scholarly journals Auditory Rehabilitation Post-Cochlear Implant

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Gabriela Diamante
Keyword(s):  
Cochlear Implant ◽  
Sentence Recognition ◽  
School Activities ◽  
Auditory Rehabilitation ◽  
Open Set ◽  
Consonant Recognition ◽  
Close Relationship ◽  
Vowel Recognition ◽  
One Year

Introduction: In the present work, a review is conducted on hearing loss, its origin, the consequences of the lack of a timely treatment, the possibilities and benefits provided by the access to a cochlear implant and the corresponding auditory rehabilitation. Materials and Methods: The methods used in the present work were Ling Test, Vowel Recognition, Consonant Recognition, Two-syllable Word Test, and Open-set Sentence Recognition. Results: By means of a descriptive study of a population that received a cochlear implant and after one year of use, we can observe high rates of auditory discrimination in all the variables presented and their levels of requirement and complexity, showing a close relationship between an appropriate and timely approach and a successful auditory rehabilitation. Conclusion: In all of the cases in this sample, the cochlear implant led to an improved quality of life for both the patients and their family members, allowing children to develop the language and improve their performance in school activities, and adults to appropriately reintegrate into society.

scholarly journals Subjective Benefits of Bimodal Listening in Cochlear Implant Recipients with Asymmetric Hearing Loss

2020 ◽  
Vol 162 (6) ◽  
pp. 933-941 ◽  
Author(s):  
Nicholas J. Thompson ◽  
Margaret T. Dillon ◽  
Emily Buss ◽  
Meredith A. Rooth ◽  
English R. King ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Sound Field ◽  
Profound Hearing Loss ◽  
Sentence Recognition ◽  
Academic Center ◽  
Asymmetric Hearing Loss

Objective To investigate the influence of cochlear implant (CI) use on subjective benefits in quality of life in cases of asymmetric hearing loss (AHL). Study Design Prospective clinical trial. Setting Tertiary academic center. Subjects and Methods Subjects included CI recipients with AHL (n = 20), defined as moderate-to-profound hearing loss in the affected ear and mild-to-moderate hearing loss in the contralateral ear. Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing Scale (SSQ) pragmatic subscales, which assess binaural benefits. Subjective benefit on the pragmatic subscales was compared to word recognition in quiet and spatial hearing abilities (ie, masked sentence recognition and localization). Results Subjects demonstrated an early, significant improvement ( P < .01) in abilities with the CI as compared to preoperative abilities on the SSQ pragmatic subscales by the 1-month interval. Perceived abilities were either maintained or continued to improve over the study period. There were no significant correlations between results on the Speech in Quiet subscale and word recognition in quiet, the Speech in Speech Contexts subscale and masked sentence recognition, or the Localization subscale and sound field localization. Conclusions CI recipients with AHL report a significant improvement in quality of life as measured by the SSQ pragmatic subscales over preoperative abilities. Reported improvements are observed as early as 1 month postactivation, which likely reflect the binaural benefits of listening with bimodal stimulation (CI and contralateral hearing aid). The SSQ pragmatic subscales may provide a more in-depth insight into CI recipient experience as compared to behavioral sound field measures alone.

Speech Perception Performance in Experienced Cochlear-Implant Patients Receiving the SPEAK Processing Strategy in the Nucleus Spectra-22 Cochlear Implant

1998 ◽  
Vol 41 (5) ◽  
pp. 1073-1087 ◽  
Author(s):  
Aaron J. Parkinson ◽  
Wendy S. Parkinson ◽  
Richard S. Tyler ◽  
Mary W. Lowder ◽  
Bruce J. Gantz
Keyword(s):  
Speech Recognition ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Sound Quality ◽  
Learning Effects ◽  
Processing Strategy ◽  
Subjective Ratings ◽  
Open Set ◽  
Wide Range

Sixteen experienced cochlear implant patients with a wide range of speechperception abilities received the SPEAK processing strategy in the Nucleus Spectra-22 cochlear implant. Speech perception was assessed in quiet and in noise with SPEAK and with the patients' previous strategies (for most, Multipeak) at the study onset, as well as after using SPEAK for 6 months. Comparisons were made within and across the two test sessions to elucidate possible learning effects. Patients were also asked to rate the strategies on seven speech recognition and sound quality scales. After 6 months' experience with SPEAK, patients showed significantly improved mean performance on a range of speech recognition measures in quiet and noise. When mean subjective ratings were compared over time there were no significant differences noted between strategies. However, many individuals rated the SPEAK strategy better for two or more of the seven subjective measures. Ratings for "appreciation of music" and "quality of my own voice" in particular were generally higher for SPEAK. Improvements were realized by patients with a wide range of speech perception abilities, including those with little or no open-set speech recognition.

scholarly journals Quality of cochlear implant rehabilitation under COVID-19 conditions

HNO ◽  
2020 ◽  
Author(s):  
A. Aschendorff ◽  
S. Arndt ◽  
S. Kröger ◽  
T. Wesarg ◽  
M. C. Ketterer ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Multimodal Therapy ◽  
Speech Therapy ◽  
Individual Therapy ◽  
National Guidelines ◽  
Rehabilitation Process ◽  
Auditory Rehabilitation ◽  
Hygiene Measures ◽  
Free Environment

