الفهرس 
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Abstract
Hearing impairment (HI) is the most common disorder at birth. Hearing loss in Egyptian children is a widespread problem with its significant impact on learning and social development. Children with profound HI are at a significant risk of serious delays in speech and language development that can impact their communication, their cognitive development and their social development.
Early hearing loss identification, proper amplification within 3 months of identification and intervention within 6 months of identification allows for age-appropriate speech and language milestones by 3 years of age.
The children with hearing impairment require management in the form of early assessment of hearing impairment, Audiological intervention and early effective rehabilitation.
Many methods have been developed for rehabilitation of HI children. These methods classified in to the following:
• The manual method.
o Cued Speech.
o Manually Coded English (MCE).
o American Sign Language (ASL)
• The total communication method.
• Auditory aural training
• Auditory verbal therapy
AVT is an approach that teaches children fitted with digital hearing aids and cochlear implants to maximize their listening skills and develop age appropriate spoken language. The child’s parents and caregivers are essential to the AVT approach because they are the child’s primary models for listening and spoken language. Working with a trained and accredited Auditory-Verbal Therapist, the parents and caregivers are trained to use AVT at home and in everyday life.
The AV method would claim to differ from other approaches in three key areas: emphasis on audition, emphasis on the family and emphasis on following the same developmental processes as a hearing child.
The (AG) Bell Academy for Listening and Spoken Language (2007) adopted ten Principles for Auditory-Verbal Practice.
Parent coaching strategies are important for AVT sessions:
1. Having conversations and sharing information
2. Collaborating in setting goals and planning activities
3. Demonstrating
4. Guiding practice with feedback
5. Providing video-feedback
There are essentially six goals with their strategies that the AV practitioner typically addresses in the planning and delivery of every AVT sessions:
1. Create a listening environment
2. Facilitate auditory attention
3. Enhance auditory perception of speech
4. Promote knowledge of language
5. Facilitate spoken language and cognition
6. Stimulate independent learning.
Conclusion
Auditory verbal therapy becomes the most effective rehabilitation methods of hearing impaired children nowadays , most of researches that discussing AVT, showing an improvement in language and speech of hearing impaired children to become as the same level as their peers.
The dependency of AVT on listening alone rather than combination of visual and auditory cues, makes the highest benefit of residual hearing of hearing impaired children and enrolling family in the program of therapy to be a part of it help in making AVT a system of life for these children and their families rather than away of therapy only.