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SPED 537 ECSE Methods:Multiple Disabilities. Deborah Chen, Ph.D. California State University,Northridge April 17-18, 2006. Auditory Processing Disorder (APD). Difficulty in interpreting, storing and accessing auditory information in presence of normal hearing Common in children with:
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SPED 537 ECSE Methods:Multiple Disabilities Deborah Chen, Ph.D. California State University,Northridge April 17-18, 2006
Auditory Processing Disorder (APD) • Difficulty in interpreting, storing and accessing auditory information in presence of normal hearing • Common in children with: autism spectrum disorders, ADHD, learning disabilities, dyslexia, range of speech and language disorders
Central Auditory Processing Disorder (CAPD) • Associated with neurological problems • Viral infections • Hypoxia • Trauma • Degenerative disorders • Often co-exists with other disabilities
Implications • Difficulty recognizing speech sounds • Difficulty matching sounds to letters • Comprehension problems • Academic difficulties
Interventions • Auditory training and phonological awareness • FM systems • Classroom modifications • Clear spoken input • Preferential seating • Visual aids
Auditory Neuropathy • Problem in transmission of sound from inner ear • Damage to inner hair cells • Faulty connections between inner hair cells and auditory nerve • Damage to auditory nerve • May have normal hearing or hearing loss
Auditory Skills • Attention • Localization • Discrimination • Figure/ground • Memory • Sequencing • Closure
Amplification • Hearing aids - bone conduction - over the ear or behind the ear - in the ear - body aids • FM devices • Cochlear implants
Care of Hearing Aids • Information from the audiologist • Daily check • Keep hearing aids dry and safe from damage
Daily Hearing Aid Check • Clean earmold • Check batteries • Turn hearing aid to “M” • Set volume to low • Attach hearing aid stethoscope • Hold aid about 12” from mouth • Say “ah”, “oo”, “ee”, “sh”,”mm”, “ss”
Introducing Hearing Aids • Earmolds should fit well • Over the ear aids should be secure • Begin during enjoyable activities that involve vocal play and speech • Monitor environmental noise • Remove aids before child tires of them • Increase “listening time”
Key Criteria for Cochlear Implant Candidates • Severe to profound sensorineural loss • Little or no benefit from hearing aids • No medical contraindications • Appropriate outcome expectations and motivation • Placed in strong auditory/oral program
Planning the Functional Hearing Assignment • Break up into small groups of according to the age of target child • Discuss: • Questions • Observations during typical activities • Eliciting situations • Select one person to post key points in the discussions on WebCT- please identify the child’s age and abilities