患有复杂需求的小儿耳植入物接受者的增强和替代通信 (AAC):一个范围审查
Blair C Richlin1, Kevin Chow2, Maura K Cosetti3
1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA; School of Rehabilitation and Communication Sciences, Idaho State University, Meridian, ID, USA.
International journal of pediatric otorhinolaryngology
|June 17, 2023
概括
增强型和替代性通信 (AAC) 有助于额外残疾的小儿耳植入物 (CI) 用户. 研究显示,对这一群体的高科技AAC干预措施的理解存在差距,需要进一步研究.
科学领域:
- 康复医学 康复医学 康复医学
- 儿科听力学 儿科听力学
- 语音语言病理学 语言病理学
背景情况:
- 增强型和替代性沟通 (AAC) 提供了多样化的沟通方法,不包括口语或美国手语 (ASL) 等正式语言.
- 患有额外残疾的儿科患者经常面临影响语言发展的沟通障碍.
- 最近的进展使得高科技的AAC能够被纳入这些儿童的康复中.
研究的目的:
- 审查AAC在儿童耳植入物 (CI) 接受者与其他残疾人的实施情况.
- 为了确定当前的研究趋势和关于在这个特定的儿科群体中使用AAC的差距.
主要方法:
- 对PubMed/MEDLINE和Embase数据库进行了全面的范围审查.
- 包括的研究集中在1985年至2021年的儿童CI接受者 (18岁以下) 身上,同时出现的条件需要除标准CI护理之外的干预,从1985年到2021年.
- 仅使用口语或正式手语的研究被排除在外.
主要成果:
- 涉及378名患者的29项研究符合纳入标准.
- 常见的额外残疾包括自闭症谱系障碍,学习障碍和认知迟缓.
- AAC的方法从无辅助 (手势,非正式标志) 到辅助 (图像交换通信系统,语音输出通信辅助,触摸屏应用程序) 的范围.
结论:
- 关于在儿童CI使用者中使用辅助和高科技AC的文献中存在很大的差距.
- 使用的结果措施的多样性凸显了对有效的AAC干预措施进行进一步研究的需要.
- 对这一群体进行AAC干预的额外探索是有必要的.
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