary
Children with cochlear implants (CI) show lower verbal, figural, and arithmetic fluency compared to normally hearing peers. Early auditory and language experiences are crucial for developing these cognitive skills.
Area of Science:
- Neuroscience
- Developmental Psychology
- Audiology
Background:
- Cochlear implantation (CI) offers significant benefits for children with prelingual severe hearing loss and deafness.
- Adequate rehabilitation post-CI is essential for developing auditory, speech, language, cognitive, and academic skills.
- Understanding cognitive functions like fluency in CI users is vital for optimizing their development.
Purpose of the Study:
- To analyze verbal, figural, and arithmetic fluency in children with cochlear implants (CI) compared to children with normal hearing (NH).
- To investigate the interrelationship between different types of fluency in both groups.
- To identify factors influencing fluency in children with CI.
Main Methods:
- Study included 46 children with CI and 110 children with NH, aged 9 to 16.
- Verbal fluency assessed via phonemic and semantic tasks.
- Non-verbal fluency measured using figural tasks.
- Arithmetic fluency evaluated with simple arithmetic problems (numbers up to 100).
Main Results:
- Children with CI demonstrated significantly poorer performance in phonemic fluency, semantic fluency, figural fluency, and arithmetic fluency compared to NH children.
- Positive correlations were observed between different fluency modalities in both groups.
- Girls with CI showed an advantage in phonemic fluency; age correlated with arithmetic fluency in the CI group.
Conclusions:
- Children with CI exhibit deficits across verbal, figural, and arithmetic fluency domains.
- The findings underscore the critical role of early auditory and language experiences in shaping cognitive fluency.
- Further research and targeted interventions are needed to support cognitive development in children with CI.
Keywords:
cognitive functionsdeafnesshearing impairmentmathematical fluencynon-verbal fluencyphonemic fluencysemantic fluency
