Cochlear Implant Connections: A Biopsychosocial Audiologic Rehabilitation Program for Late-Deafened Adults With Cochlear Implants

2011 ◽  
Vol 18 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Denise Tucker ◽  
Mary V. Compton ◽  
Lyn Mankoff ◽  
Kelly Rulison
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Psychosocial Adjustment ◽  
Rehabilitation Program ◽  
Written Narratives ◽  
Aural Rehabilitation ◽  
Auditory Adaptation ◽  
Innovative Program ◽  
The Individual ◽  
Audiologic Rehabilitation

In this article, the authors describe a biopsychosocial approach to group audiologic/aural rehabilitation (AR) for late deafened adults with cochlear implants. A detailed account of Cochlear Implant Connections is provided, including the individual components of this innovative program. A qualitative review of written narratives and videotaped AR sessions illustrates the ongoing needs, expectations, challenges, and experiences of this underserved patient population. These challenges underscore the need for ongoing AR, including instruction, counseling, and support, to promote late deafened adults’ psychosocial adjustment and to maximize their peripheral and central auditory adaptation to cochlear implant use.

Designing and Implementing a Comprehensive Telehealth Aural Rehabilitation Program for Adult Cochlear Implant Recipients

2021 ◽  
pp. 1-9
Author(s):  
Cornetta L. Mosley
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cochlear Implants ◽  
Older Adult ◽  
Health Care Professionals ◽  
Rehabilitation Program ◽  
Perceptual Training ◽  
Aural Rehabilitation ◽  
Additional Information ◽  
The University

Purpose A comprehensive aural rehabilitation (AR) program incorporates sensory management, perceptual training, counseling, and instruction. However, the process of designing and implementing such a program is inconsistent across clinical sites, and additional information regarding the use of teleaudiology to implement AR services is needed. The purpose of this clinical focus article is to describe the process of creating and implementing a comprehensive teleaudiology AR program for older adults who use cochlear implants (CIs) at the University of South Alabama (USA) Speech & Hearing Center. Conclusions A comprehensive teleaudiology AR program may be successfully designed and implemented for older adult populations. Information provided in this clinical focus article may serve as a guide or example for other trained health care professionals looking to create an in-person or telehealth AR program for older adults who use CIs. Supplemental Material https://doi.org/10.23641/asha.16755289

Some Effects of Training on Speech Recognition by Hearing-Impaired Adults

1981 ◽  
Vol 24 (2) ◽  
pp. 207-216 ◽  
Author(s):  
Brian E. Walden ◽  
Sue A. Erdman ◽  
Allen A. Montgomery ◽  
Daniel M. Schwartz ◽  
Robert A. Prosek
Keyword(s):  
Speech Recognition ◽  
Recognition Test ◽  
Recognition Performance ◽  
Rehabilitation Program ◽  
Hearing Impaired ◽  
Aural Rehabilitation ◽  
Sentence Recognition ◽  
Consonant Recognition ◽  
The Individual

The purpose of this research was to determine some of the effects of consonant recognition training on the speech recognition performance of hearing-impaired adults. Two groups of ten subjects each received seven hours of either auditory or visual consonant recognition training, in addition to a standard two-week, group-oriented, inpatient aural rehabilitation program. A third group of fifteen subjects received the standard two-week program, but no supplementary individual consonant recognition training. An audiovisual sentence recognition test, as well as tests of auditory and visual consonant recognition, were administered both before and ibltowing training. Subjects in all three groups significantly increased in their audiovisual sentence recognition performance, but subjects receiving the individual consonant recognition training improved significantly more than subjects receiving only the standard two-week program. A significant increase in consonant recognition performance was observed in the two groups receiving the auditory or visual consonant recognition training. The data are discussed from varying statistical and clinical perspectives.

The Value of Preoperative Speech-Language Pathology Counseling for Candidates for Cochlear Implants

2020 ◽  
Vol 5 (4) ◽  
pp. 946-950
Author(s):  
Lindsay Zombek
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
The United States ◽  
Postoperative Management ◽  
Insurance Companies ◽  
Aural Rehabilitation ◽  
Speech Language Pathologist ◽  
Language Pathology ◽  
Operative Assessment ◽  
Rehabilitation Assessment

Purpose This article identifies benefits of pre-operative counseling as part of an aural rehabilitation assessment with a speech-language pathologist as part of adult candidacy for cochlear implants. Aural rehabilitation assessment is not mandated by the Food and Drug Administration in the United States, by some insurance companies, nor consistently by cochlear implant centers as part of cochlear implant candidacy. Although these entities do not require an aural rehabilitation assessment pre-operatively, this assessment and counseling opportunity may offer benefits beyond its contributions to the actual candidacy determination. The perceived benefits of the aural rehabilitation counseling will be discussed. Method A retrospective review was conducted of adults who did and did not receive counseling by a speech-language pathologist as part of their candidacy determination for a cochlear implant. Results Benefits of pre-operative counseling were found to include realistic expectations and motivation for postoperative management, established rapport with the postoperative therapist, determination of candidates’ personal goals ahead of initiation of aural rehabilitation, and increased rates of enrollment in postoperative aural rehabilitation. Conclusion Pre-operative assessment and counseling by aural rehabilitation practitioners may provide benefits and warrant inclusion in pre-operative cochlear implant candidacy determination.

