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Early Communicative Skills of Children with Normal Hearing and Hearing Loss Depending on Chronological and Hearing Ages

Communication Sciences & Disorders 2020년 25권 2호 p.352 ~ 362
윤지영, 박혜진, 이은성, 유희순, 김진숙,
소속 상세정보
윤지영 ( Yun Ji-Yeong ) - Hallym University Graduate School Department of Speech Pathology and Audiology
박혜진 ( Park Hye-Jin ) - Asan Medical Center Department of Otolaryngology
이은성 ( Lee Eun-Sung ) - Hallym University Graduate School Department of Speech Pathology and Audiology
유희순 ( Yoo Hee-Soon ) - Hallym University Graduate School Department of Speech Pathology and Audiology
김진숙 ( Kim Jin-Sook ) - Hallym University College of Natural Sciences Division of Speech Pathology and Audiology

Abstract


Objectives: The evaluation of speech and language is crucial for children with normal hearing (NH) and hearing loss (HL). The aim of this study was to investigate the early communicative skills of children with NH and HL and to compare the performance depending on chronological age (CA) and hearing age (HA).

Methods: Four tools, Korean MacArthur-Bates Communicative Development Inventories (K M-B CDI), Sequenced Language Scale for Infants (SELSI), Communication and Symbolic Behavior Scales Developmental Profile (CSBS DP) checklist and behavior sample were used. The data was collected from 50 children, 26 NH and 24 HL from 4 to 56 months of age. The average age of NH and HL groups was between 17- and 19-months-old, respectively. The HA of the HL group was 13-months-old. They were tested every two to three months. The developmental progress was analyzed by CA and HA.

Results: With K M-B CDI, when CA and HA were compared for the HL group, the production of expressive language did not show any difference, but the receptive language and action-gesture scores were significantly better in HA at 7-9 months and 19-24 months. With SELSI, both receptive and expressive languages showed significantly better scores in HA (F(1,73)=0.580, p<.05, F(1,73)=11.036, p<.05). With CSBS DP, the HA showed significantly better social scores for checklist (F(1,63)=6.248, p<.05).

Conclusion: As the HA of the HL group showed superior performance compared to the corresponding age of the NH group even in the early stage, the effectiveness of HA following fitting of amplification device and the appropriate intervention has been implicated.

키워드

Hearing loss; Early communicative skills; Hearing age; Chronological age

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