Semin Hear 2003; 24(3): 211-222
DOI: 10.1055/s-2003-41350
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Methods and Strategies for Audiological Assessment of Individuals Who Are Deaf-Blind with Developmental Disabilities

John Mascia1 , Nancy Mascia2
  • 1Helen Keller National Center for Deaf-Blind Youths and Adults, Sands Point, New York, and Department of Speech Language and Hearing Sciences, Hofstra University, Hempstead, New York
  • 2Department of Speech Language and Hearing Sciences, Hofstra University, Hempstead, New York
Further Information

Publication History

Publication Date:
14 August 2003 (online)

ABSTRACT

Clients who are deaf-blind with developmental disabilities pose unique challenges to the clinician who is administering an audiological assessment. This article highlights some of these challenges. Communication strategies that can be employed when evaluating an individual who is deaf-blind with developmental disabilities are discussed. Functional recommendations for making the audiology office accessible are outlined. Methods for adapting standard evaluation procedures are presented. The suggested protocol for audiological assessment of this low-incidence population includes the combination of behavioral testing procedures and objective measurements, as well as functional observation in natural environments.

REFERENCES

  • 1 Helen Keller National Center. Act United States Congress, as amended, Title 29, Chapter 21, Sec 1905, 1998. 
  • 2 Department of Health, United Kingdom, Local Authority Circular. London: Deaf-Blind Services Consultation . 2001
  • 3 Regenbogen L S, Coscas G J. Oculo-auditory Syndromes. Chicago: Yearbook Medical; 1985
  • 4 National Technical Assistance Consortium. 2000 Annual Census, Teaching Research Division, Western Oregon University, Monmouth, Oregon; Helen Keller National Center, Sands Point, NY. Monmouth, OR: National Technical Assistance Consortium (NTAC); 2001
  • 5 Shprintzen R. Syndrome Identification for Audiology: An Illustrated Pocket Guide. San Diego, CA: Singular 2001: 233-237-272-289
  • 6 Armstrong N, Carr T, Houghton J, Belanich J, Mascia J. Supporting medical concerns of young adults who are deaf-blind. In: Everson JM, ed. Supporting Young Adults Who Are Deaf-Blind in Their Communities Baltimore, MD: Paul H. Brookes 1995: 43-65
  • 7 Goodall D, Everson J. Communication instruction and support strategies. In: Everson JM, ed. Supporting Young Adults Who Are Deaf-Blind in Their Communities Baltimore, MD: Paul H. Brookes 1995: 203-224
  • 8 Mascia J. Non-traditional view of clinical services: thoughts of a former traditionalist. National Family Association for Deaf-Blind Newsletter 1995 (Spring): 6-7
  • 9 O'Brien J. A guide to lifestyle planning: using the activities catalog to integrate services and natural support systems. In: Bellemy, Wilcox, eds. A Comprehensive Guide to the Activities Catalog: An Alternative Curriculum for Youth and Adults with Severe Disabilities Baltimore, MD: Paul H. Brookes 1987: 175-189
  • 10 Mount B, Zwernik K. Making Futures Happen: A Manual for Facilities of Personal Futures Planning. St. Paul, MN: Metropolitan Council's Developmental Disabilities Case Management Project; 1990
  • 11 Crook L, Miles B, Riggio M. Selection of communication modes. In: Remarkable Conversations: A Guide to Developing Meaningful Communication with Children and Young Adults Who Are Deaf-Blind Watertown, MA: Perkins School for the Blind 1999: 126-145
  • 12 Feist N. Making Your Office Accessible to a Person Who is Deaf-Blind and Developmentally Disabled. Sands Point, NY: Helen Keller National Center; 2002 (unpublished document). 
  • 13 Broadston D. Functional Hearing Inventory for Deaf-Blind Children. Lubbock, TX: Texas Tech University; 2000 (unpublished document)
  • 14 Blaha R, Shafer S. Informal Auditory Observation Form. Austin, TX: Texas School for the Blind and Visually Impaired, Outreach Department; 1997
  • 15 Hesson K, Pollock K, Saunders M, Thompson J, Watt L. Functional Assessment for Work with Deaf-Blind Persons. Toronto, Canada: Canadian National Institute for the Blind, Ontario Division, Deaf-Blind Services; 1992
  • 16 Gee K. Functional Auditory Assessment. Monmouth, OR: The National Information Clearinghouse on Children Who Are Deaf-Blind, U.S. Department of Education, Office of Special Education Programs, 1996; D-B Link Document No. ASM-96-020
  • 17 Johnson C D. The Functional Listening Evaluation. Revised 2001
  • 18 Borus J F. Acoustic impedance measurements with hard of hearing mentally retarded children.  J Mental Deficiency Res . 1972;  16 196-202
  • 19 Fulton R T, Lamb L E. Acoustic impedance and tympanometry with the retarded: a normative study.  Audiology . 1972;  11 199-208
  • 20 Karjalainen S, Kaariainen R, Vohlonen I. Ear disease and hearing sensitivity in retarded children.  Int J Pediatr Otorhinolaryngol . 1983;  5 235-241
  • 21 Zoller M K, Ruhe D J, Dunster J R. Tympanometry screening in developmentally delayed individuals.  J Aud Res . 1985;  99 11-22
  • 22 Hall III J W, Mueller III H G. Audiologists' Desk Reference, Vol I. San Diego, CA: Singular; 1997
  • 23 Jerger J, Anthony L, Jerger S, Mauldin L. Studies in impedance audiometry iii middle ear disorders, 1974.  Arch Otolaryngol . 1975;  99 165-171
  • 24 Niswander P S, Ruth R A. Prediction of hearing sensitivity from acoustic reflexes in mentally retarded persons.  Am J Ment Defic . 1997;  81 474-481
  • 25 Hall III W J. Predicting hearing levels from the acoustic relfex: a comparison of three methods.  Arch Otolaryngol . 1978;  104 602-605
  • 26 Hood L. Clinical Applications of the Auditory Brainstem Response. San Diego, CA: Singular 1999: 93-144
  • 27 Glattke T J, Robinette M S. Transient otoacoustic emissions. In: Robinette MS, Glattke TJ, eds. Otoacoustic Emissions: Clinical Applications, 2nd ed New York: Thieme; 2001: 95-115
  • 28 Lonsbury-Martin B L, Martin G K. The clinical utility of distortion product otoacoustic emissions.  Ear Hear . 1990;  11 144-154
  • 29 Stein L K, Ozdamar O, Scnabel M. Auditory brainstem responses (ABR) with suspected deaf-blind children.  Ear Hear . 1981;  2 30-40
  • 30 Stein L K. Auditory evoked potentials with special populations.  Semin Hear . 1988;  9 35-46
  • 31 Stapells D R, Oates P. Estimation of the pure-tone audiogram by the auditory brainstem response: a review.  Audiol Neurol . 1997;  2 257-280
  • 32 Jerger J, Hayes D, Jordan C. Clinical experience with auditory brainstem response audiometry in pediatric assessment.  Ear Hear . 1980;  1 19-25
  • 33 Hall J W, Tucker D. Auditory brainstem response in the evaluation of peripheral versus central nervous system dysfunction in the pediatric intensive care unit.  Semin Hear . 1988;  9 47-60
    >