Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation

Communication, cognition, language, and speech are interrelated and develop together. It should come as no surprise to us that the key to intervention with deaf children is to establish, as early as possible, a functional communication system for the child and the parents. Early intervention program...

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Main Authors: Naeimeh Daneshmandan, Pedram Borghei, Nasrin Yazdany, Farin Soleimani, Roshanak Vameghi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2009-10-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3608
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author Naeimeh Daneshmandan
Pedram Borghei
Nasrin Yazdany
Farin Soleimani
Roshanak Vameghi
author_facet Naeimeh Daneshmandan
Pedram Borghei
Nasrin Yazdany
Farin Soleimani
Roshanak Vameghi
author_sort Naeimeh Daneshmandan
collection DOAJ
description Communication, cognition, language, and speech are interrelated and develop together. It should come as no surprise to us that the key to intervention with deaf children is to establish, as early as possible, a functional communication system for the child and the parents. Early intervention programs need to be multidisciplinary, technologically sound and most important, it should take cognizance of the specific context (community, country) in which the child and family function. The main aim of this study was to obtain oral communication development regarding current status of the intervention (aural habilitation and speech therapy)for children with severe to profound hearing impairment in Iran. A prospective longitudinal study was undertaken on a consecutive group of children with severe to profound deafness. Nine severe to profound hearing-impaired children out of the primer 42 cases, who were detected below two years old, had been selected in the previous study to receive aural habilitation. The average of their speech intelligibility scores was near 70% at age 6, which was accounted as poor oral communication and only two of them were able to communicate by spoken language. An integrated intervention services continued again for one year and their oral communication skill was assessed by their speech intelligibility. The intelligibility test of children was recorded on audio-tape, when they read 10 questions such as where is your home. This can be answered only in one word. Each tape was presented to10 normal hearing listeners, and their task was to write down, the answers in Persian orthography. At the beginning (at age 6) the average speech intelligibility score of these children was 72% and only two of them had score of 90% and 100%. At age 7, all of the severe groups were over 90%, and only two profound ones achieved the score of 48% and 62%. All of severe groups develop oral communication, but profound ones had a semi-intelligible speech and used Total communication. Oral communication development in severe to profound hearing impaired children is achievable in Iran, but needs integrated public services on aural habilitation and speech therapy. By providing such services, a considerable number of hearing impaired children would have a favorable chance to take part in regular schools and benefit from equivalent social development with normal hearing peers.
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spelling doaj.art-17585a201673437e944a48d0e190b9b42022-12-21T20:56:06ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942009-10-01475Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural HabilitationNaeimeh Daneshmandan0Pedram Borghei1Nasrin Yazdany2Farin Soleimani3Roshanak Vameghi4Pediatric Neurorehabilitation Research Center , University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Department of Otolaryngology, School of Medicine, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Department of Otolaryngology, School of Medicine, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Pediatric Neurorehabilitation Research Center , University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Pediatric Neurorehabilitation Research Center , University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.Communication, cognition, language, and speech are interrelated and develop together. It should come as no surprise to us that the key to intervention with deaf children is to establish, as early as possible, a functional communication system for the child and the parents. Early intervention programs need to be multidisciplinary, technologically sound and most important, it should take cognizance of the specific context (community, country) in which the child and family function. The main aim of this study was to obtain oral communication development regarding current status of the intervention (aural habilitation and speech therapy)for children with severe to profound hearing impairment in Iran. A prospective longitudinal study was undertaken on a consecutive group of children with severe to profound deafness. Nine severe to profound hearing-impaired children out of the primer 42 cases, who were detected below two years old, had been selected in the previous study to receive aural habilitation. The average of their speech intelligibility scores was near 70% at age 6, which was accounted as poor oral communication and only two of them were able to communicate by spoken language. An integrated intervention services continued again for one year and their oral communication skill was assessed by their speech intelligibility. The intelligibility test of children was recorded on audio-tape, when they read 10 questions such as where is your home. This can be answered only in one word. Each tape was presented to10 normal hearing listeners, and their task was to write down, the answers in Persian orthography. At the beginning (at age 6) the average speech intelligibility score of these children was 72% and only two of them had score of 90% and 100%. At age 7, all of the severe groups were over 90%, and only two profound ones achieved the score of 48% and 62%. All of severe groups develop oral communication, but profound ones had a semi-intelligible speech and used Total communication. Oral communication development in severe to profound hearing impaired children is achievable in Iran, but needs integrated public services on aural habilitation and speech therapy. By providing such services, a considerable number of hearing impaired children would have a favorable chance to take part in regular schools and benefit from equivalent social development with normal hearing peers.https://acta.tums.ac.ir/index.php/acta/article/view/3608Speech intelligibilitydevelopmenthearing impaired childrenoral communication
spellingShingle Naeimeh Daneshmandan
Pedram Borghei
Nasrin Yazdany
Farin Soleimani
Roshanak Vameghi
Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
Acta Medica Iranica
Speech intelligibility
development
hearing impaired children
oral communication
title Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
title_full Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
title_fullStr Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
title_full_unstemmed Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
title_short Oral Communication Development in Severe to Profound Hearing Impaired Children After Receiving Aural Habilitation
title_sort oral communication development in severe to profound hearing impaired children after receiving aural habilitation
topic Speech intelligibility
development
hearing impaired children
oral communication
url https://acta.tums.ac.ir/index.php/acta/article/view/3608
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AT farinsoleimani oralcommunicationdevelopmentinseveretoprofoundhearingimpairedchildrenafterreceivingauralhabilitation
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