Wyniki wyszukiwania - Biblioteka Nauki

1

Management of bilateral implantation in children

100%

Bieńkowska K. I.

Polski Przegląd Otorynolaryngologiczny

|

2016

|

tom 5(2)

57-62

EN

In recent years, the number of children with bilateral implants has been growing. Bilateral implantation, by im-proving hearing, has beneficial influence on auditory-verbal therapy results. Children with bilateral implants have a chance for acquiring communication skills typical for a given linguistic system and society they live in, at the level similar to natural acquisition. There is an ongoing discussion as to how the therapy of bilaterally-implanted children should be conducted. This article proposes a therapeutic approach based on the current literature and practical expe-rience of the author.

2

Inner ear malformations – overview, current classifications, challenges in management

100%

Haber K. , Konopka W. , Amernik K. , Mierzwiński J.

Polski Przegląd Otorynolaryngologiczny

|

2020

|

tom 9(3)

1-11

EN

Introduction: Some patients with profound sensorineural hearing loss have inner ear malformations. Initially, those were believed to be a contradiction to cochlear implantation. However, with the advance of cochlear implant surgery and technology, it has become possible to treat this group of patients. However, cochlear implantation in the case of inner ear malformations can be associated with numerous surgical difficulties and possible complications. Purpose: The paper aims to present: (1) modern classification of inner ear malformations, (2) surgical and clinical challenges related to all types of malformations, and (3) cases of inner ear malformations identified in the authors’ centers. Material and methods: Of 111 children enrolled for cochlear implantation in three clinical centers, a group of patients with malformations of the inner ear was selected. We analyzed: preoperative imaging studies of patients performed prior to cochlear implantation, hearing tests, surgical protocols of cochlear implantation, results of intraoperative measurements and intraoperative imaging studies. We discuss what is currently believed to be the leading classification of inner ear malformations. Results: In 19/111 (17%) children, we diagnosed severe inner ear malformations in 35 ears. In 13/19 (68%) patients the malfor mations were bilateral and symmetrical, while 6/19 (32%) patients had different malformations in the right and left ear or one-sided malformation. All inner ear malformations described in the classification were found, except for rudimentary oto cyst. The most common are: cochlear hypoplasia, incomplete partition, and enlarged vestibular aqueduct. Discussion: Severe inner ear malformations are a major diagnostic and clinical challenge in children qualified for cochlear implantation. They can preclude or considerably complicate cochlear implantation and postoperative care. Inner ear malformations are found in imaging studies even in 20 to 30% of patients with profound hearing loss.

3

Report on the international Euro-CIU symposium on implant users in Wrocław – ‚The needs of hearing implant users in the modern world’

100%

Bieńkowska K. I. , Mierzwiński J. , Gawłowska M. B. , Mickiewicz P. , Kida M.

Polski Przegląd Otorynolaryngologiczny

|

2019

|

tom 8(3)

59-60

EN

From 25th to 27th of April, 2019 for the first time in Poland, the 12th International EURO-CIU Symposium (European Cochlear Implant Users Association) took place in Wrocław. Representatives of doctors, implanted patients and their families, hearing and speech therapists, as well as government representatives discussed the needs of cochlear implant users in the modern world.

4

Evaluation of quality of life in patients after cochlear implantation surgery in 2014-2017

100%

Czerniejewska-Wolska H. , Kałos M. , Gawłowska M. , Sekula A. , Mickiewicz P. , Wiskirska-Woźnica B. , Karlik M.

Polish Journal of Otolaryngology

|

2019

|

tom 73

|

nr 2

11-17

EN

Introduction: Profound hearing loss significantly affects the quality of life of deaf people as well as their families. Observation of the benefit from the use of cochlear implants in deaf patients allows to assess the success of treatment with this method and its impact on the quality of life of these patients. The aim of this study was to determine the quality of life in patient after the cochlear implantation in the material of Department of Phoniatrics and Audiology of the Medical University in Poznań. Material and methods: The study involved implanted patients who voluntarily joined to the project entitled "Observational study of the implanted patient (Cochlear-IROS)". It has a prospective character, it is an international and long-term study, covering the observation of patients up to three years after implantation. Standardized HUI and SSQ questionnaires were used. 70 patients were included in the analysis, the mean age at the time of the cochlear implantation was 47.6 years. In the research group there were 33 men and 37 women. In the whole group, the patients' age at implantation was at least 18 years, max. 80 years. Results: The results of the SSQ questionnaire, which deals with the self-assessment of hearing ability in everyday situations, indicate that in the subjective assessment of patients one year after surgery the speech hearing improved by 77%, spatial hearing by 84%, and the quality of hearing by 49%. The general quality of life before the first connection of the sound processor according to the HUI questionnaire, the patients rated at 0.49 (0-1 scale, where 0 - corresponds to the death condition and 1 - full health). After one year from the implantation, this rating increased to 0.56. Conclusions: The implantation of the cochlear implant significantly increases the patient's quality of life, its physical and emotional functioning. Statistically significant better self-assessment of patients mainly concerned hearing speech and spatial hearing - especially after 1 year of connecting the speech processor.

