Cochlear Implant- Rehab

Question 1

What is the role of rehab?

Answer 1

• Monitoring
• Assessment
• Advice

Question 2

In rehab, they see the child for _____ years post implant.

Answer 2

5

Question 3

What does rehab focus on?

Answer 3

Early years of implant use.

Question 4

Rehab assistants don’t hold ________ and don’t provide ____________.

Answer 4

Duty of Care.

Weekly Therapy

Question 5

The more you wear the cochlear implant the…

Answer 5

better the outcome.

Question 6

Who is the child normally seen by weekly?

Answer 6

Teacher of the Death or SLT in local area.

Question 7

What areas are assessed and how?

Answer 7

Expressive and Receptive Language - CELF
Listening/Speech Perception- GRASPS and questionnaires.
Speech Production -PETAL, speech intelligibility rating.

Question 8

What is essential for rehab?

Answer 8

Parent Interaction.

Question 9

The child must be ______ in _________. This must be presented at the right ______ for the child.

Answer 9

Immersed, Spoken language.

level.

Question 10

The rehab assistant often teaches parents specific ______.

Answer 10

techniques.

Question 11

Explain to the parent…

Answer 11

Expectations and why they are doing an activity.

Question 12

Name some strategies and techniques.

Answer 12

Pausing and Waiting (gives child time to process auditory info)
Modelling (encourage parents to model correct language models)
Acoustic Highlighting (use intonation to emphasise features of speech so child pays attention).
Auditory Closure (leave a gap for child to close e.g. ready, steady...)
One person speak at a time (avoids auditory clutter)
Hand cues (cue to listen/ take turns)
Language expansion (expand utterances).

Question 13

What is used to develop spoken language?

Answer 13

LISTENING :)

Question 14

Why are nursery rhymes so important for rehab?

Answer 14

• phonological awareness
• Supra-segmentals
• rhythm
• auditory memory
• vocabulary
• humour and imagination
• coordination
• confidence

Question 15

Acoustic Highlighting makes a sound, word or phrase accoustically ______.

Answer 15

Salient.

Question 16

Acoustic highlighting is particularly useful in ____ activities.

Answer 16

Early listening.

Question 17

what can Acoutsic higlighting be called?

Answer 17

A sign-song voice, motherese.

Question 18

In early language what is encouraged?

Answer 18

Use of words and wholistic phrases e.g. more, up , all gone, uh oh.
Imitation of patterns of speech.

Question 19

How is listening to sounds encouraged?

Answer 19

By repetition and rich in expression and rhythm.

Question 20

How is listening best learned at home?

Answer 20

By use of enhanced natural environments.

Question 21

Children learn most effectively in ____, ______ environments.

Answer 21

Routine everyday.

Question 22

What is an enhanced natural environment?

Answer 22

An everyday environment is slightly manipulated to provide more opportunity for language.

Question 23

Children with cochlear implants may be slightly be delayed but ….

Answer 23

should be developing normally.

Question 24

What should we make sure the child can hear?

Answer 24

• Environmental sounds
• Speech sounds
• Voices
• They should be responsive in quiet/noise
• be able to hear a whisper
• Can the localise sound
• Can they attach meaning to a sound.

Question 25

What 5 areas should the child know?

Answer 25

- Audition - Language - Communication - Speech - Cognition

Question 26

What should parents know?

Answer 26

Responses to look for Age appropriate language and next steps Age appropriate strategies

Question 27

Name some Audition Goals.

Answer 27

``` Detection Localisation Looking from speaker to speaker Responding appropriately to meaningful sounds Developing sound-object association Identifying objects by description Following auditory closure tasks. ```

Question 28

Name some Language Goals.

Answer 28

``` Developing the ability to vocalise for objects, needs and wants. Asking and answering questions Vocabulary development Expansion of utterance length Tenses and morphological makers ```

Question 29

Name some communication goals.

Answer 29

Turn taking Eye contact Topic maintenance Use of social courtesies

Question 30

Name some speech goals.

Answer 30

``` Develop supra-segmental features Produce consonants and vowels Produce words Produce phrases Eliminate omissions ```

Question 31

Name some Cognition Goals.

Answer 31

``` Development of play skills Comprehension of specific games Categorisation Literacy Concept Knowledge ```

Question 32

Where a child is neurologically intact, diagnosed early and aided appropriately....

Answer 32

They should be talking quickly! AIM HIGH.

Question 33

Children with cochlear implants can cope in _______ school.

Answer 33

Mainstream.

Question 34

_____ use is essential.

Answer 34

Consistent.

Question 35

A good quality of _____ _____ is essential to develop spoken language.

Answer 35

Language stimulation.

Question 36

Children have access to _____ therefore any speech or language impairment isn't due to ______.

Answer 36

Sound. | Implant.

Question 37

Activities should be ______. focusing on specific _______, multiple ______ of a task and manipulated to make it _______.

Answer 37

Structures. Skills Repetitions Harder.

Question 38

SLTs should encourage ___ of the implant.

Answer 38

Consistent wear.