Abstract Background The rehabilitation process following cochlear implant (CI) surgery is carried out in a multimodal therapy according to German national guidelines and includes technical and medical aftercare. In times of the corona pandemic surgery and rehabilitation appointments were cancelled or delayed leading to a more difficult access to auditory rehabilitation. Newly implemented hygiene modalities due to the SARS-CoV‑2 pandemic have changed medical aftercare and the rehabilitation process. The aim of this study was to evaluate the quality of rehabilitation under corona conditions. Material and methods An anonymous survey of adult cochlear implant patients was carried out by a non-standardized questionnaire. Demographics were analyzed and the quality of medical aftercare, speech therapy, technical aftercare, psychological support and the hygiene modalities were compared to previous rehabilitation stays. Results In total 109 patients completed the questionnaire. The quality of rehabilitation and individual therapy were rated as qualitatively similar or improved. The threat of the pandemic and fear of corona were rated unexpectedly high with 68% and 50%, respectively. The hygiene measures during the rehabilitation stay eased subjective fears at the same time. The majority of patients were annoyed by wearing face masks but visors, protection shields and social distancing were more tolerated. Conclusion The implementation of the new hygiene modalities within the therapeutic rehabilitation setting was well-accepted by patients allowing access to auditory rehabilitation. A successful rehabilitation should ensure a fear-free environment by adhering to the necessary hygiene modalities.

Initial Iowa Results with the Multichannel Cochlear Implant from Melbourne

1984 ◽  
Vol 27 (4) ◽  
pp. 596-604 ◽  
Author(s):  
Richard S. Tyler ◽  
Mary W. Lowder ◽  
Steven R. Otto ◽  
John P. Preece ◽  
Bruce J. Gantz ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Contextual Information ◽  
Correct Recognition ◽  
Open Set Condition ◽  
Closed Set ◽  
Open Set ◽  
Implant Tests ◽  
Vowel Recognition ◽  
First 90 Days ◽  
Speech Tracking

Two subjects who use the Melbourne multichannel cochlear implant were studied. Live-voice word, consonant, and vowel recognition tests, and a speech-tracking task were administered at regular intervals during the first 90 days after implantation. Results indicated 30-50% correct recognition of vowels (given 9 alternatives) and about 30-60% correct recognition of consonants (given 12 alternatives). Speech tracking showed from two to three times faster rates with the implant and vision compared to a vision-alone condition. After 3-4 months of implant experience, a number of recorded tests from the Minimal Auditory Capabilities battery and the Iowa Cochlear-Implant tests were then administered. These results indicated about 80% recognition of everyday sounds in a five-choice closed-set condition and about 50% recognition of everyday sounds in an open-set condition. The subjects were 50% correct at identifying the accented words in a sentence and about 50% correct at determining the number of syllables in a word. One subject was unable to recognize a sentence as a statement or a question. Background noise (+10 dB S/N) reduced their performance on a four-choice spondee test to chance. Both subjects were able to identify a sound as either a voice or a modulated noise at 95% correct, and both could recognize speaker sex at 95% correct. Neither could discriminate whether two (successive) sentences were spoken by the same speaker or by two different speakers. Remarkably, one subject identified 45% and the other 85% of the words in sentences that were preceded by a contextual picture using sound alone. One subject identified 13% of the words in sentences in sound alone even without contextual information.

scholarly journals Effects of in vivo repositioning of slim modiolar electrodes on electrical thresholds and speech perception

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sang-Yeon Lee ◽  
Young Seok Kim ◽  
Hyung Dong Jo ◽  
Yoonjoong Kim ◽  
Marge Carandang ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Functional Outcomes ◽  
Cadaveric Study ◽  
Scala Tympani ◽  
Insertion Depth ◽  
Sentence Recognition ◽  
Open Set

AbstractThe slim modiolar electrode has been reported to ensure better modiolar proximity than previous conventional perimodiolar electrodes and consistently high scala tympani localization. Nonetheless, variability in modiolar proximity exists even among slim modiolar electrodes, still leaving room for further improvement of modiolar proximity, which may positively affect functional outcomes. Given this, the pull-back maneuver was reported to increase the modiolar proximity of slim modiolar electrodes in a cadaveric study, but in vivo repositioning effects remain to be established. Here we identified that the pull-back maneuver led to better modiolar proximity than conventional insertion while maintaining a similar angular insertion depth. Notably, the reduced electrode-modiolus distance from the pull-back maneuver was associated with significantly lower impedances across electrodes postoperatively as well as reduced intraoperative electrophysiological thresholds than conventional insertion. Among adult cochlear implant recipients, this maneuver resulted in significantly better sentence recognition scores at three months postoperatively when compared to those with a conventional insertion; however, this benefit was not observed at later intervals. Collectively, slim modiolar electrodes with the pull-back maneuver further enhance the modiolar proximity, possibly leading to better open-set sentence recognition, at least in the early postoperative stage.

