Implante coclear: um estudo da escrita na escola

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Análise do ruído e intervenção fonoaudiológica em ambiente escolar: rede privada e pública de ensino regular

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Da leitura de palavras para textos infantis: inteligibilidade, fluência e nomeação em crianças com implante coclear

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Compreensão e produção oral de sentenças em crianças com deficiência auditiva pré-lingual usuárias de implante coclear

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Deficiência auditiva: estudos clínicos sobre o narcisismo materno

The diagnosis of hearing loss (HL) in a child constitutes a crisis, includinga possible crash in parental narcissism, requiring an individual, matrimonial andfamiliar reorganization process. The mother is the main figure to devote herselfattending the baby and generally takes the most responsibilities in the processof habilitation or rehabilitation of the child, while still having to deal with her frustratedexpectations and narcissism. This study aims to investigate the effects of a deaf child’s birth on the mother’s narcissism. Here understood as a normal stage of psychosexual development of the human being, needed for life preservation, nota pathology. Five different clinical pratical studies were developed with mothers of deaf children that were diagnosed less than one year ago. The data were collected using individual semi-structured interviews and Thematic Apperception Test (TAT). Based on these studies it was found that the birth of a deaf child makes it difficult to obtain the expected narcissist satisfaction. The mother, investing all her affection and longing almost only on her child, hopes to rebuild her dream obtaining the "cure" and "normality" of her baby by submitting him/her to a cochlear implant.

O brincar para conhecer o desenvolvimento de crianças com implante coclear

This research analyses the development of children presented with profound deafness and benefited by the cochlear implant, discovery of great significance in hearing health. The work is based, theoretically, on Winnicott, and methodologically, in anamnesis data and playing on a set of ludic scenes, systematically organized. Ten pre-school children with implants, selected by hospital and homogenization eligibility criteria participate in this study encompassing interviews with parents and playful observation sessions with the children, besides Lynn´s Dolls Structured Game. In the children, the results show immaturity, regression to earlier stages of their development, dependency and behavioral disorders, in particular, those related to language, interrelationship and anxiety. In the parents, family disorientation, partly overcome. The children and family participating are assisted by a multidisciplinary health team, at the hospital where they are attended.

Aprendizagem após via exclusão e formação de classes de equivalência em crianças com deficiência auditiva e implante coclear (aceito condicionalmente)

Studies on learning by exclusion have shown that participants tend to select a new object or a new figure when a new word is dictated, rejecting the objects and figures they already know or that were associated with other words. This study aimed at training conditional relations between dictated word-picture and between picture-printed word, by exclusion, and verify whether this training would be a condition for the emergence of relations between dictated word-printed word, printed word-figure, picture naming and reading. We also investigated whether responding to the words dictated with a female voice generalized to other frequencies such as male and child voices. Participants were five children between five and nine years old, with acute neurosensorial bilateral hearing impairment, users of cochlear implant Nucleus 24k®. They were exposed, individually, to tasks that consisted in selecting a comparison stimulus (either picture or printed word) related to the sample (either dictated word or picture). Words with lowest scores on a pre-test were used. The relations between dictated word-figure (AB) and figure-printed word (BC) were taught by exclusion. We assessed the emergence of the relations between dictated and printed words (AC), printed word and picture (CB), male and child voices generalization (A’C and A’’C), naming (BD) and reading (CD). All the children responded by exclusion and learned relations AB and BC, showing receptive vocabulary; AC and CB relations also were learned, consistent with class formation. Responding generalized to male and child voices, but data on naming were not systematic. Learning by exclusion was similar to that of children with typical hearing and these results describe some conditions that can improve receptive verbal repertoire.

Ecóico e nomeação de figuras em crianças com deficiência auditiva pré-lingual com implante coclear

The aim of this work was to verify the effect of teaching the echoic behavior over the pictures naming in four children between eight and nine years old with prelingual hearing impaired, users of cochlear implants. The design adopted was: (a) pre-training that taught the matching-to-sample task; (b) pre-tests that selected three words to teach; (c) teaching of auditory-visual conditional relations; (d) naming pos-test; (e) the teaching of echoic with orofacial clues and, (f) the second naming pos-test. In the pre-test all participants achieved smaller percentage of correct on naming (60%-80%) and echoic (20%-50%) when compared to percentages word recognition (86%-93%). All participants learned the auditory-visual relations. The improvement on naming test occurred after auditory training select based for two participants; for other two participants the improvement on naming test occurred just after the training of echoic. Analysis of data showed that the listening and speaking performances are independent in their establishment and require specific conditions of teaching; in the case of this study, even though the result is not generalized to all participants, the highest correspondence into point to point naming was obtained following the teaching of echoic.

