| Abstrakt: |
IntroductionInvestigations of auditory brainstem implants (ABIs) in children started around 2012 in the United States. The team at the University of Southern California-Caruso Family Center for Childhood Communication began seeing children, implanted abroad, in 2006. ABIs are indicated for children who cannot benefit from cochlear implants (CIs). The habilitation and educational needs of children with ABIs versus CIs differ.PurposeThis document provides information professionals can use when implementing habilitation programs for children with ABIs.MethodThe University of Southern California-Caruso Family Center for Childhood Communication, as part of the Los Angeles Pediatric ABI team, is conducting an ABI safety and feasibility clinical trial. This article shares experiences from the viewpoint of a multidisciplinary team. The article provides background knowledge, an outcomes review, and considerations to guide ABI intervention.ResultsABIs and CIs differ in the acoustic information they provide. Outcome studies suggest progress is slow with ABIs but that children can develop some auditory or spoken language skills. The children require highly supportive learning experiences. Visual communication support remains important. The considerations outlined reflect the children's need for explicit instruction.ConclusionsWhen serving children with ABIs, therapists must apply their broad knowledge about working with children with hearing loss, tempering that knowledge, and recognizing that auditory access and progress differ with ABIs compared to CIs. Educational and program placement decisions may require unconventional thinking. |
