Journal of Speech, Language, and Hearing Research Vol.42 497-511 April 1999.
© American Speech-Language-Hearing Association

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A Comparison of Language Achievement in Children With Cochlear Implants and Children Using Hearing Aids

J. Bruce Tomblin 1
Linda Spencer 1
Sarah Flock 1
Rich Tyler 1

Bruce Gantz 1

1 The University of Iowa Iowa City

J-Tomblin{at}UIOWA.EDU

English language achievement of 29 prelingually deaf children with 3 or more years of cochlear implant (CI) experience was compared to the achievement levels of prelingually deaf children who did not have such CI experience. Language achievement was measured by the Rhode Island Test of Language Structure (RITLS), a measure of signed and spoken sentence comprehension, and the Index of Productive Syntax (IPSyn), a measure of expressive (signed and spoken) English grammar. When the CI users were compared with their deaf age mates who contributed to the norms of the RITLS, it was found that CI users achieved significantly better scores. Likewise, we found that CI users performed better than 29 deaf children who used hearing aids (HAs) with respect to English grammar achievement as indexed by the IPSyn. Additionally, we found that chronological age highly correlated with IPSyn levels only among the non-CI users, whereas length of CI experience was significantly correlated with IPSyn scores for CI users. Finally, clear differences between those with and without CI experience were found by 2 years of post-implant experience. These data provide evidence that children who receive CIs benefit in the form of improved English language comprehension and production.

KEY WORDS: cochlear implants, language development, prelingually deaf, children

Submitted on March 12, 1998
Accepted on September 23, 1998


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