Hearing Related Communication Disorders

Question 1

what types of sounds do kids w HL have difficulty with?

3 + 1

Answer 1

confusions between phonemes that have:

• same image on lips (visemes)
• voicing/devoicing
• nasalization/denasalization

or sounds according to frequency of hearing loss (ex: k/t, f/s for HF loss, d/g, v/z for LF loss)

Question 2

greatest difficulty in language acquisition for kids with HL?

Answer 2

acquisition of vocabulary/word finding

• bc less passive learning
• difficulty with phonological encoding (imprecise - hard to retrieve)
• requires more repetitions to learn words

Question 3

why are grammatical morphemes hard to acquire for children with HL?

Answer 3

• short and reliant on 1 or 2 phonemes
• not highlighted in sentences
• can be contracted

Question 4

why do children with HL have difficulty acquiring written language

Answer 4

difficulties with

• phonological awareness
• vocabulary knowledge
• morphological knowledge
• lack of “habiletés pré écriture”

Question 5

Components of

OSM = CIF (Classification internationale du Fonctionnement, du handicap et de la santé)

WHO = ICF (International Classification of Functioning, Disability and Health)

Answer 5

• Body functions and structure
• Activities (related to tasks and actions by an individual) and participation (involvement in a life situation)
• Additional information on severity and environmental factors

Personal factors : body structures (intact VS deficit) + aptitudes (capacity VS incapacity)
Environmental factors: (facilitate VS obstacle)
Life habits: (social participation VS handicap situation)

Question 6

cognitive impacts of HL in children

Answer 6

• difficulty developing theory of mind (important for inferences, abstraction, etc.)
• cognitive overload
• language/written language difficulties affect ability to learn

Question 7

what impact does HL have on speech resonance

Answer 7

• cul-de-sac resonance (bc gives more tactile feedback in absence of appropriate auditory feedback)

Question 8

“zone proximale de developpement?”

Answer 8

qqchose que l’enfant peut faire avec aide. on retire graduellement l’aide.

Question 9

different auditory skills to work on in hierarchy with speech with HL children

Answer 9

• detection (tell a sound has occurred)
• discrimination (tell 2 sounds are different)
• identification (in closed choice)
• recognition (in open choice)
• comprehension (access meaning)

Question 10

“auditory age” concept

Answer 10

start counting from when the child had access to adequate hearing

Question 11

auditory processing skills

Answer 11

dichotic listening (integration/seperation)
temporal processing
auditory discrimination
pattern perception
speech in noise
distorted speech
lateralization/localization
spatial segregation
temporal processing

Reconnaissance de patrons auditifs
Discrimination auditive
Séparation figure/fond
Séparation binaurale
Intégration binaurale
Organisation séquentielle
Suppléance auditive
Interaction binaurale (localisation et latéralisation)

Question 12

benefits of FM system in classroom as intervention for auditory processing disorder

Answer 12

• improve noise-harmonics ratio

- reduce effect of distance (*lost 6dB every distance doubling)

Question 13

limits of lip reading

4 + 4

Answer 13

• “invisible” sounds that are produced without visible indicators (k-g-gn-r-y) at the back of the mouth
• sounds with same visemes
• speech of speech (average 13 sounds per second but we can see 10 movements per second)
• coarticulation modifies visemes of sounds
• quick to cognitive overload
• harder in a group
• need view of lips
• some people hard to read lips (moustache, accent, etc)