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Efficacy of Auditory-Verbal Therapy (AVT) Over Total Communication (TC) for Language Outcomes in Children with Cochlear Implants: A Systematic Review

机译:听觉言语治疗(AVT)的总沟通(TC)对人工耳蜗植入儿童语言效果的疗效:系统评价

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摘要

Children with cochlear implants require intervention for both receptive and expressive language. Auditory-Verbal Therapy (AVT), which primarily focuses on the development of language through the auditory channel, and Total Communication (TC), which allows for the combination of sign, lipreading, and auditory stimuli for language development, are two intervention methods often used for children with CIs. This systematic review presents language outcomes in children using AVT and TC intervention approaches. We hypothesized that the use of AVT would result in better expressive language outcomes compared to the use of TC. We also hypothesized that both intervention approaches would result in equivalent receptive language outcomes. We found that children who received AVT had a higher percentage of favorable outcomes for both receptive and expressive language outcomes compared to children who used TC. Other additional factors were found to be significant for language outcomes such as age at implantation, communication mode, parent/family involvement, age at diagnosis, device differences, additional disabilities, socioeconomic status, and gender. Overall, we found a lack of research literature directly comparing AVT and TC. A large-scale systematic study of the interventions is still needed in order for professionals and families to make firm conclusions on the efficacy of these treatments for children with cochlear implants.
机译:植入人工耳蜗的儿童需要对接受和表达语言进行干预。听觉-言语疗法(AVT)主要侧重于通过听觉通道发展语言,而Total Communication(TC)则将手语,口语和听觉刺激结合起来以促进语言发展,是两种干预方法。用于具有CI的儿童。这项系统的综述介绍了使用AVT和TC干预方法对儿童的语言结果。我们假设使用AVT会比使用TC带来更好的表达语言效果。我们还假设这两种干预方法都会导致同等的接受语言结果。我们发现接受AVT的儿童与接受TC的儿童相比,接受和表达语言的结果均具有较高的有利结果百分比。发现其他其他因素对于语言结果也很重要,例如植入时的年龄,沟通方式,父母/家庭的参与程度,诊断时的年龄,设备差异,其他残疾,社会经济状况和性别。总体而言,我们发现缺乏直接比较AVT和TC的研究文献。为了使专业人员和家庭对这些疗法对儿童人工耳蜗的疗效做出可靠的结论,仍需要对干预措施进行大规模的系统研究。

著录项

  • 作者

    Shoffner, Amber.;

  • 作者单位

    The University of Alabama.;

  • 授予单位 The University of Alabama.;
  • 学科 Speech therapy.;Special education.
  • 学位 M.S.
  • 年度 2017
  • 页码 92 p.
  • 总页数 92
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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