Contingências facilitadoras de comportamento verbal em crianças usuárias de implante coclear e práticas parentais: uma intervenção com mães

Pós-graduação em Psicologia do Desenvolvimento e Aprendizagem - FC

Crianças com implante coclear: habilidades comunicativas e qualidade de vida

Dado o âmbito multidimensional do implante coclear, há crescente necessidade em avaliar não somente medidas clínicas de eficácia relacionadas às habilidades comunicativas, mas também aspectos mais genéricos envolvidos na efetividade do tratamento, como a qualidade de vida. OBJETIVOS: Tradução e adaptação de questionário internacional para o Português Brasileiro; análise das correlações entre fatores relacionados à qualidade de vida; análise das correlações entre qualidade de vida e medidas clínicas de resultado. MATERIAL E MÉTODO: Estudo prospectivo realizado com pais de crianças com implante coclear consistindo na aplicação de instrumentos validados para avaliar aspectos de qualidade de vida e habilidades comunicativas. RESULTADOS: A tradução e adaptação cultural do questionário foi satisfatoriamente realizada e este estudo proporciona a disponibilização do questionário em versão para o Português Brasileiro. Pelos dados obtidos, o implante coclear apresentou efeito positivo na qualidade de vida das crianças implantadas e de suas famílias. As correlações observadas para a variável comunicação demonstram uma relação direta entre comunicação oral e outras variáveis de qualidade de vida. CONCLUSÃO: Este estudo disponibiliza o questionário em versão para o Português Brasileiro. Para os pais de crianças brasileiras usuárias de implante coclear, a habilidade lexical (aquisição e uso das palavras) é a variável de maior impacto na qualidade de vida de seus filhos.

Avaliação da qualidade de vida em crianças com implante coclear: revisão sistemática

The use of cochlear implant (CI) in children enables the development of listening and communication skills, allowing the child's progress in school and to be able to obtain, maintain and carry out an occupation. However, the progress after the CI has different results in some children, because many children are able to interact and participate in society, while others develop limited ability to communicate verbally. The need for a better understanding of CI outcomes, besides hearing and language benefits, has spurred the inclusion of quality of life measurements (QOL) to assess the impact of this technology. OBJECTIVE: Identify the key aspects of quality of life assessed in children with cochlear implant. METHOD: Through a systematic literature review, we considered publications from the period of 2000 to 2011. CONCLUSION: We concluded that QOL measurements in children include several concepts and methodologies. When referring to children using CI, results showed the challenges in broadly conceptualizing which quality of life domains are important to the child and how these areas can evolve during development, considering the wide variety of instruments and aspects evaluated.

O uso da Classificação Internacional de Funcionalidade, Incapacidade e Saúde para acompanhamento de pacientes usuários de Implante Coclear.

Purpose: To characterize the profile of patients with cochlear implant as proposed by the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Methods: This is a descriptive, crosssectional retrospective study, which examined 30 medical records of patients using the cochlear implant of Centro de Pesquisas Audiológicas. To characterize the profile of the patients, the ICF-CY was used. Regarding the assessment, researchers relied on procedures performed in clinical routine, besides information registered in the medical record. After reviewing the information, it was related to codes from the ICF-CY; with the addition of a qualifier afterwards. Results: Overall, 55 codes from the ICF were related to the instruments to characterize this population. Regarding the Body Functions field, most participants did not have disabilities related to reception and expression of oral language and auditory functions, with only written language disabilities being found. These same findings were observed in the Activity and Participation Field. Regarding environmental factors, noise and the non-availability of technology resources to assist in the auditory comprehension of noise were characterized as a barrier, as well as the absence of speech therapy. Conclusion: This study concluded that most of the participating children showed no deficiency in the body functions, with difficulties being only reported in relation to school performance. Environmental factors (noise, non-availability of technological resources, absence of speech therapy) were characterized as a barrier. The need to expand assessments in the clinical routine was also noted.

Dimensão afetiva da pessoa com surdez adquirida, antes e após o implante coclear

Este estudo teve como objetivo averiguar, antes e após o uso do implante coclear, a dimensão afetiva em pacientes adultos com surdez adquirida, no que diz respeito às modalidades dos sentimentos egoicos, sentimentos em relação ao próximo, sentimentos de temporalidade e estados de ânimo. Participaram 44 adultos que realizaram o implante coclear no Centro de Pesquisas Audiológicas do Hospital de Reabilitação de Anomalias Craniofaciais da Universidade de São Paulo de Bauru. Concluiu-se que, na vivência da surdez, houve predomínio de sentimentos negativos e de um clima afetivo de tensão e depressão, que levava o sujeito a uma vinculação negativa, de assintonia com o mundo. Entretanto, na vivência com o implante coclear, houve predomínio de sentimentos positivos e de um clima afetivo de tranquilidade e contentamento, observando-se uma vinculação positiva do sujeito e sintonia com o mundo.

Avaliação das habilidades escolares de crianças com implante coclear

OBJETIVO: avaliar e caracterizar o desempenho escolar de crianças com deficiência auditiva usuárias de implante coclear, entre 9 e 12 anos, assim como, verificar o tempo que a criança leva para acessar a informação fonológica e confrontar estes resultados de acordo com o gênero e série dos participantes. MÉTODO: participaram deste estudo 32 crianças, de ambos os gêneros, freqüentando da primeira a quinta séries do ensino fundamental, regularmente matriculadas no Centro de Pesquisas Audiológicas do Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, na cidade de Bauru/SP. Os instrumentos utilizados foram o Teste de Desempenho Escolar (TDE) e o Teste de Nomeação Automática Rápida (RAN). RESULTADOS: os resultados mostraram que 74% das crianças apresentaram desempenho escolar geral abaixo do esperado, com maior dificuldade na escrita e dentro da média para o tempo que levam ao processar a informação. CONCLUSÕES: concluiu-se que 74% das crianças apresentaram desempenho escolar inferior nas avaliações e que não houve relação entre estes resultados com a nomeação rápida, já que este está dentro da média e é um pré-requisito para a leitura, e os participantes deste estudo apresentam habilidade satisfatória para a leitura.