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The following words and their meanings are taken from:
- Http://www.oraldeafed.org/library/glossary.html

- L. Mendel, J. Danhauer & S. Singh (1999). Dictionary of Audiology. Singular Publication,-.

 
Glossary
 
ACOUSTICS: Having to do with sound, the sense of hearing, or the science of sound. As used in this web site, the term refers to the qualities of an auditorium, classroom, or other space that determine how well sounds can be heard.
 
ACOUSTIC GAIN: The difference in dB between the intensity of the input signal to a hearing aid and the intensity of the output signal.
 
ACOUSTIC ROOM TREATMENT: The use of sound-absorbing materials (such as carpets and acoustical tile) to reduce room noise and improve the usefulness of hearing aids and other listening devices.
 
ADVENTITIOUS DEAFNESS: A hearing loss that occurs any time after birth due to injury or disease.
 
ACQUIRED HEARING LOSS: Hearing loss which is not present at birth. Sometimes referred to as adventitious loss.
 
AIR CONDUCTION: An evaluative measure performed during diagnostic audiologic testing whereby sound is delivered via earphones through the ear canal, the ear drum, and middle ear to the inner ear to assess hearing sensitivity.
 
AMPLIFICATION: The use of hearing aids and other electronic devices to increase the loudness of sound so that it may be more easily received and understood.
 
ASSISTIVE LISTENING DEVICES: A group of systems including personal hearing aids, FM systems and infrared systems that through special input enhance listening situations and auditory awareness for use of the telephone, television, amplified alarms and signals.
 
ATRESIA (medical term): Closure of the ear canal and/or absence of an ear opening.
 
AUDIO LOOPS / INDUCTION LOOPS: Assistive listening device which enhances the use of hearing aids in schools, theaters, religious places, and public buildings and auditoriums.
 
AUDIOGRAM: A graph on which a person's ability to hear different pitches (frequencies) at different volumes (intensities) of sound is recorded.
 
AUDIOLOGICAL ASSESSMENT: A series of tests performed to identify pure-tone thresholds, impedance, speech recognition, and speech discrimination, which show the type and degree of hearing loss and status of outer, middle and inner ear function.
 
AUDIOLOGIC EVALUATION: Tests conducted by an audiologist to determine whether a hearing loss is present, what tones (pitches) are affected, how severe the hearing loss is, and the type of hearing loss. The evaluation also includes recommendations as to the hearing loss management, including selection of an appropriate amplification.
 
AUDIOLOGIST: A licenced professional with a degree in the science of hearing (Audiology) who conducts hearing tests, evaluates hearing loss, and fits amplification devices. The audiologist is an important source for information on hearing aids, cochlear implants and other interventions.
 
AUDIOMETRY, PLAY: This involves active cooperation of the child as an auditory stimulus is paired with an operant task, such a dropping a block into the bucket.
 
AUDIOMETRY, VISUAL REINFORCEMENT: A paediatric behavioral audiometry procedure that reinforces localization responses to acoustic signals with a visual event (E.g. Toy playing an instrument).
 
AUDITORY/ORAL EDUCATION: An approach based on the principle that most hearing impaired children can be taught to listen and speak with early intervention and consistent training to develop their hearing potential. The focus of this educational approach is to use the auditory channel (or hearing) to acquire speech and oral language. The goal is for these children to grow up to become independent, participating citizens in mainstream society.
 
AUDITORY TRAINER: An assistive auditory device or FM System similar to a radio transmitter with a wireless microphone. The teacher or parent wears the microphone transmitter while the child wears the receiver which is set to amplify sound. The benefit is that the background room noise is not amplified, and the teacher/parent's voice has direct access to the child from any location, even another room.
 
AUDITORY TRAINING: Auditory training or Auditory learning is a process to train a hearing impaired person to make use of his residual hearing in the recognition,identification and interpretation of sound.
 
AURAL HABILITATION: Intervention for persons who have not developed listening, speech and language skills ,may include diagnosis ,speech perception training ,speech and language therapy and educational management .See also Aural rehabilitation.
 
AURAL REHABILITATION: Intervention aimed at minimizing and alleviating the communication difficulties associated with hearing loss, may include diagnosis of hearing loss and communication handicap, amplification, counselling, communication strategies training, speech perception traning, speech and language therapy and educational management. See also aural habilitation.
 
BACKGROUND / AMBIENT NOISE: Environmental noise that competes with the main speech signal.
 
BILATERAL HEARING LOSS: A mild to profound loss of hearing in both ears.
 
BINAURAL HEARING: The use of both ears simulataneously producing binaural advantages such as improved localization and speech perception in noise.
 
BINAURAL HEARING AIDS: Hearing aids worn in both ears.
 
