Chapter 11: Language Impairments in Special Populations

  1. what are the classifications for hearing loss (essay question)
    • congenital hearing loss (present at birth)
    • prelingual deafness (acquire after birth acquiring lang) infection
    • postlingual deafness (acquired after 5 years of age
  2. what are the 3 types of hearing loss
    • conductive
    • senosorineural
    • mixed
  3. what are the 3 types of hearing loss:
    conductive loss
    • issue is getting sound to inner ear
    • tympanic membrane (eardrum), ossicles (middle ear) or other malformation of outer ear occur (aresia)
    • otitis media-middle ear infections, often have fluid in middle ear
    •    -om often has 20-35 db hl
    •    -om common in infants to age three
    • treatment is often antibiotics which if taken for extended periods can lead to additional loss
    • if antibiotics don't work, tubes are inserted to drain the fluid
    • if left untreated, fluid can invade temporal bone and cause bone loss or soggy bone
    • for cld kids-have different ways to treat ear infections or malformation
    •    -note: loss often goes unfound because screening is done at 25 db
    • inner ear, acoustic nerve, auditory centers of brain work normal
  4. what are the 3 types of hearing loss:
    • usually damage to acoustiv nerve or hair cells of cochlea=brain doesn't receive the message
    • permanent loss
    • not the same loss across frequencies
    • impact on lang is significant
    • treatment
  5. what are the 3 types of hearing loss:
    mixed hearing loss
    • impact on middle ear and inner ear functioning
    • combined sensorineural disorders at the same time in the ear
    • only part of it can be treated medically (otitis media)
    • requires aural rehabilitation
  6. classroom accommodations for the hearing impaired
    • seating with full visual access to teacher
    • ability to change seats when needed
    • teacher's face in full lighting
    • teacher talking only when facing the class
    • assign peer buddy
    • visual aids
    • teacher ask child to repeat directions to check for understanding
    • child seated away from sources of noise
  7. what are the types of cerebral palsy
    • spastic - 70-80%
    •    -jerky, slow, stiff and abrupt movements
    •    -increased spasticity
    • ataxic - 10%
    •    -awkward gait, disturbed balance and uncoordinated movements
    • athetoid - 20%
    •    -slow, writhing, involuntary movements
    •    -could be mixed cp
  8. an infection of the middle ear that is often associated with eustachian tube dysfunction and upper respiratory infections is called __________
    otitis media
  9. a child with __________ cerebral palsy manifests jerky, slow, stiff and and abrupt movements along with increased tone and rigidity of muscles
  10. a severe form of muscular dystrophy is called _______ muscular dystrophy. usually children with this type of muscular dystrophy die ten to fifteen year after first symptoms are noticed
  11. in aac, a __________ message is one that is more difficult for the communication partner to decipher
  12. hearing impaired children who use both speech and signs simultaneously can be said to use ________
    total communication
  13. work in private practice and you will assess nine year old with hearing aid which is used sporadically. what types of lang problems might you expect to find
    • difficulty repairing communication breakdowns
    • inconsistent use of morphemes such as past tense ed and plural s
  14. mom calls and says son benjie is blind she wants to figure out how she assist with lang. what would not be appropriate to give this mother
    be sure to restrict benjies movements arond the premises when he begins to crawl, he needs to be kept safe and his physical exploration of his environment must be limited
  15. you become aware of tara who has cp. diagnosed with ataxic cerebral palsy which means she...
    walks with an awkward gait and disturbed balance and has uncoordinated movements
  16. what is important to remember when working with children with spina bifida
    • the may or may not have lang problems
    • if they do have lang problems, the lang problems may be related in part to their lack of ability to physically explore environment
    • if these children have shunts due to hydrocepalus, school personnel should watch for possible malfunctioning of the shuts
  17. lupita is a mexian american preschooler who uses an aac device. parents won't listen to advice. language barrier, school could not find a mediator. best thing to do
    find a spanish speaking cultural mediator and together, conduct a home visit where you and the mediator spend time talking with parent and trying to understand why they seem disinterested in an aac device
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Chapter 11: Language Impairments in Special Populations