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Type “B” Tympanogram

6.11 Building standards

A number of countries are already in the process of formulating standards for control of and reducing noise in classrooms and learning spaces.18 Wilson et al15 have recommended that all new classrooms and similar learning spaces should be designed to meet the acoustical standards specified in ‘AS/NZS 2107:2000’.59 A proposal to require appropriate acoustical standards for new classrooms and learning spaces in New Zealand has been made and is now being considered as part of the current review of New Zealand Building Code. Literature to date on noise in schoolrooms, appears to focus on the effects on the general school children, their teachers and the hearing impaired. Only limited attention appears to be given to those students experiencing the other disabilities involving auditory function deficit. It is imperative that the needs of all children experiencing auditory function deficit are investigated along with all other

children, so that appropriate measures can be included in legislation, policy and standards to be promulgated in future.

6.12 Summary

While the most familiar of the conditions affecting hearing and auditory function is probably hearing impairment, there are a number of children with other conditions, that affect their ability to adequately process auditory information.

Otitis media with effusion (glue ear) can be a serious condition in young children if left untreated, as the prolonged condition can cause serious damage to the middle ear and inner ear structures resulting in hearing loss. This has major consequence for this population in the development of speech, communication and being able to learn effectively in educational settings.

Children on the autistic spectrum are another group seriously affected by noise as the majority of them experience a sensory integration disorder, which is defined as a deficit in the neurological process of organizing information through sensory input. A subset of gifted children also experiences this condition. Children experiencing this condition often have extreme sensitivities to certain kinds of noise along with other sensory stimuli, which are described as painful and disorientating. In addition these children suffer a range of other auditory processing difficulties such as ‘Gelstalt perception,’ a difficulty to filter out important auditory information such as the teacher's voice against background noise. They can have the most fundamental difficulties with language which include a delayed processing of speech. They often have a literal interpretation of what they comprehend without understanding the nuances of many common phrases such as, "Pull your socks up."

A key development in the communication framework being used with these children is the use of visual communication messages such as the picture exchange system (PECs), which is now widely used, in educational settings and in the home.

Other therapies have been developed such as sensory integration therapy to response to sensory integration disorder and auditory integration training (AIT) as a treatment for those individuals with sensory auditory problems.

Sensory integration therapy has been accepted by reputable institutions such as the American Occupational Therapy Association, and is now widely used. On the other hand, auditory integration training remains controversial eliciting fierce debate between advocates and detractors of the therapy. The efficacy of this treatment remains unresolved.

Other groups of children affected by noise include those experiencing central auditory processing disorder, Down syndrome due to their deficits in language along with higher than normal levels of persistent middle ear infection and attention-deficit/hyperactivity disorder due to the major distraction that noise presents for them in a learning environment.

The New Zealand Disability Strategy 2001, has become a cornerstone of government policy, if not yet embodied into legislation. Objective 3 of the strategy advocates the provision of the best education for disabled people. This would include the recognition of children with identifiable needs and strategies put in place to facilitate their education. It should also include the provision of appropriate acoustical learning environments. It is imperative that the needs of all children with auditory problems are investigated and recognised so that appropriate measures can be included in legislation, policy and standards to be promulgated in the future.

6.13 References

1 Public Health Commission, Preventing child hearing loss: Guidelines for public health services. 1995, Wellington: Public Health Commission..

2 Occupational Safety and Health., Noise-induced hearing loss : A guide for medical practitioners. 1994, Wellington: Department of Labour. (Retrieved October 2006 from http//:www.dol.govt.nz )

3 Allen, P., Understanding ear infections. 2002, Whangarei: Dr Peter Allen.

4 Onusko, E., Tympanometry. American Family Physician, 2004. 70(9).

5 Ferguson, A., Tympanometry. in ANZAI Conference. 2004. Auckland: Academy of New Zealand Audiometrists Inc.(Retrieved on 7 November 2006 from www.anzai.co.nz/tympanometry.htm

6 Hall, J., Muellar, H., Audiologists' desktop reference : Diagnostic audiology, principles, procedures, and practices. Vol. 1. 1997: Singular Thomson Learning.

