Back To School – Hearing Loss and Its Implications for Learning and Communication
Poor hearing is a serious problem for children. It affects their ability to learn to speak, read and be educated.
Hearing Loss and Children: The Facts and Why They Are Important!
About one in every 1000 children is born with a significant hearing problem. About another one in 500 will develop such problems in childhood.
There are differing degrees of hearing loss, referred to as mild, moderate, severe and profound.
Communication development and behavioural skills are influenced by a child’s ability to hear. When hearing loss goes undetected or is detected late (after 6 months of age), language and speech development can be delayed. This delay can affect a child’s social interactions, emotional development and academic performance. Recent research indicates that children whose hearing loss is identified and intervention is begun within the first six months of life have higher language levels than children identified after six months of age. Also children with normal cognitive status have normal language development when their hearing loss is identified by six months of age, and children with early-identified hearing loss have significantly higher personal-social development than children identified later. Research has also found that a child’s auditory skill performance is significantly related to age of intervention. Additionally, lower rates of stress, depression and conflict among parents and faster resolution of grief related to the identification of hearing loss have been linked to early detection of and intervention for children with hearing loss.
What Are the Types of Hearing Loss?
- Conductive – hearing loss resulting from disorders of the outer and/or middle ear (e.g., resulting from ear infections, abnormal ear structures)
? Sensorineural – hearing loss resulting from disorders of the inner ear or the 8th cranial nerve that carries the auditory signals to the brain (e.g., resulting from meningitis, noise exposure, problems at birth)
? Mixed – a combination of conductive and sensorineural hearing loss
? Central – results from disorders of the central auditory nervous system (e.g., central auditory processing disorders)
How Does Hearing Loss Affect Children?
Conductive Hearing Loss
? Hearing loss may be bilateral (both ears) or unilateral (one ear)
? Hearing loss may be fluctuating, permanent, or temporary
? Children may have difficulty
• With auditory reception and consistently organizing auditory information
• Understanding speech
• Understanding in adverse listening conditions
• Localizing sounds and understanding speech in the presence of competing noise (unilateral hearing loss)
• Loss of binaural listening advantage (unilateral hearing loss)
? Medical consultation and/or monitoring may be indicated
? The use of personal and/or group amplification and/or hearing assistive technology should be considered if hearing loss cannot be resolved through medical treatment
? Children may have
• Difficulty forming linguistic categories (plurals, tenses)
• Difficulty differentiating words and sounds
• Receptive and/or expressive language delay
• Problems with articulation
? Children may have
• Lower scores on achievement and verbal IQ tests
• Poor reading and spelling performance
• Greater need for enrolment in special education or support classes
• Lower performance on measures of social maturity
Sensorineural Hearing Loss
? Hearing loss may be bilateral or unilateral
? Children can exhibit
• Difficulty understanding speech and with auditory discrimination
• Significant problems listening and understanding in noisy and reverberant environments
• Difficulty localizing sounds and understanding speech in the presence of competing noise (unilateral hearing loss)
• Loss of binaural listening advantage (unilateral hearing loss)
? Use of personal and/or group amplification and/or hearing assistive technology should be considered
? Children typically exhibit delays and/or difficulty with
• Tasks involving language concepts
• Auditory attention and memory, and comprehension
• Receptive and expressive language
• Syntax, semantics, and vocabulary development
• Speech perception and production
? Children typically exhibit
• Lags and deficits in academic achievement, including language arts, vocabulary development, reading, spelling, arithmetic, and problem-solving
• Verbally based learning difficulties
• Progressive educational delays
? In addition, children with sensorineural hearing loss may have
• High rates of grade repetition and academic failure
• Self-described feelings of isolation, exclusion, embarrassment, annoyance, confusion, and helplessness
• Less independence in the classroom
• Lags in psychosocial development
? Increased need for special education and/or classroom supports
Mixed Hearing Loss Implications
? Hearing loss may be bilateral or unilateral, with various components of both sensorineural and conductive hearing losses.
? As with conductive and sensorineural hearing losses, a variety of audiological interventions and referrals may be indicated.
? Children can exhibit some or all of the audiological, communication, and academic implications of sensorineural and conductive hearing losses.
Central Auditory Processing Disorder Implications
? Hearing sensitivity is typically normal but a hearing loss could be present.
? Children may
• Behave as if they have hearing loss
• Score lower on measures of verbal IQ than on measures of performance
• Require more help with organization in the classroom
• Have difficulty following multiple step directions
• Refuse to participate in class discussions or respond inappropriately
• Act withdrawn or sullen
• Have a history of chronic ear infections or other otologic and/or neurologic problems
• Have poor singing and music skills
• Have deficiencies in fine and/or gross motor skills
Is Your Child at Risk for Hearing Loss?
