Research Summary - Minimal Hearing Loss Should Not Result in Minimal Intervention

HERE


Minimal Hearing Loss: From a Failure-Based Approach to Evidence-Based Practice
 Allison M. Winiger, Joshua M. Alexander, and Allan O. Diefendorf

Am J Audiol. 2016 Sep 1;25(3):232-45. doi: 10.1044/2016_AJA-15-0060.
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A review of literature on minimal hearing loss (MHL) published from 1950 to 2013 using the keywords minimal hearing loss, unilateral hearing loss, and mild hearing loss was sampled. The purpose was to provide evidence of challenges faced by children with MHL and to establish the need for evidence-based options for early intervention.
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A Minimal Hearing Minimal Loss Should Not Result in Minimal Intervention 

The very word minimal brings to mind trivial, negligible, insignificant and inconsequential. This does not describe the impact of Minimal Hearing Loss (MHL) on children with unilateral, mild, and high-frequency hearing losses according to this current representative sample of the literature.

The purpose was to identify challenges faced by these children and to establish the need for evidence-based options for early intervention. Six challenges associated with MHL emerged; Speech Recognition, Language Development and Competence, Academic Performance, Psychosocial and Emotional Well-Being, Listening Effort, and Localization. Six interventions were indicated for children with MHL: Preferential Seating and Classroom Modifications, FM Systems, Hearing Aids, CROS Hearing Aids, BAIs, Special Services (provision of audiological, educational and speech and language therapy) and Monitoring (hearing sensitivity and for the development or progression of negative effects of MHL). Due to the large individual variability in outcomes and performance, a universal protocol for intervention for children with MHL was not recommended...

About Hearing First
The Hearing First website is a multimedia digital experience and connection point designed to link families who have chosen Listening and Spoken Language (LSL) for their children with hearing loss and the professionals who work with them with the resources, information, tools, community and learning experiences they need to ensure the children in their lives succeed. 
Visit www.hearingfirst.org or click here to learn about the Hearing First Communities.

30th Anniversary Oberkotter Foundation Video

Oberkotter and Hearing First are dedicated to supporting families throughout their LSL journey. 

Enjoy this video celebrating Oberkotter Foundation’s 30th year. The Foundation grew out of one family’s journey with their daughter who is deaf. The video is a version of a home movie to pay tribute to that family and to the amazing gift they have given to so many other families and children who are deaf or hard of hearing. Every family follows its own unique path, but all families share similar steps along the way, and even journeys that are separated by decades of time resonate with similar emotions, feelings, successes and struggles. 





GIVING THE GIFT OF LISTENING AND SPOKEN LANGUAGE

By Lynn A. wood

Consultant on the HEARING FIRST TEAM

Republished with permission from Hearing First.

This holiday season, we’re celebrating the gifts that help your child achieve their full potential. When you begin implementing LSL strategies for your child who is deaf of hard of hearing, you are giving them more than just a single gift, you’re giving them opportunities that can set them up for a lifetime of success. Take a look at our favorite gifts that create spoken language.

READ MORE

About Hearing First

The Hearing First website is a multimedia digital experience and connection point designed to link families who have chosen Listening and Spoken Language (LSL) for their children with hearing loss and the professionals who work with them with the resources, information, tools, community and learning experiences they need to ensure the children in their lives succeed. 

Visit 

www.hearingfirst.org

 or click here to learn about the 

Hearing First Communities.

Sound Localization and the Musical Elf on the Shelf Hide and Seek Game

Sound Localization and the Musical Elf 
Available to purchase:

Hide the musical and talking elf from your child’s view somewhere in a room.

When beginning the Hide and Seek Listening Game:

First, ask your child WHAT he hears.

Then, WHERE the sound is coming from.

You may want to begin by keeping the choices simple. For example, "Do you hear the Elf near the windows or closer to the fireplace?" 

Remind the child to listen first or else they will begin searching with their eyes! 


To play this game, with the Musical and Talking Elf, press the on/off button and hide him. The Elf plays music such as Jingle Bells and calls out phrases periodically like, "Yoo-hoo! I'm hiding! I'm over here! " 

Sound Localization
The ability to localize sounds develops over time. The earlier your child has received his bilateral cochlear implants/hearing aids, the sooner he starts picking up sound cues and gains valuable experiences localizing sounds. 
Tips For Children Learning to Locate Sound Sources
  • Using two different musical toys, hidden from the child’s view, locating one to the left of the child and one to the right side of the child. Then, make a sound with each instrument in varied sequence, ask your child to identify which instrument is on which side. You can do this with Mom's vs. Dad's voice as well. 
  • At the dinner table or while playing games help your child locate who is speaking. Your entire family can help the child learn to locate and follow then natural flow of
  • conversation.
  • Playing hide-and-seek indoors (e.g. room or house), hiding yourself and calling out to your child to find you. This task may be varied by taking turns between hiding and searching.
  • Games in a group, such as “Blindman’s Buff ” or “I Spy” (with sounds), hand clapping games are ideal for practicing sound localization in a  playful way.
  • Teach your child that is hard of hearing to be extra alert visually in crowds, walking near cars, crossing streets, riding bicycles, and in group games. Remind your child to look for traffic and not to depend on hearing oncoming vehicles. If your child rides a bicycle, consider rear-view mirrors to help him see traffic he might not hear.            

Sample Localization GOAL with Benchmarks
GOAL: Child will auditory locate with bilateral cochlear implants/hearing aids:

-  a sound presented at ear level within a 3-foot radius in front or on either side
-  a sound presented at ear level within a 6-foot radius from behind
 - understand and verify gross, environmental, music or speech sounds within  9 feet, then 12 feet and  finally, within the same room in all directions.
 - Understand sounds with a specific location or direction outside.

Click HERE for a packet by Med-EL entitled,
 "Sound Localization Tips and Information for users of Cochlear Implants"
A great listener at the Auditory Verbal Center of Wheaton