Skip directly to site content Skip directly to page options Skip directly to A-Z link. Hearing Loss in Children. Section Navigation. Facebook Twitter LinkedIn Syndicate. Speech Reading. Minus Related Pages. Updated July Related Products. Increasingly, education requires that interventions be evidence-based. When I found For Professionals. Related Teacher Tools Takeout Items. No products found. Assessing speechreading ability: Functional use of speechreading can be identified via the Functional Listening Evaluation.
Methods to teach speechreading: The first inclination in education is to improve speechreading in order to improve outcomes. Therefore teaching methods are mentioned below: The Analytic approach focuses on the smallest units of speech to understand spoken communication. It is a bottom-up approach that concentrates on the details of the sounds — learning to recognize how they look on the lips and practicing their recognition in isolation and in single words.
As mentioned above, it is very difficult to build the message from the sum of its parts and the use of this approach exclusively can be a frustrating and cumbersome experience for persons with hearing loss, with lower chances for success in everyday situations.
The Synthetic approach is a top-down approach, where the perception of the the overall meaning of the message is emphasized more than concentrating on smaller parts. Common exercises focus on giving the speechreader some clues such as key words or a topic that will be discussed, presenting the message and having the speechreader respond to what he thought was said.
The goal is to use context and any known information to allow for educated guessing, when parts of spoken information are missed. Limitations include situations when a speechreader is unable to determine the context of the message or unknowingly misinterprets the information, leading to misunderstanding.
The Pragmatic approach focuses primarily on employing communication strategies to ensure that residual hearing is maximized to increase comprehension of the speaker hearing tactics. The aim of this approach is for the individual to concentrate on interaction more than the reception of specific cues or sounds, to ask for modification of the speakers message, the context in which dialogue takes place, and develop specific strategies that they can employ in particular situations that are found to be most difficult to communicate.
The focus of this approach is based on how language is used in social situations and how the use of language can affect those communicating; as a result, most of the exercises are framed from the perspective of interaction.
Specific training of communication repair strategies also occurs to ensure they are fully engaged as a responsible communicator and can respond when misunderstandings occur. Cues such as word order and sequencing, tense and word endings, matching language to the situation and context, among others are considerations when using this approach. The Holistic approach incorporates aspects from the Analytic, Synthetic and Pragmatic approaches.
However, not everyone with hearing loss can learn to read lips, as some hearing people may think. Many deaf people are not able to learn how to make sense out of "flapping mouths. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Georgia Tech Research Institute. Deafness and hardness of hearing fact sheet.
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