7 Wong, D., Whaley and Wong's nursing care of infants and children. 5th ed, ed. D. Wilson. 1995: Mosby.

8 Allen, P., What is glue ear? 1981, Dr Peter Allen: Whangarei. (Audiovisual material).

9 Hood, D.A., Elliot, R.B., A comparative survey of the health of elite Maori and Caucasian children in Auckland. New Zealand Medical Journal, 1975. 81: p. 242-3.

10 Public Health Commission (New Zealand), Child hearing loss. The Public Health Commission's advice to the Minister of Health. 1994, Wellington: Public Health Commission.

11 White, G.W., (2008) Personal communication.

12 Bennetts, L., Flynn, M., Improving the classroom listening skills of children with Down syndrome by using sound -field amplification. Down Syndrome Research and Practice, 2002. 8(1): p. 19-24.

13 Flexer, C., Individual and sound -field FM systems, Rationale description and used. Volta Review, 1997. 99(3): p. 133-162.

15 Wilson, O., Valentine, J., Halstead, M., McGunnigle, K., Dodd, G., Hellier, A, Wood, J, Simpson, R., Classroom acoustics, a New Zealand Perspective. 2002: Oticon Foundation in New Zealand.

16 Nelson, P.B., Soli, S., Acoustical barriers to learning: Children at risk in every classroom. Language, Speech and Hearing Services in Schools, 2000. 31: p. 356-361

17 Wolf, D.B., J. Glenn J., Gardener, H., To use their minds well: investigating new forms of student assessment. Review of Research in Education, 1991. 17: p. 31- 74.

18 International Institute of Noise Control Engineering (I-INCE), TECHNICAL INITIATIVE #4 : Noise and reverberation control for schoolrooms. 2000., International Institute of Noise Control Engineering (I-INCE) (Retrieved from

http://users.adol.com/iince/tech), on 8August 2000).

19 American Psychiatric Association, Diagnostic and statistical manual of mental disorders. 4th ed. 1994., Washington, DC: American Psychiatric Association. 20 Janzen, J.E., Understanding the nature of autism. 1996, Texas: Therapy Skill

Builders.

21 Cashin, A.J., Autism: Understanding conceptual processing deficits. Journal of Psychosocial Nursing, 2005. 43(4): p. 22-29.

22 Shields, J., NAS early bird programme - Parent manual. 1998, United Kingdom: National Autistic Association

23 Grandin, T. An inside view of autism. Center for the Study of Autism (CSA), Salem, USA. Retrieved May 2005 from

http://www.autism.org/temple/inside.html), (undated).

24 Kranowitz, C., The out-of-sync child -recognising and coping with sensory integration dysfunction. . 1998, New York:: Berkley Publishing Group.

25 Jackson, J. The identification of sensory preferences in children with an Autistic Spectrum Disorder. in Awares Online Conference. 2006. Retrieved 1 October 2006 from http://www.awares.org/conferences.

26 Maxwell, E., Personal communication, 2005, Denver: Gifted Development Centre.

27 Çronin, A., A synchronous development and sensory integration intervention in the gifted and talented population. 2003, Davidson Institute for Talent

28 Mauer, D., Issues and applications of sensory integration theory with children with language disorders. Language, Speech and Hearing Services in Schools, 1999. 30(4): p. 383-391.

29 Ottenbacher, K., Sensory integration therapy: Affect or effect? American Journal of Occupational Therapy, 1982. 36(9): p. 571-578.

30 Ayres, A., Sensory integration and learning disorders. 1972, Los Angeles, CA.: Western Psychological Services.

31 Ayres, A., Sensory integration and the child. 1979, Los Angeles, CA: Western Psychological Services.

32 Fisher, A., Murray, E., Bundy, A., Sensory integration: Theory and practice. 1991, Philedelphia, PA:: E. A. Davis.

33 Trott, M., Laurel, M., Wondeck, S., Understanding sensory integration. 1993, Tuscon, AZ.: Therapy Skills Builders.

34 Bogodashina, D., Sensory Issues in Autism are recognised but…, inAwares Online Conference, 2006: Retrieved 25 September 2006 from

http://www.awares.org/conferences.

