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Original Article

JRCRS. 2017; 5(1): 8-11


Effectiveness of Auditory Verbal Therapy in Children with Cochlear Implantation and Hearing Aid Users

Rashida Latif Akbari, Muhammad Sikander Ghayas Khan, Hena Arshad.

Abstract
Background: Hearing impairment is a complete absence or partial decrease in the ability to detect or understand sounds. It can range from a mild hearing loss to total deafness. Hearing impairment hinders the speech and language development of children severely. Hearing impaired children can use hearing aid or have cochlear implants for restoration of their hearing. Auditory verbal therapy (AVT) develops the oral communication in Hearing Impaired Children (HIC) with cochlear implants (CI) and also with children using hearing aids.
Objectives: To find out the effectiveness of auditory verbal therapy in children with cochlear implants and hearing aid users
Methodology: A quasi-experimental research was conducted to explore the effects of one to one speech and language therapy sessions using AVT for the speech and language development of the children using the hearing aids and children with cochlear implants during June 2013 to December 2013. Children with cochlear implants and children with moderate hearing loss, using digital hearing aid were included in this study. These Children did not have any other disability. A sample of 10 children was selected through purposive sampling technique. 5 children with cochlear implants and 5 using the hearing aids were selected. AVT was used to enhance the listening skills and oral communication. A pre-therapy and post-therapy assessment with a standardized language test (Test for reception of grammar) was used. 12 one to one speech and language therapy sessions were taken each session which lasted for 45 minutes. SPSS 16 was use of date analysis.
Results: Three participants in each group are between the age of 4 to7 years and 2 in each group are between 8 to 9 years old. Results of this Study show that most of the participants have passed pretest 0 or 1 and 2 level of TROG. Whether they are cochlear implanted or using hearing aid but after AVT they have passed level 3 and 4 of TROG. Significant P values of pre-and posttest have found.
Conclusion: Auditory verbal therapy is equally effective for both children with cochlear implants and children using the hearing aid with moderate degree hearing loss.

Key words: Hearing Impaired Children (HIC), cochlear implantation (CI), auditory verbal therapy (AVT),Test for reception of grammar (TROG)



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