Hearing loss Flashcards
what 4 aspects of hearing loss effect speech production?
- Level of hearing sensitivity
- Age of onset & age of detection
- Speech recognition ability
- Age, type, and amount of habilitation
What effects phonology?
- effected by age of onset
2. frequencies at which loss occurs
What are some typical speech errors?
V
O
N
S
C
D
V
Voicing
Omissions & Additions
Nasality
Substitutions
Cluster
Distortions
Vowel Errors
*** Intonation, duration Rhythm
What are some typical error patterns?
Omissions
Additions
Omissions in 1.____2.____consonants are part of Error Patters
Final & Initial
What Additions are part of Error Patterns on Hearing loss? (3)
- Insertion of a vowel between consonants
- unnecessary release of final consonants (aspirated stops)
- Superfluous breath before vowels
***Are error patterns for mild-mod losses the same or similar to normal phonological processes? How about for severe losses?
yes
Is Otitis Media correlated to phonological disorders in SOME children?
Yes
What percentage of children with mod-severe phonological disorders have a hx of O.M?
33%
Shriberg & Kent- finding regarding types of error and ability to predict hx of O.M.?
- INITIAL CON. DELETION: or replacement with /h/ or glottal stop
- NASALS replaced by other nasals or stops, or denasalized
**Can identify O.M. based on the phonological processes they use.
Paden et. al- What are some markers that may indicate which children may require speech tx?
- velar deviation
- cluster reduction
- Lack of score on arctic test after P.E. tubes for 4 mos.
- 3 mos. between initial dx of OM and first remission
What are red flags for remediation? (3)
- mean artic score is more than 20% below the norm
- 12 mos. of OM w/o remission of at least 6 mos.
- no change in artic. test results after 3-4 mos. of PE tubes