5

Wszczep ślimakowy dla pacjentów z głuchotą postlingwalną – szansa na poprawę jakości życia

100%

Magierska-Krzysztoń M. , lempska-Wysocka Magdalena M.

|

2018

|

nr 48

249-258

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.

6

Qualification of unilateral cochlear implant recipients for a second device

88%

Drela M. , Haber K. , Wrukowska I. , Puricelli M. , Sinkiewicz A. , Bruś J. , Tyra J. , Mierzwiński J.

Polish Journal of Otolaryngology

|

2019

|

tom 73

|

nr 6

8-17

EN

Introduction: Although it is recommended to perform cochlear implantation in both ears at the same time for management of profound hearing loss in children, many centers prefer to perform sequential implantation. There are many reasons as to why a simultaneous bilateral implantation is not commonly accepted and performed. The major risk is the possibility of bilateral vestibular organ impairment. However, it is beyond doubt that children who received the first implant should be given a chance for binaural hearing and associated benefits. In the literature, there are no homogenous criteria for bilateral implantation, and it is hard to find uniform and convincing algorithms for second cochlear implantation. The aim of this study is an attempt to identify a safe way of qualifying for second cochlear implantation in children. Material and methods: Forty children with one cochlear implant were qualified for the second implantation. During qualification, the following were taken into account: time of the first implantation, audiometry results, use of the hearing aid in the ear without an implant and benefit of the device, speech and hearing development, and vestibular organ function. R esults: Fifteen out of forty children (38%) were qualified for the second implantation. In 35% of children, the decision was delayed with possible second implantation in the future. Eleven children (27%) were disqualified from the second surgery. Discussion: During evaluation according to the protocol presented in our study, 38% of children with a single cochlear implant were qualified for the second implantation with a chance for an optimal development and effective use of the second cochlear implant. We are convinced that sequential implantation with a short interval between surgeries and with an examination of the vestibular organ, hearing and speech development as well as an assessment of potential benefits from the second implant (bimodal stimulation) before the second implantation is the safest and most beneficial solution for children with severe hearing loss.

7

Evaluation of the implant electrode inside the cochlea and damage to cochlear structures associated with implantation using cone beam computed tomography techniques (CBCT)

88%

Orłowski A. , Lachowska M. , Wiśniewska E. , Niemczyk G. , Koszel-Orłowska A. , Szopiński K. , Niemczyk K.

|

tom 5(1)

1-10

EN

Objectives: The aim was to evaluate the position of the cochlear implant electrode inside the cochlea and damage to cochlear structures associated with the implantation itself using cone beam computed tomography technique (CBCT). Material and methods: Nine human cadaver temporal bones were used, five were implanted with round window approach and in other four anterior cochleostomy was used for insertion. After implantation the temporal boneswere scanned with CBCT scanner and the images were then analyzed. The degree of insertion damage was evaluated in two-tier scale, where the first degree included damage to basilar membrane, and the second degree covered damage associated with pushing up into the scala vestibuli. Results: The first degree of cochlear damage was noted in three temporal bones implanted with the round window approach and in two with cochleostomy, and the second degree of damage was noted in two and one temporal bones respectively. The analysis did not show any correlations between depth of insertion and degree and extend of damage in both analyzed groups, also no significant differences were found between the two groups. Conclusions: The good quality of the images presents CBCT as a good method for the evaluation of the cochlear implant electrode position in the inner ear structures. CBCT holds the promise for intraoperative imagining during cochlear implantation.