BONE CONDUCTION: An evaluative measure performed during diagnostic audiologic testing where sound is delivered via a bone ossilater. This technique helps determine whether the hearing loss is conductive or sensorineural.
 
CIC: Completely-In-The-Canal hearing aid which fits deeply in the ear canal.
 
COCHLEAR IMPLANT: An electronic device surgically implanted to stimulate nerve endings in the inner ear (cochlea) in order to receive and process sound and speech.
 
CONDITIONED ORIENTATION REFLEX (COR): The audiologist teaches the young child to look toward a toy that lights up or moves when the child looks toward it in response to a sound.
 
CONDUCTlVE HEARING LOSS: Impairment of hearing due to the failure of sound waves to reach the inner ear through the normal air conduction channels of the outer and middle ear. In children, conductive loss is often medically correctable.
 
CONGENITAL HEARING LOSS: Hearing loss present at birth or associated with the birth process, or which develops in the first few days of life.
 
CUED SPEECH: A visual representation of the phonemes of spoken language, which uses eight hand shapes in four different locations in combination with the natural mouth movements of speech, to distinguish all the sounds of spoken language . It is offered by trained cued speech therapists.
 
DAI: Direct Audio Input, a circuit in some hearing aids that directly connects them to some assistive listening devices like FM.
 
DEAF: A individual who is unable to use hearing as a primary channel for receiving speech, even with amplification.
 
DECIBEL (dB): The unit of measurement for the loudness or volume (intensity) of sound. The higher the dB, the louder the sound.
 
EAR: The ear has three main parts:
· Outer ear: The auricle or pinna (the part of the ear on the outside of the head) and the ear canal.
· Middle ear: Located between the outer ear and the inner ear, separated from the ear canal by the eardrum. The middle ear contains three tiny bones (the ossicles). The ossicles sound vibrations from the eardrum to the fluid of the inner ear.
· Inner ear: The innermost part of the ear. It is composed of the hearing organ (the cochlea), the balance mechanism (the semicircular canal), and the auditory nerve. Vibration transmitted into the inner ear by the ossicles in the middle ear causes waves in the inner ear fluid, which stimulates the hair cells and the hearing nerve, causing electric signals to be transmitted to the brain, and interpreted as sound.
Other parts of the ear:
· Auditory (or acoustic) nerve: Located in the inner ear, leading to the brain.
· Cochlea: The snail-like organ of hearing located in the inner ear.
· Eardrum: The tympanic membrane which separates the outer from the middle ear.
 
EAR MOULD: A custom-made plastic or vinyl piece which fits into the outer ear to interface with a hearing aid.
 
EDUCATIONAL AUDIOLOGY: Subspeciality of audiology for audiologists who are responsible for the diagnosis and management of children who have hearing loss.
 
EVOKED RESPONSE AUDIOMETRY (ERA): A hearing test which uses an EEG (electroencephalograph) and a computer analysis to directly record the brain's response to sound. Useful in helping to determine a child's hearing level when the child is too young to cooperate with the audiologist.
 
EXTEND EAR: An FM auditory trainer without a body unit or cords. It can also function as a personal hearing aid.
 
FLUCTUATING HEARING LOSS: A hearing loss that varies in magnitude over time.
 
FM SYSTEM: A wireless assistive listening device that transmits the speaker's voice to an electronic receiver in which the sound is amplified and transmitted to the hearing impaired person's ears via small earphones on his or her personal hearing aids or connected to his or her cochlear implant. The device reduces the problem of background noise interference and the problem of distance from the speaker.
 
FREQUENCY: The number of vibrations per second of a sound. Frequency, expressed in Hertz (Hz), determines the pitch of sound.
 
GLUE EAR: Also called as serous otitis media with effusion.The middle ear fluid here is very thick and viscous with the consistency of glue.
 
GROMMET: A ventilation tube is inserted in the eardrum of individuals suffering from otitis media. This tube helps to ventilate and equalise pressure within the middle ear and the outer auditory canal.
 
HARD OF HEARING (HOH): Hearing poorer than the level of a person with normal hearing, but hearing better than person who is deaf.
 
HEARING AID: An electronic device that conducts and amplifies sound to the ear.
 
HEARING AID ANALYSER: A device that determines the electroacoustic measurements of the hearing aid.
 
HEARING AID ORIENTATION: It’s a process of instructing a patient and patients’ family members to handle, use and maintain a new hearing aid. The process also involves providing hearing aid options and selecting appropriate hearing aids.
 
HEARING IMPAIRED: Refers to persons with any degree of hearing loss, from mild to profound.This term is losing acceptance by hearing impaired persons because of the term impaired which connotes negative meaning, because the label focusses on what they are unable to do.
 

