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Audiometry

Audiometry is a branch of audiology and the science of measuring hearing acuity for variations in sound intensity and pitch and for tonal purity, involving thresholds and differing frequencie

Symptoms
  • Developed language skills but loses it shortly after, or doesn’t acquire language at all
  •  Not responsive to sounds, or responds unevenly to sounds and speech
  •  Has tantrums and is difficult to console
  •  Wakes up at night and has difficulty sleeping
  •  Has difficulty bonding with parents
  •  Requires a restrictive diet and only enjoys eating selected foods
  •  Limited imaginative lay
  •  Has difficult interacting with other children and doesn’t have much interest in being social
  •  Chronic gastrointestinal problems
  •  Repeated infections
  •  Hypersensitivity to sounds, tastes, lights, etc.
  •  Uncoordinated movements, or clumsiness
    • Anxiety or depression
    • Seizures
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Impedance Audiometry

Impedance audiometry is an objective method based on the measurement of the pressure in the middle ear, stapedius reflexes, and tension of the tympanic membrane. It is one of the most common and most accurate methods for testing the middle ear.

Symptoms
  • Otosclerosis – Abnormal growth of bone near the middle ear
  •  Tympanosclerosis – Calcification of tissue in the eardrum
  •  Eustachian tube malfunction
  •  Hole or hypermobility of the tympanic membrane
    • Fluid in the middle ear
    • Discontinuity of the three tiny bones of the middle ear
  •  Acoustic neuroma – Benign intracranial tumor
  •  Disorder of the vestibulocochlear nerve 
  •  Selective disorders of the brainstem
  •  Hearing loss, along with results of pure tone audiometry
  •  Disorder of the facial nerve 
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Aphasia Therapy ( Neurological Speech Disorders )

For aphasia, speech and language therapy tries to improve the person’s ability to communicate by restoring as much language as possible, teaching how to compensate for lost language skills and finding other methods of communicating.

Causes
Problems can also result from diseases that affect the brain such as Alzheimer’s disease, multiple sclerosis, Parkinson’s disease, Huntington’s disease, or amyotrophic lateral sclerosis (ALS, or Lou Gehrig’s disease).
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BERA & ASSR

ASSR
Auditory Steady State Response (ASSR) is an objective test used for evaluation of hearing ability in children too young for traditional audiometric testing. Most children are referred for ASSR after a newborn hearing screen in the hospital indicates the possibility of hearing loss. BERA
BERA is objective audiological test for hearing done usually for children less than 05 years or patients who are difficult to test or malingerers.

Indications of BERA
  • Detection of hearing loss in children less than 05 years and difficult to test adults
  • To detect Magnitude of hearing loss
  • Rough idea of types of hearing loss – Conductive/Sensorineural hearing loss
  • Site of the lesion i.e Retrocochlear/Cochlear
  • To study any central auditory pathway defects
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OAE Screening & Diagnostic

OAE test is used to find out how well your inner ear, or cochlea, works. The purpose of OAE to find out how well your inner ear, or cochlea, works. .This test can also show if there is a blockage in your outer or middle ear. If there is a blockage, no sounds will be able to get through to the inner ear.

Symptoms
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Speech Audiometry

Speech audiometry is a fundamental tool in hearing loss assessment. Together with pure-tone audiometry, it can aid in determining the degree and type of hearing loss. Speech audiometry provides information on word recognition and about discomfort or tolerance to speech stimuli.

Symptoms
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SISI, TDT, ABLB (Special Test)

SHORT INCREMENT SENSITIVITY INDEX TEST (SISI)

The SISI test is still widely used to determine cochlear pathology in patients. This test is based on a phenomenon known as recruitment (abnormal loudness growth).

