Research Article

Auditory rehabilitation based on auditory verbal therapy approach on children with bilateral sensory-neural hearing loss


Background and Aim: Auditory rehabilitation is an essential step after hearing aid fitting for children with hearing loss. The aim of this study was to evaluate the auditory rehabilitation results based on auditory verbal therapy approach in children with severe to profound sensory-neural hearing loss. Auditory verbal therapy is a popular approach for rehabilitation children with hearing loss.
Methods: This is a retrospective study that evaluates the results of auditory rehabilitation of 19 children with severe to profound hearing loss. Most children were about three years old at the beginning of the rehabilitation process. They were received bilateral hearing aid and auditory rehabilitation based on auditory verbal therapy (AVT) approach. Each case progress was measured by Newsha developmental scale.
Results: All of the children showed progress during the AVT program (p < 0.05). The Newsha developmental scale showed that hearing and receptive language categories had more progress. The progress was similar between male and female participants and there was no difference in all of categories (p > 0.05).
Conclusion: The AVT approach is beneficial for rehabilitation of older children with bilateral severe to profound sensory-neural hearing loss. The progress was observed in all categories of Newsha developmental scale.

1. American Speech-Language-Hearing Association. Guidelines for the Audiologic Assessment of Children From Birth to 5 Years of Age [Guidelines]. 2004. Available doi: 10.1044/policy.GL2004-00002
2. American Speech-Language-Hearing Association. Supplement to the JCIH 2007 position statement: principles and guidelines for early intervention following confirmation that a child is deaf or hard of hearing [Position Statement]. 2013. Available from doi: 10.1044/policy.PS2013-00339
3. Dieleman E, Percy-Smith L, Caye-Thomasen P. Language outcome in children with congenital hearing impairment: The influence of etiology. Int J Pediatr Otorhinolaryngol. 2019;117:37-44. doi: 10.1016/j.ijporl.2018.11.002
4. Tyszkiewicz E. Auditory verbal therapy in the UK. Cochlear Implants Int. 2013;14 Suppl 4:S6-9. doi: 10.1179/1467010013Z.000000000122
5. Kaipa R, Danser ML. Efficacy of auditory-verbal therapy in children with hearing impairment: A systematic review from 1993 to 2015. Int J Pediatr Otorhinolaryngol. 2016;86:124-34. doi: 10.1016/j.ijporl.2016.04.033
6. Brennan-Jones CG, White J, Rush RW, Law J. Auditory-verbal therapy for promoting spoken language development in children with permanent hearing impairments. Cochrane Database Syst Rev. 2014;(3):CD010100. doi: 10.1002/14651858.CD010100.pub2
7. Dornan D, Hickson L, Murdoch B, Houston T. Outcomes of an auditory-verbal program for children with hearing loss: a comparative study with a matched group of children with normal hearing. Volta Rev. 2007;107(1):37-54.
8. Rhoades EA, Chisholm TH. Global language progress with an auditory-verbal approach for children who are deaf or hard of hearing. Volta Rev. 2000;102(1):5-24.
9. Dornan D, Hickson L, Murdoch B, Houston T, Constantinescu G. Is auditory-verbal therapy effective for children with hearing loss? Volta Rev. 2010;110(3):361-87. doi: 10.17955/tvr.110.3.658
10. Jafari Z, Asad-Malayeri S. The psychometric properties of newsha developmental scale: an integrated test for Persian speaking children. Iran J Pediatr. 2012;22(1):28-34.
11. Tejeda-Franco CD, Valadez-Jimenez VM, Hernandez-Lopez X, Ysunza PA, Mena-Ramirez ME, Garcia-Zalapa RA, et al. Hearing aid use and auditory verbal therapy improve voice quality of deaf children. J Voice. 2020;34(2):301.e7-11. doi: 10.1016/j.jvoice.2018.08.007
12. Bakhshaee M, Ghasemi MM, Shakeri MT, Razmara N, Tayarani H, Tale MR. Speech development in children after cochlear implantation. Eur Arch Otorhinolaryngol. 2007;264(11):1263-6. doi: 10.1007/s00405-007-0358-1
13. Baungaard LH, Sandvej MG, Krøijer JS, Hestbæk MK, Samar CF, Percy-Smith L, et al. Auditory verbal skills training is a new approach in adult cochlear implant rehabilitation. Dan Med J. 2019;66(3):A5535.
14. Monshizadeh L, Vameghi R, Sajedi F, Yadegari F, Hashemi SB, Kirchem P, et al. Comparison of social interaction between cochlear-implanted children with normal intelligence undergoing auditory verbal therapy and normal-hearing children: a pilot study. J Int Adv Otol. 2018;14(1):34-8. doi: 10.5152/iao.2018.3663
15. Yang Y, Liu YH, Fu MF, Li CL, Wang LY, Wang Q, et al. Home-based early intervention on auditory and speech development in mandarin-speaking deaf infants and toddlers with chronological aged 7-24 months. Chin Med J (Engl). 2015;128(16):2202-7. doi: 10.4103/0366-6999.162504
16. Giordano T, Marchegiani AM, Germiller JA. Children with sensory- neural hearing loss and referral to early intervention. ORL Head Neck Nurs. 2015;33(3):10-4.
17. Joint Committee on Infant Hearing. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention. 2007. Available from doi: 10.1044/policy.PS2007-00281
18. Ching TYC, Dillon H, Button L, Seeto M, Van Buynder P, Marnane V, et al. Age at intervention for permanent hearing loss and 5-year language outcomes. Pediatrics. 2017;140(3):e20164274. doi: 10.1542/peds.2016-4274
19. Kothari S, Keshree NK, Bhatnagar S. Pediatric cochlear implantation-why the delay. Indian J Otolaryngol Head Neck Surg. 2015;67(2):165-9. doi: 10.1007/s12070-015-0838-3
20. Constantinescu G. Satisfaction with telemedicine for teaching listening and spoken language to children with hearing loss. J Telemed Telecare. 2012;18(5):267-72. doi: 10.1258/jtt.2012.111208
21. Constantinescu G, Waite M, Dornan D, Rushbrooke E, Brown J, McGovern J, et al. A pilot study of telepractice delivery for teaching listening and spoken language to children with hearing loss. J Telemed Telecare. 2014;20(3):135-40. doi: 10.1177/1357633X14528443
IssueVol 29 No 3 (2020) QRcode
SectionResearch Article(s)
Auditory rehabilitation auditory verbal therapy approach hearing-impaired

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Haddadi Aval M, Abdollahi F, Jafarzadeh S. Auditory rehabilitation based on auditory verbal therapy approach on children with bilateral sensory-neural hearing loss. Aud Vestib Res. 29(3):172-177.