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Rehabilitation of children with CI
        possible outcomes
              Yvonne Havers




    Cochlear Implant Centrum Rhein - Main
                Friedberg, Germany
                        1st Monsana Conference
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Girl:   Pauline Burkhardt
        Age at videotaping: 13 years
        prelingual deaf (>90dB)
        First fitting: 7,5 years




                         1st Monsana Conference
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    1st Monsana Conference
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}   Different aspects:
      Age of implantation
      Bilateral cochlear implantation
      Migration background
      Children with additional impairements
      Children with hearing impaired parents
      Educational placement




                                   1st Monsana Conference
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            Bilateral CI (n= 171)
                                 March 2009



35


30


25


20
                                                                          ad ults

15                                                                        children


10


 5


 0
     1994   1996   1998   2000     2002   2004    2006     2008




                                                 1st Monsana Conference
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Children without additional disabilities or migration background (n= 244)




                                25%
                                                                     38%

                      7%

                                         30%




                           Main stream         School for hearing im paired


                           Integration         Early support




                                                          1st Monsana Conference
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  Children with foreign family-language
                          March 2009 (n= 103)




                                                      Turkish
                                                      Arabian
                  30%          49%                    serbisch
                                                      pakistanisch
          1%                                          marokkanisch
          5%                                          Italian
               5% 3% 7%
                                                      Others




Spoken Languages in CIC: 19


                                          1st Monsana Conference
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    1st Monsana Conference
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                                                      17%
                  25%

                                                           12%
   16%




                 13%
learning       cognitive   body   behavior       eyes       multiple




                                  1st Monsana Conference
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    1st Monsana Conference
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                   Children of hearing impaired parents

                   Children of hearing parents
         98%



2%




               1st Monsana Conference
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    1st Monsana Conference
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    1st Monsana Conference
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But they do depend on

§   UNHS
§   Duration of deafness
§   Cause for deafness
§   Duration of HA support
§   Status of hearing nerve
§   Good working technical support
§   Mono- or bilateral support
§   Support by the parents
§   Education style
§

Important!
Regular Rehabilitation with professional support


                                       1st Monsana Conference
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    1st Monsana Conference
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}   Why do these children have got a good chance to
    get into language?
}   Importance of parental/ family support
}   Parents have to becom e real specialists for their
    own children
}   That s why parents always have to join: Directly or
    by television




                                1st Monsana Conference
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School                                            Parents
             Therapist


Others                                            Early support
              Child




                         1st Monsana Conference
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                therpist

                      Life or via live online rooms




     parents                   child



Early support      school             others



                            1st Monsana Conference

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Reha Of CI Children Possible Outcomes Yvonne Havers

  • 1. k Rehabilitation of children with CI possible outcomes Yvonne Havers Cochlear Implant Centrum Rhein - Main Friedberg, Germany 1st Monsana Conference
  • 2. k Girl: Pauline Burkhardt Age at videotaping: 13 years prelingual deaf (>90dB) First fitting: 7,5 years 1st Monsana Conference
  • 3. k 1st Monsana Conference
  • 4. k } Different aspects: Age of implantation Bilateral cochlear implantation Migration background Children with additional impairements Children with hearing impaired parents Educational placement 1st Monsana Conference
  • 5. k Bilateral CI (n= 171) March 2009 35 30 25 20 ad ults 15 children 10 5 0 1994 1996 1998 2000 2002 2004 2006 2008 1st Monsana Conference
  • 6. k Children without additional disabilities or migration background (n= 244) 25% 38% 7% 30% Main stream School for hearing im paired Integration Early support 1st Monsana Conference
  • 7. k Children with foreign family-language March 2009 (n= 103) Turkish Arabian 30% 49% serbisch pakistanisch 1% marokkanisch 5% Italian 5% 3% 7% Others Spoken Languages in CIC: 19 1st Monsana Conference
  • 8. k 1st Monsana Conference
  • 9. k 17% 25% 12% 16% 13% learning cognitive body behavior eyes multiple 1st Monsana Conference
  • 10. k 1st Monsana Conference
  • 11. k Children of hearing impaired parents Children of hearing parents 98% 2% 1st Monsana Conference
  • 12. k 1st Monsana Conference
  • 13. k 1st Monsana Conference
  • 14. k But they do depend on § UNHS § Duration of deafness § Cause for deafness § Duration of HA support § Status of hearing nerve § Good working technical support § Mono- or bilateral support § Support by the parents § Education style § Important! Regular Rehabilitation with professional support 1st Monsana Conference
  • 15. k 1st Monsana Conference
  • 16. k } Why do these children have got a good chance to get into language? } Importance of parental/ family support } Parents have to becom e real specialists for their own children } That s why parents always have to join: Directly or by television 1st Monsana Conference
  • 17. k School Parents Therapist Others Early support Child 1st Monsana Conference
  • 18. k therpist Life or via live online rooms parents child Early support school others 1st Monsana Conference