AVT emphasizes the importance of enhancing the child's auditory skills and encourages them to make the best use of their cochlear implant. ![]() This involves the child's understanding the hearing loss, developing assertiveness skills to use in different listening situations, handling communication breakdowns, and modifying situations to make communication easier.įor children with cochlear implants, Auditory-Verbal Therapy (AVT) is often used. It is a complex process involving concepts, vocabulary, word knowledge, use in different social situations, narrative skills, expression through writing, understanding rules of grammar, and so on. This involves developing language understanding (reception) and language usage (expression) according to developmental expectations. This involves skill development in production of speech sounds (by themselves, in words, and in conversation), voice quality, speaking rate, breath control, loudness, and speech rhythms.ĭeveloping language. It involves using all kinds of visual cues that give meaning to a message such as the speaker's facial expression, body language, and the context and environment in which the communication is taking place. This goes beyond distinguishing sounds and words on the lips. Auditory perception also includes developing skills in hearing with hearing aids and assistive listening devices and how to handle easy and difficult listening situations. Ultimately, this training increases the child's ability to distinguish one word from another using any remaining hearing. This includes activities to increase awareness of sound, identify sounds, tell the difference between sounds (sound discrimination), and attach meaning to sounds. The American Speech-Language and Hearing Association (ASHA) describes how SLPs can support aural rehabilitation: This form of therapy can involve a variety of strategies and methods, customized to meet the individual child's needs. It aims to improve speech and language skills and provide necessary support for children experiencing delays in these areas. Speech and language therapy is a significant part of aural rehabilitation. Speech and Language Therapy: Laying a Solid Foundation It is important for the child’s Audiologist and SLP to collaborate so that all educators involved can be aware of how to best support the child’s hearing aids, cochlear implants, or any amplifying technology that is being used. Speech-Language Pathologists work together with Audiologists and Teachers for the Deaf and Hard of Hearing to support children who are hearing impaired. Both BTE and RITE devices are designed with the child's comfort in mind and can be adjusted as the child grows. RITE aids, on the other hand, have the speaker built into the ear tip instead of the main body of the hearing aid. The case contains the electronic parts of the aid, and the ear mold fits inside the outer ear and directs the sound into the ear. ![]() BTE aids consist of a case, an ear mold, and a connecting tube. The types of hearing aids commonly used in children are Behind-the-Ear (BTE) and Receiver-in-the-Ear (RITE) devices. This process helps in enhancing the child's ability to perceive and interpret sounds. These devices work by collecting sounds from the environment, amplifying them, and then sending these amplified sounds into the ear. ![]() Hearing aids and cochlear implants can be essential in amplifying sounds and improving the child's listening experience. One of the most critical tools in aural rehabilitation are hearing devices.
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