Watching a speaker's lips is like hearing speech by eye instead of by ear and markedly improves speech perception. In this review I summarise studies over the last sixty years about lip reading, it's issues, methodological problems, experimental and co relational studies, issues of cerebral lateralization, localization and cognitive and neuro psychologic function. Several studies on speech reading in general suggest that hearing impaired groups actually do not possess superior speech reading skills compared to normal controls. With function magnetic resonance imaging (FMRI) it was also found that the linguistic visual cues are sufficient to activate auditory cortex in the absence of auditory speech sounds. Here I presented data and arguments about all aspects of the phenomenon of lip reading and it's use in rehabilitation audio logy

This case can be placed in a neurologic classification. The patient is a child with learning disability in school activities. He was first referred to an audiological clinic because of a central auditory processing disorder (CAPD). His mother has noticed several hearing problems and this led us to the evaluations for his central auditory processing disorder. He has problems in hearing speech in noise and speech processing and need his friends repeat words during communication. no vestibular disorder was noticed nor any localization problem. The child has a good progress in school and only suffered problems in reading tasks. Intelligence quotient(IQ) was also normal.

Exract

There is a general belief that speech perception training and specifically speechreading training for adults with acquired hearing impairment is very useful. Numerous researchers have mentioned that visual cues play an important role even in speech perception of people with normal hearing. In this review article publications and rasearch of different years on lipreading training have been have been reviewed.

Background and Aim: The purpose of this research is to study the standardization of speaking and reading rates in a group of normal speaker of female students, and to compare them. As the rate of speech is an important variable in the evaluation and treatment of stuttering, cluttering, dysarthria and apraxia.

Materials and Method: One hundred of second grade students of primary school and an equal number of fifth grade students participated in this study. All subjects were native speakers of Farsi, who passed an informal, screening test of articulation and speech. None of the subjects had a history of speech, hearing, or neurological disorders. The subjects were asked to read from the 180 words portion of their Farsi book and tell story. Their speech was recorded by using a tape recorder. Then the data were analyzed for word and syllable rate. In transcribing the samples, single morpheme was counted as single word and compound words were counted as two words if they had two free morphemes. Non-word interjections were excluded from word and syllable counts while word interjections and repeated words were included in the count. Independent t-test and paired t-test were used for analyzing.

Results: In the second grade students the reading rate is, on the average, 189.4 syllable per minute (SPM)(94.9 word per minute(WPM), 3.1 syllable per second(SPS)) and the talking rate is 189.8 SPM (99.1 WPM, 3.1 SPS) and in the fifth grade student the reading rate is 223.9 SPM (119.0 WPM, 3.7SPS) and the talking rate is 210.26 SPM (109.5 WPM , 3.4 SPS).

Conclusion: The result highlight that in the fifth grade students, reading rates are higher than talking rates while in the second grade they are not, because they do not have enough skills for whole word reading. A remarkable finding in this research is that, reading and talking rates in the fifth grade students are higher than the second grade students.

Background and aim: Reading is one of the most essential skills in this century. Reading disorders can cause several problems for the person who has reading disorder. Early assessment and diagnosis play an important role in treatment of this disorder. The main purpose of this study was to develope a screening inventory reading test (IRT) for first to fifth grade student in Isfahan in order to early diagnosis of reading disorder.
Materials and Methods: The test, consisting of 100 words context and four comprehension questions, named Inventory Reading Test (IRT), was evaluated by several speech therapists. It was standardized by testing on one thousand boys and girls, 200 students in every grade, that were selected through a multi-stage random sampling method. Test was performed on two other groups, a normal and a reading-disordered.
Results: Scores of reading accuracy and velocity were highly correlated with the test total score. Test reliability was calculated as 0.77 by Cronbach`s alpha measure. There was significant difference between two groups mean score (p=0.01).
Conclusion: IRT seems to be an appropriate tool for screening reading disorder of first to fifth grade students.

Background and Aim: Children with speech and language disorders can have reduced diadochokinesis (DDK) rates. Although a relationship has been proposed between DDK and the rate of speech, there is no consensus among the experts and its credibility remains questioned. The purpose of this study was to compare oral DKK with the rate of speech and reading in normal students.

