AURAL REHABILITATION FOR PEOPLE WITH DISABILITIES AURAL REHABILITATION FOR PEOPLE WITH DISABILITIES JohnM.A.Oyiborhoro BoroAudiologyClinic Brooklyn,NewYork and NationalInstituteforPeoplewithDisabilities NewYork,NewYork AMSTERDAM(cid:1)BOSTON(cid:1)HEIDELBERG(cid:1)LONDON NEWYORK(cid:1)OXFORD(cid:1)PARIS(cid:1)SANDIEGO SANFRANCISCO(cid:1)SINGAPORE(cid:1)SYDNEY(cid:1)TOKYO ElsevierAcademicPress 30CorporateDrive,Suite400,Burlington,MA01803,USA 525BStreet,Suite1900,SanDiego,California92101-4495,USA 84Theobald’sRoad,LondonWC1X8RR,UK Thisbookisprintedonacid-freepaper. Copyright(cid:1)2005,ElsevierInc.Allrightsreserved. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyany means,electronicormechanical,includingphotocopy,recording,oranyinformation storageandretrievalsystem,withoutpermissioninwritingfromthepublisher. PermissionsmaybesoughtdirectlyfromElsevier’sScience&TechnologyRightsDepartmentin Oxford,UK:phone:(þ44)1865843830,fax:(þ44)1865853333,e-mail:[email protected]. uk.Youmayalsocompleteyourrequeston-lineviatheElsevierhomepage(http://elsevier.com),by selecting‘‘CustomerSupport’’andthen‘‘ObtainingPermissions.’’ LibraryofCongressCataloging-in-PublicationData Applicationsubmitted BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN:0-12-531785-9 ForallinformationonallElsevierAcademicPresspublications visitourwebsiteatwww.books.elsevier.com PrintedintheUnitedStatesofAmerica 05 06 07 08 09 9 8 7 6 5 4 3 2 1 ToParentsandDirectCaregiversof PeoplewithSevereDisabilities and ToOnakpoma(Ono)forHerLove,Support,andMotherlyCare CONTENTS Contributors xiii Foreword xv Acknowledgments xvii CHAPTER 1 Overview of Disabilities JohnM.A. Oyiborhoro, Ed.D.,F.A.A.A., CCC-A Conceptof Disability 3 Consequencesof HearingImpairment 5 MentalRetardation 6 Down’sSyndrome 7 CerebralPalsy 7 HIV/AIDS 8 V|sualImpairment 8 SocioculturalIssues 9 Managementof PeoplewithDisabilities 14 PeoplewithOtherDisabilities 16 References 18 SelectedReadings 20 PART I Audiologic Rehabilitation for People with Disabilities: Assessment and Management CHAPTER 2 Cerebral Palsy/Developmental Disabilities JohnM.A. Oyiborhoro, Ed.D.,F.A.A.A., CCC-A AudiologicEvaluation 28 Background/CaseHistory 28 Otoscopy 33 PureToneAudiometry 34 vii viii Contents ConventionalPureToneAudiometry 35 BehavioralObservationAudiometry 37 V|sualReinforcementAudiometry 40 AirPu¡Audiometry 41 OtherBehavioralEvaluationTools 41 SpeechAudiometry 42 ElectrophysiologicMeasures 45 Interpretationof TestOutcomes 49 AbnormalABR,AbsentOAE,AbsentAcousticRe£exes, NormalTympanogram 49 NormalABR,AbnormalOAE,AbnormalTympanogram, AbsentAcousticRe£ex 49 AbnormalABR,NormalOAE,NormalTympanogram 49 Management 51 References 52 SelectedReadings 55 CHAPTER3 HIV/AIDS John M.A.Oyiborhoro, Ed.D., F.A.A.A., CCC-A Modesof Transmissionof HIV 59 HIVInfectionandAIDS-RelatedPathologicConditions 61 SomeCausesofAIDS-RelatedDiseases/Lesions 61 AuditoryDisordersAssociatedwithAIDS 62 ConductiveAuditoryPathologicConditions 63 Causesof SensorineuralHearingLossin HIV-PositiveIndividuals andPatientswithAIDS 66 RetrocochlearPathologicConditions 68 AuditoryP300Response 70 Management 71 References 72 SuggestedReadings 75 CHAPTER4 People with Visual Impairment Cindy Gustin, PH,MSc V|sionLoss:WhatItLooksLike 79 HowtheEyeWorks 79 Contents ix CommonEyeDisorders 80 RelationshipBetweenEyeandEarDisorders 87 Impactof V|siononDevelopment 88 Roleof HearingfortheV|sually ImpairedPopulation 91 AssessingHearingintheV|sually ImpairedPopulation 93 InteractingwithSomeonewithaV|sualImpairment 93 MovingAboutintheTestEnvironment 94 TestingAdultswithV|sualImpairment 95 CaseHistory 95 Lighting 96 PrintedMaterials 96 TestingChildrenwithV|sualImpairment 97 MakingtheChildMoreTestable 98 TestBattery 98 CaseHistory 99 AdaptingBehavioralTesting 100 InterpretingResponses 109 Management 110 V|sualImpairmentwithNormalHearing 111 V|sualImpairmentandHearingImpairment 113 Deafblind 114 References 116 CHAPTER 5 Older Adults with Dementia or Alzheimer’s Disease Emi Isaki, Ph.D., CCC/SLP Prevalenceof Dementia 118 HearingLossintheNormalElderlyPopulation 118 HearingLossandCognitiveDysfunction 120 Ethicsof ServiceProvision 122 Identi¢cationandEvaluationof Dementia 123 Management 127 Summary 130 Acknowledgments 131 References 131