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EN
Permanent hearing damage, which was diagnosed in the postlingling period - prevents “normal” life. Adult, mature people who until now had certain social roles and activities, suddenly experienced the phenomenon of exclusion as a result of hearing loss, which leads in many cases to personal dramas. The aim of the research was to determine the possibility of improving the quality of life of patients with postlingual deafness after implanting the cochlear implant. The study involved 96 patients aged 30-75 years, postlingally deaf, equipped with a cochlear implant. The study used the CES-D questionnaire, the PANAS-PL questionnaire and the diagnostic survey method (questionnaire survey). The results of the study show that in the majority of patients after implantation, there was a subjectively evaluated improvement associated with activity in various spheres of life. The use of the cochlear implant in post-lethal hearing impaired patients allowed to achieve satisfactory auditory functioning, which contributed to the improvement of the quality of life.
EN
The analysis of neurophysiological development processes of implanted children with profound hearing loss does indicate the links between the level of language skills development and motor functions within the scope of both fine and gross motor skills. The purpose of the research, that was carried out within the two week rehabilitation period on a group of 17 children with profound hearing loss, now cochlear implant users, was to verify whether the launch of Early Intervention programme (in the form of global movements, focused on the vestibular system) will be effective in improving motor skills and strongly correlate with the level of speech development. The results did confirm the hypothesis of the effectiveness of impact-oriented motor exercises on the vestibular system that aimed to improve the sense of direction. Moreover, it showed the significant presence of relevant neurophysiological bonds in the scope of development of balance of language skills. The presented results do confirm the few global reports on this subject. Likewise, in order to search for best possible therapies for children – cochlear implant users – they point the urge to conduct a continuous survey in the field of coordination motor abilities (CMA) as well as in terms of development of linguistic competencies.
EN
Compensatory vowel lengthening (CVL) is found in both adult and children's language. CVL is a process where the loss of a segment is compensated elsewhere by lengthening. It occurs mostly in languages with phonemic vowel length (de Chene and Anderson 1979). We examine CVL in the acquisition of Israeli Hebrew (IH), a language without phonemic vowel length, in a child with a cochlear implant (CI). Preliminary findings reveal: (1) a preference for the vowel /a/; (2) longer vowel duration before: (a) sonorant codas than obstruent codas; and (b) deleted sonorant codas than before preserved sonorant codas and open syllables. There is no significant difference in vowel duration before preserved and deleted obstruent codas and open syllables. We hypothesize that CVL appears in IH-speaking children but in sonorant codas only. The findings are discussed in terms of the representation of CVL in children's grammars as well as auditory deprivation, which may affect auditory perception and motor coordination.
EN
Joanna Kobosko, Deaf sociocultural identity and experiencing symptoms of depression – a preliminary study of adult CI users with prelingual deafness. Interdisciplinary Contexts of Special Pedagogy, no. 25, Poznań 2019. Pp. 275-295. Adam MickiewiczUniversity Press. ISSN 2300-391X. DOI: https://doi.org/10.14746/ikps.2019.25.12Deaf sociocultural identity of the deaf is an important issue from the point of view of their psychological and social functioning. The present study was focused on people with prelingual deafness using cochlear implants (CI) demonstrating high skills in oral Polish language. The research question concerned the relation between the aforementioned identity and symptoms of depression, as well as the age, sex and age at cochlear implantation. The study included 28 prelingually deaf CI users aged between 18 and 40 and was conducted using N. Glickman’s DIDS, PHQ-9 and an information questionnaire. Deaf sociocultural identity is similar in terms of proportion of types of identities of the deaf to the results obtained in other studies, i.e. hearing and bicultural identities turned out to be predominant in the study group. The marginal identity only coexists with the presence of depression symptoms.
EN
The article is based on thesis, which is focused on psychological aspects of hearing-impairment and the possibilities of its compensation including the various kinds of hearing aids and lately also cochlear implant. The cochlear implant is one of the state-of-the-art compensation aid for people with profound hearing impair. The article shortly describes history of cochlear implantation in the Czech Republic and also situtation of users of cochlear implant. The research is centred on survey of quality of life of adult users of cochlear implant and benefit of cochlear implant. From the outcomes of thesis are concluded recommendations for professional care. Research design has a form of combined research. Author used following methods for the research: semi-structured interview, Subjective Quality of Life Analysis SQUALA and Glasgow Benefit Inventory.
CS
Článek vychází z diplomové práce zaměřené na psychologické aspekty sluchového postižení a možnosti jeho kompenzace, mezi které se řadí různé druhy sluchadel a v poslední době také kochleární implantát. Kochleární implantát je jedna z nejmodernějších kompenzačních pomůcek pro osoby s těžkým sluchovým postižením. Článek stručně popisuje historii kochleárních implantací v České republice a situaci uživatelů kochleárního implantátu. Výzkum je zaměřen na zmapování kvality života dospělých uživatelů kochleárního implantátu a přínosu kochleární implantace. Z výsledků jsou pak vyvozena doporučení pro odbornou péči. Výzkumný projekt má podobu smíšeného výzkumu. Autorka k výzkumu použila metody: polostrukturovaný rozhovor, Dotazník subjektivní kvality života SQUALA a Glasgowský dotazník přínosu lékařského zákroku.
