presented by: Betsy Moog Brooks, MS-CED

1. Expectations for Children Receiving a Cochlear Implant at Age One presented by: Betsy Moog Brooks, MS-CED The Moog Center for Deaf Education St. Louis, Mo

2. Faculty Disclosure Information • In the past 12 months, I have not had a significant financial interest or other relationship with the manufacturer of the product or provider of the services that will be discussed in my presentation. • This presentation will not include discussion of pharmaceuticals or devices that have not been approved by the FDA.

3. New Information/Draft Benchmarks • 7 children • 5/7 identified by newborn screening • aided 2-6 months • Other 2 aided at 6 months and 11 months • Implanted between the ages of 10-14 months • All received parent education • All received/ing early intervention • at least 2 times per week • 1 hour individual therapy • 2 ½ hours group instruction

4. Comparison of Information • Children implanted around age 2 • Children implanted around age 1

5. Almost Immediately After Activation • Detection of sound • both groups • parents report observing • Detects Ling 6 sounds • older children may demonstrate with behavioral activities • younger group will demonstrate by observation • Detects environmental sounds • parents report observing

6. 0-4 Months Post Activation • A “listening” time

7. 4-6 Months Post Activation • Children implanted around age 2 • identify 35 to 50 words • produce about 75% of those words prompted • use single words spontaneously • Children implanted around age 1 • begin to demonstrate comprehension about 9-11 months post activation (21-23 months old) • identify 20-50 words, in sets of three • produce up to 25% of those words prompted

8. 1 Year Post Activation • Children implanted around age 2 (3 years old) • identify 75-100 words • produces 50%-75% • understand and produce some early developing two-word combinations • use single words, common phrases and expressions spontaneously • Children implanted around age 1 (2 years old, data on 4) • identify 100-125 words • produce 25%-50%

9. 15-18 Months Post Activation • Children implanted around age 2 (3 ½ years old) • a language explosion seems to occur • vocabulary is learned in a variety of environments • vocabulary increases to more than 250 words • comprehension of simple three- and four- word sentences • use a variety of two-word combinations spontaneously • Children implanted around age 1 (2 ½ years old) • vocabulary increases to 270-485 (data on 4) • produce greater than 60% of vocabulary prompted • understand and produce word combinations in a variety of settings

10. 2 Years Post Activation • Children implanted around age 2 (4 years old) • vocabulary of more than 500 words • comprehension of a variety of simple sentences and questions • use simple sentences of 4-6 words spontaneously • Children implanted around age 1 (3 years old,data on 4) • similar comprehension • 390- more than 500 words • understands a variety of simple sentences and early-developing questions • production similar or slightly less • produce at least 75% of vocabulary words • produce word combinations spontaneously

11. Factors Which May Affect the Child’s Potential • Normal intelligence • Be a consistent wearer of his/her cochlear implant • No speech or oral motor concerns • Appropriate MAP

12. Video Excerpts Longitudinal Studies

13. Thank you!