8

The role of preoperative imaging for auditory implants in children

88%

Haber K. , Burzyńska-Makuch M. , Mierzwiński J.

|

nr 1

23-35

EN

Introduction: Preoperative imaging, besides audiological evaluation, plays a major role in evaluation of candidacy for auditory implants, and in particular cochlear implants. It is essential to assess whether the basic criteria necessary for implantation are met. Diagnostic imaging is crucial not only in determining candidacy, but also determining the feasibility of cochlear implantation as it allow to anticipate surgical difficulties which could preclude or complicate the implantation of the device. The aim of the study is to present the protocol for the evaluation of preoperative imaging studies with particular focus on the factors potentially affecting clinical decisions in children qualified for cochlear implantation. Material and method: Preoperative imaging studies of 111 children performed prior to cochlear implantation were analyzed: high-resolution computed tomography (HRCT) of temporal bones and MRI. The assessment was made according to the presented protocol. Results: Pathologies and anomalies identified during the assessment of preoperative imaging studies significantly altered clinical decisions in 30% of patients. In the study group, in 17% of patients inner ear malformations were identified. 2.7% of children were disqualified from a cochlear implantation due to severe congenital inner ear malformations. 9% of the patients have had bacterial meningitis. In 50% of them difficulties related to complete or progressive cochlear ossification occurred. In 4.5% of patients less common surgical approaches other than mastoidectomy with a posterior tympanotomy were applied. Discussion: Preoperative imaging allow for the identification of significant pathologies and anomalies affecting qualification decisions and further treatment. HRCT and MRI are complementary to each other for preoperative imaging. The two modalities in combination allow accurate and optimal evaluation of the anatomical structures prior to implantation. Inner ear malformations and cochlear ossification following meningitis are relatively frequently encountered in children qualified for a cochlear implant.

9

The use of petrosectomy in cochlear implant surgery

88%

Amernik K. , Niemczyk K. , Twardowska R. , Jaworowska E.

|

tom 9(2)

1-6

EN

Introduction: The treatment and rehabilitation of hypoacusis with the use of cochlear implants is a safe and reliable method suitable for both children and adults. In people affected by chronic otitis media cholesteatomatosa or such who have previously undergone open repair of the ear, we use a special surgical technique known as lateral/subtotal petrosectomy. Material and methods: The study group consisted of patients with profound bilateral sensorineural hearing loss, in which otitis media with and without cholesteatoma has been diagnosed or after open repair of the middle ear. A retrospective analysis of patient data, as well as radiological and audiological results, was conducted. Results: In the Clinic of Otolaryngology and Laryngological Oncology of the Pomeranian Medical University in the years 2008–2018 we performed 90 cochlear implant surgeries, including a petrosectomy in 1 child with cholesteatoma (5 years) and in 2 adults after open repair (62 and 73 years). In all cases the procedure was done in a single stage. Healing proceeded correctly in all patients undergoing petrosectomy. The observation period ranges from 26 to 32 months, computed tomography examinations revealed no indirect characteristics of recurrent cholesteatoma. The patients remain under constant ENT supervision. The child has risk factors for autism and mental retardation, he displays good auditory responses and speech understanding; he has not developed active speech. As regarding free field pure tone audiometry, in adults hearing in the cochlear implant remains at 35 and 40 dB, and speech understanding at 80%. Discussion: Patients with chronic otitis media can be treated efficiently and safely with a cochlear implant using lateral petrosectomy. Lateral/subtotal petrosectomy is the access of choice when deep sensorimotor hearing loss coexists with chronic inflammation in the middle ear.

10

Is There Compensatory Vowel Lengthening in the Language Acquisition of a Child with a Cochlear Implant

88%

Adi-Bensaid L. , Tobin Y.

Poznań Studies in Contemporary Linguistics

|

2010

|

tom 46

|

nr 3

255-274

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.

11

Loudness Functions and Binaural Loudness Summation in Bilateral Cochlear Implant Users

88%

Kordus M. , Zera J.

Archives of Acoustics

|

2017

|

tom Vol. 42, No. 3

351--364

EN

Loudness functions and binaural loudness summation was investigated in acoustically stimulated bilaterally implanted cochlear implant users. The study was aimed at evaluating growth of loudness functions and binaural loudness summation in cochlear implant subjects as a function of stimulus presentation level at different frequencies. Loudness was assessed using a rating procedure on a scale of 0 to 100. Three experimental conditions were tested: monaural right, monaural left and binaural, each with bands of noise with center frequencies of 0.25, 1, and 4 kHz. Fifteen implanted and five normal-hearing subjects (control group) participated in the experiments. Results demonstrated large variability in the slopes of the loudness functions and the presence of loudness summation in bilateral cochlear implant users, with large individual differences among subjects.

