|
|
|
|
Section 2: Profiles of individual children with cochlear implants-(2)
|
|
|
|
Questionnaire: Q6. Condition before and after operation
|
|
|
|
|
Before operation
Development of auditory ability
Development of spoken vocabulary, (approximately xx words)
Development of communication, testing methods, (xx), score (xx)
Facilities for training
Contents of training, contents (xx), status (xx)
Educational or institutional history
|
|
|
| From first exposure to sound to 2 months after operation, 3 to 5 months after operation, 6 to 11 months after operation, 12 months after operation, 24 months after operation, 36 months or more after operation. |
|
|
| Auditory ability: |
|
1. Only presence or absence of sound can be identified |
| 2. Environmental sounds can be slightly distinguished |
| 3. Auditory ability is functional to some extent. |
| If 3, fill in the values for the items. |
A: Vowel sounds can be identified to some extent. (xx%) |
| B: Consonant sounds can be identified to some extent. (xx%) |
| C: Single syllables can be identified to some extent. (xx%) |
| D: Individual words can be understood to some extent. (xx%) |
| D-2: Individual words can be understood to some extent in combination with lip-reading (xx%) |
| E: Sentences can be understood to some extent. (xx%) |
| E-2: Sentences can be understood to some extent in combination with lip-reading (xx%) |
|
|
| Spoken words: |
|
A: Development of speech: |
1. Never speaks |
| 2. Only utters certain sounds |
| 3. Only utters baby talk |
| 4. Utters meaningful words (approximately xx words) |
| 5. Can make utterances consisting of two words |
| 6. Speaks using postpositional words. |
| 7. Utters sentences consisting of multiple words. |
| B: Development of sound: |
1. Can utter distinct vowel sounds |
| 2. Can utter Ma, Pa, Ba lines of Japanese alphabet distinctly |
| 3. Can utter Ka, Ga, Ta and Da lines of Japanese alphabet distinctly |
| 4. Can utter Ra, Sa and Za lines of Japanese alphabet distinctly. |
|
|
| Development of communication: |
| A: Communication by means of sound (both 2 and 3 can be circled.) |
|
1. No communication of will |
| 2. Can understand simple messages |
| 3. Can make requests to some extent |
| 4. Ability to communicate is consistent with age. |
| B: Communication by gestures |
1. No communication of will |
| 2. Can understand simple messages |
| 3. Can make requests to some extent |
| 4. Ability to communicate is consistent with age. |
| C: Results of development test |
| If the same method was used throughout the testing period, please circle only once. Score for each test should be given in parentheses. |
1. New version of K method |
| 2. Enjyo-ji method |
| 3. Other |
|
|
| Training facility (Multiple responses possible if facility was changed within the testing period.) |
|
1. Facility for children with hearing disorders |
| 2. Class for children with hearing disorders in elementary school |
| 3. Childrenﾕs class in school for the deaf |
| 4. Elementary class in school for the deaf |
| 5. Junior class in school for the deaf |
| 6. Advanced class in school for the deaf |
| 7. Other ( ) |
|
|
| Training contents (multiple answers acceptable.) |
|
1. Auditory training |
| 2. Speech training |
| 3. Lip-reading training |
| 4. Phonation training |
| 5. Cued speech |
| 6. Other |
|
|
|
| Attendance |
|
1. Periodical |
| 2. Irregular |
| 3. Often absent |
| 4. Other |
|
|
| History of schooling and facilities |
|
1. Day care center |
| 2. Kindergarten |
| 3. Childrenﾕs class in school for the deaf |
| 4. Facilities for children with hearing disorders |
| 5. Elementary school |
| 6. Class for children with hearing disorders in elementary school |
| 7. Elementary class in school for the deaf |
| 8. Junior high school |
| 9. Class for students with hearing disorders in junior high school |
| 10. Junior class in school for the deaf |
| 11. High school |
| 12. Advanced class in school for the deaf |
| 13. Other |
|
|
|
 |
|
|
|
 |
|
|
|
|
|
|
|
|
|
|
|