Methods: One hundred second grade female students participated in this descriptive-comparative study. The subjects were asked to read a text of their book, tell a story, and perform some oral DDK tasks. The elapsed time was measured by Cool Edit software. Descriptive statistics were used to describe the data. Data analysis was performed using Student t-test.

Results: Time history durations of DDK tasks /tâ/, /pâ/ and /kâ/ were 4.10, 4.15 and 4.74 ms, respectively. The rate of reading was 3.1 syllables per second and rate of talking was 2.8 syllables per second. No relationship between the rate of speech and DDK was found, still, we found a significant association between the reading rate and DDK in /kâ/ (p=0.03) and /pâtâkâ/ (P<0.01).

Conclusion: Relevant DDK tasks can be utilized in order to improve the reading rate. Reading rate was higher than speech rate and the rate of bilabial diadochokinesis in mono syllables is the highest rate that may be expected during the treatments.

Background and Aim: Reading is one of the human's communicative skills. Phonological awareness and rapid automatized naming are parts of the person's linguistic knowledge. Research in different languages and communities suggest that there is a relation between phonological awareness, rapid automatized naming and reading. To survey these relations in Persian language is the aim of this study.

Methods: In this study 130 male students from the first grade were selected at random. They were normal in IQ, visual and hearing status. Language development was also normal in these children. This study was a cross-sectional one. Pearson correlation coefficient and linear regression test were used to analyze data.

Results: The relation between phonological awareness and automatized rapid naming was significant (p<0.0001). Pearson correlation coefficient between phonological awareness and reading was direct (0.86). Pearson correlation coefficient between rapid automatized naming and reading was indirect that equals -0.87. In investigating the relation of two variables simultaneously with reading we concluded that the relation between phonological awareness, rapid automatized naming and reading is statistically significant (p<0.0001).

Conclusion: The results of this research revealed that in Persian language like other languages there is a relation between phonological awareness, rapid automatized naming, and reading. Reading skills of children could be improved with this exercises.

Background and Aim: Reading is undoubtedly an essential skill for everybody in these years. Reading disorders or dyslexia can cause several problems for those who suffer from them. Early assessment and diagnosis play an important role in treatment of this disorder. The main aim of this study was determining the prevalence of reading disorder in first to fifth grade elementary school students. The subbasic aim was introducing the screening Inventory Reading Test (IRT) for diagnosis of the Students with reading disorder at elementary schools.

Methods: A total of 200 students (boys and girls) in five elementary education grades in Isfahan were selected through multi-stage random sampling method and assessed by IRT in 2008. Descriptive statistical analysis was performed using SPSS Software package version 13.0 for Windows.

Results: This survey revealed the highest prevalence of reading disorder in the first grade male students (25%), and the lowest in fifth grade female students (0%). The incidence of dyslexia in all grades generally was 10%. The overall incidence was 66% for male students and 34% for female students.

Conclusion: Reading disorder is more prevalent among male students than female students and the Inventory Reading Test is a satisfactory tool for rapid diagnosis of reading disorder.

Background and Aim: Learning language is acquired in early childhood and gradually developed by new words and new structures. Hearing sense is the most important acquisition for learning this skill. Hearing disorders are barriers for natural language learning. The purpose of this study was to investigate the relationship between writing sentences and perception of written sentences in hearing-impaired and normal-hearing students.
Methods: A cross-sectional study was conducted among thirty hearing-impaired students with hearing loss of 70-90 dB and thirty normal hearing students. They were selected from 3^rd grade primary school students in Hamadan, a large city in Western Iran. The language skills and non language information was assessed by questionnaire, Action Picture Test, and Sentence Perception Test.
Results: Results showed that there was a significant relation between writing sentences and perception of written sentences in hearing impaired students (p<0.001), (r=0.8). This significant relation was seen in normal-hearing students as well (p<0.001), (r=0.7).
Conclusion: Disability of hearing-impaired students in verbal communication is not only related to articulation and voice disorders but also is related to their disability to explore and use of language rules. They suffer lack of perception of written sentences, and they are not skilled to convey their feelings and thoughts in order to presenting themselves by using language structures.

