Introduction to Audiologic Rehabilitation / Edition 5

Introduction to Audiologic Rehabilitation / Edition 5

by Ronald L. Schow, Michael A. Nerbonne

ISBN-10: 0205482929

ISBN-13: 9780205482924

Pub. Date: 08/21/2006

Publisher: Pearson

Now in its Fifth Edition, Introduction to Audiologic Rehabilitation is the leading Aural Rehabilitation text in the field!

This highly regarded text has been substantially updated and revised, making it more user-friendly for both students and instructors. It is especially current in areas dealing with hearing aids, cochlear

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Now in its Fifth Edition, Introduction to Audiologic Rehabilitation is the leading Aural Rehabilitation text in the field!

This highly regarded text has been substantially updated and revised, making it more user-friendly for both students and instructors. It is especially current in areas dealing with hearing aids, cochlear implants, and current approaches to providing relevant AR. The text begins with eight chapters introducing the fundamentals–amplification, including cochlear implants, auditory and visual stimuli, speech and language, and educational and psychosocial issues. Two comprehensive methods and procedures chapters follow, focusing on children, adults, and elderly adults. Finally, the well-documented and amply illustrated text concludes with two case study chapters.

Highlights of the Fifth Edition:

· Case studies for each age group illustrate the variety of audiologic rehabilitation procedures being discussed and are designed to give both students and clinicians a first-hand, personalized approach to rehabilitation.

· Two separate chapters on treatment of all age groups—children, adults, and elderly adults—make this a comprehensive text in its treatment of audiologic rehabilitation (Chs. 9 & 10).

· NEW material on digital hearing aids, cochlear implants, tinnitus and vestibular rehabilitation, and educational audiology.

· Information on the new World Health Organization Classification of Functioning and Disability, which provides a model for rehabilitation worldwide.

· User-friendly pullouts and summary points for each chapter.


- Companion website will provide important resources and application materials for most chapters in the text including "Shockwave" activities for learning enhancement, a recent survey on audiologic rehabilitation, policy statements, handouts for use in hearing aid fitting, and other supportive links and materials.

- Website material allows the student to practice and become familiar with AR activities such as speech-reading, tracking, classifying audiograms, case interpretation, and other course-related topics.

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Table of Contents

Each chapter begins with “Introduction” and concludes with “Summary Points,” “Recommended Reading ,” “Recommended Websites,” and “References.”


1. Overview of Audiologic Rehabilitation.

Ronald L. Schow & Michael A. Nerbonne

Definitions and Synonyms

Providers of Audiologic Rehabilitation

Education Needs of Providers

Hearing Loss Characteristics

Degree of Hearing Impairment and Configuration

Time of Onset

Type of Loss

Auditory Speech Recognition Ability

Consequences of Hearing Loss: Primary and Secondary

Communication Difficulties

Variable Hearing Disability

Rehabilitative Alternatives

Historical Background

Birth of Audiology

Difficulties in Acceptance of Audiologic Rehabilitation

Current Status

Procedures in Audiologic Rehabilitation: An AR Model

Rehabilitation Assessment Procedures

Management Procedures

Settings for Audiologic Rehabilitation



Elderly Adults

2. Hearing Aids and Assistive Devices.

H. Gustav Mueller, Earl E. Johnson & Anne S. Carter


Hearing Aids

Basic Components

Controls and Features

Hearing Aid Styles

The Body Aid

The Eyeglass Aid






Specialized Filling Options


Bone Conduction and Implantable Hearing Aids

Traditional Bone Conduction Devices

Implantable Hearing Aids

The Earmold

Acoustic Effects of Earmolds

Low-frequency Modification

Mid-frequency Modification

High-frequency Modification

The Earmold Impression


Electroacoustic Properties

The Selection and Filling of Hearing Aids

Step 1: Selecting the Hearing Aid Candidate

Degree of Hearing Loss

Degree of Communication Disability

Motivation to Use Hearing Aids

Step 2: Preselection Measurements

Pure Tone Thresholds

Loudness Discomfort Level (LDL)

Loudness Contour Testing

Step 3: Hearing Aid Selection

Hearing Aid Style

Gain and Frequency Response

Maximum Output

Automatic Signal Processing (ASP)

Programmable Hearing Aids

Digital Signal Processing

Binaural Fittings

Other Considerations

Step 4: Verification

Informal Rating of Speech Quality and Intelligibility

Speech Recognition or Intelligibility Testing

Loudness Scaling

Probe Microphone Measurements

Step 5: Postfitting Counseling, Orientation, and Outcome Measures

Postfitting Counseling and Instrument Orientation

Follow-up Visits and Outcome Measures

Considerations for the Pediatric Patient

Prefitting Testing

Fitting Considerations

Verification of Fitting

Postfitting Procedures

Assistive Listening Devices and Other Communicative Devices

Alerting/Signaling Devices

Concluding Summary Points

3. Cochlear Implants and Vestibular/Tinnitus Management.

Alice E. Holmes & Gary P. Rodriguez

How Does a Cochlear Implant Work?

