Auditory Training: The process of teaching an individual with a hearing loss the ability to recognize speech sounds, patterns, words, phrases, or sentences via audition.Speechreading: The process of using or teaching the understanding communication using visual cues observed from the speaker’s mouth, facial expressions, and hand movements.Listening strategies: The process of teaching hard of hearing persons common and alternative strategies when listening with or without amplification to improve their communication.Hearing aid orientation: The process of providing education and therapies to persons (individual or group) and their families about the use and expectations of wearing hearing aids to improve communication.Today, the list includes a thorough hearing evaluation, intervention with hearing instruments, and counseling for the client before and after the hearing device is selected. In the past, the main components of the rehab process were training clients in lip-reading techniques and listening exercises. Back then, audiologists and speech-language pathologists would put emphasis on speech reading (lip-reading) auditory training, and would fit the soldiers with very primitive hearing aids.
In the United States, adult aural rehab started as a result of the number of soldiers who incurred hearing loss in World War II and were in need of services. The speech-language pathologist also provides training and treatment for communication strategies, speech-perception training (e.g., speechreading, auditory training and auditory-visual-speech-perception training), speech and voice production, and comprehension of oral, written, and sign language. The speech-language pathologist is typically responsible for evaluating the client’s receptive and expressive communication skills and providing the services to anchor improvement. The audiologist may be responsible for the fitting, dispensing and management of a hearing device, counseling the client about his or her hearing loss, the application of certain processes to enhance communication, and the skills training regarding environmental modifications which will facilitate the development of receptive and expressive communication. 5 General steps included in an aural rehab program for an adultĪudiologists and speech-language pathologists are professionals who typically provide aural rehabilitation components.4 General steps included in the aural rehab of a child (infant, toddler, child).
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