Friday, April 12, 2013

Integrated Terapies for Deaf Children


Integrated Terapies for Deaf Children

Many are willing to write, but still hassle at the baby. But yesterday the school had to write for the brother, jelasin few things. This communication involves the sister, Ellen (6 years), the deaf but we enter public school. As well as share information on here, in case useful.

Basic Principles of Therapy Ellen

(Integrated therapy = therapy + hear speech therapy)

1. Heard through the ears of ABD-assisted, not by sight gestures or mouth movements.
2. Limitations of the child in response to our conversations is because they have not understood the word / phrase is heard (limited vocabulary, because it just started to hear for 2 years), so it needs to be assisted with drawing / hand movements. But even this aid it is only a moment in order to supply a new word, as the word is understood, visual aids removed.

3. So then is supplied to the ears of Ellen vocabulary, without demanding his immediate / direct to understand let alone pronounce. John Tracy Clinic wrote: to be able to understand a word the child had heard 100 times, to be able to say he had heard 1000 times. So since Ellen put our concentration ABD supply and supplying the word in his ear (when conversing normally, or when specific teaching new words).

4. The technique is to speak at normal volume near the ear. It is intended that suluruh consonants can be captured. Talk to a longer distance with a loud voice (shouting) causes the captured just vocal.
5. We have implemented a point 1-4 for 1 year and has proven to show good results. At the end of the first year, he's only had receptive language (understanding some of the words we speak without moving his lips he saw, but he can not pronounce it), and after that began to appear the first words (even if the pronunciation is not perfect, but it is consistent), and immediately followed by the next words. This method is called auditory verbal techniques. It is that we apply ...
6. Constraint that arises is that pronunciation is still very weak, hence the suggestion of John Tracy Clinic then Ellen aided speech therapy (at a hospital). Speech therapists help shape the pronunciation Ellen speech therapy techniques to the words that are understandable Ellen but not good pronunciation. Although only 4 months (had to quit because they do not fit the new schedule only am-noon), this pattern has shown encouraging results. + Method of auditory verbal speech therapy is called auditory oral. This is our go-apply at this time (with the help of a speech therapist at the school).
Note:

- Modern research claimed almost all deaf children still have residual hearing (not 100% deaf). Residual hearing can be optimized with the help of hearing aids (ABD, although not as sophisticated cochlear implant).

- But wearing the ABD is not the same as wearing glasses, which immediately could see more clearly. Because the response to visual stimuli is direct, while the response to auditory stimuli is through a stage of understanding / interpretation first. To achieve an understanding of the important steps is to be heard, and heard, with clear pronunciation, a short sentence, and if necessary with the help of visual: images and hand movements (sometimes without the help of the child would be difficult to understand new words, like a movie we speak strangers when we hear players talking cas-cis-cus without us capturing that means). But help was slowly eliminated, so that the future will only communicate verbally. (By: Ellen mama, papa edited by Ellen)

combine by me :

Hearing Loss, Causes, Types and Useful Information | MED-EL
Hearing Loss, Causes, Types and Useful Information | MED-EL: Hearing and
Hearing Loss

Each part of the ear has a critical role in providing sound information to the brain. Hearing loss caused by damage to one or more parts of the outer ear, the middle or inside. In order to properly understand hearing loss, we need to understand the anatomy of the ear and how the hearing. Overview of the case will be outlined in the following explanation.

Hearing loss should always be diagnosed by a hearing, such as expert audiology or ENT specialist. They will test the hearing to determine the type and level of damage. An audiogram, will describe the findings of the hearing test.

There are four types of hearing loss:

Type the first and most common is sensorineural hearing loss caused by the loss or destruction of nerve cells (hair cells) in the cochlea. Conductive hearing loss indicates a problem in the outer or middle ear that causes terhantarnya not exactly sound to the inner ear. Mixed hearing loss is a combination of conductive and sensorineural hearing loss. Finally, hearing loss occurs when the nerve auditory nerves can not send signals to the brain.

hearing impairment may be of two main types
By Dr Ananya Mandal, MD :

Hearing from a hearing loss may be from two main types - conductive and sensorineural hearing impaired. The third type is the type of the underlying mixture of symptoms of both types of hearing deaf. 1-6

Normal ear anatomy
Ear consists of a narrow channel that allows the sound waves. This is called the outer ear or ear canal. This wave enters the ear canal and strike the ear drum.
Ear drum (called tympani membrane) is a membrane that vibrates as sound waves hit it. Vibrations is given to three small bones (ossicles) in the middle ear. This is called a bone hammer, stirrup bone and bone foundation.

Ossicles move to strengthen the vibration and give it to the inner ear. The inner ear contains a shell-shaped organ called the cochlea. The cochlea are tiny hair cells along the inner wall. This move in response to vibrations and send signals through the auditory nerve to the brain.

Decibel hearing

Reach normal hearing is 0-20 decibels (dB). Around 30 dB is to whisper, 50 dB for the average home and 60 dB sound for speech speeches. Sounds like a jet engine sound over 140 dB and painful.
Hearing is measured in decibels (dB HL) hearing.
25-39 dB HL hearing means light (can not hear whispers)
40-69 dB HL moderate means (not listening speech)
70-94 dB HL worse (can not hear the shouting)
more than 95 dB HL deep (can not hear the voice that will be painful for a listen)

Types of hearing loss
Types of conductive hearing loss include hearing, sensorineural hearing and the nature of the mixture.

Conductive hearing
In this case sound waves can not pass from the outer ear to the inner ear resulting in hearing. The most common reasons for:
blockage of the ear canal by ear

ear drum perforation

Build-up of fluid called glue ear for ear infection
Sensorineural hearing loss

This occurs where the auditory nerve and other nerves that carry information from the brain damaged voice heard because of age or injury.
Hearing loss due to aging called presbyacusis. After the age of 30-40, many people begin to lose their hearing in small amounts. This increases with age and by 80 many people may have a significant hearing loss.

Presbuacusis occurs when the hair cells in the cochlea sensitive gradually become damaged or die. Early symptoms include loss of high-frequency noise, such as women or children voices and trouble in consonant conference, making difficult to hear and understand speech.

Ear injuries are other common causes of hearing loss. This occurs because the damage caused by loud noises. Constant inner structure was damaged due to contact with noise. Voice appears causes the hair cells in the cochlea become inflamed.

Some drugs may also cause nerve damage to sensorineural hearing ear. These include antibiotics like aminoglycosides (gentamicin, Amikacin etc.)
Mixed types of hearing loss

When people get the two types together, the condition is referred to as a mix of different types of hearing.

therapeutic hearing / hearing therapy, auditory verbal therapy / auditory verbal therapy, auditory oral therapy, AVT / TAV, speech therapy, cochlear implants / cochlea implants, hearing aids / ABD, communication, deaf

 Related posts will follow (please see Recent Posts).