4 - Hearing & Speech Development Flashcards

1
Q

when in gestation does the structure of the ear develop?

A

20 weeks gestation

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2
Q

at how many weeks gestation is there a functional auditory system?

A

25 weeks

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3
Q

how does the auditory system develop from 25 weeks gestation to 5-6 months?

A
  • hair cells of cochlea, axons of auditory nerve, neurons of temporal lobe are tuned to receive signals of specific frequencies and intensities
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4
Q

unlike the visual system, what does the auditory system require?

A
  • outside auditory stimulation
  • speech, music, meaningful sounds from the environment
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5
Q

how large is the tympanic membrane?

A

8 x 10mm diameter

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6
Q

what is the organ of hearing?

A

the cochlea

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7
Q

what is the weakest quadrant of the tympanic membraen?

A

posterosuperior quadrant

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8
Q

what CN runs through the middle ear?

A

facial nerve (CN VII)

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9
Q

what are the 4 main roles of the middle ear?

A
  • conduction
  • protection
  • transducer
  • amplifier
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10
Q

why is the middle ear a conducter?

A

conducts sound from the outer ear to the inner ear

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11
Q

why is the middle ear a transducer?

A
  • converts acoustic energy to mechanical energy
  • converts mechanical energy to hydraulic energy
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12
Q

without middle ear function, how much acoustic energy in the air would be transmitted to inner ear fluid?

A

1/1000

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13
Q

which part of the cochlea can hear the highest frequency sound? which can hear the lowest?

A

highest - base
lowest - apex

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14
Q

why do different regions of the cochlear hear different frequencies of sounds?

A

the basilar membrane has different levels of stiffness at different points, so it creates a different response when fluid hits it.

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15
Q

which area is responsible for speech comprehension?

A

wernicke’s area

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16
Q

which are is responsible for production of speech?

A

broca’s area

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17
Q

consonants are often high/low in frequency?

A

high

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18
Q

what is the hearing threshold level for normal hearing?

A

<20dB

19
Q

what is the hearing threshold level for mild hearing loss?

A

20-40dB

20
Q

what is the hearing threshold level for moderate hearing loss?

A

40-70dB

21
Q

what is the hearing threshold level for severe hearing loss?

A

70-90dB

22
Q

what is the hearing threshold level for profound hearing loss?

A

> 90dB

23
Q

how do you test the hearing of children 6-24 months?

A

visual reinforcement audiometry

24
Q

how do you test hte hearing of children >24 months?

A

conditioned play audiometry

25
Q

how do you test the hearing of a child >36 months?

A

conventional audiometry

26
Q

how do you test the hearing of a child <6 months?

A

objective measures such as OAE or ABR

27
Q

what is visual reinforcement audiometry?

A
  • tester puts toy in front of child + child focuses attention on it
  • sound produced to side
  • hearing - child turns to sound + positively reinforced by seeing another light up toy
  • conditions child
  • can establish what level child can hear
28
Q

what is an issue with visual reinforcement audiometry?

A

free field testing - not ear specific

29
Q

what is conditioned play audiometry?

A

child is conditioned to perform a task when they hear a sound

30
Q

what is good about conventional audiometry?

A

it is ear specific

31
Q

what does speech audiometry test?

A

ability to recognise and understand speech

32
Q

what does the speech discrimination assessment measure?

A

functional hearing ability

33
Q

how do otoacoustic emissions work?

A
  • small probe placed in ear
  • creates sound
  • sound stimulates the cochlea
  • outer hair cells vibrate
  • produces nearly inaudible sound that echoes back into middle ear
  • the sound that echoes back is measured
34
Q

how are otoacoustic emissions graded?

A

pass/fail response

35
Q

what happens if a baby fails OAE?

A
  • indicates need for more testing
  • could be hearing loss, ear wax, fluid, infection, malformed middle ear
36
Q

how are auditory brainstem responses performed?

A
  • electrodes placed on skin of head and connected to a computer
  • records brain wave activity in response to sounds through earphones
  • tests how cochlea and brain pathways work
37
Q

list the 5 nerves involved in the auditory pathway:

A

E - 8th nerve
C - cochlear nucleus
O - superior olivary nucleus
L - lateral lemniscus
I - inferior colliculus

38
Q

what is the difference between speech and language?

A

speech - the way we say something
language - form, meaning and use of words and utterance

39
Q

what is neuroplasticity?

A

brains ability to change through experience

40
Q

describe the different stages of language development

A
  • <6 months - pre-verbal
  • 6-10 months - babbling
  • 6-12 months - detect phonemes
  • 1 year - one word morphemes
  • 18 months- two word phrases
  • 2.5 years - simple sentences that lack tenses and have errors in syntax
  • pre school - improve phonemes, pronunciation and articulation
  • primary school - master syllable stress
41
Q

what can be the outcome if a child fails to get support as a language learner in early childhood?

A
  • aggressive behaviours
  • withdrawn into silence
  • reading and educational difficulties
42
Q

what two categories of deaf people benefit from cochlear implants?

A
  • pre-lingually deaf children - encourages auditory input
  • post-lingually deaf adults - have sound memory and speech is developed
43
Q

when should pre-lingually deaf children be prescribed hearing aids? when should they have a CI?

A
  • hearing aids before 3 months
  • implants before age 4, ideally at 12 months
44
Q

after what period does CI not improve hearing or speech?

A

after the period of neuroplasticity