Impact of Hearing Loss or Hard of Hearing
Speech and language challenges resulting from reduced auditory access.
Hearing loss, whether congenital or acquired, can have a profound impact on speech and language development, academic achievement, and social communication. Children who are deaf or hard of hearing may experience delays in vocabulary acquisition, grammar development, speech sound production, and pragmatic language skills. The degree of impact depends on the type, degree, and onset of hearing loss, as well as the timing of intervention.
Early identification through newborn hearing screening and timely intervention are critical for optimal outcomes. Children who receive hearing aids, cochlear implants, or other amplification devices benefit significantly from concurrent speech-language therapy to develop listening and spoken language skills. Auditory-verbal and auditory-oral approaches emphasize learning to listen and speak through amplified hearing.
Speech-language pathologists work closely with audiologists, educators of the deaf and hard of hearing, and families to provide comprehensive support. Therapy may focus on auditory skill development, speech production, vocabulary and grammar growth, self-advocacy skills, and ensuring effective communication access across all environments.
Signs & Symptoms
- •Delayed speech and language milestones compared to hearing peers
- •Difficulty producing certain speech sounds accurately
- •Limited vocabulary or grammatical structures for age
- •Trouble understanding spoken language, especially in background noise
- •Speaking too loudly or too softly without awareness
- •Difficulty with social communication and peer interaction
Treatment Approaches
- •Auditory-verbal therapy to develop listening and spoken language skills
- •Speech production therapy focused on sounds affected by hearing loss
- •Language intervention targeting vocabulary, grammar, and narrative skills
- •Collaboration with audiologists regarding amplification and hearing technology
- •Self-advocacy training and communication strategy development
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