Hearing Tests for Children with Multiple or Developmental Disabilities by Susan Agrawal

Size: px
Start display at page:

Download "Hearing Tests for Children with Multiple or Developmental Disabilities by Susan Agrawal"

Transcription

1 Hearing Tests for Children with Multiple or Developmental Disabilities by Susan Agrawal Hearing impairment is a common problem in children with developmental disabilities or who have multiple complex medical issues or disabilities. In many cases, however, hearing loss is overlooked because of the difficulty of assessing children who cannot speak, move, follow directions, or maintain concentration throughout a hearing test. Other disabilities, such as autism or physical disabilities, may make standard indicators of hearing milestones difficult to interpret for both parents and professionals. Children with certain congenital or genetic disorders, as well as children with a history of birth complications, are especially prone to hearing loss. Please see Table 1 for a list of conditions that are associated with hearing loss. If a child has one or more of these conditions, a comprehensive hearing screening should be performed. Similarly, any child who is not meeting age appropriate speech and hearing milestones should be screened for hearing loss. Table 1: At Risk Conditions for Hearing Loss 1 Family history of hearing loss In utero infection such as toxoplasmosis, rubella, CMV, herpes, or syphilis Ear and/or craniofacial differences High bilirubin levels, especially if exchange transfusion was required Low birth weight (less than 1500 g) Bacterial meningitis Low Apgar scores or birth complications Respiratory distress at birth On a ventilator for 10 or more days Use of a medication such as gentamicin that can cause hearing loss A genetic condition associated with hearing loss (such as Down syndrome) or features suggestive of a genetic condition Persistent or frequent ear infections Head trauma or fracture Infectious diseases such as meningitis, mumps, or measles Neurodegenerative disorders Brain injury Failure to meet speech or hearing milestones Copyright 2011 by Complex Child E-Magazine. All Rights Reserved. This document may be distributed for educational use only with proper citation.

2 2 Hearing tests for children with developmental or complex disabilities can be difficult to administer and interpret. The remainder of this article will describe the subjective and objective tests currently available to assess any child, regardless of disability. Subjective Testing Testing for typically developing children over the age of about a year typically involves subjective hearing testing. Children ages one to four use conditioned or play-based responses to assess hearing. For example, a preschooler can be taught to place a block in a jar every time he hears a sound through earphones. A younger child might be trained to turn and look at a light-up toy when she hears a sound. While imprecise, these screening tools can provide basic information on hearing loss. A child's attention span and behavior may limit the ability to obtain valuable results. Once a typically developing child reaches age four, testing is performed using standard behavioral audiometry, with the child raising his hand when he hears a sound through earphones, or in some cases, through bone vibration. Many children with multiple or developmental disabilities are unable to perform successfully on these tests. A child with cerebral palsy, for example, may not have the fine motor skills to lift or drop a block. Or a child with autism may not be able to tolerate the aural stimuli or respond consistently or appropriately to sounds. Some children with cognitive deficits may not be able to learn the trained responses they need to give in response to the aural stimuli. In these and similar other cases, more objective testing is of value. Objective Testing There are several different tests that can be performed on children unable or unwilling to complete regular audiometry. These include Otoacoustic Emission (OAE) testing, Auditory Brainstem Response (ABR), and Auditory Steady-State Response (ASSR). Otoacoustic Emission Testing (OAE) The inner ear or cochlea actually generates a small sound. In children with healthy ears, this sound can be evoked by providing a click or tone in the ear, and a small microphone measures whether the small sound is produced or not. If it does not occur, this suggests that the middle or inner ear is not functioning appropriately. This hearing test is valuable because it is simple to do on a child of any age, can be performed during sleep, is very fast, tests each ear separately, and is objective. A small probe is placed in the child's ear that uses tones at various frequencies (high and low sounds) to detect the possibility of hearing loss. A child will receive a report stating

3 3 whether or not he passed or failed each frequency tested in each ear. This test is commonly performed on all newborns in many states. There are limitations to this test. It is not effective if the child is moving or crying, and fluid in the ears will make the results unreliable, as it blocks transmission of the tones or reception of the OAEs. It only assesses frequency loss, and cannot quantify if a child can hear soft or loud sounds. Furthermore, it does not detect any cortical hearing issues or hearing problems that are caused by damage to the nerves transmitting sound to the brain or the brain's processing areas for sound. Auditory Brainstem Response (ABR) An ABR is a more comprehensive test of hearing that uses electrodes on the head to sense whether sounds travel appropriately through the auditory nerve into the brainstem. This test requires the child to be still and quiet for about an hour, so children who are too young to remain quiet are often sedated during the test. Most children between the ages of about three months and eight years will require sedation. Sleeping infants and older children without behavioral or developmental issues can be tested without sedation. A shorter automated type of this test may also be used in newborn screening programs. During the test, electrodes are placed on the child's head while different tones are played in each ear. The brain's response to each tone is recorded and allows an audiologist to determine what frequencies a child can hear (high or low sounds in hertz) and how loud the sounds must be for the child to hear them (volume in decibels). Some ABR testing, particularly the abbreviated form used for newborn screening, is automated, but more comprehensive diagnostic testing requires an audiologist to interpret the brain waveforms to determine whether a child can hear a particular frequency and volume. This test does have some limitations. It will not identify cortical processing issues and cannot be performed accurately if there is fluid in the ears. It is possible to perform the test using bone conduction (vibration of the bones in the skull) instead of air conduction (tones in the ear) for children who have persistent problems with fluid or cannot be tested in the traditional way due to malformations of the ear. Auditory Steady-State Response (ASSR) The ASSR is a newer test that is closely related to the ABR and may be performed in conjunction with it. It also uses electrodes and tones played in the ear, but uses repeated tones instead of single abrupt tones. It can better identify specific frequency problems, especially in children with severe or profound hearing loss. It also uses statistical analysis to interpret brainstem responses instead of relying on an audiologist to interpret waveforms. This test may provide quicker and more accurate results for children with significant hearing loss.