HEARING LOSS: Hearing loss was originally defined in medical terms before the development of modern audiology. Today, professionals tend to use the consistent, research-based terminology of audiology. The following numerical values are based on the average of the hearing loss at three frequencies: 500 Hz, 1,000 Hz, and 2,000 Hz, in the better ear without amplification. The numerical values for the seven categories vary among professionals.
. Normal (-10dB to 15dB)
. Slight/Minimal (16dB - 25dB)
. Mild (26dB - 40dB)
. Moderate (41dB - 55dB)
. Moderately severe (56dB - 70dB)
. Severe (71dB - 90dB)
. and above profound (> 91dB)

* this scale of hearing impairment is adapted from the Handbook of Clinical Audiology 3rd edition (1985), edited by Jack Katz.

 
HEARING LOSS, SENSORI-NEURAL (SNHL): SNHL is a type of hearing loss which stems from lesion in the cochlea and in adjacent parts of the auditory nerve.
 
HEARING LOSS, SYMMETRIC: A hearing loss that is essentially the same in both the ears.
 
HEARING SCREENING: Simple testing of the ability to hear selected frequencies at intensities within normal hearing limits. Screenings are used to identify individuals with significant hearing loss and to refer them for further testing.
 
HEARING THRESHOLD LEVEL: The faintest intensity level (in dB hearing level) that a person can hear for a sound of a particular test frequency.
 
HERTZ (Hz): This is the generally used term for measuring pitch, expressing the vibrations or cycles per second. Most speech sounds fall within the so-called "speech range" of about 300 to 3000 Hz.
 
IMMITTANCE AUDIOMETRY: This involves a battery of tests used to assess middle ear function.
 
IMPEDANCE AUDIOMETRY: Testing to measure the ability of the middle ear to conduct sound to the inner ear. This information can be useful to the otologist in determining whether a middle ear problem exists which requires medical treatment.

INDIVIDUALIZED EDUCATION PROGRAM (IEP): A team-developed, written document. The IEP outlines the goals for education and therapy for a student with disability, and provides a guideline for achieving them. An IEP for a hearing impaired child should take into consideration such factors as:
1. Communication needs and the child's and family's preferred mode of communication
2. Linguistic needs
3. Severity of hearing loss and potential for maximizing auditory ability
4. Academic level
5. Social and emotional needs, including opportunities for peer interactions and communication.
 
INFLECTION: A change in the pitch of the speaking voice to add meaning or emphasis to a word or phrase.
 
INFORMAL TESTING: The audiologist presents a variety of sounds ranging from low pitch to high pitch, and from soft to loud, out of the child's sight. The child's response to each sound is noted.
 
INTENSITY: The loudness of a sound, measured in decibels (dB).
 
INTONATION: The aspect of speech made up of changes in pitch and stress in the voice. The voice may go higher or lower during speech to emphasize certain words or parts of words more than others.
 
LOCALIZATION: This involves the determination of the apparent direction and /or distance of a sound source.
 
MAINSTREAMING: The concept that students with disabilities should be integrated with their non-disabled peers to the maximum extent possible, when appropriate to the needs of the student with a disability.
 
MASTOID: This is the portion of the temporal bone located behind the external ear, which is used for bone conduction stimulation.
 
MIDDLE EAR EFFUSION: The condition of fluid in the middle ear as a result of eustachian tube dysfunction.
 
MIXED HEARING LOSS: A hearing loss with combined sensorineural and conductive elements.
 
MONOAURAL AMPLIFICATION: The use of one hearing aid instead of two.
 
MORPHEME: A linguistic unit of relatively stable meaning that cannot be divided into smaller meaningful parts. (Source: American Heritage Dictionary)
 
MYRINGOTOMY (medical term): Surgery which opens the eardrum to allow drainage of fluid from the middle ear.
 
NATURAL LANGUAGE: Language acquired primarily through the accessible sensory channel(s).
 
NEUROMATURATION: The process of development and growth of the nervous system in regard to processing and understanding language.
 
NYSTAGMUS: Involuntary, ryhthmic, horizontal movements of the eyeballs, which results from the stimulation of the vestibular (balance) system.
 
OMNIDIRECTIONAL MICROPHONE: Microphone that is sensitive to sound coming from all directions.
 
OSSICLES: Three tiny bones (the Malleus, Incus and Stapes) in the middle ear.
 
OTITIS MEDIA (medical term): Infection of the middle ear that usually results in a conductive hearing loss until the middle ear becomes well ventilated. Children with recurrent attacks may have fluctuating hearing loss and be somewhat at risk for acquiring permanent hearing loss.
 
OTOACOUSTIC EMISSIONS (OAE): Tiny sounds created in the inner ear in response to a stimulus.These are generated by the outer hair cells in the cochlea and detected with a microphone placed within the external ear canal.
 
