csd 5400 rehabilitation procedures for the hard of hearing l.
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CSD 5400 REHABILITATION PROCEDURES FOR THE HARD OF HEARING. Auditory Training. Auditory Training. This can be a child’s or an adult’s major component to an aural (re)habilitation program What is it??. Some Definitions of Auditory Training. Goldstein (1939)

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auditory training
Auditory Training

This can be a child’s or an adult’s major component to an aural (re)habilitation program

What is it??

some definitions of auditory training
Some Definitions ofAuditory Training

Goldstein (1939)

Auditory training involves a development and/or improvement in the ability to discriminate various properties of speech and nonspeech sounds

Carhart (1960)

Auditory training is a process of teaching hearing impaired listeners to take full advantage of all available auditory cues

Erber (1982)

Auditory training is helping kids to acquire many of the auditory perception abilities that normal hearing kids acquire naturally without intervention

primary objectives of auditory training
Primary Objectives of Auditory Training

Learning to maximize the use of acoustic cues available for speech perception

Adjusting to and making maximum use of amplification

These objectives are especially critical with cochlear implant recipients

some additional comments
Some Additional Comments…

Auditory training is not designed to change sensitivity, but rather to make maximal use of audible sounds

Accurate assessment of speech understanding is important


NST, CCT, W-22, NU-6, SPIN, SIN, CID Everyday Sentences


WIPI, PB-50, NU-CHIPS, Sound Effects Recognition Test

Ling Six Sound Test

Procedure using the 6 sounds /a/, /u/, /i/, /sh/, /s/, /m/

some additional comments6
Some Additional Comments…

Specific goals and procedures may vary depending on whether the client is an adult or child, but these three things are common to all

  • Appropriate amplification is basic to the process
  • Residual hearing is maximized, either as a primary means of reception or as a supplement to visual communication
  • Auditory training must involve the use of meaningful dialogue representative of the messages the client will encounter in their academic, work, home, and social environment
auditory skill development in children
Auditory Skill Development in Children

Most traditional approaches to auditory training use this hierarchy of auditory skill development

Awareness--is a sound present?

Discrimination-are sounds the same?

Identification-recognizing and identifying sounds

Comprehension-understanding the message on a cognitive and linguistic level

auditory training activities for children
Auditory Training Activities for Children

Auditory training activities that are appropriate for each stage of auditory skill development

dasl ii 1994
DASL II (1994)

Developmental Approach to Successful Listening (II)

Sequential, highly structured auditory training program

Can be used with any age

Most often used with preschool and school-age kids using hearing aids or cochlear implants

auditory hierarchy of the dasl ii
Auditory Hierarchyof the DASL II

Sound awareness

Basic skills (detection, discrimination) of both environmental and speech sounds

Phonetic listening

Exposure to the fundamental aspects of speech perception

Duration, intensity, pitch, rate

Discrimination and identification of vowels and consonants in isolation and in words

Auditory Comprehension

Discrimination of common words to the comprehension of complex verbal messages in everyday settings

ski hi 1985
SKI-HI (1985)

SKI-HI is a comprehensive identification and home intervention treatment plan for hearing impaired infants and young children and their families

Many SLPs and audiologists use the developmentally based auditory stimulation and training program that is included in the treatment plan

ski hi

The program moves the child through these eleven auditory skills in four phases

Notice that as you move through the different skill levels, the auditory behavior becomes more complex

sample ski hi lesson
Sample SKI-HI Lesson

Here’s a sample lesson plan for Skill 3, recognizing objects and events from a sound source

speech perception instructional curriculum and evaluation
Speech Perception Instructional Curriculum and Evaluation

Goals and Objectives for:


Awareness and responsiveness to speech

Suprasegmental perception

Gross variations in duration, stress, intonation

Vowel and consonant perception

Connected Speech

Activities include combined auditory and visual cues and auditory cues alone

Popular as a cochlear implant auditory training program

summary remarks of auditory training with children
Summary Remarks of Auditory Training with Children

Auditory training philosophies and methodologies have enjoyed a resurgence through the advancement of conventional hearing aids and cochlear implants

Before implementing any one plan, you need to consider the child’s language development stage and characteristics of their hearing loss (audibility)

This should be a multi-sensory approach

Visual cues should be emphasized as well as auditory cues

auditory training with adults
Auditory TrainingWith Adults

Major difference in goals

Auditory training with kids has a developmental goal

Auditory training goal for adults is remediation

Two general types of activities

Drill on auditory or auditory/visual stimuli

Adjustment to use of amplification

activities for reinforcing auditory discrimination
Activities for Reinforcing Auditory Discrimination

Minimal pairs-- sets of words that differ by only one phoneme

Discriminating (same or different)

Identifying (pointing)

Producing (saying aloud)

Auditory memory drills

Closed-set lists (numbers, days of the week, months of the year, names)

Exercises in intonation

“when will it open”

Adjust the accent word and talk about any change in meaning

listening experiences with hearing aids
Listening ExperiencesWith Hearing Aids

It’s useful to proceed gradually in adjusting to hearing aid use and to discuss with your clients their ability to assess the relative complexity of everyday listening situations using this kind of hierarchy

guidelines for adjusting to hearing aid use
Guidelines for Adjustingto Hearing Aid Use

The adjustment period should take 2-4 weeks