Background and Aim: listening, speaking, reading and writing are considered the lingual skills. These skills are in direct relation with each other. Listening is the first skill learnt by the individual through development. If damaged by hearing impairment, listening can cause serious defect to lingual skills. The goal of our research was to study the effect of hearing loss on reading literacy in hearing impairment students in comparison with normal hearing students.
Methods: Study was performed using the examination booklets of Progress in International Reading Literacy Study (PIRLS) 2001. 119 hearing impairment students of 4^th grade primary school, last year guidance school, and last year high school levels in schools providing exceptional student education were included. These individuals were compared to 46 normal hearing students of 4^th grade primary school of ordinary schools. Comparative statistical analysis was performed using t-test.
Results: Reading literacy and literal contents understanding was shown to have a significant difference between normal hearing and whole hearing impaired student (p<0.05), except the ones in high school level with moderate hearing loss. There was also seen a significant difference between normal hearing and hearing impairment students in understanding of information contents (p=0.03).
Conclusion: Hearing loss has a negative effect on reading literacy. Consequently, curriculum change and evolution of educational programs in exceptional centers is needed, in order to promote reading literacy and to enhance rest hearing

Background and Aim: Reading skill is one of the most important necessities of students&apos learning in everyday life. This skill is referred to the ability of comprehension, comment and conclusion from texts and receiving the meaning of the massage which is composed. Educational development in any student has a direct relation with the ability of the comprehension. This study is designed to investigate the effects of hearing loss on reading comprehension in hearing-impaired students compared to normal-hearing ones.
Methods: Seventeen hearing-impaired students in 4^th year of primary exceptional schools in Karaj, Robatkarim and Shahriyar, Iran, were enrolled in this cross-sectional study. Seventeen normal-hearing students were randomly selected from ordinary schools next to exceptional ones as control group. They were compared for different levels of reading comprehension using the international standard booklet (PIRLS 2001).
Results: There was a significant difference in performance between hearing-impaired and normal- hearing students in different levels of reading comprehension (p<0.05).
Conclusion: Hearing loss has negative effects on different levels of reading comprehension, so in exceptional centers, reconsideration in educational planning in order to direct education from memorizing to comprehension and deeper layers of learning seems necessary.

Background and Aim: Hearing-impaired students have some delays in learning language skills such as reading because of hearing loss. To study the effect of promoting educational level on the development of reading comprehension, the students of the 4^th grade of elementary and last year guidance school were compared based on international test of reading literacy.
Methods: The project was cross-sectional and the tool used was the international standard booklet of PIRLS 2001. Thirty-six students selected with moderately severe and severe hearing loss from the 4^th grade of elementary and last year guidance school from Shahriar, Robatkarim, Karaj and Hashtgerd, Iran, exceptional schools. Comparative statistical analysis was performed using t-test.
Results: The first level (focus on and retrieve explicity information) showed a meaningful difference between the last year guidance school and the 4^th grade of elementary students (p<0.05), but there were no significant differences in other levels, make straightforward information-interpret and integrate ideas-examine and evaluate content, (p> 0.05).
Conclusion: Hearing-impaired students have difficulties in understanding in deep levels of reading despite promoting educational level. Thus, in making policies for special trainings, continuing the rehabilitation in guidance and high school levels to promote the complex levels of comprehension should be taken more into consideration.

Background: Phonemic awareness is one of the most important predictors of reading skills that has been taught by different procedures. One of the procedures is implementation of direct instruction in instruction of phonemic awareness. Current study is one of the unique studies in Iran that investigate impact of direct instruction in phonemic awareness on reading achievement of students with reading disorder.
Case: Three male second grade elementary students with reading disorder in a regular school in district six of the office of education in Tehran were selected. Multiple-baseline across subjects was selected as a research design. The following tests were used as diagnostic criteria: reading and dyslexia test and Wechsler intelligence scale for children-revised. Moreover, a reading inventory consisting of 100 words was developed by researchers to assess the reading ability of the subjects. Data were collected in three phases: baseline, intervention, and follow-up. During the intervention phase, the intervention strategies were used while during baseline and follow-up, data were collected without any intervention. Comparing three phases of the study, we may conclude that intervention package consisting of direct instruction of phonological awareness was an effective strategy in reading achievement of all three students. In addition, follow-up data indicated that the effects of the intervention procedures were stable across time.
Conclusion: Direct instruction of phonological awareness was effective in reading achievement of students with reading disorder in elementary school and increasing their abilities in reading.

