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Updated: Feb 28, 2026
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Assessment of cool and hot executive functions in children with bilateral cochlear implants using a computerized
Anı Parabakan Polat1, Büşra Çakmak2
1Department of Audiology, Gulhane Faculty of Health Sciences, University of Health Sciences, Ankara, Turkey.
Objective:
This study aimed to evaluate cool and hot executive functions in children with congenital hearing loss using bilateral cochlear implants, using a computerized Psychology Experiment Building Language Test Battery.
Methods:
This causal-comparative, cross-sectional study included 19 children with cochlear implants who had participated in an early rehabilitation program and 20 typical-hearing children aged 6-15 years. Cool executive functions were evaluated using the Berg Card Sorting Test and the Tower of London Test, and hot executive functions were assessed with the Hungry Donkey task. Group differences were analyzed in terms of perseverative errors, categories completed, and correct responses on the Berg Card Sorting Test, total moves on the Tower of London Test, and net score on the Hungry Donkey Task.
Results:
No statistically significant difference was found between groups in the Hungry Donkey Task net scores (t (37) = -1.86, p = .071). Perseverative errors (t (37) = 1.45, p = .154), categories completed (U = 167.50, p = .531), and correct responses (U = 132.00, p = .107) on the Berg Card Sorting Test were not significantly different between groups. Total moves on the Tower of London Test were also not significantly different between groups (U = 180.50, p = .792).
Conclusions:
Children with congenital hearing loss using bilateral cochlear implants, participating in early intervention programs, exhibited hot and cool executive functions similar to those of their typically hearing peers. Assessing cognitive processes such as executive functions is important for intervention planning, evaluation, and rehabilitation in children using cochlear implants.
