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FAST BREAKING PAPERS

Bruce Tomblin talks with ScienceWatch.com and answers a few questions about this month's Fast Breaking Paper in the field of Social Sciences, general.
Tomblin Field: Social Sciences, general
Article Title: The effect of age at cochlear implant initial stimulation on expressive language growth in infants and toddlers

Authors: Tomblin, JB;Barker, BA;Spencer, LJ;Zhang, XY;Gantz, BJ
Journal: J SPEECH LANG HEAR RES
Volume: 48
Issue: 4
Page: 853-867
Year: AUG 2005
* Univ Iowa, Dept Speech Pathol & Audiol, 119 Wendell Johnson Speech & Hearing Ctr, Iowa City, IA 52242 USA.
* Univ Iowa, Dept Speech Pathol & Audiol, Iowa City, IA 52242 USA.
(addresses may have been truncated; see full article)

Why do you think your paper is highly cited?

This paper concerns the impact of early receipt of a cochlear implant, in children who are born deaf, on their language development. There has been a continuing excitement about the magnitude of the effect of implantation on the communication development of children receiving these implants and numerous papers are being published on this topic.

Does it describe a new discovery, methodology, or synthesis of knowledge?

It presented some of the very first data evaluating a new clinical practice of putting cochlear implants in infants rather than waiting until they were 18 months old. It tested a theoretical prediction that this would have a measurable impact on the actual growth rate of language development.

Would you summarize the significance of your paper in layman’s terms?

We did find evidence that earlier implantation results in more rapid growth rates in language development. Thus, early implantation seems to result in a more efficient language learning system.

How did you become involved in this research, and were there any problems along the way?

I study outcomes of developmental language disorders and, in this case, I joined a team here at the University of Iowa doing research and clinical work with children receiving cochlear implants.

Where do you see your research leading in the future?

We are moving on to study mechanisms that may account for the effects of early implantation.

Do you foresee any social or political implications for your research?

Cochlear implantation in children is very controversial, particularly with respect to the views of members of the community who are deaf. Early implantation means that parents must make decisions soon after diagnosis and it is quite important that parents be well-informed in order to do this. Evidence that there are benefits from earlier implantation places more pressure on clinicians to attempt to do this, but it also creates a condition that challenges the decision-making process.

Bruce Tomblin
Director, Child Language Research Center
DC Spriestersbach Distinguished Professor
Department of Speech Pathology & Audiology
College of Liberal Arts & Sciences
University of Iowa
Iowa City, Iowa, USA



2008 : February 2008 - Fast Breaking Papers : Bruce Tomblin
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