Aural Rehab: 0-3

Question 1

0-3 population

Answer 1

• sensorineural hearing loss at birth
• 1.7 in 1,000 at birth
• 3 children per 1000 by school age
• more hearing loss in adults than kids

Question 2

causes of hearing loss in 0-3

Answer 2

• 50-60% genetic cause
• non-syndromic: 70%, connexin 26 most common
• syndromic: 30%, hearing loss with other clinical findings (treacher-collins)
• 25% intrauterine infections/birth complications; non-genetic
• 25% unknown

Question 3

non-genetic causes of HL

Answer 3

• low birth weight
• hyperbilirubinemia
• oto-toxic medications (chemo)
• low APGAR scores
• prolonged ventilation
• meningitis
• trauma
• TORCH: toxoplasmosis, other (syphilis), rubella, cytomegalovirus (CMV), herpes

Question 4

joint committee on infant hearing recommendations

Answer 4

• 1: identity hearing loss
• 3: confirm/diagnosis hearing loss
• 6: receive intervention; device, parent support, therapies

Question 5

newborn hearing screening

Answer 5

• all states have programs
• all hospitals performing deliveries shall conduct hearing screening of all newborn infants prior to discharge - Illinois
• mandates follow up management & reporting to state/fed gov
• CMV public education act requires families to be given info about CMV if child fails 2 hospital hearing screenings
• good amounts screened; diagnosis & intervention lacking

Question 6

Yoshinago-itano (1998; 2006)

Answer 6

• responsible for UNHS; change public policy
• if identified by 6 months = can have normal expressive & receptive language scores at 3 years
• independent of method of communication & amplification device

Question 7

Tomblin et al. (2005)

Answer 7

• children implanted earlier had better language 1, 2, & 3 years post implant (12 better than 15, better than 18 months)
• steeper increases in language development

Question 8

Communication mode based on …

Answer 8

• parameterization of HL
• family makeup
• education choices
• availability

Question 9

unisensory communication modes

Answer 9

• auditory-verbal: only uses audition
  -oral: uses audition & speech reading

Question 10

ASL

Answer 10

• American sign language
• natural language
• Bilingual/bicultural model: want ASL & part of deaf culture; use deaf mentors

Question 11

Signing exact English (SEE) or manually coded English (MCE)

Answer 11

• sign systems correspond to English
• attempt to represent morphology & syntax of written English visually

Question 12

Pigdin signed English (PSE)

Answer 12

• uses ASL signs with English word order
• compromise
• natural process of 2 languages combining

Question 13

Cued Speech

Answer 13

• using phonemically based hand gestures to supplement speechreading

Question 14

How to help make communication mode decisions

Answer 14

• Provide unbiased information
• Arrange visits to educational facilities
• Arrange meeting with hearing impaired & deaf adults
• It is the families’ choice

Question 15

families want …

Answer 15

• objective information
• links to community sources
• chance to talk to other families
• respect for their choices

Question 16

goals of early intervention

Answer 16

• Support parents in creating a language rich environment
• Capitalize on sensitive periods for language & auditory development
• Promote healthy emotional context for development
• Support family learning & decision making