12

The Significance of the Physical and Motor Potential for Speech Development in Children with Cochlear Implant (CI) – Preliminary Study

88%

Zwierzchowska A. , Bieńkowska K. I.

Logopedia

|

2017

|

tom 46 EN

91-104

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.

13

The role of preoperative imaging for auditory implants in children

88%

Haber K. , Burzyńska-Makuch M. , Mierzwiński J.

|

tom 75(1)

23-35

EN

Introduction: Preoperative imaging, besides audiological evaluation, plays a major role in evaluation of candidacy for auditory implants, and in particular cochlear implants. It is essential to assess whether the basic criteria necessary for implantation are met. Diagnostic imaging is crucial not only in determining candidacy, but also determining the feasibility of cochlear implantation as it allow to anticipate surgical difficulties which could preclude or complicate the implantation of the device. The aim of the study is to present the protocol for the evaluation of preoperative imaging studies with particular focus on the factors potentially affecting clinical decisions in children qualified for cochlear implantation. Material and method: Preoperative imaging studies of 111 children performed prior to cochlear implantation were analyzed: high-resolution computed tomography (HRCT) of temporal bones and MRI. The assessment was made according to the presented protocol. Results: Pathologies and anomalies identified during the assessment of preoperative imaging studies significantly altered clinical decisions in 30% of patients. In the study group, in 17% of patients inner ear malformations were identified. 2.7% of children were disqualified from a cochlear implantation due to severe congenital inner ear malformations. 9% of the patients have had bacterial meningitis. In 50% of them difficulties related to complete or progressive cochlear ossification occurred. In 4.5% of patients less common surgical approaches other than mastoidectomy with a posterior tympanotomy were applied. Discussion: Preoperative imaging allow for the identification of significant pathologies and anomalies affecting qualification decisions and further treatment. HRCT and MRI are complementary to each other for preoperative imaging. The two modalities in combination allow accurate and optimal evaluation of the anatomical structures prior to implantation. Inner ear malformations and cochlear ossification following meningitis are relatively frequently encountered in children qualified for a cochlear implant.

14

Qualification of unilateral cochlear implant recipients for a second device

88%

Drela M. , Haber K. , Wrukowska I. , Puricelli M. , Sinkiewicz A. , Bruś J. , Tyra J. , Mierzwiński J.

Otolaryngologia Polska

|

2019

|

tom 73(6)

8-17

EN

Introduction: Although it is recommended to perform cochlear implantation in both ears at the same time for management of profound hearing loss in children, many centers prefer to perform sequential implantation. There are many reasons as to why a simultaneous bilateral implantation is not commonly accepted and performed. The major risk is the possibility of bilateral vestibular organ impairment. However, it is beyond doubt that children who received the first implant should be given a chance for binaural hearing and associated benefits. In the literature, there are no homogenous criteria for bilateral implantation, and it is hard to find uniform and convincing algorithms for second cochlear implantation. The aim of this study is an attempt to identify a safe way of qualifying for second cochlear implantation in children. Material and methods: Forty children with one cochlear implant were qualified for the second implantation. During qualification, the following were taken into account: time of the first implantation, audiometry results, use of the hearing aid in the ear without an implant and benefit of the device, speech and hearing development, and vestibular organ function. R esults: Fifteen out of forty children (38%) were qualified for the second implantation. In 35% of children, the decision was delayed with possible second implantation in the future. Eleven children (27%) were disqualified from the second surgery. Discussion: During evaluation according to the protocol presented in our study, 38% of children with a single cochlear implant were qualified for the second implantation with a chance for an optimal development and effective use of the second cochlear implant. We are convinced that sequential implantation with a short interval between surgeries and with an examination of the vestibular organ, hearing and speech development as well as an assessment of potential benefits from the second implant (bimodal stimulation) before the second implantation is the safest and most beneficial solution for children with severe hearing loss.

15

Deaf sociocultural identity and experiencing symptoms of depression – a preliminary study of adult CI users with prelingual deafness

87%

KOBOSKO J.

Interdyscyplinarne Konteksty Pedagogiki Specjalnej

|

2019

|

nr 25

275-295

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.

16

Application of sentence tests in the investigation of speech intelligibility in quiet and noise in adult CI recipients supported with a hearing aid

75%

Niewiarowicz M. , Stieler O. , Komar D.