Background and Aim: A system that could make speech visible to deaf people has been dreamt of for long time. Several systems have been developed during recent decades with the most popular being cued speech invented 50 years ago by Cornett (1967). The aim of this article is to review researches about cued speech and its efficacy on different language skills of hearing impaired children.
Methods: In this article we reviewed researches on cued peech and its impacts on speech and literacy of hearing impaired children. We searched Medline, Proquest and Scopus search engines with the "cued speech" keyword and read all textbooks and thesis published between 1972 and 2011. Cued speech is an oral system which makes the sounds visible and accessible. It makes speech perception much simpler and improves lip-reading skills and ability of using residual hearing in hearing impaired children.
Conclusion: Cued speech enhances children's communication and speech perception and discrimination from early ages. It improves speech and ability to benefit from cochlear implantation. The original impetus behind cued speech was to improve literacy levels of hearing impaired children and it has been found to be uniquely successful.

Background and Aim: In different language approaches, reading is considered as a major skill. Language skills comprising listening, speaking, reading and writing are completely interlinked with each other. Thus, providing active application of listening and speaking skills, children will learn reading and writing skills easily. The aim of this research was to compare reading skills of hearing-loss students studying at exceptional schools with normal students of different degrees.
Methods: The research was conducted post-traumatically using standardized 2006 PIRLS test. 80 students in fifth grade of exceptional primary schools, and first and fourth grade of exceptional high schools in Tehran City who had severe and or profound hearing loss were randomly selected along with 80 normal students in ordinary schools who were selected using available sampling method.
Results: There were significant differences between reading comprehension of hearing-loss and normal students of all three grades (p<0.001). Reading comprehension in female students was significantly higher than the male ones (p<0.001). There were not any significant differences in mean reading comprehension scores of hearing-loss students in different grades which demonstrate that their reading skills had not developed in tandem with their age and school educations.
Conclusion: This study shows that one of the significant concerns regarding hearing-loss students is their reading comprehension ability. Considering reading ability as one of the most important acquisitive abilities which students learn at school, evaluation of reading skills of hearing loss students as well as recognition of their strengths and weaknesses in this field is indispensable.

Background and Aim: Reading skills, a complicated process, should be learnt and solely is not depend on sounds conforming with the written symbols on a page. Readers will be able to understand and perceive the deeper meaning of the text based on their experiences and knowledge obtained through reading. This research aimed to compare hearing-impaired students&apos reading literacy in exceptional and ordinary schools in Iran.
Methods: This cross-sectional study was done on 28 hearing-impaired students of the 4^th year of primary exceptional and ordinary schools of Shahr-e-Ray and Shahryar cities, Iran, using the Progress in International Reading Literacy Study (PIRLS 2006) booklets. Comparative statistical analysis was performed using Student&aposs t-test.
Results: The hearing-impaired students in ordinary schools had significantly (p<0.05) higher scores [mean (SD)] in reading literacy [3.67 (1.74)], comprehension of informational contents [4.21 (2.48)], and comprehension of literary contents [3.14(1.23)] than hearing-impaired students in exceptional schools [1.78 (1.06), 1.92 (1.49), and 1.64 (1.62), respectively].
Conclusion: Hearing-impaired students in ordinary schools meaningfully had higher performance of reading skills in comparison with hearing-impaired students in exceptional schools. It seems that an appropriate cultural bed should be provided in order to conduct these students and accept them in ordinary schools.

