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Developmental, Audiological, and Speech Perception Functioning in Children After Cochlear Implant Surgery: A Reply
Arch Pediatr Adolesc Med. 2004;158:401.
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As more children receive and use cochlear implants in this country, more research becomes available regarding improvements in speech, language, and development. One such study by Pulsifer et al1 entitled "Developmental, Audiological, and Speech Perception Functioning in Children After Cochlear Implant Surgery" appeared in the June issue of ARCHIVES. We applaud the authors' use of functional performance measures, such as nonverbal IQ testing and open-set speech recognition. However, we question the use of parametric statistics in the "speech perception" category of evaluation.
Speech perception is critical regarding cochlear implant outcomes, given the importance that parents and society place on the ability to communicate.2 According to the study, "test results were converted . . . to a speech perception category score ranging from 1 (the lowest level of simple detection) to 6 (consistent open-set recognition, for which the listener verbally responds accurately to a question without first being presented with possible . . . [Full Text of this Article]
Rachel St John, MD
Washington, DC
David B. Nelson, MD, MSc
Washington, DC
Corresponding author and reprints: Rachel St John, MD, Kids Clinic for the Deaf, Georgetown University Medical Center, 3800 Reservoir Rd, 2 PHC, Washington, DC 20007 (e-mail: stjohnmd@hotmail.com).
RELATED ARTICLE
Developmental, Audiological, and Speech Perception Functioning in Children After Cochlear Implant Surgery: A Reply—Reply
Margaret B. Pulsifer, Cynthia F. Salorio, and John K. Niparko
Arch Pediatr Adolesc Med. 2004;158(4):401-402.
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