Neurocognitive function in children with cochlear implants and hearing aids: a systematic review

PurposeTo systematically review the existing literature that examines the relationship between cognition, hearing, and language in children using cochlear implants and hearing aids.MethodThe review has been registered in Prospero (Registration: CRD 42020203974). The review was based on the Preferred...

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Main Authors: Jefferson Vilela da Silva Lima, Caroline Favaretto Martins de Morais, Nelma Ellen Zamberlan-Amorim, Patricia Pupin Mandrá, Ana Cláudia Mirândola Barbosa Reis
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1242949/full
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author Jefferson Vilela da Silva Lima
Caroline Favaretto Martins de Morais
Nelma Ellen Zamberlan-Amorim
Patricia Pupin Mandrá
Ana Cláudia Mirândola Barbosa Reis
author_facet Jefferson Vilela da Silva Lima
Caroline Favaretto Martins de Morais
Nelma Ellen Zamberlan-Amorim
Patricia Pupin Mandrá
Ana Cláudia Mirândola Barbosa Reis
author_sort Jefferson Vilela da Silva Lima
collection DOAJ
description PurposeTo systematically review the existing literature that examines the relationship between cognition, hearing, and language in children using cochlear implants and hearing aids.MethodThe review has been registered in Prospero (Registration: CRD 42020203974). The review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and examined the scientific literature in VHL, MEDLINE, CINAHL, Scopus, WOS, and Embase. It included original observational studies in children using hearing aids and/or cochlear implants who underwent cognitive and auditory and/or language tests. Data were extracted from the studies and their level of evidence was graded with the Oxford Center for Evidence-Based Medicine: Levels of Evidence. Meta-analysis could not be performed due to data heterogeneity. Outcomes are described in narrative and tables synthesis.ResultsThe systematic search and subsequent full-text evaluation identified 21 studies, conducted in 10 different countries. Altogether, their samples comprised 1,098 individuals, aged 0.16–12.6 years. The studies assessed the following cognitive domains: memory, nonverbal cognition, reasoning, attention, executive functions, language, perceptual-motor function, visuoconstructive ability, processing speed, and phonological processing/phonological memory. Children with hearing loss using cochlear implants and hearing aids scored significantly lower in many cognitive functions than normal hearing (NH) children. Neurocognitive functions were correlated with hearing and language outcomes.ConclusionMany cognitive tools were used to assess cognitive function in children with hearing devices. Results suggest that children with cochlear implants and hearing aids have cognitive deficits; these outcomes are mainly correlated with vocabulary. This study highlights the need to understand children’s cognitive function and increase the knowledge of the relationship between cognition, language, and hearing in children using cochlear implants and hearing aids.
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spelling doaj.art-d2d75583954d417ca6ac875e86bded2c2023-10-04T09:04:04ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-10-011710.3389/fnins.2023.12429491242949Neurocognitive function in children with cochlear implants and hearing aids: a systematic reviewJefferson Vilela da Silva Lima0Caroline Favaretto Martins de Morais1Nelma Ellen Zamberlan-Amorim2Patricia Pupin Mandrá3Ana Cláudia Mirândola Barbosa Reis4Postgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilPostgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilClinics Hospital of the Ribeirão Preto Medical School (HCFMRP-USP), University of São Paulo, Ribeirão Preto, BrazilDepartment of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilDepartment of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilPurposeTo systematically review the existing literature that examines the relationship between cognition, hearing, and language in children using cochlear implants and hearing aids.MethodThe review has been registered in Prospero (Registration: CRD 42020203974). The review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and examined the scientific literature in VHL, MEDLINE, CINAHL, Scopus, WOS, and Embase. It included original observational studies in children using hearing aids and/or cochlear implants who underwent cognitive and auditory and/or language tests. Data were extracted from the studies and their level of evidence was graded with the Oxford Center for Evidence-Based Medicine: Levels of Evidence. Meta-analysis could not be performed due to data heterogeneity. Outcomes are described in narrative and tables synthesis.ResultsThe systematic search and subsequent full-text evaluation identified 21 studies, conducted in 10 different countries. Altogether, their samples comprised 1,098 individuals, aged 0.16–12.6 years. The studies assessed the following cognitive domains: memory, nonverbal cognition, reasoning, attention, executive functions, language, perceptual-motor function, visuoconstructive ability, processing speed, and phonological processing/phonological memory. Children with hearing loss using cochlear implants and hearing aids scored significantly lower in many cognitive functions than normal hearing (NH) children. Neurocognitive functions were correlated with hearing and language outcomes.ConclusionMany cognitive tools were used to assess cognitive function in children with hearing devices. Results suggest that children with cochlear implants and hearing aids have cognitive deficits; these outcomes are mainly correlated with vocabulary. This study highlights the need to understand children’s cognitive function and increase the knowledge of the relationship between cognition, language, and hearing in children using cochlear implants and hearing aids.https://www.frontiersin.org/articles/10.3389/fnins.2023.1242949/fullchildrenhearing losscochlear implantshearing aidscognitionspeech perception
spellingShingle Jefferson Vilela da Silva Lima
Caroline Favaretto Martins de Morais
Nelma Ellen Zamberlan-Amorim
Patricia Pupin Mandrá
Ana Cláudia Mirândola Barbosa Reis
Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
Frontiers in Neuroscience
children
hearing loss
cochlear implants
hearing aids
cognition
speech perception
title Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
title_full Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
title_fullStr Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
title_full_unstemmed Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
title_short Neurocognitive function in children with cochlear implants and hearing aids: a systematic review
title_sort neurocognitive function in children with cochlear implants and hearing aids a systematic review
topic children
hearing loss
cochlear implants
hearing aids
cognition
speech perception
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1242949/full
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AT nelmaellenzamberlanamorim neurocognitivefunctioninchildrenwithcochlearimplantsandhearingaidsasystematicreview
AT patriciapupinmandra neurocognitivefunctioninchildrenwithcochlearimplantsandhearingaidsasystematicreview
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