History of Cochlear Implants

The Cochlear Implant Team

Who Is a Candidate?

Candidacy for Adults

Candidacy for Children

Deaf Culture and Cochlear implants

Treatment Plans for Cochlear Implant Recipients


Follow-up Programming and Therapy

Variables Affecting Performance

Future Trends in Cochlear Implants

Auditory Brainstem Implant

Vestibular Rehabilitation

Tinnitus Management

4. Auditory Stimuli in Communication.

Michael A. Nerbonne & Ronald L. Schow

A Communication Model

Auditory Perception

Development of Auditory Skills

Basic Perception Abilities

Acoustics of Speech

Intensity Parameters of Speech

Frequency Parameters of Speech

Temporal Parameters of Speech

Transitional Cues

Speech Perception and Comprehension

Speech Perception and Hearing Loss

Physical Properties

Redundancy and Noise

The Auditory Training Process

Definition and Application of Auditory Training

Early Efforts in Auditory Training


Current Approaches to Auditory Training

Candidacy for Auditory Training

Assessment of Auditory Skills

Evaluating Children

Evaluating Adults

Methods of Auditory Training





Consonant Recognition Training

Communication Training and Therapy

5. Visual Stimuli in Communication.

Nicholas M. Hipskind

Factors Related to Speechreading


Signal and Code








Personality Traits



Visual Perception


Speechreading and the Hearing impaired

Assessment of Speechreading Ability

Formal Speechreading Tests

Informal Speechreading Tests

Visual Assessment and Speechreading Evaluation

Hearing Impairment and Dependence on Vision


Hard of Hearing

Traditional Speechreading Methods

Analytic and Synthetic Approaches

Recent Trends in Speechreading Instruction



Innovative Options

Manual Communication

Types of Manual Communication

Signed English Systems


Cued Speech


6. Language and Speech of the Deaf and Hard of Hearing.

Deborah S. Culbertson


Language and Communication

Factors Affecting Language Acquisition

Language Characteristics of Preschool Children with Hearing Impairment

Importance of Parent-Child Interactions

Knowledge of Schema in Preschool Children

Semantic and Pragmatic Functions in Preschool Children

Early Vocabulary in Preschool Children

Language Characteristics of School-Age Children with Hearing Impairment

Lexical-Semantic Skills of School-age Children

Syntactic-Morphologic Skills of School-age Children

Pragmatic Skills of School-age Children

Plateau in Language Acquisition for School-age Children

Preliteracy and Literacy Issues

Language Assessment

Limitations and Cautions in Using Formal Language Measures

Essential Conditions for Evaluating Language Abilities

Communication and Language Management for Preschool and School-Age Children with Hearing Impairment

Strategies for Developing Conversational Skills

Preliteracy and Literacy Activities

Bilingual Education for Children Who Are Deaf

Speech Characteristics, Assessment, and Management

Hearing as the Foundation for Speech Sound Development

Early Vocalizations of the Child

Speech Intelligibility

Speech Characteristics, Assessment, and Management for individuals with Prelingual Hearing Loss

Individuals with Mild to Moderately Severe Prelingual Hearing Loss

Individuals with Prelingual Hearing Loss in the Severe to Profound Range

Speech Assessment of Individuals with Severe or Profound Hearing Loss

Measures of Speech Intelligibility

Measures of Articulation and Phonology

Perceptual Assessment of Suprasegmentals and Voice Characteristics

Acoustic and Physiologic Displays

Speech Management for Individuals with Severe or Profound Hearing Loss

Speech Characteristics of Individuals with Postlingual Profound Hearing Loss

7. Psychosocial Aspects of Hearing Impairment and Counseling Basics.

Kris English

Psychosocial Aspects of Hearing Impairment

Growing Up with Hearing Loss

Self concept

Emotional Development

Family Concerns

Social Competence

Special Issues in Adolescence


Acquiring Hearing Loss

Self concept

Psychoemotional Reactions

Family Concerns

Social Concerns


About Being Deaf

Being Deafened

"Deafness with a Capital D"

"Knowing Is Not Enough": Counseling Basics

Important Distinctions

What We May Think Counseling Is

What Counselors Say Counseling Is

The Counseling Process

Help Patients (or Parents) Tell Their Story

Help Patients Clarify Their Problems

Help Patients Take Responsibility for Their Listening Problems

When to Refer

8. Audiologic Rehabilitation Services in the School Setting.

Kris English

Why AR Services Are Required in School Settings: The Educational Consequences of Hearing Impairment