scholarly journals How Does Quality of Life Relate to Auditory Abilities? A Subitem Analysis of the Nijmegen Cochlear Implant Questionnaire

2020 ◽  
Vol 31 (04) ◽  
pp. 292-301 ◽  
Author(s):  
Kara J. Vasil ◽  
Jessica Lewis ◽  
Terrin Tamati ◽  
Christin Ray ◽  
Aaron C. Moberly
Keyword(s):  
Quality Of Life ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Sound Recognition ◽  
Environmental Sound ◽  
Monosyllabic Word ◽  
Sentence Recognition ◽  
Patient Reported ◽  
Environmental Sound Recognition

Abstract Background Objective speech recognition tasks are widely used to measure performance of adult cochlear implant (CI) users; however, the relationship of these measures with patient-reported quality of life (QOL) remains unclear. A comprehensive QOL measure, the Nijmegen Cochlear Implant Questionnaire (NCIQ), has historically shown a weak association with speech recognition performance, but closer examination may indicate stronger relations between QOL and objective auditory performance, particularly when examining a broad range of auditory skills. Purpose The aim of the present study was to assess the NCIQ for relations to speech and environmental sound recognition measures. Identifying associations with certain QOL domains, subdomains, and subitems would provide evidence that speech and environmental sound recognition measures are relevant to QOL. A lack of relations among QOL and various auditory abilities would suggest potential areas of patient-reported difficulty that could be better measured or targeted. Research Design A cross-sectional study was performed in adult CI users to examine relations among subjective QOL ratings on NCIQ domains, subdomains, and subitems with auditory outcome measures. Study Sample Participants were 44 adult experienced CI users. All participants were postlingually deafened and had met candidacy requirements for traditional cochlear implantation. Data Collection and Analysis Participants completed the NCIQ as well as several speech and environmental sound recognition tasks: monosyllabic word recognition, standard and high-variability sentence recognition, audiovisual sentence recognition, and environmental sound identification. Bivariate correlation analyses were performed to investigate relations among patient-reported NCIQ scores and the functional auditory measures. Results The total NCIQ score was not strongly correlated with any objective auditory outcome measures. The physical domain and the advanced sound perception subdomain related to several measures, in particular monosyllabic word recognition and AzBio sentence recognition. Fourteen of the 60 subitems on the NCIQ were correlated with at least one auditory measure. Conclusions Several subitems demonstrated moderate-to-strong correlations with auditory measures, indicating that these auditory measures are relevant to the QOL. A lack of relations with other subitems suggests a need for the development of objective measures that will better capture patients' hearing-related obstacles. Clinicians may use information obtained through the NCIQ to better estimate real-world performance, which may support improved counseling and development of recommendations for CI patients.

scholarly journals Support for Families of Youths and Adults with Intellectual Disabilities: Contributions of a Program from Families’ and Specialists’ Perspectives

2021 ◽  
Vol 11 (2) ◽  
pp. 88
Author(s):  
Maria Villaescusa ◽  
Natxo Martínez-Rueda ◽  
Almudena Fernández
Keyword(s):  
Intervention Program ◽  
Well Being ◽  
Limited Information ◽  
Support Unit ◽  
Close Relationship ◽  
Adults With Intellectual Disabilities ◽  
One Year ◽  
Strengthening Families ◽  
Family Centered

A family-centered approach (FCA) is recognized as a set of values, principles, and practices aimed at strengthening families’ abilities to promote the development and well-being of its members. Despite the limited information available, results show the positive relationship between the support model, based on the collaboration between families and specialists, and family empowerment. This paper seeks to analyze the opinions of families and specialists on their participation in an intervention program for families of youths and adults with disabilities. Thirteen families and eight specialists participated in the study that used qualitative techniques, such as interviews and discussion groups, and a questionnaire to gather information about the families’ and specialists’ viewpoints over one year. Results show that families welcomed their involvement in the program. Both families and specialists recognize that creating a space for the whole family is the main contribution of the program, as it highlights the importance of considering the family’s entire system as a support unit, as well as the close relationship between the individual’s and family’s quality of life (FQoL).

Factors Contributing to Phoneme Recognition Ability of Users of the 22-Channel Cochlear Implant System

1992 ◽  
Vol 101 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Kiyoshi Honda ◽  
Kumiko Yukawa ◽  
Masae Shiroma ◽  
Noboru Yamanaka ◽  
Kozo Kumakawa ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Cochlear Implant ◽  
The Other ◽  
Phoneme Recognition ◽  
Threshold Levels ◽  
Consonant Recognition ◽  
Recognition Ability ◽  
Vowel Recognition ◽  
Implant System ◽  
Comfortable Loudness

A study was carried out to determine which factors contributed to the vowel and consonant recognition ability of recipients of the 22-channel cochlear implant system. On the basis of the statistical analysis, no isolated factor showed a strong correlation with vowel recognition score. On the other hand, negative correlations were found between patients' consonant recognition scores and postoperative psychophysical percepts such as threshold levels and maximum comfortable loudness levels. However, multiple regression analysis also showed that the combination of lower threshold levels, a larger number of usable electrodes, and wider dynamic ranges contributed to higher consonant recognition scores.

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