4 4 Get Tested! If your child does not seem to hear you, does not turn to loud sounds, has speech problems, or has one of the above listed conditions in Table 1, comprehensive testing for hearing loss is definitely worthwhile. There are many adaptations, ranging from sign language to hearing aids and cochlear implants, that can improve hearing for many children. Improving hearing will often help a child make progress in other developmental domains, including speech, communication, behavior, and learning. Get your child tested!

5 1 Adapted from Joint Committee on Infant Hearing. Year 2000 position statement: principles and guidelines for early hearing detection and intervention. Pediatrics 2000;106:

Once your baby has good head control and can turn towards something interesting, a more advanced behavioural procedure can be used.

Once your baby has good head control and can turn towards something interesting, a more advanced behavioural procedure can be used. How do we test the hearing of babies and children? An audiologist will select from a range of different tests to evaluate your child s hearing. The choice of test depends on the information that is needed

More information

Faculty. Alabama s Listening: Newborn Hearing Screening Program. Why is Newborn Hearing Screening Important?

Faculty. Alabama s Listening: Newborn Hearing Screening Program. Why is Newborn Hearing Screening Important? Alabama s Listening: Newborn Hearing Screening Program Broadcast Date: May 18, 2006 Faculty Stacey Neumann, LGSW Care Coordination Resource Manager Bureau of Family Health Services Melissa Tucker, AuD

More information

Questions and Answers for Parents

Questions and Answers for Parents Questions and Answers for Parents There are simple, inexpensive tests available to detect hearing impairment in infants during the first days of life. In the past, most hearing deficits in children were

More information

Early Hearing Detection and Intervention (EHDI): A Primer for Residents A PRESENTATION FROM THE AMERICAN ACADEMY OF PEDIATRICS

Early Hearing Detection and Intervention (EHDI): A Primer for Residents A PRESENTATION FROM THE AMERICAN ACADEMY OF PEDIATRICS Early Hearing Detection and Intervention (EHDI): A Primer for Residents A PRESENTATION FROM THE AMERICAN ACADEMY OF PEDIATRICS 1 Hearing Facts Early identification and intervention of a child who is Deaf

More information

Hearing Tests And Your Child

Hearing Tests And Your Child HOW EARLY CAN A CHILD S HEARING BE TESTED? Most parents can remember the moment they first realized that their child could not hear. Louise Tracy has often told other parents of the time she went onto

More information

DURATION OF HEARING LOSS

DURATION OF HEARING LOSS When your child is diagnosed with a hearing loss, it may be very overwhelming. This may be a difficult time for you and your family. However, gaining a greater knowledge in this area is crucial in helping

More information

Infant Hearing Screening and Testing

Infant Hearing Screening and Testing Infant Hearing Screening and Testing Meredith A. Holcomb, Au.D., CCC-A Coordinator, MUSC Cochlear Implant Program Instructor of Audiology AG Bell / MUSC Pediatric Conference October 18, 2013 \ Hearing

More information

Pediatric Hearing Assessment

Pediatric Hearing Assessment Pediatric Hearing Assessment Stanton Jones Key Points This chapter outlines the methods of hearing assessment that are appropriate for children from birth to adolescence. The importance of timely referral

More information

Understanding Hearing Loss 404.591.1884. www.childrensent.com

Understanding Hearing Loss 404.591.1884. www.childrensent.com Understanding Hearing Loss 404.591.1884 www.childrensent.com You just found out your child has a hearing loss. You know what the Audiologist explained to you, but it is hard to keep track of all the new

More information

Hearing Tests And Your Child

Hearing Tests And Your Child How Early Can A Child s Hearing Be Tested? Most parents can remember the moment they first realized that their child could not hear. Louise Tracy has often told other parents of the time she went onto

More information

Development of Hearing in Children: Are they not hearing you or just not listening?

Development of Hearing in Children: Are they not hearing you or just not listening? Development of Hearing in Children: Are they not hearing you or just not listening? Presented by: Dr. Katy Sullivan, Director of Audiology June 25, 2014 Why Is Hearing Important? Hearing is the primary

More information

Paediatric Hearing Assessment

Paediatric Hearing Assessment Information for parents Paediatric Hearing Assessment Hearing assessment of infants is limited by their ability to respond to sounds. This is determined by both the development of the hearing system and

More information

icommunicate SPEECH & COMMUNICATION THERAPY Hearing Assessment

icommunicate SPEECH & COMMUNICATION THERAPY Hearing Assessment icommunicate SPEECH & COMMUNICATION THERAPY Hearing Assessment Hearing Assessment To determine an individual s level of hearing or investigate hearing loss, an assessment needs to take place. There are

More information

Phonak International Pediatric Audiology Conference 11 th -13 th April 2014, Shanghai. Dr Kirsty Gardner-Berry Diagnostic & Research Audiologist

Phonak International Pediatric Audiology Conference 11 th -13 th April 2014, Shanghai. Dr Kirsty Gardner-Berry Diagnostic & Research Audiologist Phonak International Pediatric Audiology Conference 11 th -13 th April 2014, Shanghai Dr Kirsty Gardner-Berry Diagnostic & Research Audiologist 1. Joint Committee on Infant Hearing (JCIH), 2007 Goals for

More information

UNIVERSAL NEWBORN HEARING SCREENING. 1 step. Newborn Hearing Screening. What every parent Should Know PROMOTE. PREVENT. PROTECT.