Degree of Loss: Terminology

Mandated by Law

Key Components of IDEA

Least Restrictive Environment

Educational Options

LRE for a Child with HI

The Individualized Education Program

The Communication Debate

Oral-Aural Approach

Total Communication

Cued Speech

Using Sign Only

AR Services Provided in Schools

Screening and Assessment

Management of Amplification

Direct Instruction and Indirect Consultation

Hearing Conservation

Evaluation and Modification of Classroom Acoustics

Transition Planning to Postsecondary Placements

How Services Are Provided

AR Service Providers in School Settings



Speech-Language Pathologists

Related Support Personnel

Services for Children with Auditory Processing Problems


9. Audiologic Rehabilitation for Children: Assessment and Management.

Mary Pat Moeller , Ronald L. Schow & Mary M. Whitaker

Prevalence of Loss and Level of Service

Terms and Definitions

Profile of the Client

Hearing Loss


Other Disabling Conditions

Rehabilitation Settings and Providers

Identification and Assessment Procedures with Children

Early Identification

School Screening

Medical and Audiologic Assessment

Aspects of Audiologic Rehabilitation: Early Intervention for Parent-Infant and Preschool

Rehabilitation Assessment


Environmental Coordination and Participation

Audibility, Amplification, and Assistive Device Issues

Remediation of Communication Rehabilitation Activity

Counseling and Psychosocial Aspects

Aspects of Audiologic Rehabilitation: School Years

Rehabilitation Assessment: IEP Meeting


Environmental Coordination and Participation

Audibility, Amplification, and Assistive Device Issues

Communication and Language Stimulation: School-age Level

Counseling and Psychosocial Aspects (Special Case)


10. Audiologic Rehabilitation for Adults and Elderly Adults: Assessment and Management.

Kathy Pichora-Fuller & Ronald L. Schow

Profile of the Adult Client

Hearing Loss over the Life-span

Profile of the Elderly Client

Hearing Loss

Physical and Mental Health and the Aging Process

Personal and Environmental Factors

Economic Status and Retirement

Living Environments

Model for Rehabilitation

CORE Assessment

Care Management

Rehabilitation Settings

University Programs

Community Centers and Agencies


Consumer Groups

Hospitals, Medical Offices, Private Practice Audiologists, and Hearing Instrument Specialists

Rehabilitation Assessment

Assessing Impairment

Assessing Activity and Participation

Case History


Outcome Measures

CORE Assessment Summary

Rehabilitation Management

Counseling and Psychosocial Considerations

Amplification and Instrumental Interventions to Achieve Audibility

Is the Client Ready for an Instrument?

Fit and Function of the Instrument

Counseling and Orientation to Instruments

Remediation for Communication Activities

Environmental Coordination and Participation Improvement

Further Illustration of CORE and CARE


11. Case Studies: Children.

Mary Pat Moeller

Case 1 Joey: Family-centered Intervention: Multiple Disabilities

Background Information

Previous Rehabilitation

Environmental Coordination and Participation

Communication Rehabilitation Adjustment

Psychosocial and Counseling Aspects

Case 2 Mike: Decision Making by a Student Related to Cochlear Implants

Background Information

Aural Rehabilitation Plan: Pre-implant

Aural Rehabilitation Plan: Post-implant

Intervention Outcomes


Case 3 Amber: Issues Affecting Educational Placement

Background Information

Assessment Findings

Recommendations for Management

Follow-up Assessment

Case 4 Greg: Late Identification of a Hard-of-Hearing Child

Background information

Communication Activity Assessment


Remediation of Communication Activity: Auditory and Linguistic Training

Intervention Outcomes


Case 5 Sam: Differential Diagnosis through Professional Teamwork: A Tool for Solving Complex Intervention

Background Information

Educational/Rehabilitative History

Psychological and Communication Findings

Functional Auditory and Speech Production Skills

Diagnostic Teaching

Putting it all together

12. Case Studies: Adults and Elderly Adults.

Michael A. Nerbonne, Jeff E. Brockett & Alice E. Holmes

Case 1 Dr. M.: Progressive Hearing Loss

Case History

Audiologic Rehabilitation Assessment


Hearing Aid Evaluation and Adjustment

Communication Training


Case 2 Mr. B.: Hearing Loss, Depression, and Successful Hearing Aid Use

Informational Counseling

Rehabilitation Assessment

Communication Status: Impairment Activity Limitations

Overall Participation Variables

Related Personal Factors

Environmental Factors

Rehabilitation Management

Counseling and Psychosocial Issues

Audibility and Impairment Management

Remediaie Communication Activity

Environment and Coordination: Participation Improvement


Case 3 JD: AR featuring a significant Other


Informational Counseling

Rehabilitation Assessment

Rehabilitation Management


Case 4 Mrs. D.: Cochlear Implant User

Case History

Assessment Information

Pre-CI Management

Counseling and Psychosocial Considerations

Communication Remediation

CI Surgery

Post-Cl Management

Audibility and Amplification

Audiovisual Training for Communication

Counseling and Coordination


Case 5 Mrs. E.: Nursing Home Hearing Aid User

Case History

Diagnostic Information

Audiologic Rehabilitation

Author Index

Subject Index.

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