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samenvatting jaar 1 en 2 gehoor
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In dit document vind je een volledige samenvatting van heel jaar 1 en 2 van het vak gehoor. De lessen zijn afkomstig van de Hogeschool Rotterdam.
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GEHOORJaar 1 en 2
MARIT KLEPKE
0942932
LOGOPEDIE JAAR 3
,Inhoud
Jaar 1......................................................................................................................................................3
Termen...................................................................................................................................................3
Indeling oor............................................................................................................................................4
Cochlea...................................................................................................................................................4
Orgaan van corti . ...................................................................................................................................4
Werking van het oor...............................................................................................................................4
slechthorendheid...................................................................................................................................5
Gehooronderzoek...................................................................................................................................5
Mate van gehoorverlies..........................................................................................................................5
3 manieren om uitspraak te doen over mate van verlies (Fletcher index).............................................6
Subjectief: toonaudiometrie luchtgeleiding...........................................................................................6
Toonaudiometrie beengeleiding............................................................................................................6
Soorten verlies........................................................................................................................................6
1. Perceptief verlies............................................................................................................................6
2. Conductief verlies...........................................................................................................................7
3. Gemengd verlies.............................................................................................................................7
Voorbeelden (lawaai SH, air-bone gap, ziekte van Menière, otosclerose).............................................8
Proef van Weber.....................................................................................................................................8
Tympanometrie......................................................................................................................................9
Hoe komt het dat de druk in je binnenoor en erbuiten even groot is?..................................................9
Hoe begin je het onderzoek?..................................................................................................................9
Hoorspan................................................................................................................................................9
Spraakaudiometrie.................................................................................................................................9
Soorten hoortoestellen........................................................................................................................10
1. perceptief verlies (achter het oor, in het oor, open aansluiting, cochleair implantaat
AHO,IHO,LIHO).................................................................................................................................10
2. Conductief verlies (beengeleider, BAHA)......................................................................................10
Jaar 2....................................................................................................................................................11
Gehooronderzoek (welke voor buiten, midden en binnenoor?)..........................................................11
maskeren..............................................................................................................................................11
Interpretatie.........................................................................................................................................11
Gehoorfunctie......................................................................................................................................11
BERA: Brain Evoked Response Audiometry..........................................................................................11
Hersenstamresponsie.......................................................................................................................12
1
, Resultaat...........................................................................................................................................12
Oto- akoestische emissie (OAE)............................................................................................................13
Verschil BERA en OAE:......................................................................................................................13
Tinnitus.................................................................................................................................................13
Tinnitus mate van handicap 3 gradaties...........................................................................................13
Tinnitus oorzaken / co-incidentie (samenloop van omstandigheden)..............................................13
Tinnitus anamnese...........................................................................................................................14
Tinnitus suisanalyse H 8.3.11 (onderdelen suisanalyse)...................................................................14
Tinnitus Revalidatie..........................................................................................................................14
ICF stoornis (hoe kan je ICF zien naar aanleiding van het audiogram? Het is een uitkomst van
gedegen onderzoek. Het geeft richting over wat voor vragen je kan stellen aan je client)..............14
ICF: info uit audiogram.....................................................................................................................14
Spraakafzien.........................................................................................................................................15
Wat zijn verschillende visemen?.......................................................................................................15
Visuele kenmerken van klinkers.......................................................................................................15
Visuele kenmerken van medeklinkers..............................................................................................15
McGurk- Effect..................................................................................................................................16
Wat zijn de mogelijkheden met spraakafzien?.....................................................................................16
Resultaten........................................................................................................................................16
Voordelen van groepsverband:............................................................................................................16
Opbouw les...........................................................................................................................................17
Hoor strategieën vanuit de cliënt.........................................................................................................17
1. Situatiestrategie............................................................................................................................17
2. Omgevingsstrategie......................................................................................................................17
3. Gespreksstrategie.........................................................................................................................17
De auditieve vaardigheden doen een beroep op:............................................................................18
Ontwikkeling fonologisch bewustzijn...............................................................................................18
Hoe auditieve training gegeven kan worden........................................................................................19
Zeer slechthorende kinderen...............................................................................................................20
Oorzaken en co-incidentie....................................................................................................................20
Cochleair implantaat (CI)......................................................................................................................21
Vervanging cochlea?.........................................................................................................................21
Gezond, beschadigd en verwoeste haarcellen in het slakkenhuis........................................................21
CI buitenkant....................................................................................................................................22
Cochleair Implantaat............................................................................................................................22
Voor wie is een CI geschikt?.............................................................................................................23
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