UNIVERSAL NEWBORN HEARING SCREENING. 1 step. Newborn Hearing Screening. What every parent Should Know PROMOTE. PREVENT. PROTECT. UNIVERSAL NEWBORN HEARING SCREENING 1 step Newborn Hearing Screening What every parent Should Know PROMOTE. PREVENT. PROTECT. 1 step What is Newborn Infant Hearing Screening? A newborn hearing screening

More information

Children s hearing. A guide for parents

Children s hearing. A guide for parents Children s hearing A guide for parents Content Building the future 3 How we hear 4 Children s hearing loss 7 Communication milestones 12 Signs of hearing difficulties 15 Indicators and prevention of hearing

More information

Infant hearing screening will not hurt your baby, and will only take between 5 and 20 minutes. Ideally it is done whilst baby is asleep or settled.

Infant hearing screening will not hurt your baby, and will only take between 5 and 20 minutes. Ideally it is done whilst baby is asleep or settled. Early diagnosis of hearing loss will make a difference to your baby s life. Significant hearing loss is the most common condition present at birth. In the private sector, 3 in every 1000 babies are born

More information

Pediatric Hearing Loss. Early Hearing Detection and Intervention in New Mexico: Beyond the Newborn Hearing Screen. Objectives

Pediatric Hearing Loss. Early Hearing Detection and Intervention in New Mexico: Beyond the Newborn Hearing Screen. Objectives Early Hearing Detection and Intervention in New Mexico: Beyond the Newborn Hearing Screen KAREN HAWLEY, MD PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY ASSISTANT PROFESSOR 11/03/2016 Pediatric Hearing

More information

Medical Management of Infants and Young Children with Sensorineural Hearing Loss. Developed April 12, 2007

Medical Management of Infants and Young Children with Sensorineural Hearing Loss. Developed April 12, 2007 PURPOSE OF GUIDELINES: Medical Management of Infants and Young Children with Sensorineural Hearing Loss Developed April 12, 2007 The purpose of these guidelines is to assist physicians in the management

More information

Scripts for Primary Care Providers When Communicating Newborn Hearing Screening Results to Parents/Families Randi Winston, AuD, CCC- A Arizona EHDI

Scripts for Primary Care Providers When Communicating Newborn Hearing Screening Results to Parents/Families Randi Winston, AuD, CCC- A Arizona EHDI Scripts for Primary Care Providers When Communicating Newborn Hearing Screening Results to Parents/Families Randi Winston, AuD, CCC- A Arizona EHDI Basic tenets when using the scripts: 1. In order to meet

More information

EXECUTIVE SUMMARY OF JOINT COMMITTEE ON INFANT HEARING YEAR 2007 POSITION STATEMENT. Intervention Programs

EXECUTIVE SUMMARY OF JOINT COMMITTEE ON INFANT HEARING YEAR 2007 POSITION STATEMENT. Intervention Programs EXECUTIVE SUMMARY OF JOINT COMMITTEE ON INFANT HEARING YEAR 2007 POSITION STATEMENT Principles and Guidelines for Early Hearing Detection and Intervention Programs The Joint Committee on Infant Hearing

More information

Section 4. Hearing loss and hearing tests

Section 4. Hearing loss and hearing tests Section 4 Hearing loss and hearing tests How we hear Outer Ear Middle Ear Inner Ear 4. 7. 8. 1. 3. 6. 2. 5. 1. 2. 3. 4. 5. 6. 7. 8. Ear canal Ear drum Middle ear cavity Middle ear bones the malleus, incus,

More information

COCHLEAR NERVE APLASIA : THE AUDIOLOGIC PERSPECTIVE A CASE REPORT. Eva Orzan, MD Pediatric Audiology University Hospital of Padova, Italy

COCHLEAR NERVE APLASIA : THE AUDIOLOGIC PERSPECTIVE A CASE REPORT. Eva Orzan, MD Pediatric Audiology University Hospital of Padova, Italy COCHLEAR NERVE APLASIA : THE AUDIOLOGIC PERSPECTIVE A CASE REPORT Eva Orzan, MD Pediatric Audiology University Hospital of Padova, Italy Congenital absence or underdevelopment of the cochlear nerve has

More information

Nevada Division of Public and Behavioral Health

Nevada Division of Public and Behavioral Health Nevada Division of Public and Behavioral Health Early Hearing Detection and Intervention (EHDI) Program GUIDELINES FOR INFANT AUDIOLOGIC ASSESSMENT STATE OF NEVADA BRIAN SANDOVAL Governor CODY L. PHINNEY,

More information

MINNESOTA EARLY HEARING DETECTION AND INTERVENTION (EHDI) PROGRAM Guidelines for Infant Audiologic Assessment

MINNESOTA EARLY HEARING DETECTION AND INTERVENTION (EHDI) PROGRAM Guidelines for Infant Audiologic Assessment Protecting, maintaining and improving the health of all Minnesotans MINNESOTA EARLY HEARING DETECTION AND INTERVENTION (EHDI) PROGRAM Guidelines for Infant Audiologic Assessment Approved, November 2008

More information

1/26/2011. 50% of deafness and hearing impairment is avoidable through prevention, early diagnosis, and management.