Archives of Acoustics

|

2008

|

tom Vol. 33, No. 4

475-482

EN

The investigations of speech intelligibility were carried out for 9 patients with a cochlear implant (CI), 1 male and 8 females, aged 18-69 (mean 41). In all cases deafness was recognized as postlingual. All patients were using the hearing aid (HA) on the ear opposite to the CI. The novelty of this work consisted in the application of new Polish sentence tests in the evaluation of the effect of supporting electrical hearing with a HA in noise conditions. The sentence tests (developed at the Institute of Acoustics, Adam Mickiewicz University in Poznań - European Union Project HEARCOM) were presented to patients in quiet and in noise conditions (speech bubble noise). The speech intelligibility was determined in two cases: when transmission was only via the CI and when the HA was also used. The presentation of tests was conducted for three angles (0°, -90° and +90°o) in relation to the patient's head. The value of SRT (Speech Reception Threshold) was determined for the tests carried out in noise conditions. The improvement of the speech intelligibility was affirmed when the process of hearing via the CI was supported with a HA. The particularly essential difference was observed for the angle of +90° (HA-side). The results obtained in the investigations show that acoustic compensation in the range of the remaining audibility field to a great degree supports electrical hearing. This conclusion can be an important contribution to the application of the HA on the side opposite to the CI, especially in the noisy environment.

17

Akustycznie wywołane potencjały ślimakowe u osób z implantem ślimakowym

75%

Walkowiak A. , Lorens A. , Obrycka A. , Polak M. , Wiśniewski T. , Kowalczuk A. , Skarżyński H.

|

2018

|

tom Vol. 24, nr 1

18--24

PL

Współczesne systemy implantów ślimakowych poprzez bezpośrednią stymulację zakończeń nerwu słuchowego zapewniają uzyskanie prawidłowych reakcji akustycznych. Jednakże warunkiem ich poprawnego funkcjonowania jest dokładne zbadanie stymulowanej elektrycznie drogi słuchowej a następnie odpowiednie, optymalne dla danego pacjenta ustawienie parametrów stymulacji. W tym celu stosowane są metody psychoakustyczne jak i obiektywne. Do niedawna za pomocą metod obiektywnych u użytkowników implantów ślimakowych możliwe były pomiary funkcjonowania zakończeń nerwu słuchowego oraz kolejnych, wyższych pięter drogi słuchowych. Obecnie, dzięki rejestracji wywołanych akustycznie potencjałów z nerwu słuchowego możemy badać także aktywność zachowanych komórek słuchowych oraz lepiej poznać mechanizmy funkcjonujące w ślimaku ochronnym.

EN

Modern cochlear implant systems elicit hearing sensations via direct electrostimulation of cochlear nerve. However, to reach maximum benefit it is crucial to set properly parameters of the stimulation. It is achieved using psychoacoustic and objective measurements. In historical point of view only cochlear nerve and higher levels of auditory pathway could be diagnosed in cochlear implant users. But recently, thanks to measurement of acousticcally elicited potentials from cochlear nerve it is possible to examine hearing cells behavior as well as mechanisms in cochlea.

18

The topographical anatomy of the round window and related structures for the purpose of cochlear implant surgery

75%

Paprocki A. , Biskup B. , Kozlowska K. , Kuniszyk A. , Bien D. , Niemczyk K.

Folia Morphologica

|

2004

|

tom 63

|

nr 3

EN

The treatment of total deafness using a cochlear implant has now become a routine medical procedure. The tendency to expand the audiological indications for cochlear stimulation and to preserve the remnants of hearing has brought new problems. The authors have studied the topographical anatomy of the internal structures of the ear in the area where cochleostomy is usually performed and an implant electrode inserted. Ten human temporal bones were obtained from cadavers and prepared in a formalin stain. After dissection of the bone in the area of round and oval windows, the following diameters were measured using a microscope with a scale: the transverse diameters of the cochlear and vestibular scalae at the level of the centre of the round window and 0.5 mm anteriorly to the round window, the distance between the windows and the distances from the end of the spiral lamina to the centre of the round window and to its anterior margin. The width of the cochlear scala at the level of the round window was 1.23 mm, and 0.5 mm anteriorly to the round window membrane it was 1.24 mm. The corresponding diameters for the vestibular scala are 1.34 and 1.27 mm. The distances from the end of the spiral lamina to the centre of the round window and to its anterior margin are 1.26 and 2.06 respectively. The authors noted that the two methods of electrode insertion show a difference of 2 mm in the length of the stimulated spiral lamina. The average total length of the unstimulated lamina is 2.06 and 4.06 in the two situations respectively.

