TEST 2 (HI) Flashcards
Hearing Loss/impairment
Poor imitation skills Problems connecting ideas (cause and effect, concept of finished, first work then play) Disorganized Difficulty with sequencing Extreme problems with generalization
Sensorineural HL
Hearing loss with damage to the HAIRS CELLS IN COCHLEA or in the auditory neurological pathways to the brain
•Severity of loss related to extent of damage to hair cells
•Reduced sensitivity and distortion (difficulty discriminating speech)
•Usually considered irreversible
•Cause by genetic disorders, birth defects, prematurity, infections
•Hearing aids/amplification; surgery – CI
Conductive HL
: occurring in the EXTERNAL OR MIDDLE EAR. There is a loss of sensitivity without associated distortion usually temporary, medically inclined. Treated with antibiotics
•Usually the result of a medical problem (fluid-filled ME or perforated ED)
•Usually temporary HL (fluctuating)
•Can be treated medically and/or surgically
•If frequently repeated, can cause permanent damage
•What is the controversy relative to the effects of OME on language development/outcomes
Central Auditory Processing Disorder
Malfunction of the auditory pathway to the brain or small defects in brain’s auditory cortex
Normal peripheral hearing – (not due to access to sound or audibility) - but show poorer performance than age-related peers when tested on a range of complex auditory processing or speech perception tasks.
-Hearing Aids/Cochlear Implants do NOT help.
-Assist with strategies (e.g., auditory listening devices, speech decoding strategies, seating, environmental improvements, other….)-filter sound around them
Factors that potentially impact the effect a HL has on a child’s language development
-Age HL occurs (congenital, immediate postnatal, acquired)
-Stability of HL over time (stable, progressive, fluctuating)
-Parental hearing status (their expectations)
-Age when HL identified & treatment started (early intervention issues)
-Presence of other handicapping conditions
Background noise issues (classrooms)
HL Genetic vs congenital & parents reactions
The earlier the loss the more it effects S-L development and the more severe the more impact on linguistic development. Genetic vs. congenital
Normal hearing parents respond more negatively and provide less input than do parent whose hearing is impaired. Reaction is less stressed than hearing parents.
- Tips you would offer a CR teacher with a child with a HL in class
Not to put the child at the very front of the class, as there is a lot of background noises there (rustling papers, overhead projectors…) and that could also be disruptive to the child