2023 Early Hearing Detection & Intervention Conference
March 5-7, 2023 • Cincinnati, OH
Fine and Gross Motor Skills Assessment, from a Caregiver's Perspective, in Pediatrics with Hearing Loss Using a Modified ASQ-3
Previous research shows that children with sensorineural hearing loss (SNHL) are at greater risk for vestibular deficits compared to typically hearing children, specifically in the areas of fine and gross motor skills.
The Ages and Stages Questionnaire (ASQ-3) is a screening tool that assesses the developmental status of young children in areas such as problem-solving, communication, personal-social skills, and fine and gross motor skills. The ASQ-3 has been suggested for use in children who are deaf or hard of hearing to screen for additional disabilities and is an efficient screening tool that can be quickly administered by early interventionists, caregivers, pre-school staff, or other healthcare workers. The fine/gross motor scores from the ASQ-3 may also be specifically useful in assessing balance function in deaf or hard of hearing children.
The purpose of this study was to determine if there were significant differences in ASQ-3 fine (ASQ F)/gross (ASQ G) motor scores between typically hearing and deaf or hard of hearing children aged 6-36 months. Data was gathered from the ASQ-3 as reported by parents/caregivers of 61 children (28 typical hearing children and 33 children with SNHL) ages 6-36 months. Statistical analysis using independent sample T-Tests and Pearson Chi-Square indicated statistically significant difference between the ASQ G and ASQ F scores with a lower score for the deaf and hard of hearing group for each test as well as a significant difference in pass rates per group for each test with a lower pass rate for deaf and hard of hearing participants.
It has also been found that motor milestones and degree of hearing loss are strong predictors of vestibular loss in children with SNHL. Based on these results, we suggest the ASQ-3 can be used as a tool to help identify children with coherent delays who also have SNHL.
- Participants will be able to recognize the importance of early identification of vestibular dysfunction among children who are deaf or hard of hearing.
- Participants will be able to administer modified Ages and Stages Questionnaire as an early interventionist, caregiver pre-school educator, or health care professional
- List 3 benefits of incorporating the ASQ-3 as a successful tool in early intervention of children with sensorineural hearing loss.
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Presenter: Steven Doettl
Steven M. Doettl, Au.D., Ph.D., is a Professor in the Department of Audiology and Speech Pathology, College of Health Professions, at the University of Tennessee Health Science Center. He is the coordinator of the UTHSC Dizziness Clinic and the Director of the UTHSC Vestibular and Balance Laboratory.
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Kelly Yeager, Au.D., CCC-A is a Clinical Professor in Audiology at the University of Tennessee Health Science Center, College of Health Professions in the Department of Audiology and Speech-Language Pathology. She is the Coordinator for UTHSC Pediatric Audiology Services and has been serving children in East Tennessee since 1998. She specializes in pediatric diagnostics and amplification, including hearing aids and cochlear implants.
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Dr. Erin Plyler is a Clinical Associate Professor in Audiology at the University of Tennessee Health Science Center, College of Health Professions in the Department of Audiology and Speech-Language Pathology. She has been with UT since 2003. She has been working with pediatric patients since 1998. Her expertise includes pediatric hearing evaluation, amplification, and auditory processing disorders.
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Dr. Plyler teaches courses and conducts research in the area of amplification and balance in the Audiology program at UTHSC. He has been on the Audiology faculty at UTHSC since 2003. https://www.uthsc.edu/asp/about/faculty/plyler.php
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