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Läsförmåga hos barn med Cochleaimplantat: Relaterat till kognitiva och språkliga förmågor
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
Linköping University, Department of Clinical and Experimental Medicine, Speech and Language Pathology .
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesisAlternative title
Reading Ability in Children with Cochlear Implants : Related to cognitive and linguistic abilities (English)
Abstract [sv]

Cochleaimplantat (CI) är ett tekniskt hörselhjälpmedel som används av personer med grav hörselnedsättning eller dövhet. Ett CI ger barn med medfödd dövhet möjlighet att höra och utveckla talad kommunikation. CI ersätter inte normal hörsel och det finns stora individuella variationer i språk och talfärdighet hos personer med CI. Syftet med föreliggande studie var att studera kognitiva och språkliga förmågor hos barn med CI med fokus på läsförmåga. I studien deltog 57 barn i åldrarna 7;3-10;4 år. Sju av barnen hade CI. För att besvara frågeställningarna användes utvalda delar av SIPS (Sound Information Processing System), Fonemtest, TOWRE, Ortografiska val, Ortografisk inlärning, Woodcock och Blockmönster ur WISC III. Testresultatet analyserades på grupp- och individnivå och jämfördes med resultat från en kontrollgrupp med normalhörande barn. Barnen med CI presterade som grupp i nivå med normalhörande barn på majoriteten av testen. På de fonologiska testen presterade barnen med CI lägre än normalhörande men hade generellt en avkodningsförmåga i nivå med normalhörande barn. Barn med CI i årskurs 3 hade även en läsförståelse i nivå med normalhörande medan barnen med CI i årskurs 1-2 presterade signifikant lägre än normalhörande barn. Resultaten i studien indikerar att varken sen implantation, taluppfattningsnivå eller kommunikationssätt behöver leda till sämre läsförmåga.

Abstract [en]

A cochlear implant (CI) is a technical hearing device used by individuals with severe to profound hearing impairment. CI can provide children with congenital hearing impairment the abilities to hear and develop speech and language outcome. CI does not replace normal hearing and there are great individual variations in language and verbal skills in persons with CI. The aim of this study was to examine the cognitive and linguistic abilities in children with CI with focus on reading ability. In the present study 57 children between the ages of 7;3-10;4 participated.  Seven of the children had CI. SIPS (Sound Information Processing System), Phonological Output, TOWRE, Orthographic Choices, Orthographic Learning , Woodcock and Block Design Test from WISC III were selected to answer the question at issue. The results were analyzed both at a group and at an individual level and were compared with results from a group with normal hearing children. Children with CI performed as a group at the level of normal hearing children on the majority of the tests. The children with CI had lower performance levels than the normal hearing children in tasks of phonological skills but they generally had a decoding ability within the normal range for hearing children. Children with CI in grade 3 also demonstrated a reading comprehension within the normal range for hearing children whereas children with CI in grade 1-2 had lower performance level than normal hearing children. The results of the present study indicate that late implantation; neither speech perception nor means of communication have to result in poorer reading ability.

Place, publisher, year, edition, pages
2010. , 37 p.
Keyword [en]
Cochlear implants, reading ability, decoding, phonological skills, working memory, lexical access, phonological production.
Keyword [sv]
Cochleaimplantat, läsförmåga, avkodning, fonologiska färdigheter, arbetsminne, lexical access, fonologisk produktion.
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:liu:diva-57141ISRN: ISRN LIU-IKE/SLP-A--10/008--SEOAI: oai:DiVA.org:liu-57141DiVA: diva2:323432
Presentation
2010-05-19, Almen, Hälsouniversitetet, Linköping, 11:00 (Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-06-10 Created: 2010-06-10 Last updated: 2010-12-10Bibliographically approved

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  • nn-NB
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