1/26/2011. 50% of deafness and hearing impairment is avoidable through prevention, early diagnosis, and management. Hearing Impairment Roseann Mulligan, DDS, MS Herman Ostrow School of Dentistry of the University of Southern California 1 JAMA, July 4, 2007 Vol 298, No. 1 2 278 million - moderate to profound bilateral

More information

Department of Developmental Services Terrence W. Macy, Ph.D., Commissioner Linda Goodman, System Director

Department of Developmental Services Terrence W. Macy, Ph.D., Commissioner Linda Goodman, System Director Acknowledgments This guideline was revised and updated in July 2012 to add more current information and resources. The Connecticut Birth to Three System would like to thank the following people who worked

More information

KANSAS NEWBORN HEARING SCREENING GUIDELINES

KANSAS NEWBORN HEARING SCREENING GUIDELINES KANSAS NEWBORN HEARING SCREENING GUIDELINES SoundBeginnings Early Hearing Detection and Intervention Program Kansas Department of Health & Environment 1000 SW Jackson Ste. 220 Topeka, Kansas 66612-1274

More information

Why does my child have a hearing loss?

Why does my child have a hearing loss? Introduction This factsheet will tell you about the range of tests that can be carried out to try to find the cause of your child s hearing loss. The process to find out why a child is deaf is sometimes

More information

So, how do we hear? outer middle ear inner ear

So, how do we hear? outer middle ear inner ear The ability to hear is critical to understanding the world around us. The human ear is a fully developed part of our bodies at birth and responds to sounds that are very faint as well as sounds that are

More information

2010, Winton, B

2010, Winton, B Critical Review: How effective are newborn infant hearing screening protocols for detecting Auditory Neuropathy Spectrum Disorder? Bonnie Winton M.Cl.Sc. (AUD) Candidate University of Western Ontario:

More information

Information for parents. Deafness

Information for parents. Deafness About this publication This is a guide for parents with young children who have recently been told that their child is deaf, or who are in the process of getting a diagnosis. It was developed by the Early

More information

DIAGNOSTIC TESTING GUIDELINES for Audiology

DIAGNOSTIC TESTING GUIDELINES for Audiology DIAGNOSTIC TESTING GUIDELINES for Audiology In 1999, the Illinois legislature passed the Hearing Screening for Newborns Act. By December 31, 2002, hospitals delivering babies were required to provide hearing

More information

A Guide To YOUR CHILD S HEARING

A Guide To YOUR CHILD S HEARING A Guide To YOUR CHILD S HEARING 2 YOUR CHILD S HEARING LOSS A Guide to Your Child s Hearing Dr. Judith Gravel, Children s Hospital of Philadelphia, Philadelphia, PA Your child s quality of life and development

More information

EARLY HEARING DETECTION & INTERVENTION PROGRAM

EARLY HEARING DETECTION & INTERVENTION PROGRAM Commissioner J. Robert Galvin, MD, MPH, MBA EARLY HEARING DETECTION & INTERVENTION PROGRAM Guidelines For Infant Hearing Screening Revised 2008 Early Hearing Detection & Intervention TABLE OF CONTENTS

More information

OAE hearing screening at your fingertips OAE+

OAE hearing screening at your fingertips OAE+ OAE hearing screening at your fingertips OAE+ Periodic hearing screening leads to early detection of hearing loss 6-7 per 1000 children will be identified with permanent hearing loss in early childhood.

More information

RESOURCE NOTEBOOK. for Families of Children Who are Deaf or Hard of Hearing

RESOURCE NOTEBOOK. for Families of Children Who are Deaf or Hard of Hearing RESOURCE NOTEBOOK for Families of Children Who are Deaf or Hard of Hearing Resource Notebook for Families of Children Who are Deaf or Hard of Hearing This publication was developed by the Washington State

More information

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments.

Cerebral palsy can be classified according to the type of abnormal muscle tone or movement, and the distribution of these motor impairments. The Face of Cerebral Palsy Segment I Discovering Patterns What is Cerebral Palsy? Cerebral palsy (CP) is an umbrella term for a group of non-progressive but often changing motor impairment syndromes, which

More information

COMMUNICATION SCIENCES AND DISORDERS 2015-2016 COURSE OFFERINGS Version: 2015-08-10

COMMUNICATION SCIENCES AND DISORDERS 2015-2016 COURSE OFFERINGS Version: 2015-08-10 COMMUNICATION SCIENCES AND DISORDERS 2015-2016 COURSE OFFERINGS Version: 2015-08-10 COURSE TITLE FALL WINTER SPRING SUMMER GEN CMN 108-0 Communication Disorders X CSD 112-0 Scientific Exploration of Comm.

