Abstract: Objective To study the differences between hearing-impaired children and normal-hearing children in the Five-Item Cognitive Development. Methods 32 normal-hearing children and 32 hearing-impaired children underwent the Five-Item Cognitive Development tests. Results The scores of figure reasoning, geometric reasoning and dissimilarity distinguishing were significantly lower in the hearing- impaired children than in the normal-hearing children (P<0.001). There was no difference in the scores of memory strategy and scene cognition two groups (P>0.05). Conclusion Hearing-impaired children are inferior to normal-hearing children in figure reasoning, geometric reasoning and dissimilarity distinguishing, and similar in memory strategy and scene cognition

Key words: school age, hearing-impaired children, normal-hearing children, Five-Item gnitive Development