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Respiratory Function and Language Abilities of Profoundly Deaf Adolescents with and without Cochlear Implants

  • A. ŻebrowskaEmail author
  • A. Zwierzchowska
  • B. Manowska
  • K. Przybyła
  • A. Krużyńska
  • D. Jastrzębski
Chapter
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 912)

Abstract

The objective of the study was to investigate whether hearing loss has an effect on the ventilatory functional capability and whether possible deviations of ventilatory variables from the reference ranges could have to do with the language abilities of deaf adolescents. Spirometric evaluations were performed in 72 prelingually profoundly deaf adolescents with and without cochlear implants (CI) and compared with the results of a control group consisting of 48 participants with normal hearing (CG). The deaf adolescents showed a significantly lower vital capacity (VC), forced vital capacity (FVC), and expiratory flows (PEF and MEF) compared with their hearing peers. The adolescents with CI demonstrated predominantly the oral communication mode, which however did not affect the students’ education achievements. Perseverance of oral communication was also associated with higher FVC and PEF, compared with deaf participants without CI. We conclude that sensory deprivation of prelingually deaf adolescents affects the respiratory system function. The use of oral communication seems to have beneficial effects on respiratory performance in profoundly deaf adolescents.

Keywords

Cochlear implant Deafness Hearing loss Lung function Oral communication Spirometry 

Notes

Acknowledgements

We are grateful to all deaf and hearing adolescents who participated in this study and their schoolteachers.

Conflicts of Interest

The authors declare no conflict of interest regarding the article.

References

  1. Che WC, Wang YT, Lu H-J (2011) Respiratory changes during reading in mandarin-speaking adolescents with prelingual hearing impairment. Folia Phoniatr Logop 63(6):275–280CrossRefPubMedPubMedCentralGoogle Scholar
  2. Chin SB, Svirsky MA (2006) Speech production by people with cochlear implants. In: Waltzman SB, Roland TJ (eds) Cochlear implants. Thieme Medical Publishers Inc, New York, pp 167–174Google Scholar
  3. Copeland BJ, Pillsbury HC (2004) Cochlear implantation for the treatment of deafness. Annu Rev Med 55:157–167CrossRefPubMedGoogle Scholar
  4. Das B, Chatterjee I, Kumar S (2013) Laryngeal aerodynamics in children with hearing impairments versus age and height matched normal hearing peers. ISRN Otolaryngol 2013:394604. doi: 10.1155/2013/394604 PubMedPubMedCentralGoogle Scholar
  5. Dromey C, Raming LO (1998) International changes in sound pressure level and rate their impact on measures of respiration, phonation, and articulation. J Speech Lang Hear Res 41:1003–1018CrossRefPubMedGoogle Scholar
  6. Forner LL, Hixon TJ (1977) Respiratory kinematics in profoundly hearing impaired speakers. J Speech Hear Res 20(2):373–408CrossRefPubMedGoogle Scholar
  7. Gheysen F, Loots G, van Waelvelde H (2008) Motor development of deaf children with and without cochlear implants. J Deaf Stud Deaf Educ 13:215–234CrossRefPubMedGoogle Scholar
  8. Higgins MB, Mc Cleary EA, Carney AE, Schulte L (2003) Longitudinal changes in children’s speech and voice physiology after cochlear implantation. Ear Hear 24:48–70CrossRefPubMedGoogle Scholar
  9. Jones DL, Gao S, Svirsky MA (2003) The effect of short-term auditory deprivation on the control of intraoral pressure in pediatric cochlear implant users. J Speech Lang Hear Res 46(3):658–669CrossRefPubMedGoogle Scholar
  10. Jonsson Ö, Gustafsson D (2005) Spirometry and lung function in children with congenital deafness. Acta Paediatr 94:723–725CrossRefPubMedGoogle Scholar
  11. Lane H, Perkell J, Svirsky M, Webster J (1991) Changes in speech breathing following cochlear implant in postlingually deafened adults. J Speech Hear Res 34:526–533CrossRefPubMedGoogle Scholar
  12. Lane H, Perkell J, Wozniak J, Manzella J, Guiod P, Matthies M (1998) The effect of changes in hearing statues on speech sound level and speech breather: a study conducted with cochlear implant users and NF-2 patients. J Acoust Soc Am 104:3059–3069CrossRefPubMedGoogle Scholar
  13. Lasak JM, Allen P, McVay T, Lewis D (2014) Hearing loss: diagnosis and management. Primary Care 41:19–31CrossRefPubMedGoogle Scholar
  14. Marschark M, Shaver DM, Nagle KM, Newman LA (2015) Predicting the academic achievement of deaf and hard-of-hearing students from individual, household, communication, and educational factors. Except Child 81:350–369CrossRefPubMedPubMedCentralGoogle Scholar
  15. Metz D, Whitehead R, Mahshie J (1982) Physiological correlates of the speech of the deaf. In: Sims D (ed) Deafness and communication: assessment and training. D. Williams and Wilkins, BaltimoreGoogle Scholar
  16. Osberger MJ, Robbins AM, Todd SL, Riley AI, Miyamoto RT (1994) Speech production skills of children with multichannel cochlear implants. In: Hochmair-Desoyer IJ, Hochmair ES (eds) Advances in cochlear implants. Manz, Vienna, pp 503–508Google Scholar
  17. Selleck MA, Sataloff RT (2014) The Impact of the auditory system on phonation: a review. J Voice 28:688–693CrossRefPubMedGoogle Scholar
  18. Stanojevic S, Wade A, Stocks J, Hankinson J, Coates AL, Pan H, Cole TJ (2008) References ranges for spirometry across all ages: a new approach. Am J Respir Crit Care Med 177:253–260CrossRefPubMedGoogle Scholar
  19. Svirsky MA, Robbins AM, Kirk KI, Pisoni DB, Miyamoto RT (2000) Language development in profoundly deaf children with cochlear implants. Psychol Sci 11:153–158CrossRefPubMedPubMedCentralGoogle Scholar
  20. Tobey EA, Geers AE, Sundarrajana M, Shin S (2011) Factors influencing speech production in elementary and high school-aged cochlear implants users. Ear Hear 32:27–38CrossRefGoogle Scholar
  21. Whitehead RL (1983) Some respiratory and aerodynamic patterns in the speech of the hearing impaired. In: Hochberg I, Levitt H, Osberger MJ (eds) Speech of the hearing impaired: research, training and personnel preparation. University Park Press, Baltimore, pp 97–116Google Scholar
  22. Whitehead RL, Barefoot SM (1983) Airflow characteristics of fricative consonants produced by normally hearing and hearing-impaired speakers. J Speech Hear Res 26:185–194CrossRefPubMedGoogle Scholar
  23. Żebrowska A, Zwierzchowska A (2006) Spirometric values and aerobic efficiency of children and adolescents with hearing loss. J Physiol Pharmacol 4:443–447Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • A. Żebrowska
    • 1
    Email author
  • A. Zwierzchowska
    • 2
  • B. Manowska
    • 1
  • K. Przybyła
    • 1
  • A. Krużyńska
    • 2
  • D. Jastrzębski
    • 3
  1. 1.Department of Physiological and Medical SciencesThe Jerzy Kukuczka Academy of Physical EducationKatowicePoland
  2. 2.Department of Special EducationThe Jerzy Kukuczka Academy of Physical EducationKatowicePoland
  3. 3.Department of Lung Diseases and TuberculosisMedical University of SilesiaKatowicePoland

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