More information

The McMaster at night Pediatric Curriculum

The McMaster at night Pediatric Curriculum The McMaster at night Pediatric Curriculum Feldman, HM. Evaluation and Management of Language and Speech Disorders in Preschool Children. Pediatrics in Review 26 (4). 2005. Objectives Describe normal language

More information

PENNSYLVANIA DEPARTMENT OF HEALTH NEWBORN HEARING SCREENING PROGRAM GUIDELINES ISSUED MARCH 2013

PENNSYLVANIA DEPARTMENT OF HEALTH NEWBORN HEARING SCREENING PROGRAM GUIDELINES ISSUED MARCH 2013 PENNSYLVANIA DEPARTMENT OF HEALTH NEWBORN HEARING SCREENING PROGRAM GUIDELINES ISSUED MARCH 2013 CONTENTS Introduction..- 4 - Recommended Guidelines for Hearing Screening..- 6 - Hospital Births...- 6 -

More information

Hearing & Amplification

Hearing & Amplification Hearing & Amplification Glossary Have you ever felt that a doctor or another health professional was speaking a different language? As a parent of a baby who has been newly identified with hearing loss,

More information

Hearing loss in children PART ONE

Hearing loss in children PART ONE Hearing loss in children PART ONE Welcome to EnginEars EnginEars is a hearing implant program that helps babies, children and teenagers with severe to profound hearing loss. It includes a range of hearing

More information

Getting Started Kei Te Timata

Getting Started Kei Te Timata Getting Started Kei Te Timata AN INTRODUCTION FOR THE FAMILIES AND WHANAU OF CHILDREN DIAGNOSED WITH A HEARING LOSS. THIS IS A JOINT PROJECT BY DEAF EDUCATION AOTEAROA NEW ZEALAND AND THE NATIONAL AUDIOLOGY

More information

Testing the hearing of children in the

Testing the hearing of children in the Testing the hearing of children in the ENT-Practice Dr. med. Thomas Wiesner Dep. of Phoniatrics and Pediatric Audiology Werner-Otto-Institut, Hamburg, Germany 1 Testing the hearing of children Every child

More information

Unilateral (Hearing Loss in One Ear) Hearing Loss Guidance

Unilateral (Hearing Loss in One Ear) Hearing Loss Guidance Unilateral (Hearing Loss in One Ear) Hearing Loss Guidance Indiana s Early Hearing Detection and Intervention Program Before universal newborn hearing screening, most children with unilateral hearing loss

More information

AGE Iowa Midwest Nation N % N % N % Total students 256 100.0 9272 100.0 37500 100.0 Information NOT reported 7 2.7 229 2.5 841 2.2

AGE Iowa Midwest Nation N % N % N % Total students 256 100.0 9272 100.0 37500 100.0 Information NOT reported 7 2.7 229 2.5 841 2.2 202-651-5575 * 1-800-451-8834 ext 5575 Page 1 of 9 AGE Iowa Midwest Nation Information NOT reported 7 2.7 229 2.5 841 2.2 Total known information 249 100.0 9043 100.0 36659 100.0 Under 3 years 16 6.4 201

More information

Information for parents

Information for parents Cefnogi Cynnar Early Support Information for parents About this publication This is a guide for parents with young children who have recently been told that their child is deaf, or who are in the process

More information

The Role of Auditory Steady State Response (ASSR) in Audiology Today. James W. Hall III, Ph.D.

The Role of Auditory Steady State Response (ASSR) in Audiology Today. James W. Hall III, Ph.D. The Role of Auditory Steady State Response (ASSR) in Audiology Today James W. Hall III, Ph.D. Clinical Professor and Chair Department of Communicative Disorders College of Health Professions University

More information

Hearing Loss in Patients with Osteogenesis Imperfecta

Hearing Loss in Patients with Osteogenesis Imperfecta Hearing Loss in Patients with Osteogenesis Imperfecta Tracy Hart: Hello and welcome to the Osteogenesis Imperfecta Foundation s monthly podcast. My name is Tracy Hart and I am the CEO of the Osteogenesis

More information

Outline Deaf and Hearing Impaired

Outline Deaf and Hearing Impaired Outline Deaf and Hearing Impaired Physical Structures of the Ear and Degrees of Hearing Loss Causes of Hearing Loss Types of Hearing Loss By Llecenia Navarro, Kimberly Silva, & Evelyn Teran How the ear

More information

Auditory steady state response in children with auditory neuropathy

Auditory steady state response in children with auditory neuropathy Auditory steady state response in children with auditory neuropathy S O tawfik, H E samy and M O elbadry Abstract:- auditory neuropathy is a disorder characterized by preservation of outer hair cells function,

More information

UKAS Technical/Peer Assessor Keyword List AUDIOLOGY

UKAS Technical/Peer Assessor Keyword List AUDIOLOGY For UKAS use only (Assessor Ref. Number) United Kingdom Accreditation Service 21-47 High Street Feltham, Middlesex TW13 4UN UKAS Technical/Peer Assessor Keyword List Name of applicant Applicant assessors

More information

Hearing Screening Coding Fact Sheet for Primary Care Pediatricians

Hearing Screening Coding Fact Sheet for Primary Care Pediatricians Hearing Screening Coding Fact Sheet for Primary Care Pediatricians While coding for hearing screening is relatively straightforward, ensuring that appropriate payment is received for such services is a

More information

Hearing Screening. Objectives

Hearing Screening. Objectives Article neonatology Hearing Screening Jennifer Sokol, FRACP,* Martyn Hyde, PhD Objectives After completing this article, readers should be able to: 1. Describe the prevalence and burden of hearing impairment.