Behaviours of Children at Risk for Hearing Loss
? Do not startle to loud sounds during infancy
? Do not turn in the direction of sounds after 7 months of age
? Have a history of 3 or more ear infections in one year
? Often misunderstand what is said
? Constantly request that information be repeated
? Frequently say “huh” or “what”
? Have difficulty following verbal instructions
? Give inconsistent responses to auditory stimuli
? Turn up the volume of the television, radio or stereo
? Give slow or delayed response to spoken directions or requests
? Have poor auditory attention
? Have poor auditory memory (span and sequence)
? Are easily distracted
? Have difficulty listening or paying attention in the presence of background noise
? Have delayed receptive and expressive language
? Have difficulty with phonics and speech sound discrimination
? Learn slowly through the auditory channel
? Have reading, spelling and other academic problems
? Exhibit behaviour problems
Children with hearing loss may exhibit some, many, or none of these behaviours, and the behaviours may be different at each age level. It is often difficult to determine if a child has a hearing loss or is exhibiting certain behaviours based on age and/or temperament. Hearing loss in newborns and infants is not readily detectable by routine clinical procedures such as behavioural observation. Children of all ages, even newborns, can have their hearing tested.
If your child fails a hearing screening or if your child’s response to sound seems different or inconsistent, you should have your child’s hearing evaluated by a certified audiologist.
What Can an Audiologist Do for My Child?
An audiologist evaluating a child typically uses certain basic procedures to determine if the child has a hearing loss and, if so, the type and degree of the loss. These procedures may include a pure tone hearing test, speech audiometry, and tests of middle ear function. Depending on the age or level of cooperation of the child, specialized testing (e.g., auditory evoked potentials, otoacoustic emissions) may be required. Audiologists provide
? audiological, central auditory, and hearing aid evaluations
? audio logic intervention (e.g., hearing aids, assistive technology, speech reading, auditory training).
? hearing loss prevention and hearing conservation services
? case management services and/or expert representation on individual family service plan and individualized education plan
? information and recommendations related to communication options
? referrals for medical, educational, psychosocial, and speech-language pathology intervention services.
Contact Hearing and Audiology ….the best place to Get Help and Advice!
Hearing And Audiology is one of Perth’s most established and prominent independent audiological practices with room in Subiaco, Duncraig & Geraldton.
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Humor can sometimes make lite of a serious situation – but it’s a great way to break the ice and start a conversation.
Hearing and quality of life are closely linked. Poor hearing affects both the person with the loss and those with whom they communicate. A comprehensive study on the effects of untreated hearing loss on adults as well as their families found that hearing loss impacts on our social, emotional, psychological and physical well-being.
An elderly gentleman…
Had serious hearing problems for a number of years. He went to the doctor and the doctor was able to have him fitted for a set of hearing aids that allowed the gentleman to hear 100% .
The elderly gentleman went back in a month to the doctor and the doctor said, ‘Your hearing is perfect. Your family must be really pleased that you can hear again.’
The gentleman replied, ‘Oh, I haven’t told my family yet.
I just sit around and listen to the conversations. I’ve changed my will three times!’
Three old guys are out walking.
First one says, ‘Windy, isn’t it?’
Second one says, ‘No, it’s Thursday!’
Third one says, ‘So am I. Let’s go get a beer.’
A man was telling his neighbor, ‘I just bought a new hearing aid. It cost me four thousand dollars, but it’s state of the art. It’s perfect.’
‘Really,’ answered the neighbor ‘What kind is it?’
‘ Twelve thirty.’
And one more…
Morris, an 82 year-old man, went to the doctor to get a physical.
A few days later, the doctor saw Morris walking down the street with a gorgeous young woman on his arm.
A couple of days later, the doctor spoke to Morris and said, ‘You’re really doing great, aren’t you?’
Morris replied, ‘Just doing what you said, Doc: ‘Get a hot mamma and be cheerful.”
The doctor said, ‘I didn’t say that. I said, ‘You’ve got a heart murmur; be careful.’
Tinnitus — that ringing and buzzing in your ears that won’t stop — is a common condition among millions of Americans. Its impact on your life can be serious. Anxiety, depression and loss of sleep are common side effects. This may be especially true if tinnitus is accompanied by unknown hearing loss, as is the case in 90% of tinnitus sufferers.
Tinnitus has a variety of causes. Experts suspect that the ringing sound is the brain trying to adapt to a loss of hair cells, the nerve cells inside your ear that translate sound into electrical signals for the brain to interpret. This nerve loss can be caused by long noise exposure, aging, inner ear infection, or a condition called Meniere’s disease.
Every case is unique. But you can take charge.
There are, however, professionally monitored treatment plans and technologies for managing tinnitus and relieving the stress and anxiety it causes in your life. Oticon hearing devices with Tinnitus Sound Support™ can help because they provide amplification and a special sounds program for tinnitus relief. Tinnitus Sound Support™ is a feature that works with BrainHearing™ technology to address your unique condition, your likely hearing challenges, and your personal sound preferences. This individualized, flexible approach gives tinnitus sufferers an option for relief.
Get relief today.
The first step in getting effective relief from tinnitus is to have your hearing evaluated byHearing & Audiology. There is hope — with an understanding of your tinnitus and any related hearing challenges, you can discuss your goals with your hearing care professional and plan a course of treatment.
It’s important to know that you don’t have to live with untreated tinnitus. Learning to manage your tinnitus is the first step to regaining hope and maintaining your health.