Background: Hyperlexia is a super ability demonstrated by a very specific group of individuals with developmental disorders. This term is used to describe the children with high ability in word recognition, but low reading comprehension skills, despite the problems in language, cognitive and social skills. The purpose of this study was to assess the effectiveness of improving the semantic aspect of language (increase in understanding and expression vocabulary) on reading comprehension in an autistic child with hyperlexia.
Case: The child studied in this research was an autistic child with hyperlexia. At the beginning of this study he was 3 years and 11 months old. He could read, but his reading comprehension was low. In a period of 12 therapy session, understanding and expression of 160 words was taught to child. During this period, the written form of words was eliminated. After these sessions, the reading comprehension was re-assessed for the words that child could understand and express.
Conclusion: Improving semantic aspect of language (understanding and expression of vocabulary) increase reading comprehension of written words.

Background and Aim: Reading is the most important human need for learning. In normal-hearing people working memory is a predictor of reading comprehension. In this study the relationship between working memory and reading comprehension skills was studied in hearing-impaired children, and then compared with the normal-hearing group.
Methods: This was a descriptive-analytic study. The working memory and reading comprehension skills of 18 (8 male, 10 female) sever hearing-impaired children in year five of exceptional schools were compared by means of a reading test with 18 hearing children as control group. The subjects in the control group were of the same gender and educational level of the sample group.
Results: The children with hearing loss performed similarly to the normal-hearing children in tasks related to auditory-verbal memory of sounds (reverse), visual-verbal memory of letters, and visual-verbal memory of pictures. However, they showed lower levels of performance in reading comprehension (p<0.001). Moreover, no significant relationship was observed between working memory and reading comprehension skills.
Conclusion: Findings indicated that children with hearing loss have a significant impairment in the reading comprehension skill. Impairment in language knowledge and vocabulary may be the main cause of poor reading comprehension in these children. In hearing-impaired children working memory is not a strong predictor of reading comprehension.

Background and Aim: Dyslexia is the most common learning disability. One of the main factors have role in this disability is auditory perception imperfection that cause a lot of problems in education. We aimed to study the effect of auditory perception training on reading performance of female students with dyslexia at the third grade of elementary school.

Methods: Thirty-eight female students at the third grade of elementary schools of Khomeinishahr City, Iran, were selected by multistage cluster random sampling of them, 20 students which were diagnosed dyslexic by Reading test and Wechsler test, devided randomly to two equal groups of experimental and control. For experimental group, during ten 45-minute sessions, auditory perception training were conducted, but no intervention was done for control group. An participants were re-assessed by Reading test after the intervention (pre- and post- test method). Data were analyed by covariance test.

Results: The effect of auditory perception training on reading performance (81%) was significant (p<0.0001) for all subtests execpt the separate compound word test.

Conclusion: Findings of our study confirm the hypothesis that auditory perception training effects on students' functional reading. So, auditory perception training seems to be necessary for the students with dyslexia.

Background and Aim: Several studies have demonstrated deficits in rapid naming in dyslexic readers however the extent of deficit is different in various orthographies. This study was intended to survey the naming speed in Persian children with dyslexia.

Methods: Rapid automatized naming (RAN) task of 19 children with dyslexia were compared with 31 nondyslexic children. Participants were selected from the students of the second grade of primary schools in Tehran city, Iran, with normal intelligence [intelligence quotient]. Nondyslexic children were at the age of 7.7 to 8.7 years (mean=7.6) and dyslexics were 7.8 to 9.4 years old (mean=8.1). Reading accuracy and speed were assessed by text reading (Diagnostic Reading Test), and high frequency word, low frequency word and nonword reading (Reading and Dyslexia Test).

Results: Dyslexic readers needed more time than non-dyslexics when naming objects (p<0.001), numbers (p=0.001) and letters (p<0.001). The mean of dyslexics z-scores were -1.98 on objects, -1.96 on numbers and -3.35 on letters. 42% of dyslexics did not show any deficit on rapid automatized naming task. All of the subtests were correlated to reading speed (p<0.050), but among subtests of rapid automatized naming task, only letter naming was correlated to reading accuracy (p<0.050).

Conclusion: More than half of dyslexics cases showed an apparent deficit in naming speed (objects, numbers and letters), which was more evident at letters. Naming speed was related to reading accuracy and reading speed although the relationship was stronger with the second one.