The following is a rewritten summary of an article published in the first issue
of The Volta Review, 2000, 102 (1).
LANGUAGE PROGRESS WITH AN AUDITORY VERBAL APPROACH FOR
CHILDREN WITH SIGNIFICANT HEARING LOSS
Ellen A. Rhoades, Ed.S. & Theresa H. Chisolm, Ph.D.
This study focused on the language growth of 40 heterogeneous children with
significant hearing loss (no other pre-selection criteria were used), both
hearing aid and cochlear implant users, who received intensive auditory verbal
intervention (auditory comprehension-based model of a functional language 'road
map') over a period of one to four years. Their average CA upon initiation of AV
intervention was 44 mos. At the outset of this study, 2/3 of children were
hearing aid users and about half of these became CI users. The mean
unaided better ear PTA of Hearing Aid-only group was 75 dB. Of all 27 CI
users, 1/3 were Clarion users and remainder used either N-22 or N-24
device.
Although fifteen percent of the children were diagnosed as cognitively
delayed, only one was in a special education class. Over the course of this
study, 78% were referred for Sensory Integration evaluations and 2/3 of them
were found to have moderate or severe SI dysfunctions, with at least 60% of all
40 children receiving SI therapy. About half of all children were referred for
oral-motor therapy. Five percent required medication for both ADHD and
psychologically diagnosed bipolar disorder.
Three global language assessment instruments (SICD-R, PLS-3, OWLS) were
administered to the children at semi-annual intervals following initiation of
auditory verbal services. Mean equivalent receptive language ages were higher
than mean equivalent expressive language ages. Group performances in receptive
and expressive language for each year indicate that a reasonable overall
minimally expected rate of growth should be 100% for each year of AV intervention, even for
older preschool children. Furthermore, performance of the 'graduates' show that
the gap between chronological age and language age was closed, i.e., these
children essentially attained syntactical competency at levels commensurate with
normally hearing peers. These "graduates" attained from 100-240%
language growth rates during each year of AV intervention.
To
view the PowerPoint presentation made by Ellen Rhoades at NHS2000, the
International Conference on Newborn Hearing, Screening, Diagnosis, and
Intervention in Milan Italy, please click here - Language
Development for Auditory-Verbal Children
For the written content of her presentation, please click on Language
Progress with an Auditory-Verbal Approach for Young Children with Hearing Loss.