PL
Analiza neurofizjologiczna procesów rozwojowych zaimplantowanych dzieci z głębokim niedosłuchem wskazuje na związki pomiędzy nabywaniem umiejętności językowych a funkcjami motorycznymi z zakresu zarówno małej, jak i dużej motoryki. Celem pilotażowych badań, przeprowadzonych w czasie dwutygodniowego turnusu rehabilitacyjnego na grupie 17 dzieci z głębokim niedosłuchem po implantacji ślimakowej, była ocena poziomu wybranych koordynacyjnych zdolności motorycznych (KZM) i umiejętności językowych. Wykazano związek pomiędzy badanymi sprawnościami. Prezentowane wstępne wyniki potwierdzają konieczność prowadzenia badań ciągłych zarówno w sferze koordynacyjnych zdolności motorycznych (KZM), jak i w aspekcie rozwoju umiejętności językowych w celu poszukiwania optymalnych sposobów terapii dla osób po implantacji ślimakowej.
EN
The analysis of neurophysiological development processes of implanted children with profound hearing loss does indicate the links between the level of language skills development and motor functions within the scope of both fine and gross motor skills. The purpose of the research, that was carried out within the two week rehabilitation period on a group of 17 children with profound hearing loss, now cochlear implant users, was to verify whether the launch of Early Intervention programme (in the form of global movements – focused on the vestibular system) will be effective in improving motor skills and strongly correlate with the level of speech development. The results did confirm the hypothesis of the effectiveness of impact-oriented motor exercises on the vestibular system that aimed to improve the sense of direction. Moreover, it showed the significant presence of relevant neurophysiological bonds in the scope of development of balance of language skills. The presented results do confirm the few global reports on this subject. Likewise, in order to search for best possible therapies for children – cochlear implant users, they point the urge to conduct a continuous survey in the field of coordination motor abilities (CMA) as well as in terms of development of linguistic competencies.
EN
This article is a case study of a five-year-old girl infected with cytomegalovirus, with profound prelingual sensorineural hearing loss, bilaterally implanted. The aim of the article is to describe research on the child’s current development and current communication skills in the context of early diagnosis, early binaural implantation and systematic speech therapy of the examined child. The description of the skills was developed using the Speech and Language Therapy Examination Card and the Communication Behavior Assessment Card for a Hearing Impaired Child. These tools enabled a detailed characterization of the child’s phonic communication skills in all language subsystems: phonological, lexical and grammatical: morphological and syntactic. The child’s gestural and facial behavior serving a communicative function was also assessed. The child’s audiological capabilities were also discussed, with particular emphasis on the benefits derived from binaural implantation and intensive speech therapy work. The research results allowed us to conclude that speech is the preferred way of communication of the examined girl. She achieved very high phonic communication skills, similar to the level of her hearing peers. Gesture and facial communication has an auxiliary function. It is based on natural gestures, although the child has had an episode of learning the basics of sign language. Analysis of the child’s speech development history allows us to notice a strong relationship between the implantation time and the acceleration of the dynamics of his speech development.
PL
Niniejszy artykuł jest studium przypadku pięcioletniej dziewczynki zarażonej wirusem cytomegalii, z prelingwalnym, odbiorczym uszkodzeniem słuchu głębokiego stopnia, bilateralnie implantowanej. Celem artykułu jest opis badań dotychczasowego rozwoju oraz aktualnych umiejętności komunikacyjnych dziecka w kontekście wczesnej diagnozy, wczesnej obuusznej implantacji oraz systematycznej terapii logopedycznej badanego dziecka. Opis umiejętności opracowany został z wykorzystaniem Karty Badania Surdologopedycznego oraz Karty Oceny Zachowań Komunikacyjnych Dziecka z Uszkodzonym Słuchem. Narzędzia te umożliwiły dokonanie szczegółowej charakterystyki umiejętności dziecka w zakresie porozumiewania się fonicznego we wszystkich podsystemach języka: fonologicznym, leksykalnym oraz gramatycznym: morfologicznym i składniowym. Ocenie poddano również zachowania gestowo-mimiczne dziecka pełniące funkcję komunikacyjną. Omówione zostały także możliwości audiologiczne dziecka ze szczególnym wskazaniem na korzyści, jakie odnosi z obuusznej implantacji i intensywnej pracy surdologopedycznej. Wyniki badań pozwoliły stwierdzić, że mowa jest preferowanym sposobem komunikowania się badanej dziewczynki. Osiągnęła ona bardzo wysokie umiejętności w zakresie komunikacji fonicznej, zbliżone do poziomu prezentowanego przez słyszących rówieśników. Porozumiewanie się gestowo-mimiczne pełni funkcję pomocniczą. Bazuje na gestykulacji naturalnej, choć dziecko miało epizod nauki podstaw języka migowego. Analiza historii rozwoju mowy dziecka pozwala dostrzec silną zależność między czasem implantacji a przyspieszeniem dynamiki rozwoju jego mowy.
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