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EBP Compendium: Summary of Systematic Review

Speech-Language and Educational Consequences of Unilateral Hearing Loss in Children

Lieu, J. E. C. (2004).
Archives of Otolaryngology--Head & Neck Surgery, 130(5), 524-530.

Indicators of Review Quality:

The review addresses a clearly focused question No
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes

Description: This is a review of the current literature regarding the impact of unilateral hearing loss (UHL) on the development of speech and language and educational achievement in children.

Question(s) Addressed:

Question not specifically stated.

Population: Human subjects between the ages of 0 and 18 years with unilateral hearing loss.

Intervention/Assessment: This review assesses the impact of UHL on children’s development of speech and language, and also, their educational achievements.

Number of Studies Included: 19

Years Included: 1966 – June 1, 2003



  • Assessment/Diagnosis
    • Assessment Areas
      • Speech and Language - "Children with UHL appear to have an increased rate of grade failures, need for additional educational assistance, and perceived behavioral issues in the classroom. Possible risk factors include lower cognitive ability, right ear hearing loss, and severe-to-profound hearing loss. Speech and language development may be delayed in some children with UHL, but it is unclear if children "catch up" as they grow older" (p. 529).

Keywords: Hearing Loss

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Added to Compendium: March 2012

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