The Value of Speech-Language Pathologists in Auditory Rehabilitation for Adults With Cochlear Implants

2021 ◽  
pp. 1-3
Author(s):  
Christin Ray ◽  
Erin Taylor ◽  
Kara J. Vasil ◽  
Lindsay Zombek ◽  
Jodi H. Baxter ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Real Life ◽  
Rehabilitation Program ◽  
Speech Language Pathologists ◽  
Speech Language Pathologist ◽  
Auditory Rehabilitation ◽  
Performance Functional ◽  
Barriers To Implementation

Background Standards for auditory rehabilitation are currently lacking for adults who receive cochlear implants. Speech recognition outcomes are highly variable, and many adults with cochlear implants present with suboptimal performance. Functional real-life communication abilities are not routinely measured clinically and are not strongly linked to performance on traditional measures of speech recognition. In fact, even individuals with relatively good speech recognition outcomes often present with persistent communication difficulties. In contrast to pediatric cochlear implant users, speech-language pathologists are not routinely involved in the rehabilitation of adults who receive cochlear implants. Purpose The purpose of this article is to describe the value of including a speech-language pathologist in a comprehensive approach to auditory rehabilitation for adults with cochlear implants. Method The theoretical and clinical foundations of incorporating a speech-language pathologist into an adult auditory rehabilitation program are discussed. A description of the skills and potential roles of the speech-language pathologist for providing adult cochlear implant rehabilitation services is presented, along with potential barriers to implementation. Conclusion Person-centered management of postlingually deafened adults with cochlear implants can be augmented by a more complete approach utilizing the skill set of a speech-language pathologist. Supplemental Material https://doi.org/10.23641/asha.14669652

Combined Effects of Noise and Reverberation on Sound Localization for Listeners With Normal Hearing and Bilateral Cochlear Implants

2017 ◽  
Vol 26 (4) ◽  
pp. 519-530
Author(s):  
Yunfang Zheng ◽  
Janet Koehnke ◽  
Joan Besing
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Sound Localization ◽  
Noise Source ◽  
Normal Hearing ◽  
Combined Effects ◽  
Bilateral Cochlear Implants ◽  
Processing Strategies ◽  
Localization Test ◽  
The Individual

Purpose This study examined the individual and combined effects of noise and reverberation on the ability of listeners with normal hearing (NH) and with bilateral cochlear implants (BCIs) to localize speech. Method Six adults with BCIs and 10 with NH participated. All subjects completed a virtual localization test in quiet and at 0-, −4-, and −8-dB signal-to-noise ratios (SNRs) in simulated anechoic and reverberant (0.2-, 0.6-, and 0.9-s RT 60 ) environments. BCI users were also tested at +8- and +4-dB SNR. A 3-word phrase was presented at 70 dB SPL from 9 simulated locations in the frontal horizontal plane (±90°), with the noise source at 0°. Results BCIs users had significantly poorer localization than listeners with NH in all conditions. BCI users' performance started to decrease at a higher SNR (+4 dB) and shorter RT 60 (0.2 s) than listeners with NH (−4 dB and 0.6 s). The combination of noise and reverberation began to degrade localization of BCI users at a higher SNR and a shorter RT 60 than listeners with NH. Conclusion The clear effect of noise and reverberation on the performance of BCI users provides information that should be useful for refining cochlear implant processing strategies and developing cochlear implant rehabilitation plans to optimize binaural benefit for BCI users in everyday listening situations.

scholarly journals Neurodevelopmental Aspects and Cortical Auditory Maturation in Children with Cochlear Implants

Medicina ◽  
2020 ◽  
Vol 56 (7) ◽  
pp. 344
Author(s):  
Cristina Pantelemon ◽  
Violeta Necula ◽  
Alexandra-Stefania Berghe ◽  
Livia Livinț-Popa ◽  
Steluța Palade ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Neuropsychological Tests ◽  
Rehabilitation Program ◽  
Psychomotor Development ◽  
General Development ◽  
Auditory Pathways ◽  
Rehabilitation Process ◽  
Central Auditory Pathways