35 Tomchek, S., Geis, R., Sensory processing, communication and intervention strategies for the child with an autistic disorder. Sensory Intergration Special Interest Newsletter, 1996. 35: p. 125-128.

36 Griffer, M., Is sensory integration effective for children with language-learning disorders? A critical review of the evidence. Language, Speech and Hearing Services in Schools, 1999. 30(4): p. 393- 399.

37 Gorman, P., Sensory dysfunction in dual diagnosis: Mental retardation/mental illness and autism. Occupational Therapy in Mental Health, 1997. 13(1): p. 3- 22.

38 Freeman, S., Dake, L., Teach me language: A language manual for children with autism, Asperger's syndrome and related developmental disorders. 1997, Langley, B.C.: SKF Books.

39 Hodgdon, L., Visual strategies for improving communication. 1995, Troy, Michigan.: Quirk Roberts Publishing.

40 Stirling, P., NOW HEAR THIS: Suddenly "Listen to the teacher" makes sense., in

New Zealand Listener. 2001.

42 Tharpe, A.M. Clinical forum: Auditory integration training: The magical mystery cure. Language Speech and Hearing Services in Schools, Washington, 1999.

43 Berard, G., Hearing equals behavor. 1993, USA: Keats Publishing Inc.

44 Maddell, J., R., Auditory Integration Training: One clinician's view. Language, Speech and Hearing Services in Schools, 1999. 30: p. 371-377.

45 Evans, F.J., Expectancy, therapeutic instructions and the placebo response., in

Placenbo: Theory, research and mechanisms., L. . White, Tursky, B, Schwartz, G.E., Editor. 1985., Guilford Press,: New York.

46 Yancer, K., The effects of auditory integration training for children with central processing disorders. American Journal of Audiology, 1998. 7(2): p. 32-44. 47 Zollweg, W., Vance, V., Palm, D., The efficacy of auditory integration training:

A double blind study. American Journal of Audiology, 1997. 6(3): p. 39-47. 48 Hall, J., Mueller, H, Audiologist's desktop reference. 1997, San Diego: Singular

Publishing Group.

49 American Speech - Language Hearing Association Task Force on Central Auditory Processing Consensus Development, Current status of research and implications for clinical practice. American Journal of Audiology, 1996. 5: p. 41-54.

50 Keith, R., Clinical issues in central processing disorders. Language, Speech and Hearing Services in Schools, 1999. 30(4): p. 339-387.

51 Hayes, L., Personal communication. 2006, Group Special Education, Ministry of Education: Wellington.

52 Braswell, L., Bloomquist, M., Cognitive -behavioral therapy with ADHD children - child family and school interventions. 1991, New York: Guilford Press,.

53 Ministry of Health, New Zealand guidelines for the assessment and treatment of Attention-Deficit/Hyperactivity Disorder. 2001, Wellington, New Zealand: Ministry of Health.

54 Ministry of Education, Attention deficit disorder/Attention deficit hyperactivity disorder - A resource for teachers. (undated): Ministry of Education.

55 Wynne-Williams, R. 2001, Personal Communication, School of Humanities and Social Sciences, Massey University: Wellington.

56 Selikowitz, M., All about ADD, understanding attention deficit disorder. 1995, New York: Oxford University Press.

57 Oliver, M., Understanding disability, from theory to practice. 1996, London: Macmillian Press Ltd.

58 Minister for Disability Issues, The New Zealand Disability Strategy: Making a world of difference: Whakanui Oranga. 2001, Wellington: Ministry of Health. 59 Australian and New Zealand Standard, AS/NZS2107:2000 - Recommended

design sound levels and reverberation times for building interiors. 2000.: Standards New Zealand.