Tone Decay Test (TDT)

The tone decay test (also known as the threshold tone decay test or TTDT) is used to detect and measure auditory fatigue. (or temporary loss of hearing after exposure to sound )

ABLB (Alternate Binaural Loudness Balancing)

ABLB is a test to detect perceived loudness differences between the ears designed for people with unilateral hearing loss. … If the loudness perception is at the same intensity level for both ears complete recruitment has occurred in the hearing-impaired ear.
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Cochlear Implant Candidancy and Surgery

Children are considered candidates for cochlear implantation at age 12 months, and, because of meningitis-related deafness with progressive cochlear ossification, occasional earlier implantation is necessary. Investigations are ongoing into extending the age of early routine implantation to younger than 12 months

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Digital Hearing Aid Trial & Fitting

Hearing aid trial is sequential procedure followed after assessing the patients with hearing loss. At hearingcareclinicpune , we follow a set of exclusive steps in order to help our customers to choose the best hearing aid that solves their purpose. Hearing aid fitting consists of a selection phase and an adjustment phase. Once hearing aid trial is completed, the selected hearing aid will be tuned and adjusted as per the customers need. The fitting procedure is to calculate the desired amount of amplification, so called “target gain”, from the hearing thresholds. Our Trail Procedure Comprises Of:

  • Effective Counseling
  • Query session
  • Hearing aid trial with minimum of 2-3 brands
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Hearing Aid Repair, Service & Accessories

Hearing aids are basically electronic device that requires regular service and maintenance. If your hearing aid isn’t working properly, kindly do not delay to service it. At times, a tiny adjustment or cleaning will get back your hearing aid to normal condition.

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Speech Therapy for Children + Adults

Speech-language pathologists (SLPs) work to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults. … These disorders usually happen as a result of a stroke, traumatic brain injury, or dementia, although they can be congenital.

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Speech Therapy for Neurogenic Speech & Language Disorders

Neurogenic communication disorders are defined as an individual’s inability to exchange information with others due to some form of nervous system impairment. … This condition is also known as verbal apraxia or dyspraxia, and it is considered a speech sound disorder.

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Auditory Verbal Therapy (Pediatrics of Adults)

Auditory-verbal therapy is a method for teaching deaf children to listen and speak using their residual hearing in addition to the constant use of amplification devices such as hearing aids, FM devices, and cochlear implants. Auditory-verbal therapy emphasizes speech and listening.

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Stuttering & Misarticulation Therapy

Stuttering is a speech disorder. People who stutter may repeat sounds, syllables, or words, or they may prolong sounds. Early intervention can help children overcome stuttering. For 1 in 4 of these children, however, the problem will persist into adulthood and can become a lifelong communication disorder

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Special Education

Special education includes speech-language pathology services and other related services as provided by the Individuals with Disabilities Education Act.

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Speech Therapy

Speech therapy is the assessment and treatment of communication problems and speech disorders. It is performed by speech-language pathologists (SLPs), which are often referred to as speech therapists. Speech therapy can improve communication skills in kids with language issues. If you identify that your child has trouble reading and spelling, speech therapy may seem to be the obvious solution.

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Speech Therapy for Hearing Impaired

Speech impairment, also called communication disorder, or voice disorder, is a condition in which you have trouble forming sounds. Speech impairments vary, from occasionally not being able to produce sounds, to not being able to produce sound at all. Symptoms of speech impairment include: … distorting sounds when talking.

Hearing impairment affect language development
Hearing loss can affect a child’s development of speech and language skills. When a child has difficulty hearing, the areas of the brain used for communication may not develop appropriately. This makes understanding and talking very difficult.
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Swallowing Therapy

A hoarse voice, also known as dysphonia or hoarseness or Swallowing , is when the voice involuntarily sounds breathy, raspy, or strained, or is softer in volume or lower in pitch. A hoarse voice, can be associated with a feeling of unease or scratchiness in the throat. An impairment or change in voice quality that affects the ability to speak or sing.

Symptoms
Difficulty speaking can have causes that aren’t due to underlying disease. Examples include overusing the voice.
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Occupational Therapy

Occupational therapy is the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or occupations, of individuals, groups, or communities. It is an allied health profession performed by occupational therapists and occupational therapy assistants.