OTOLARYNGOLOGIST: A medical doctor specializing in problems of the ear, nose, and throat. Sometimes referred to as an ENT doctor. Another name for the same specialist is OTORHINOLARYNGOLOGIST.
 
OTOLOGIST: A physician who specializes in medical problems of the ear.
 
OTOMYCOSIS: Infection of the ear due to fungus in the external auditory canal.
 
OTOSCOPY: Visual examination of the external ear, earcanal and the tympanic membrane.
 
PARENT-INFANT PROGRAM: A program of parent education and infant/toddler intervention which stresses early exposure to language and attention to developmental processes that enhance the learning of language. Some programs include early exposure to amplification and the use of hearing aids to stimulate the auditory channel.
 
PITCH: The perception of the frequency of sound with high pitches corresponding to high frequencies and low pitch corresponding to low frequencies.
 
PLAY AUDIOMETRY: A hearing test in which the audiologist teaches the child to respond with some action - a game response - whenever he hears a sound. He may learn, for instance, to put a peg in a hole, a ring on a peg, or a piece in a puzzle every time he hears a sound. The audiologist uses the audiometer, a piece of equipment that presents different tones (from low to high pitch, usually within the speech range) at varying levels of loudness to assess a child's hearing sensitivity.
 
PORTFOLIO ASSESSMENT: A collection of a student's work which demonstrates achievement, efforts, and progress over a period of time.
 
POSTLINGUAL DEAFNESS: Hearing loss acquired after first learning a language.
 
PRAGMATICS: The appropriateness of language use to the situation, the speaker, and the audience in regard to logic and validity.
 
PRELINGUAL DEAFNESS: Refers to hearing loss which occurs before the child develops language.
 
PRESBYCUSIS: Decrease in hearing sensitivity associated with aging
 
RESIDUAL HEARING: The amount of usable hearing which a hearing impaired or hard-of-hearing person has.
 
RETROCOCHLEAR LESION: The damage to the portion of the auditory system that is behind or beyond the cochlea.
 
REVERBERATION: Prolongation of a sound after the sound source has ceased or an echo within a room, due to sound absorption of walls, floor and celing.
 
SEMANTICS: The use in language of meaningful referents, in both word and sentence structures.
 
SENSORINEURAL HEARING LOSS: A permanent hearing loss caused by failure or damage of auditory fibers in the inner ear (cochlea) and/or damage to the neural system.
 
SIGNAL TO NOISE RATIO: The difference in the intensities of the speech signal (such as a teacher's voice) and the ambient (background) noise.
 
SOUND TREATED ROOM: An acoustically treated room where hearing tests should be performed to obtain accurate results
 
SPEECH PROCESSOR: Component of a cochlear implant that transmits the signal across the skull from the external transmitter to the internal receiver.
 
SPEECH READING. The interpretation of lip and mouth movements, facial expressions, gestures, elements of sound, structural characteristics of language, and topical and contextual clues. Sometimes referred to as as lipreading.
 
SPEECH PERCEPTION. The ability to recognize speech stimuli presented at suprathreshold levels (levels loud enough to be heard).
 
SPEECH INTELLIGIBILITY: The ability to be understood when using speech.
 
SPEECH AND LANGUAGE IMPAIRMENT: One or more of the following communication impairments which adversely affects educational performance:
· An inability to articulate words correctly, including omissions, substitutions, or distortions of sound, beyond the age when they might normally be expected;
· Voice impairment, including abnormal rate of speaking, speech interruptions, and repetition of sounds, words, phrases, or sentences, which interferes with effective communication;
· One or more other language impairments, as determined both by informal use of language and by at least two standardized tests or subtests which indicate inappropriate language functioning for the child's age.
 
SYNTAX: Grammatical rules for specifying correct word order and
inflectional structure in a sentence.
 
TEACHER: Term used broadly to include teachers trained to work with hearing impaired children, teachers in ordinary (mainstreamed) classrooms, or a resource teacher who may work with children who have special needs.
 
TEST–RETEST RELIABILITY: The ability of the test to produce the same results when retested on the same subject.
 
THRESHOLD: The intensity at which an individual can barely hear a sound 50% of the time.All sounds louder than threshold can be heard, but sounds below the threshold cannot be detected.
 
TINNITUS: The perception of internal noise in the ear. Also called as ringing in the ears.
 
TYMPANOGRAM: A measure of tympanic membrane mobility as a function of changes in air pressure within the ear canal.
 
UCL: Uncomfortable level is an intensity level at which speech or a puretone signal is perceived as being loud that it causes discomfort.
 
UNILATERAL HEARING LOSS: A mild to profound loss of hearing in only one ear. Unilateral loss is now believed to adversely affect the educational process in a significant percentage of students who have it.