19

Strategie radzenia sobie ze stresem u osób z głuchotą prelingwalną, korzystających z implantu ślimakowego od okresu dorosłości

63%

Kobosko J. , Piłka E. , Pankowska A. , Skarżyński H.

|

nr 3

154-163

EN

INTRODUCTION There so far have been no psychological studies on stress coping strategies used by prelingually deaf individuals. Assessment of the efficacy of coping in confrontation with stress is of key importance in the case of persons with a handicap, such as prelingual deafness, and enables one to propose them an adequate offer of hearing and speech (re)habilitation, including psychological intervention. The aim of this study was to compare prelingually deaf adult cochlear implant (CI) users with hearing individuals in terms of stress coping strategies taking account of CI experience, the use of sign language and socio-demographic variables. MATERIAL AND METHODS Study was conducted by post and involved 79 persons with prelingual deafness aged 19–62 years, using CIs implanted after 18 years of age, for whom the response ratio was 63.3%, and hearing persons. An inquiry form and Brief COPE questionnaire were used. RESULTS Prelingually deaf CI users more seldom than hearing persons use active coping, also they less often use psychoactive substances, while they more often use behavioral disengagement. Sex, age, marital (partnership) status and work significantly influence the coping strategies used. Longer CI experience is related to using self-blame and turning to religion more seldom. Individuals who use sign language significantly less often use venting as a stress coping strategy. CONCLUSIONS Stress coping strategies used by prelingually deaf CI users differ significantly from those used by hearing persons as well as postlingually deaf CI users. It is therefore not expedient to treat CI users as a homogenous group irrespective of the deafness etiology, particularly in planning rehabilitation management and in research.

PL

W S T Ę P Strategie radzenia sobie ze stresem u osób z głuchotą prelingwalną nie były, jak dotąd, przedmiotem badań psychologicznych. Ocena skuteczności radzenia sobie w konfrontacji ze stresem nie tylko odgrywa ważną rolę w przypadku osób z niepełnosprawnością, jaką jest głuchota prelingwalna, ale także pozwala zaproponować adekwatną ofertę w zakresie rehabilitacji słuchu i mowy, w tym interwencji psychologicznej. Celem badań jest porównanie osób dorosłych prelingwalnie ogłuchłych z implantem ślimakowym (cochlear implant – CI) z osobami słyszącymi w zakresie strategii radzenia sobie ze stresem (coping), z uwzględnieniem czasu korzystania z CI, znajomości języka migowego oraz zmiennych socjodemograficznych. M A T E R I A Ł I M E T O D Y Badania przeprowadzono drogą pocztową, objęto nimi 79 osób z głuchotą prelingwalną w wieku 19–62 lat z CI wszczepionym po 18 r.ż. oraz osoby słyszące. Wskaźnik odpowiedzi zwrotnych wynosi 63,3%. Wykorzystano ankietę informacyjną i kwestionariusz Mini COPE. WYNIKI Osoby z głuchotą prelingwalną z CI stosują aktywne radzenie sobie ze stresem rzadziej niż osoby słyszące, rzadziej także sięgają po substancje psychoaktywne, częściej natomiast zaprzestają działań. Płeć, wiek, status małżeński (partnerski) oraz praca (nauka) odgrywają istotną rolę w obszarze wykorzystywanych strategii coping. Dłuższy czas korzystania z CI wiąże się z rzadszym obwinianiem siebie i zwracaniem się ku religii. Znajomość języka migowego sprzyja istotnie rzadszemu posługiwaniu się strategią wyładowania w konfrontacji ze stresem. WNIOSKI Strategie radzenia sobie ze stresem, jakimi posługują się osoby prelingwalnie ogłuchłe z CI, znacząco odróżniają je od osób słyszących, ale także i od postlingwalnie ogłuchłych z CI. Nie jest zatem wskazane traktowanie osób z CI jako jednorodnej grupy z pominięciem etiologii głuchoty, zarówno w planowaniu działań rehabilitacyjnych, jak i badawczych.

20

Znaczenie potencjału fizycznego i motorycznego dla rozwoju mowy dzieci z implantem ślimakowym – doniesienia wstępne

63%

Zwierzchowska A. , Bieńkowska K. I.

Logopedia

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2017

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tom 46

127-140

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.