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ADHD/ADD Or Hearing Loss?

10/28/2011

9 Comments

 
ADHD and Children
When classroom teachers are confronted with children who ''will not listen,'' ''cannot sit still,'' ''does not finish classroom assignments,'' and ''creates problems for other children,'' hearing loss is not the first problem the teacher considers. Maybe it should be.

Research studies show that one out of three children have enough hearing loss to make learning difficult. Children in every school (public and private) are at risk for this silent epidemic.

Five million school-aged children, or 11.3% of all school children in the U.S.A. exhibit some degree of hearing impairment. This startling finding was reported by Fred Bess Ph.D., from the Department of Hearing and Speech Sciences, at Vanderbilt University Medical Center, in a recent issue of The Hearing Journal. Dr. Bess noted that many children have ''unrecognized'' hearing loss. The largest undetected hearing loss in children affects those considered to have ''minimal sensorineural hearing loss'' (MSHL). Dr. Bess found that the prevalence of MSHL in schools is 5.4%, or more than one of every twenty children.

Attention deficit hyperactivity disorder (ADHD) is the most commonly diagnosed behavioral disorder of childhood, estimated to affect three to five percent of school-age children. ADHD core symptoms include; developmentally inappropriate levels of attention, concentration, activity, distractibility, and impulsivity. Children with ADHD usually have functional impairment across multiple settings including home, school, and peer relationships. ADHD has been shown to have long-term adverse effects on academic performance, vocational success and social-emotional development, according to the National Institute of Health and the office of Special Education Programs.

The diagnosis of ADD/ADHD is often based on doctor, parent, and/or teacher observations of the child's behaviors.

Could these two problems (ADHD and MSHL) overlap, or perhaps be easily confused based on observations of children's behaviors?

Recently, an assistive listening device manufacturer compared the behavioral characteristics of children with ADD/ADHD, to children with mild hearing loss. They discovered extraordinary similarities among the two groups.
 
Both groups have academic difficulty and both give inappropriate responses to questions. Neither group completes assignments, they both exhibit trouble sustaining attention during oral presentations, and for both, following directions is problematic. Impulsiveness and acting out are common to both groups, as is a poor self concept. Both groups of children exhibited low self esteem, fewer social interactions with their peers, and greater stress. Members of both groups were more likely to drop out of school. Both groups tended to repeat grades imposing a significant financial burden on the schools, and of course, their families.

Could this mean that some children diagnosed with ADHD/ADD could actually have mild or minimal hearing loss?

In young children, the most common type of hearing loss is a ''conductive'' hearing loss. Conductive hearing loss is generally correctable through medical and surgical options. Conductive hearing losses include; broken ear drums, middle ear infections, swimmer's ear, and other ear problems that physically ''block'' the path of sound. Middle ear disease (otitis media) is the leading cause of visits to the pediatrician. Research studies have determined that 50% of the children between birth and five years of age will experience a conductive hearing loss.

Karen Anderson, in her 1995 American Academy of Audiology presentation in Dallas, noted that approximately 80% of elementary school students (ages 4 -10 years) suffer from temporary hearing loss at sometime during the school year. Those hearing losses were largely undetected by parents or teachers, and the typical hearing loss was determined to be 25 -30 dB, similar to the hearing loss that occurs when your ears are plugged with fingers.

Research suggests that some middle ear infections can lead to permanent hearing loss if left untreated and if unresolved. Noise-related hearing impairment is another cause of permanent hearing loss in children. In one school system, Anderson found 22% of high school students suffered from noised induced hearing loss.

Oddly enough, increased survival rates of premature ''at-risk'' infants may be contributing to milder forms and higher numbers of permanent hearing impairment in children.
 
Bess reported that 37% of children with hearing loss failed at least one grade, compared to a district norm of about 3%. The majority of learning problems in these children included; not understanding, trouble with vocabulary, word usage skills and story telling abilities. Children with minimal sensorineural hearing loss are 4.3 times more likely to experience trouble in communication, than children with normal hearing.

Without a proper diagnosis, appropropriate treatment is impossible.  For more information about auditory services, contact the Portrait Health Centers at (847) 868-3435 or click below to schedule an appointment with one of our Audiologists:

Schedule online now
9 Comments
Olive Hickmott link
10/29/2011 03:26:35 am

In addition those who can't sit still, are normally very ungrounded. Poor hearing is also a symptom of being ungrounded. Last year I worked with someone using 2 hearing aids, when she got grounded, she took the hearing aids out and she could hear. Her comment was that she didn't think she had ever been grounded in her whole life! If you want to know more take a look at www.bridgestosuccess.co.uk

Reply
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10/30/2011 03:09:23 am

I'm unsure of the implications of what's discussed in the article. However, I do remember learning that when institutionalizing people with mental disabilities was popular in the 60s and 70s before the advent of community-based approaches, some were admitted as children or infants, because doctors thought they were mentally disabled. Later, when institutions closed and patients moved into facilities with more individualized treatment, this was discovered. So, by analogy, anything is possible.

Reply
Sharon Ruben link
11/6/2011 09:42:33 pm

I'd like to bring to this discussion here a distinction between "hearing" and "listening" that most parents and even professions don't realize. Most people can "hear" - it's just a "passive" process receiving sound. You don't really have to "pay attention" when you engage in hearing...but "listening" is an "active" process and involves the brain and a conscious desire to "tune in" and pay attention. Autism, ADD/ADHD, dyslexia, auditory processing disorder, sensory integration dysfunction to name a few are rooted in an inability to LISTEN! Listening therapy to exercise the middle ear muscles to tone them up so they filter sound more efficiently and effectively is becoming a "go to" therapy for these children. Learn more about the role of the ear and how we can impact the listening and learning of those on the autism spectrum and other developmental delays/disorders using sound therapy at www.SoundTherapySystems.com and a little girl's recovery from autim using an auditory training program at www.AwakeningAshley.com

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