Neurological
Cochlear implants can benefit deaf children with autism
Subjects ” Autism Spectrum Disorder
HealthDay News — Cochlear implantation (CI) benefits deaf children with autism spectrum disorder (ASD), according to a study published online Dec. 21 in Otology & Neurotology.
Carolyn M. Jenks, MD, of Northwestern University Feinberg School of Medicine in Chicago, and colleagues reviewed data from 30 children with ASD who underwent CI between 1991 and 2018.
The researchers report that the median age at CI was 3.5 years, the median age at ASD diagnosis was 5.1 years (22 of 30 diagnosed post-CI), and the median follow-up was 10.5 years. Open speech perception developed in 33 percent of all and 45 percent of the 22 consistent device users after an average of 4.5 years of device use. At last follow-up, educational delivery included 13 percent without an interpreter, 50 percent in special education programs, 10 percent in therapeutic residential or day programs, 23 percent in total communication programs, and one homeschooled. Almost a third (31 percent) used spoken language only and 14 percent used the spoken plus sign, with the remainder using only signing, assistive communication, or no communication. Compared to pre-CI, parent reports showed that 86 percent of children had an improvement in social engagement after CI. The behaviors most frequently ranked as most affected by CI were communication and attention, while environmental awareness ranked the lowest (most affected) median in the parent survey results.
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“Understanding the range of outcomes in this population is important in advising parents and educators to ensure these children receive appropriate support and services,” a co-author said in a statement.
One author stated that he served on the advisory boards of Advanced Bionic Corporation and MED-EL Corporation, both cochlear implant manufacturers.
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Autism Spectrum Disorders
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