高度難聴児の初期言語発達に及ぼす要因の検討

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  • Study on Factors in Early Language Development of Profound Hearing-impaired Children.

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Early language development in 14 young children under 3 years of age with profound hearing-impairments, who had been fitted with hearing aids and had received speech therapy at our clinic, was analyzed by the following five-points: starting age of training, intelligence quotient, upbringing environment, speech therapy program and hearing management.<br>The main results were as follows:<br>1) In the children receiving speech therapy at an early stage (within eighteen months of age), 3 of 6 patients showed good development of early language but the other 3 had a rather delayed development.<br>2) All children having an inadequate environment of upbringing showed a markedly delay of learning to speak. Therefore, it was presumed that environmental conditions were most important factors in these children.<br>3) Concerning the training methods, the way in which the hearing-impaired children were taught together with their mother or another person was most effective, more than those with only other hearing-impaired children alone for early language development.<br>4) There were no children with deterioration of hearing loss, however 2 patients suffering from otitis media with effusion showed a slight delay of speech development. Most importantly, it was thought that speech therapy should be performed together with the periodic management of hearing acuity.

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