Hearing Loss Diagnosis and Early Hearing-Related Interventions in Infants With or at High Risk for Cerebral Palsy: A Systematic Review
Journal of Child Neurology
Richard, C., Kjeldsen, C., et al. (2021).
Journal of Child Neurology, 36(10), 919-929.
This systematic review investigates early hearing assessments and interventions in infants with or at high risk for cerebral palsy.
No funding received
Not further specified
Published studies (not further specified)
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<div>Behavioral observation audiometry was suggested to be more challenging in infants with motor and/or cognitive impairments; therefore, repeated and systematic electrophysiological testing in infants with or at high risk of cerebral palsy may need to continue until complete behavioral audiological findings can be obtained.</div>
<div>Results reported that early individualized hearing rehabilitation using hearing aids and, if indicated, cochlear implantation improved speech, cognitive, and emotional skills in infants at high risk for cerebral palsy. "Severity of the neurologic injury, early hearing aid fitting (and associated aural rehabilitation therapy) may influence effectiveness of rehabilitation in those with cerebral palsy" (p. 926).</div>
<div>Auditory steady-state response demonstrated lower sensitivity and specificity (92% and 68%, respectively) than click-brainstem auditory evoked potential (BAEP); however, auditory steady-state response was suggested to be a helpful addition for a comprehensive evaluation. The included studies indicated support for using BAEP over other assessment methods for infants with or at high risk of cerebral palsy.</div>