Background and objectives: The cochlear implant is not only meant to restore auditory function, but it also has a series of benefits on the psychomotor development and on the maturation of central auditory pathways. In this study, with the help of neuropsychological tests and cortical auditory potentials (CAEPs), we intend to identify a series of instruments that allow us to monitor children with a cochlear implant, and later on, to admit them into an individualized rehabilitation program. Materials and methods: This is a longitudinal study containing 17 subjects (6 boys and 11 girls) diagnosed with congenital sensorineural hearing loss. The average age for cochlear implantation in our cohort is 22 months old. Each child was tested before the cochlear implantation, tested again 3 months after the implant, and then 6 months after the implant. To test the general development, we used the Denver Developmental Screening Test (DDST II). CAEPs were recorded to assess the maturation of central auditory pathways. Results: The results showed there was progress in both general development and language development, with a significant statistical difference between the overall DQ (developmental quotient) and language DQ before the cochlear implantation and three and six months later, respectively. Similarly, CAEP measurements revealed a decrease of positive-going component (P1) latency after cochlear implantation. Conclusion: CAEPs and neuropsychological tests prove to be useful instruments for monitoring the progress in patients with cochlear implants during the rehabilitation process.

Aural Rehabilitation through Music Workshops for Cochlear Implant Users

2014 ◽  
Vol 25 (04) ◽  
pp. 311-323 ◽  
Author(s):  
Rachel M. van Besouw ◽  
David R. Nicholls ◽  
Benjamin R. Oliver ◽  
Sarah M. Hodkinson ◽  
Mary L. Grasmeder
Keyword(s):  
Cochlear Implant ◽  
Effective Means ◽  
Rehabilitation Program ◽  
Aural Rehabilitation ◽  
Therapeutic Value ◽  
Data Collection And Analysis ◽  
Computer Based ◽  
Prototype Software ◽  
Listening Strategies ◽  
And Behavior

Background: It has been reported that after speech perception, music appreciation is the second most commonly expressed requirement among cochlear implant (CI) recipients. Certain features of music are known to be more readily accessible; however, provision of music rehabilitation for adult CI users is limited. Purpose: A series of music workshops were organized to (1) enable attendees to explore which aspects of music they are able to perceive and appreciate; (2) raise awareness of listening strategies, technology, and rehabilitation resources for music; and (3) develop ideas, and prototype software, for inclusion in a music rehabilitation program. The therapeutic value of music workshops was concurrently investigated. Research Design: A qualitative, longitudinal study was used. Two consultation meetings were held before a series of nine music workshops that occurred over a period of 5 mo. Study Sample: Five adult CI users participated in consultations before the workshops. Twenty-eight adult CI users from the South of England Cochlear Implant Centre attended at least one of the workshops. Intervention: Participants could attend as many workshops as they wished. Each workshop lasted between 2 to 2.5 hr and included individual computer-based and group activities. Data Collection and Analysis: Responses to open-ended questions were transcribed in the consultation meetings and used to develop workshop activities. A preworkshop survey was used to determine attendees’ aspirations and expectations. Postworkshop surveys were used to qualitatively and quantitatively evaluate attendees’ immediate reactions to the workshop content, software, and perceived benefits. A 2-month, postworkshop survey evaluated the longer-term impact of the workshops. Results: Overall reaction to the workshops and prototype software was positive. All attendees indicated that they anticipated changing how they engaged with music as a result of the workshops, and data from the preworkshop and postworkshop surveys suggest a positive change in listening habits. Conclusions: The workshops proved to be an effective means of simultaneously encouraging music exploration in a social and safe environment and obtaining feedback on prototype rehabilitation materials. Survey data suggested that through group listening and practical activities, certain aspects of music can be accessible and rewarding through a CI, leading to positive changes in attitude and behavior toward music.

Overview of Current Approaches to Aural Rehabilitation for Adults With Cochlear Implants

2020 ◽  
Vol 5 (5) ◽  
pp. 1175-1187
Author(s):  
Rachel Glade ◽  
Erin Taylor ◽  
Deborah S. Culbertson ◽  
Christin Ray
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Cochlear Implants ◽  
Practice Patterns ◽  
The United States ◽  
Care Providers ◽  
Aural Rehabilitation ◽  
Starting Point ◽  
Clinical Models ◽  
Hearing Health

Purpose This clinical focus article provides an overview of clinical models currently being used for the provision of comprehensive aural rehabilitation (AR) for adults with cochlear implants (CIs) in the Unites States. Method Clinical AR models utilized by hearing health care providers from nine clinics across the United States were discussed with regard to interprofessional AR practice patterns in the adult CI population. The clinical models were presented in the context of existing knowledge and gaps in the literature. Future directions were proposed for optimizing the provision of AR for the adult CI patient population. Findings/Conclusions There is a general agreement that AR is an integral part of hearing health care for adults with CIs. While the provision of AR is feasible in different clinical practice settings, service delivery models are variable across hearing health care professionals and settings. AR may include interprofessional collaboration among surgeons, audiologists, and speech-language pathologists with varying roles based on the characteristics of a particular setting. Despite various existing barriers, the clinical practice patterns identified here provide a starting point toward a more standard approach to comprehensive AR for adults with CIs.

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