Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children
(1) Background: While spoken language learning delays are assumed for deaf and hard of hearing (DHH) children after cochlear implant (CI), many catch up with their hearing peers. Some DHH children with CIs, however, show persistent delays in language, despite protective factors being in place. This...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/17/5755 |
| _version_ | 1797582273530298368 |
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| author | Gemma Hardman Rosalind Herman Fiona Elizabeth Kyle Susan Ebbels Gary Morgan |
| author_facet | Gemma Hardman Rosalind Herman Fiona Elizabeth Kyle Susan Ebbels Gary Morgan |
| author_sort | Gemma Hardman |
| collection | DOAJ |
| description | (1) Background: While spoken language learning delays are assumed for deaf and hard of hearing (DHH) children after cochlear implant (CI), many catch up with their hearing peers. Some DHH children with CIs, however, show persistent delays in language, despite protective factors being in place. This suggests a developmental language disorder (DLD). However, at present there is little consensus on how to diagnose DLD in DHH children. (2) Methods: Given the lack of consensus in this area, a set of case studies provides an appropriate first step. The goal of this paper is to show the plausibility of a DLD diagnosis, following careful analysis of protective and risk factors. A retrospective case study review was conducted for three children. Their long-term language outcomes up to four years after CI were considered in the context of access to sound, speech sound discrimination, social skills and non-verbal cognition. (3) Results: It was possible to posit DLD in one child who had experienced good access to sound, alongside good speech discrimination abilities and social development, and normal non-verbal cognition, but who presented with severe language learning difficulties. (4) Conclusions: Finding markers for DLD in DHH children is important for diagnosis and intervention. The implications for clinical practice are discussed. |
| first_indexed | 2024-03-10T23:19:45Z |
| format | Article |
| id | doaj.art-afb442989b41447ca77d5af5cf28260a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T23:19:45Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-afb442989b41447ca77d5af5cf28260a2023-11-19T08:24:57ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011217575510.3390/jcm12175755Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three ChildrenGemma Hardman0Rosalind Herman1Fiona Elizabeth Kyle2Susan Ebbels3Gary Morgan4Department of Language and Communication Science, City, University of London, London EC1V 0HB, UKDepartment of Language and Communication Science, City, University of London, London EC1V 0HB, UKDeafness, Cognition and Language Research Centre (DCAL), University College London, London WC1E 6BT, UKMoor House Research and Training Institute, Moor House School & College, Oxted RH8 9AQ, UKPsychology and Education Department, University Oberta Catalunya, 08035 Barcelona, Spain(1) Background: While spoken language learning delays are assumed for deaf and hard of hearing (DHH) children after cochlear implant (CI), many catch up with their hearing peers. Some DHH children with CIs, however, show persistent delays in language, despite protective factors being in place. This suggests a developmental language disorder (DLD). However, at present there is little consensus on how to diagnose DLD in DHH children. (2) Methods: Given the lack of consensus in this area, a set of case studies provides an appropriate first step. The goal of this paper is to show the plausibility of a DLD diagnosis, following careful analysis of protective and risk factors. A retrospective case study review was conducted for three children. Their long-term language outcomes up to four years after CI were considered in the context of access to sound, speech sound discrimination, social skills and non-verbal cognition. (3) Results: It was possible to posit DLD in one child who had experienced good access to sound, alongside good speech discrimination abilities and social development, and normal non-verbal cognition, but who presented with severe language learning difficulties. (4) Conclusions: Finding markers for DLD in DHH children is important for diagnosis and intervention. The implications for clinical practice are discussed.https://www.mdpi.com/2077-0383/12/17/5755childrendeafdevelopmental language disorderlanguage developmentcochlear implantvariability |
| spellingShingle | Gemma Hardman Rosalind Herman Fiona Elizabeth Kyle Susan Ebbels Gary Morgan Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children Journal of Clinical Medicine children deaf developmental language disorder language development cochlear implant variability |
| title | Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children |
| title_full | Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children |
| title_fullStr | Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children |
| title_full_unstemmed | Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children |
| title_short | Identifying Developmental Language Disorder in Deaf Children with Cochlear Implants: A Case Study of Three Children |
| title_sort | identifying developmental language disorder in deaf children with cochlear implants a case study of three children |
| topic | children deaf developmental language disorder language development cochlear implant variability |
| url | https://www.mdpi.com/2077-0383/12/17/5755 |
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