Hearing Impairments

This is the type of condition in which an individual is fully or partially unable to detect or perceive at least some frequencies of sound that can typically be heard by others. Another aspect of hearing loss involves how clearly the sound is perceived opposed to how loud it is. In humans, that aspect is usually measured by tests of speech perception. These tests measure one's ability to understand speech and to detect sound. Hearing loss is categorized based on the type (sensorineural, conductive, or both), the severity, and by the age of onset. The loss can exist in only one ear (unilateral) or in both ears (bilateral).

A conductive hearing impairment occurs when something prevents the conduction of sound waves through the path of the outer ear, the eardrum, and the bones of the middle or inner ear. A sensorineural hearing impairment occurs when there is a dysfunction in the vestibulocochlear nerve or the inner ear. It can also come from damage to the part of the brain that process auditory signals which causes the sound to be heard at the normal level but to be unclear. This is called Central Hearing Impairment.

These dysfunctions happen at birth due to genetic or developmental abnormalities, or arise through trauma or disease during a person's life.

Hearing loss is categorized in this way:
  • Mild: for adults: between 26 and 40 dB HL; for children: between 20 and 40 dB HL
  • Moderate: between 41 and 55 dB HL
  • Moderately severe: between 56 and 70 dB HL
  • Severe: between 71 and 90 dB HL
  • Profound: 90 dB HL or greater

Hearing loss can also be classified by the "percentage of hearing loss" but this usually only used for legal purposes. Some take pride in their deafness or view themselves as a minority rather than a disability group.

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