More information

Case Study THE IMPORTANCE OF ACCURATE BEHAVIOURAL TESTING IN INFANT HEARING AID FITTINGS

Case Study THE IMPORTANCE OF ACCURATE BEHAVIOURAL TESTING IN INFANT HEARING AID FITTINGS Case Study THE IMPORTANCE OF ACCURATE BEHAVIOURAL TESTING IN INFANT HEARING AID FITTINGS Andrea Kelly, PhD, MNZAS Auckland District Health Board Suzanne Purdy, PhD, MNZAS University of Auckland Asymmetrical

More information

NEW JERSEY ADMINISTRATIVE CODE TITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 19. NEWBORN SCREENING PROGRAM

NEW JERSEY ADMINISTRATIVE CODE TITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 19. NEWBORN SCREENING PROGRAM NEW JERSEY ADMINISTRATIVE CODE TITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 19. NEWBORN SCREENING PROGRAM AUTHORITY N.J.S.A. 26:2-101 et seq., 26:2-110 and 26:2-111 SOURCE AND EFFECTIVE DATE

More information

Facts and figures on hearing loss, deafness and tinnitus

Facts and figures on hearing loss, deafness and tinnitus FACTSHEET Facts and figures on hearing loss, deafness and tinnitus This factsheet gives you information about the latest available figures on hearing loss, deafness and tinnitus among adults in the UK.

More information

Alabama s Listening! UNIVERSAL NEWBORN HEARING SCREENING

Alabama s Listening! UNIVERSAL NEWBORN HEARING SCREENING Alabama s Listening! UNIVERSAL NEWBORN HEARING SCREENING Program Guidelines This program is coordinated by the Alabama Department of Public Health helping babies develop language for leaning and interaction

More information

Ear anatomy Hearing tests Audiograms

Ear anatomy Hearing tests Audiograms Ear anatomy Hearing tests Audiograms For internal use only / Copyright Siemens AG 2006. All rights reserved. Introduction / Contents Basic Ear Anatomy Types of Hearing Loss Conductive vs. Sensorineural

More information

LESSON SEVEN: MEASURING HEARING IMPAIRMENT

LESSON SEVEN: MEASURING HEARING IMPAIRMENT LESSON SEVEN: MEASURING HEARING IMPAIRMENT FOCUS: This lesson will teach students the basics about hearing testing. The activity gives students an opportunity to graph the audiograms of a younger person

More information

9/4/2012 HEARING SCREENING IN THE MEDICAL HOME. Heather M. Taylor, MD, FAAP Alabama AAP EHDI Chapter Champion

9/4/2012 HEARING SCREENING IN THE MEDICAL HOME. Heather M. Taylor, MD, FAAP Alabama AAP EHDI Chapter Champion HEARING SCREENING IN THE MEDICAL HOME Heather M. Taylor, MD, FAAP Alabama AAP EHDI Chapter Champion 1 Disclosures I have no relevant financial relationship with the manufacturers of any commercial products

More information

Developmental delay and Cerebral palsy. Present the differential diagnosis of developmental delay.

Developmental delay and Cerebral palsy. Present the differential diagnosis of developmental delay. Developmental delay and Cerebral palsy objectives 1. developmental delay Define developmental delay Etiologies of developmental delay Present the differential diagnosis of developmental delay. 2. cerebral

More information

Guidelines for Child and Family Connections Staff

Guidelines for Child and Family Connections Staff SERVICE GUIDELINES: FOR YOUNG CHILDREN WHO ARE DEAF OR HARD OF HEARING (Includes Deaf-Blind Guidelines) Guidelines for Child and Family Connections Staff Illinois Early Intervention January 2006 Last revised

More information

The Power of a OAE and ABR Newborn Hearing Screening Strategy

The Power of a OAE and ABR Newborn Hearing Screening Strategy The Power of a OAE and ABR Newborn Hearing Screening Strategy James W. Hall III, Ph.D. Clinical Professor and Chair Department of Communicative Disorders College of Health Professions University of Florida

More information

Table of Contents SOUND STEPS SOUND STEPS. Hawaii State Resource Guide for Families of Children with Hearing Loss

Table of Contents SOUND STEPS SOUND STEPS. Hawaii State Resource Guide for Families of Children with Hearing Loss Table of Contents SOUND STEPS SOUND STEPS Hawaii State Resource Guide for Families of Children with Hearing Loss Hawaii State Resource Guide for Families of Children with Hearing Loss Hawaii State Department

More information

CLINICAL OUTCOME SCORES FOR THE FAMILY HOPE CENTER FOR 13.0 YEARS, COMPARED TO NATIONAL SAMPLE OF OUTPATIENT REHABILITATION FOR SIMILAR DIAGNOSES

CLINICAL OUTCOME SCORES FOR THE FAMILY HOPE CENTER FOR 13.0 YEARS, COMPARED TO NATIONAL SAMPLE OF OUTPATIENT REHABILITATION FOR SIMILAR DIAGNOSES CLINICAL OUTCOME SCORES FOR THE FAMILY HOPE CENTER FOR 13.0 YEARS, COMPARED TO NATIONAL SAMPLE OF OUTPATIENT REHABILITATION FOR SIMILAR DIAGNOSES This document references data from a Report compiled and

More information

A Guide to Otoacoustic Emissions (OAEs) for Physicians

A Guide to Otoacoustic Emissions (OAEs) for Physicians A Guide to Otoacoustic Emissions (OAEs) for Physicians Introduction Hearing loss is not uncommon in children and adults. According to recent estimates, 31.5 million people in the United States report difficulty

More information

The Audiogram Understood

The Audiogram Understood People are often confused and afraid of medical tests. They are afraid the results will be bad or that they will fail. No one can fail a hearing test! The information can only be good since the information

More information

8.Audiological Evaluation

8.Audiological Evaluation 8. A U D I O L O G I C A L E V A L U A T I O N 8.Audiological Evaluation The external ear of the child with Progeria Behavioral testing for assessing hearing thresholds Objective electrophysiologic tests

