Title Logopedska intervencija za gluho dijete s kohlearnim implantatom bimodalnim pristupom
Title (english) Bimodal speech and language intervention for a deaf child with a cochlear implant
Author Zrinka Martinković
Mentor Luka Bonetti (mentor)
Committee member Ljubica Pribanić (predsjednik povjerenstva)
Committee member Luka Bonetti (član povjerenstva)
Committee member Marina Milković (član povjerenstva)
Granter University of Zagreb Faculty of Education and Rehabilitation Sciences Zagreb
Defense date and country 2017-09-19, Croatia
Scientific / art field, discipline and subdiscipline SOCIAL SCIENCES Speech Therapy
Abstract Budući da se govorni jezik usvaja slušanjem govora, glavna posljedica prirođenog ili rano stečenog oštećenja sluha je relativno niska razina jezične kompetencije. Stoga je za djecu s prirođenim ili rano stečenim oštećenjem sluha habilitacija komunikacije uvijek indicirana. Posljednjih je desetljeća u stručnoj javnosti prihvaćeno stajalište da se najbolji ishodi u smislu komunikacijske kompetencije i dostizanja komunikacijskih vještina vršnjaka postižu ulaganjem stručnih napora u rano otkrivanje oštećenja sluha, što je ranije moguću dodjelu slušnog pomagala ili kohlearnu implantaciju, intenzivno poticanje slušanja i time razvoja govora te paralelno učenje znakovnog jezika. Za to je potrebno organizirati posebno poticajnu okolinu, što uključuje multidisciplinaran tim stručnjaka koji za poticanje razvoja komunikacijskih, slušnih, govornih i jezičnih vještina intenzivno priprema obitelj djeteta s oštećenjem sluha. Cilj ovog rada je pratiti učinak bimodalne habilitacije na povećanje rječnika kod dječaka s prirođenom gluhoćom, korisnika kohlearnog implantata, a svrha njegove realizacije je uvid u potencijal bimodalnog pristupa da kompenzira ograničenja u slušnom inputu i slučajnom učenju koja interferiraju s povećanjem rječnika. Dječak nije prošao probir, a u dobi od 2 godine ugrađen mu je kohlearni implantat. Rad s dječakom, koji je u trenutku početka provedbe istraživanja kronološke dobi od 4 godine i 8 mjeseci, odvijao se individualno dva puta tjedno u Centru za rehabilitaciju Edukacijskorehabilitacijskog fakulteta, u razdoblju od veljače do lipnja tekuće godine. Tijekom navedenog razdoblja radilo se na poboljšanju socijalne komunikacije, slušnih, jezičnih i govornih vještina te razvijanju vještina rane pismenosti i fine motorike. Dječak je potican preko dva modaliteta (govorom i manualnim znakovima), a u navedenom razdoblju ostvarena je suradnja s roditeljima u vidu primjene naučenih komunikacijskih strategija s dječakom kod kuće. Napredak u ekspresivnom i receptivnom rječniku dječaka pratio se u više ekvidistantnih vremenskih točaka putem Komunikacijske razvojne ljestvice II (Koralje). Rezultati ovog istraživanja u skladu su s ranijim izvještajima u kojima je do povećanja receptivnog i ekspresivnog rječnika kod djece s oštećenjem sluha, korisnicima kohlearnih implantata, došlo logopedskom intervencijom bimodalnim pristupom. Prema tome, dopuna jezičnog inputa drugim modalitetom čini se dobrim izborom za pedijatrijske korisnike kohlearnih implantata čiji razvoj rječnika ne napreduje željenom brzinom
Abstract (english) Since spoken language is acquired by listening to the speech, the main consequence of congenital or early acquired hearing loss is a relatively low level of language competence. Therefore, for children with congenital or early acquired hearing loss habilitation of communication is always indicated. Over the past decade, the professional community has accepted opinion that the best outcomes in terms of communication competences and levelling up communication skills with the child's peers are achieved by investing maximum professional efforts to the early detection of hearing impairment. Afterwars, it is of great importance to get hearing aids or cochlear implant as early as possible, intensify listening and speech development, and also to acquire sign language at the same time. This process requires a special, encouraging environment, which includes a multidisciplinary team of experts who intensively prepare the child's family to stimulate the development of communication, hearing, speech and language skills. The aim of this paper is to monitor the effect of bimodal habilitation on increasing the vocabulary of a child with congenital deafness, who uses CI. The purpose of its realization is to inspect the potential of a bimodal approach to compensate for constraints in auditory input and accidental learning that interferes with the enhancement of the vocabulary. The boy did not pass the neonatal screening, and had implanted at the age of 2. The work with the boy, who was 4 years and 8 months old at the beginning of the research, was organized in individual sessions twice a week at the Rehabilitation Center of the Faculty of Education and Rehabilitation in the period from February to June of the current year. During this period the team worked on the improvement of the boy's social communication, hearing, language and speech skills, and the development of early writing skills and fine motor skills. The boy was encouraged by two modalities (speech and manual signs), and in that period the parents were urged to apply the boy's learned communication strategies at home. The progress in the boy's expressive and receptive vocabulary was monitored in several equidistant time points via the Communication Development Inventories II (Koralje). The results of these studies are in line with earlier reports in which the increase in the receptive and expressive vocabulary of children with hearing impairment, CI users, is caused by a logopedic intervention using bimodal approach. Therefore, supplementing the language input with another modality seems to be a good choice for pediatric users whose vocabulary development does not progress at the desired rate
Keywords
prirođeno oštećenje sluha
bimodalni pristup
povećanje rječnika
Keywords (english)
congenital hearing loss
bimodal approach
increase in vocabulary
Language croatian
URN:NBN urn:nbn:hr:158:669697
Study programme Title: Speech and Language Pathology Study programme type: university Study level: graduate Academic / professional title: magistar/magistra logopedije (magistar/magistra logopedije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2018-08-23 08:14:11