listening & spoken language - exam 2 Flashcards
what is listening & spoken language
based on the understanding that children who are deaf & hard of hearing can learn to speak, listen, read, & write w/ the same fluency as their hearing peers
provided that you intervene early enought
auditory verbal therapy (AVT)
auditory detection
auditory discrimination
auditory identification
auditory comprehension
how many children w/ HL are born to hearing & speaking families
95%
questions to ask before setting goals for a child w/ HL
what is family’s desired outcome / long term goal
how does the family want to communicate w/ their child
where do they want their child to be at age 3, 5, 15, 20
who is LSL for
families who have listening & spoken language as desired outcomes for their child
how do children learn to listen & talk
by hearing & listening to the speech & spoken language of their parents, caregivers, & family members
auditory neural physiology has caused hearing management’s focus to shift from what to what
ear to the brain
what happens when the brain does not have access to intelligible speech during the early months & years of a child’s life
meaningful auditory input does not coordinate activity between primary & secondary auditory cortex
what happens when auditory signals are not efficiently & effectively transmitted from primary to secondary auditory cortex
thee secondary cortex can’t distribute spoken language & other meaningful sounds/info to the rest of the brain to create auditory meaning & knowledge
brain & speech by the time babies are born
the neural preparation for language is specialized to speech by the time babies are born as spoken language is heard in utero
hearing in utero
hearing begins before birth at 20 weeks gestation
brain development in utero
from day 1 - baby’s brain is ready to learn
when is newborn hearing screening
shortly after birth
brain development days after birth
baby’s brain can access your voice & meaningful words
help their brain grow & make connections
if your baby does not pass the newborn hearing screening, when do they test again
before 1 month
brain development before 1 month
baby needs to hear meaningful speech & language surrounding them so that they can learn to listen, talk, & read
when should you diagnose HL if possible
before 3 months
needs hearing tech
brain development before 3 months
turn taking
use words & talk about the world
when should a baby w/ HL be enrolled in early intervention
before 6 months
what are the critical years for listening & talking
the first 3 years
babies are born w/ _____, but ______ are created by experiences
neurons
synapses
we don’t “hear” mommy, what do we hear
we hear her doing things
the brain puts it together that it’s mommy
what is language
an organized system of communication used to share info
sounds, words, grammar
facial expressions, gestures, & body movement
knowledge/ideas you have in your head
doorway problem
hearing loss is a doorway problem - all HL prevents sounds from reaching the brain where perception occurs
HAs & CIs break through the doorway to allow access
purpose of technologies
to get sound through the gateway to the brain
brain access device
why use HA prior to CI
brain activation procedure
what is essential for Brian growth for children w/ HL
acoustic accessibility of intelligible spoken language
what is the frist-order event for the development of language
hearing
& then:
- spoken communication
- literacy skills
- social emotional connections
when should kids get fit for CIs
~12 months
some as early as 6 months
when should children get fit for HAs
~3-6 months
how long should a child be using their hearing technology
10-12 hours per day
more language stimulation the better
is reading natural
no
need to create neural pathways for reading
exercise in plasticity
what is the biggest factor in a preschooler’s vocab
exposure to books
reading
reading aloud
what is the foundation of reading
listening
how many hours of listening to speech before a child’s brain has clear mental referents for each of the speech sounds
20,000
what hemisphere is rhythm
right
what hemisphere are words
left
rhythm/beat synchronization is foundational for
Phonological awareness
encoding speech sounds
auditory memory
rapid naming
singing expands vocab - true or false
true
techniques & strategies for children w/ HL
more time w/ hearing tech
remote mic
slower speech
clear speech
visual cues
parallel talk, expansion