More information

Learning to Listen with Hearing Technologies: An interdisciplinary perspective on aural rehabilitation

Learning to Listen with Hearing Technologies: An interdisciplinary perspective on aural rehabilitation Learning to Listen with Hearing Technologies: An interdisciplinary perspective on aural rehabilitation Melissa Ferrello, Au.D., CCC-A, FAAA John Henry, M.S., CCC-SLP Erika King, M.A., CCC-SLP April 13,

More information

Official CPT Description

Official CPT Description s CPT 69210 Removal impacted cerumen (separate procedure), one or both ears 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual 92516 Facial nerve

More information

Audiology Services. Carolyn Dando Audiology Services Manager South Warwickshire NHS

Audiology Services. Carolyn Dando Audiology Services Manager South Warwickshire NHS Audiology Services Carolyn Dando Audiology Services Manager South Warwickshire NHS What are we going to cover today? General overview of the ear Hearing loss Hearing assessments, results Hearing aids Paediatric

More information

Management of Auditory Neuropathy: Mission Impossible?

Management of Auditory Neuropathy: Mission Impossible? Management of Auditory Neuropathy: Mission Impossible? Ryan McCreery, M.S. CCC-A Clinical Audiologist Boys Town National Research Hospital mccreeryr@boystown.org Overview What is auditory neuropathy/dys-synchrony

More information

HEARING AID FITTING AND HABILITATION FOLLOWING NEWBORN HEARING SCREENING: A FOLLOW-UP STUDY ON WELL-BABY NURSERY INFANTS

HEARING AID FITTING AND HABILITATION FOLLOWING NEWBORN HEARING SCREENING: A FOLLOW-UP STUDY ON WELL-BABY NURSERY INFANTS HEARING AID FITTING AND HABILITATION FOLLOWING NEWBORN HEARING SCREENING: A FOLLOW-UP STUDY ON WELL-BABY NURSERY INFANTS Keiko Suzuki 1, Rie Inoue 2 1) School of Allied Health Sciences, Kitasato University,

More information

HEARING LOSS. Intruduction. How Does Hearing Work? Types of Hearing Loss

HEARING LOSS. Intruduction. How Does Hearing Work? Types of Hearing Loss BRITTLE BONE SOCIETY www.brittlebone.org HEARING LOSS AND Osteogenesis Imperfecta Intruduction Significant hearing loss has been reported in approximately 50% of people with Osteogenesis Imperfecta (OI).

More information

An overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism

An overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism An overview of Intellectual Developmental Disability Functioning levels of Mental Retardation/Intellectual Disability Autism Intellectual/Developmental Disability (IDD) - indicates an overall intellectual

More information

PURE TONE AUDIOMETRY Andrew P. McGrath, AuD

PURE TONE AUDIOMETRY Andrew P. McGrath, AuD PURE TONE AUDIOMETRY Andrew P. McGrath, AuD Pure tone audiometry is the standard behavioral assessment of an individual s hearing. The results of pure tone audiometry are recorded on a chart or form called

More information

icommunicate SPEECH & COMMUNICATION THERAPY Hearing Aids and Cochlear Implants

icommunicate SPEECH & COMMUNICATION THERAPY Hearing Aids and Cochlear Implants icommunicate SPEECH & COMMUNICATION THERAPY Hearing Aids and Cochlear Implants Hearing Assessment To determine an individual s level of hearing or investigate hearing loss, an assessment needs to take

More information

WHAT IS CEREBRAL PALSY?

WHAT IS CEREBRAL PALSY? WHAT IS CEREBRAL PALSY? Cerebral Palsy is a dysfunction in movement resulting from injury to or poor development of the brain prior to birth or in early childhood. Generally speaking, any injury or disease

More information

The Role of the Educational Audiologist 2014. Introduction:

The Role of the Educational Audiologist 2014. Introduction: The Role of the Educational Audiologist 2014. Introduction: As the current CHAIR of the BAEA I felt that it was time for the Role of the Educational Audiologist to be updated. There has been a period of

More information

Roles, Knowledge, and Skills: Audiologists Providing Clinical Services to Infants and Young Children Birth to 5 Years of Age

Roles, Knowledge, and Skills: Audiologists Providing Clinical Services to Infants and Young Children Birth to 5 Years of Age Roles, Knowledge, and Skills: Audiologists Providing Clinical Services to Infants and Young Children Birth to 5 Reference this material as: American Speech-Language-Hearing Association. (2006). Roles,

More information

3030. Eligibility Criteria.

3030. Eligibility Criteria. 3030. Eligibility Criteria. 5 CA ADC 3030BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS Barclays Official California Code of Regulations Currentness Title 5. Education Division 1. California Department

More information

Advanced ABR Technology for Screening & Diagnostics in Pediatric Audiology. Jill Smith, Au.D., CCC-A Audiology Supervisor Children s of Alabama

Advanced ABR Technology for Screening & Diagnostics in Pediatric Audiology. Jill Smith, Au.D., CCC-A Audiology Supervisor Children s of Alabama Advanced ABR Technology for Screening & Diagnostics in Pediatric Audiology Jill Smith, Au.D., CCC-A Audiology Supervisor Children s of Alabama Initial Motivation for Purchase Wireless technology High

More information

Coding Fact Sheet for Primary Care Pediatricians

Coding Fact Sheet for Primary Care Pediatricians 1/1/2015 Hearing Testing Coding Fact Sheet Coding Fact Sheet for Primary Care Pediatricians While coding for hearing screening is relatively straightforward, ensuring that appropriate payment is received

