title: Outcomes of cochlear implanted children with cerebral palsy: A holistic approach.
abstract: OBJECTIVE
  Analyze the progress of hearing and language in a group of children with cerebral palsy (CP) who have received cochlear implants (CI) and compare their progress in the clinical and functional domains.
  
  
  METHODS
  This is a prospective transdisciplinary study developed within a tertiary referral center, with a group of nine cochlear-implanted children with CP, two- to seven-year-old. The assessments undertaken included audiological, language, and communication assessments complemented by the assessment of functional abilities and the level of independence as evaluated by the Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Classification System (GMFCS).
  
  
  RESULTS
  The outcomes varied, as two children achieved hearing comprehension in open-set evaluations. These children presented the same type of CP, athetosis, but with different functional skills and GMFCS levels. Only one of the subjects had any spoken language at the single-word level.
  
  
  CONCLUSIONS
  A holistic view of change and development is central to understanding progress made in children with CP who received cochlear implants (CI). The functional evaluation of these children with CP is a useful tool for monitoring their progress and measuring their outcomes with CI.
authors.affiliation: Department of Audiology and Speech Language Pathology, University of São Paulo, Al. Octávio Pinheiro Brisola, 9-75, Vila Universitária, Bauru, São Paulo, Brazil. Electronic address: mariajaquelini@gmail.com.
authors.forename: Maria Jaquelini Dias
authors.initials: MJ
authors.lastname: dos Santos
authors.affiliation: Department of Audiology and Speech Language Pathology, University of São Paulo, Al. Octávio Pinheiro Brisola, 9-75, Vila Universitária, Bauru, São Paulo, Brazil. Electronic address: dionelam@uol.com.br.
authors.forename: Dionísia Aparecida Cusin
authors.initials: DA
authors.lastname: Lamônica
authors.affiliation: Department of Neurology, University of Campinas, R. Tessália Vieira de Camargo, 126, Cidade Universitária "Zeferino Vaz", Campinas, São Paulo, Brazil. Electronic address: valeriana@fcm.unicamp.br.
authors.forename: Maria Valeriana Leme de Moura
authors.initials: MV
authors.lastname: Ribeiro
authors.affiliation: School of Psychological Sciences, University of Manchester, Ellen Wilkinson Building, Devas Street, Manchester, United Kingdom. Electronic address: wendy.mccracken@manchester.ac.uk.
authors.forename: Wendy
authors.initials: W
authors.lastname: McCracken
authors.affiliation: Audiological Research Center, Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil. Electronic address: leandracpa@usp.br.
authors.forename: Leandra Tabanez do Nascimento
authors.initials: LT
authors.lastname: Silva
authors.affiliation: Department of Audiology and Speech Language Pathology, University of São Paulo, Al. Octávio Pinheiro Brisola, 9-75, Vila Universitária, Bauru, São Paulo, Brazil. Electronic address: orozimbocosta@uol.com.br.
authors.forename: Orozimbo Alves
authors.initials: OA
authors.lastname: Costa
mesh_terms: D000203:Activities of Daily Living; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation; D003142:Communication; D032882:Comprehension; D004185:Disability Evaluation; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D006801:Humans; D007804:Language Development; D008297:Male; D011446:Prospective Studies; D016896:Treatment Outcome
keywords: Cerebral palsy; Cochlear implant; Communication; Functional measures; Social function