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Updated: Jul 12, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Ceiling effects for speech perception tests in pediatric cochlear implant users.

Emily R Spitzer1, David M Landsberger1, Alexandra J Lichtl1

  • 1Department of Otolaryngology-Head and Neck Surgery, New York University Grossman School of Medicine, New York, NY, USA.

Cochlear Implants International
|October 24, 2023
PubMed
Summary
This summary is machine-generated.

Speech perception tests for children with cochlear implants (CI) often show ceiling effects, meaning they may not accurately measure a child's true listening abilities. Early implantation and bilateral devices are linked to higher scores.

Keywords:
Cochlear implantsassessmentpediatricspeech perception

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Area of Science:

  • Audiology
  • Pediatric audiology
  • Speech-language pathology

Background:

  • Cochlear implants (CI) are vital for hearing restoration in children.
  • Accurate assessment of speech perception is crucial for monitoring CI effectiveness.
  • Ceiling effects in testing can limit the evaluation of high-level performance.

Purpose of the Study:

  • To determine the prevalence of ceiling effects in speech perception tests for pediatric cochlear implant (CI) users.
  • To identify demographic predictors of ceiling effect achievement in this population.

Main Methods:

  • Retrospective chart review of 165 children who received a cochlear implant (CI) before age four.
  • Analysis of speech perception test scores and demographic data.

Main Results:

  • The majority of speech perception tests exhibited ceiling effects (scores ≥90% correct).
  • Earlier implantation, bilateral CI use, and being an oral communicator predicted higher performance.
  • Age and CI experience were negatively correlated with performance, indicating potential test non-randomization.

Conclusions:

  • Common speech perception tests may overestimate the abilities of children with CIs due to prevalent ceiling effects.
  • These tests might not fully capture real-world listening performance in advanced CI users.