More information

My child has a hearing loss

My child has a hearing loss My child has a hearing loss A guide for parents Content You are not alone 3 Hearing impairment 5 Methods of testing hearing 6 Audiogram 7 Types and causes of hearing loss 8 Degree of hearing loss 10 Where

More information

Guidelines for the Organization and Administration of Universal Newborn Hearing Screening Programs for Out-of-Hospital Births

Guidelines for the Organization and Administration of Universal Newborn Hearing Screening Programs for Out-of-Hospital Births EARLY HEARING DETECTION AND INTERVENTION Guidelines for the Organization and Administration of Universal Newborn Hearing Screening Programs for Out-of-Hospital Births Original Publication: June 2008 Last

More information

Universal newborn hearing screening: preliminary experience at the University Hospital of Cagliari

Universal newborn hearing screening: preliminary experience at the University Hospital of Cagliari Journal of Pediatric and Neonatal Individualized Medicine 2012;1(1):81-86 doi: 10.7363/010112 Original article Universal newborn hearing screening: preliminary experience at the University Hospital of

More information

BRIGHT FUTURES PERIODICITY BRIGHT FUTURES PERIODICITY

BRIGHT FUTURES PERIODICITY BRIGHT FUTURES PERIODICITY BRIGHT FUTURES PERIODICITY BRIGHT FUTURES PERIODICITY Age (years) Age (years) Infancy Periodicity Schedule Initial Visit Newborn Within the First Week 1 Month 2 Months 4 Months 6 Months 9 Months Early

More information

Education Adjustment Program (EAP) Handbook

Education Adjustment Program (EAP) Handbook Education Adjustment Program (EAP) Handbook Current as at September 2015 The State of Queensland (2015) This document is licensed under CC-BY 4.0, with the exception of the government coat of arms, logos

More information

HEARING SCREENING (May 2006)

HEARING SCREENING (May 2006) HEARING SCREENING (May 2006) Definition Procedures for Hearing Screening Student with hearing loss School Nurse Role Referral Criteria Resources Definition: Hearing is the perception of sound. The normal

More information

Ear Disorders and Problems

Ear Disorders and Problems Ear Disorders and Problems Introduction Your ear has three main parts: outer, middle and inner. You use all of them to hear. There are many disorders and problems that can affect the ear. The symptoms

More information

Speech-Language Pathology Curriculum Foundation Course Linkages

Speech-Language Pathology Curriculum Foundation Course Linkages FACULTY OF HEALTH PROFESSIONS School of Human Communication Disorders Speech-Language Pathology Curriculum Foundation Course Linkages Phonetics (HUCD 5020) a. Vowels b. Consonants c. Suprasegmentals d.

More information

Learners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan

Learners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan Learners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan Definition Deaf A deaf person is one whose hearing disability precludes successful processing of linguistic information

More information

Hearing and Hearing. Loss. Cork Deaf Association. What is the Difference?

Hearing and Hearing. Loss. Cork Deaf Association. What is the Difference? Analogue Hearing Aids Convert sound into electrical signals that are amplified and passed to the earphone on the hearing aid Cannot be reprogrammed if hearing deteriorates What is the Difference? Digital

More information

FREQUENTLY ASKED QUESTIONS 1. CLASSROOM BASICS 2. SIGN LANGUAGE 3. AUDIOLOGY: HEARING AIDS/ COCHLEAR IMPLANTS/BAHA. 1.

FREQUENTLY ASKED QUESTIONS 1. CLASSROOM BASICS 2. SIGN LANGUAGE 3. AUDIOLOGY: HEARING AIDS/ COCHLEAR IMPLANTS/BAHA. 1. FREQUENTLY ASKED QUESTIONS 1. CLASSROOM BASICS - My student seems to have a hearing loss. What should I do? - What are the types of hearing loss? - What are the degrees of hearing loss? - What does each

More information

Behavioural Audiometry for Infants and Young Children Whose hearing loss has been detected in infancy

Behavioural Audiometry for Infants and Young Children Whose hearing loss has been detected in infancy Behavioural Audiometry for Infants and Young Children Whose hearing loss has been detected in infancy Alison King, Principal Audiologist, Paediatric Services, Australian Hearing International Paediatric

More information

SCHREIBER PEDIATRIC REHAB CENTER OF LANCASTER COUNTY SCOPE OF CARE. Characteristics of Persons Served

SCHREIBER PEDIATRIC REHAB CENTER OF LANCASTER COUNTY SCOPE OF CARE. Characteristics of Persons Served SCHREIBER PEDIATRIC REHAB CENTER OF LANCASTER COUNTY SCOPE OF CARE Ages: Children ages birth to 21 years of age may be served. Characteristics of Persons Served Cultural: Medical Status: Diagnosis(es):

More information

Survey on infant hearing loss at Caritas Baby Hospital in Bethlehem-Palestine

Survey on infant hearing loss at Caritas Baby Hospital in Bethlehem-Palestine Audiology Research 2014; volume 4:99 Survey on infant hearing loss at Caritas Baby Hospital in Bethlehem-Palestine Lucia Corradin, 1 Musa Hindiyeh, 1 Rasha Khaled, 1 Fadi Rishmawi, 1 Marwan Zidan, 2 Hiyam

More information

Chapter 4: Eligibility Categories

Chapter 4: Eligibility Categories 23 Chapter 4: Eligibility Categories In this chapter you will: learn the different special education categories 24 IDEA lists different disability categories under which children may be eligible for services.

More information