Section: Module 7: Lesson 1: Fluency and its Disorders. | Speech Language Pathology | NextGenU.org

  • Student Learning Outcomes:
    Upon completion of this lesson, you will be able to:
    • Explain how prelinguistic severe to profound deafness affects child development in vocabulary, sentence structure, speaking, academic achievement, and social functioning.
    • Understand communication development in deaf children who have parents who are deaf from those with parents who have normal hearing.
    • Explain the speech and language development in children with hearing impairments related to vocabulary, sentence structure, and speaking.
    • Outline the two types of assessments speech-language pathologists conduct for children with hearing impairments.
    • Describe the following intervention services for children with hearing impairments: early intervention, special education, technology, and learning language.
    • Understand the communication options available for children with hearing impairments, including the use of speech, listening, writing, and sign communication.
    • Explain the concept of "bilingual-bicultural" education for children who are deaf.
    Approximate time required to complete the readings (at 144 words/minute) and assignments for this lesson: 4 hours and 7 minutes.

    Click here to start this lesson

    • Required Learning Resources and Activities
    • Read entire PDF (10 minutes)

      American Speech-Language-Hearing Association 2015

    • Read the first two paragraphs. (3 minutes)

      National Research Council (US) Committee on Disability Determination for Individuals with Hearing Impairments 2004

    • Read the entire article. (15 minutes)

      Reading Rockets 2005

    • Read the dropdown article titled "How Can A Speech and Language Therapist Help Your Child?" (10 minutes)

      National Deaf Children's Society

    • Read the entire article. (10 minutes)

      Center for Disease Control and Prevention 2020

    • Read the entire article. (10 minutes)

      Center for Disease Control and Prevention - 2020

    • Start reading from page 3 "Developing Language and Writing Skills of Deaf and Hard of Hearing Students: A Simultaneous Approach" to page 4 "Review of Literature." (10 minutes)

      University of Tennessee, Knoxville - 2014

    • Read under headings "Bilingualism," "Education," and "The Deaf community." (4 minutes)

      National Deaf children's Association - 2021

    • Activity

    • In this activity, you will evaluate the case study of a child born with prelinguistic deafness in regard to their development and communication skills.

      Step 1: Read the following case study. 

      Case Study: You are a speech-language pathologist working in a school-based setting. A new student who is entering the first grade will be added to your caseload. The child, who is a 6 year-old female, has prelinguistic deafness (before language) with two cochlear implants. This is the child's first time attending a public school setting. The child has minimal language use and a small expressive vocabulary. She appears shy and timid and minimally expresses her feelings verbally. She uses many facial expressions and hand gestures to express her wants and needs.

      Step 2: Examine the child's needs in regard to her developmental and communication needs given the following five areas of development:

      • vocabulary,
      • sentence structure,
      • speaking,
      • academic achievement, and
      • social functioning.

      Step 3: For each of the areas listed above, write 1-3 consequences that the child may face and 1 treatment option. Each area should be covered in a 200-400 word discussion post. All references should follow 7th Edition APA formatting. See the resource on the Himmelfarb Health Sciences Library for instructions: APA citation resource (N.B. references are excluded from word counts).

      Step 4: To share your work, click on the button at the bottom of the screen labeled “Add a new discussion topic” and include your work title in the subject line.

      Step 5: To complete the activity, you will need to comment on at least one post made by your peers in a respectful and professional manner. Be sure that your post engages your peers' ideas by including a reflection on their comments, sharing insights into how prelinguistic severe to profound deafness affects child development or asking thought-provoking questions. If a peer comments on your post, please reply. To post a reply, click on the particular discussion, then click on “Reply.”

      OPTIONAL Step 6: Interact (10 minutes)

      If you would like to, you can reply to your peers' posts in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”


    • Quiz

    • quiz icon
      Module 7: Quiz

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.

      Not available unless: The activity Module 6: Quiz is marked complete
    • Recommended Additional Readings
    • Read the entire article. (15 minutes)

      Aussie deaf kids - 2004