Hard of Hearing

Hard of hearing have vocal organs which are normal and hence can produce speech. This is especially so if they have some language ability. That is, if a child has acquired deafness after having exposed to hearing the language. Hence the dictum “deaf need not be dumb“. The reason that they may not be able to produce speech is because of the lack of auditory feedback, i.e., inability to hear what they have spoken and hence unable to correct what is spoken if it is incorrect.

  • Picture-Word-Ariculation test may be used for an evaluation of the pronunciation errors. Exercises may be given to correct the pronunciation errors.


  • Their dependency on lip reading sometimes leads to mis-pronunciation of speech sounds. For example, ‘p’, ‘b’ and ‘m’. Nasal indicator may be used to make them aware of the production of nasals.


  • Also, the hard of hearing often lack breath support’. That is they are unable to speak for a long duration in a single breath and they have to take breaths often. Their breath support has to be improved.


  • Further, a hard of hearing child tries to speak at a very loud voice or shrill voice since for the child itself they sound normal. In course of time this leads to voice abuse and possible damage of the vocal folds (the voice box). This can be prevented by a proper voice control.


  • Some hard of hearing children speak with a mono-tone pitch or dull voice. They lack proper intonation and their voice will not be lively.


The above problems may be corrected with pronunciation and voice therapy exercises. Visit the following links for details: