Complete the Ling 6 sound test 3 times a day to ensure the hearing aid or cochlear implant is working correctly. Ling 6 sounds are : "ah, ooo, eee, m, sh, s."
Learning to Listen Sounds, Words and Phrases:
|Boat: puh puh puh|
Bus: buh buh buh
Truck: brrr honk/naanaa
|Car: brrrr. Beep beep|
|train: choo choo/woowoo|
Motorcylce: vrin vrin/rin,rin
fish: swish, swish
horse: neigh & Tongue click
|frog: jump jump
dog : ruff ruff
Pig: oink oink
|Santa Claus: ho-ho-ho|
Telephone: ring ring
|Cowboy: ya hoo, yee ha
Spinning things: round and round
Pop-pop the bubbles
Close the door
Open the box
Sh-sh go to sleep
Wash-wash your hands
Blow-blow the feather
Bounce-bounce the ball
Up-up-up the stairs, blocks etc..
It goes round and round (top, wheels, pinwheel)
Cut-cut the (banana, paper, etc)
Brush your hair, teeth
Get the (object)
Open your eyes
it's all gone
the clock goes tick-tock
the ghost says boooo
I'm mommy, I'm daddy
that's my shoe
that's my eye, nose, mouth , etc..
no-no don't touch
pour it in
uh-oh, he fell
what a mess
|b-r-r-r that's cold|
I want a 삒>see you later
|Look at that|
m-m-m that's good
I want more
It's too heavy
Let's clean up
|"Learning to Listen Sounds, words and phrases" adapted from the work of:
- Warren Estabrooks, B.A., M.Ed., Cert. AVT, Clinical Director, Auditory-Verbal Therapy Program, North York General Hospital, Toronto, Ontario, Canada
- Judith Simser, B.Ed, Cert. AVT, Aural Habilitation Program, Children's Hospital Eastern Ontario, Ottawa, Ontario, Canada
What your A-V therapist and you should be doingⒾ
A Parent's Guide: Ages 0-6
Normal Speech and Language Development
Encourage speech and language!
- Talk naturally with your child, speaking without exaggerated facial (particularly mouth and tongue) movements and without the use of sign language.
- Emphasize the sounds of speech used with your child in the way that mothers do with hearing infants who are learning to talk (motherese).
- Understand normal child language and speech development.
- Take turns in therapy to give your child time to process what was said and time to respond.
- Encourage your child to use babbling and jargon as normal hearing infants do.
Point out behaviors that indicate that your child is using sound for learning.
- Note to you the evidence that your child perceived some aspect of a speech or other sound signal whenever your child makes an auditory response.
- Help your child know that you expect a response to sound.
- Allow your child time to respond to sound. (PAUSE TIME)
Program management and Planning
Helps you to understand the Auditory-Verbal goals and procedures.
The Auditory/Verbal Network, Inc. February 1998
- Emphasize that primary therapeutic goal is training your child to be aware of, attend to, and use sound.
- Keep accurate notes and /or videotaped records of your child's progress.
- Use information about normal hearing children's language and speech development when discussing your child's progress.
- Coordinate services with other professionals who may be involved with your child.
Stages of AVT免>
Auditory-Verbal sessions progress through the following stages:
- After accessing the ability to hear speech, either through hearing aids or a cochlear implant, the child is assisted in developing auditory, language, and speech skills in a near normal manner.
- The Child then learns to develop receptive language, allowing the child to understand spoken language.
- Once the child has a strong auditory and receptive language base, expressive or spoken language will spontaneously follow.
Auditory-Verbal Therapy: What it takes !!
Auditory Verbal therapy is helping your child to integrate hearing, language, and spontaneous speech into the child's personality. Through play and active involvement in everyday situation, listening can become a way of life. (Pollack 1985: Estabrooks & Samson 1992). Auditory-verbal therapy places a strong emphasis on detection of the hearing loss early, early fitting of hearing aids, continuing diagnostic therapy, and a strong partnership between the family and the professionals.
Building the foundation of learning to listening requires:
- Wearing the hearing aids/ cochlear implant throughout all waking hours.
- Checking the child's hearing aids/ cochlear implant multiple times throughout the day. This can be done through acoustics, like the Ling 6 sounds, and behavioral checks, does your child turn when called, respond consistently from day to day?
- Using clear well-articulated speech when around the child
- Reducing any background noise in the child's listening in environment.
Parent/ Caregiver requirements for successful auditory-verbal therapy.:
- Bring a notebook to all therapy sessions; a three-ring binder with pockets and dividers will help to stay organized. This is used for you to record new goals, ideas for home activities, and used also to record your child's progress throughout the week.
- An experience book is used to record your daily activities with your child; this can be a photo album, scrapbook, even a notebook. It is used to look back on activities of the week, to discuss past experiences and also to encourage you to discuss daily activities. Often, with the beginning child, you may simply draw a stick figure or pictures, even small objects of where you went, or activities you did that day. Later with progress, you or your child may write small subheadings with pictures or stories.
- You will be asked to plan a few activities often and bring them to therapy, this enables you to think openly and freely about your child's goals and new ways you can work toward meeting them.
- You will interact with activities during the therapy session. My goal is to guide and teach you, the parent/caregiver, to help your child listen to the best of their ability. You are the primary teacher for your child with auditory-verbal therapy.
What To Expect From Your Child
During the First Year
- Follow simple one step commands
- Develop object permanence; understand that an object continues to exist even when they can no longer see it.
- Vocalizes when spoken to
- Turns to localize where sound is coming from
- Talks to mirrors and toys
- Quiets when wearing hearing aids, and is noisy when they are off
- Reacts to hearing a loud sound by smiling, quieting, or being still
- Responds to noise-making toys
- Responds to environmental sounds (doorbells, telephones, knocking, barking, etc.)