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Language: English. Yvonne Havers from the Cochlear Implant Rehabilitation Centers explains how children with a CI develop and what kind and quality of outcomes can be expected when they undergo proper rehabilitation. The Cochlear Implant Center Friedberg, Germany is very experienced in the field of rehabiliation of CI Children. This presentation was given at the first monsana conference in St. Petersburg in May 2009. See also www.monsana.net/firstconference
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Cochlear Implant Centrum Rhein - Main
Friedberg, Germany
Rehabilitation of children with CI –
possible outcomesYvonne Havers
1st Monsana Conference
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Girl: Pauline BurkhardtAge at videotaping: 13 yearsprelingual deaf (>90dB)First fitting: 7,5 years
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1st Monsana Conference
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1st Monsana Conference
} Different aspects:◦ Age of implantation◦ Bilateral cochlear implantation◦ Migration background◦ Children with additional impairements◦ Children with hearing impaired parents◦ Educational placement
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1st Monsana Conference
1st Monsana Conference
Bilateral CI (n= 171) March 2009
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0
5
10
15
20
25
30
35
1994 1996 1998 2000 2002 2004 2006 2008
adults
children
1st Monsana Conference
Children without additional disabilities or migration background (n= 244)
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38%
30%
7%
25%
Main stream School for hearing impaired
Integration Early support
1st Monsana Conference
Children with foreign family-languageMarch 2009 (n= 103)
49%
7%3%5%5%1%
30%
TurkishArabianserbischpakistanischmarokkanischItalianOthers
Spoken Languages in CIC: 19
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1st Monsana Conference
1st Monsana Conference
25%17%
12%
13%
16%
learning cognitive body behavior eyes multiple
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1st Monsana Conference
1st Monsana Conference
2%
98%
Children of hearing impaired parents
Children of hearing parents
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1st Monsana Conference
1st Monsana Conference
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But they do depend on…
§ UNHS§ Duration of deafness§ Cause for deafness§ Duration of HA support§ Status of hearing nerve§ Good working technical support§ Mono- or bilateral support§ Support by the parents§ Education style§ …Important!Regular Rehabilitation with professional support
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1st Monsana Conference
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1st Monsana Conference
} Why do these children have got a good chance to get into language?
} Importance of parental/ family support} Parents have to become real specialists for their
own children} That‘s why parents always have to join: Directly or
by television
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1st Monsana Conference
Therapist
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Child
Parents
Early support
School
Others
1st Monsana Conference
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parents child
1st Monsana Conference
therpist
Life or via live online rooms
Early support school others