Faculty Opinions recommendation of The effects of cochlear implantation on speech perception in older adults.

Abstract Background Prevalence of hearing loss increases with age. Its estimated prevalence is 40–50 % in people over 75 years of age. Recent studies agree that declinein hearing threshold contribute to deterioration in sociality, sensitivity, cognition, and quality of life for elderly subjects. The aim of the study presented in this paper is to verify whether or not rehabilitation using first time applied Hearing Aids (HA) in a cohort of old people with hearing impairment improves both speech perception in a noisy environment over time and the overall health-related quality of life. Methods The monocentric, prospective, repeated measurements, single-subject, clinical observational study is to recruit 100 older adults, first-time HA recipients (≥ 65 years).The evaluation protocol is designed to analyze changes in specific measurement tools a year after the first HA usage in comparison with the evaluation before HA fitting. Evaluations will consist of multiparametric details collected through self-report questionnaires completed by the recipients and a series of commonly used audiometric measures and geriatric assessment tools. The primary indicator of changes in speech perception in noise to be used is the Italian version of Oldenburg Satz (OLSA) test whereas the indicator of changes in overall quality of life will be the Assessment of Quality of Life (AQoL) and Hearing Handicap Inventory for the Elderly (HHIE) questionnaires. The Montreal Cognitive Assessment (MoCA) will help in screening the cognitive state of the subjects. Discussion The protocol is designed to make use of measurement tools that have already been applied to the hearing-impaired population in order to compare the effects of HA rehabilitation in the older adults immediately before first HA usage (Pre) and after 1 year of experience (Post). This broad approach will lead to a greater understanding of how useful hearing influences the quality of life in older individuals, and therefore improves potentials for healthy aging. The data is to be analyzed by using an intrasubject endpoint comparison. Outcomes will be described and analyzed in detail. Trial registration This research was retrospectively registered underno. NCT04333043at ClinicalTrials.gov (http://www.clinicaltrials.gov/) on the 26 March 2020. This research has been registered with the Ethics Committee of the Area Vasta Emilia Nord under number 104, date of approval 17/07/2017.

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White Matter Lesions as Possible Predictors of Audiological Performance in Adults after Cochlear Implantation

Brain Sciences ◽

10.3390/brainsci11050600 ◽

2021 ◽

Vol 11 (5) ◽

pp. 600

Author(s):

Steffen Knopke ◽

Hans-Christian Bauknecht ◽

Stefan Gräbel ◽

Sophia Marie Häußler ◽

Agnieszka J. Szczepek ◽

...

Keyword(s):

Speech Perception ◽

White Matter ◽

Cochlear Implantation ◽

Age Groups ◽

White Matter Lesions ◽

Periventricular White Matter ◽

Rehabilitation Outcomes ◽

Hearing Ability ◽

Structural Brain Damage ◽

Oldenburg Sentence Test

The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI (67.3 ± 8.7 years; 20 men, 29 women) older than 50 at the time of implantation. The differences in the predictive value between two age groups, 50–70 year-olds (mid-age; n = 26) and over 70-year-olds (elderly; n = 23), were analyzed. The patients were evaluated using speech perception (SP) measured in quiet (Freiburg monosyllabic test; FMT) and noise (Oldenburg sentence test; OLSA). The subjective hearing ability was assessed using Oldenburg inventory (OI). The Fazekas PVWM score predicted postoperative speech perception two years after CI in the mid-age population. The periventricular white matter lesions (PVWM) could explain 27.4% of the speech perception (FMT) variance. Our findings support the hypothesis about the influence of pre-existing WMLs on CI outcome. We recommend the evaluation of Fazekas score as a predictive factor for post-implantation hearing ability.

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The use of intra-operative electrical auditory brainstem responses to predict the speech perception outcome after cochlear implantation

Cochlear Implants International ◽

10.1179/cim.2009.10.supplement-1.53 ◽

2009 ◽

Vol 10 (sup1) ◽

pp. 53-57 ◽

Cited By ~ 5

Author(s):

William PR Gibson ◽

Halit Sanli ◽

Colleen Psarros

Keyword(s):

Speech Perception ◽

Cochlear Implantation ◽

Auditory Brainstem ◽

Auditory Brainstem Responses

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Speech perception in elderly patients following cochlear implantation

Acta Oto-Laryngologica ◽

10.1080/00016480510044214 ◽

2005 ◽

Vol 125 (12) ◽

pp. 1272-1276 ◽

Cited By ~ 35

Author(s):

Jan Haensel ◽

Justus Ilgner ◽

Yue-Shih Chen ◽

Christian Thuermer ◽

Martin Westhofen

Keyword(s):

Speech Perception ◽

Elderly Patients ◽

Cochlear Implantation

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Individuals With Mild Cognitive Impairment and Alzheimer's Disease Benefit From Audiovisual Speech Cues and Supportive Sentence Context

Journal of Speech Language and Hearing Research ◽

10.1044/2021_jslhr-20-00402 ◽

2021 ◽

pp. 1-10

Author(s):

Alexandre Chauvin ◽

Shari Baum ◽

Natalie A. Phillips

Keyword(s):

Alzheimer’S Disease ◽

Older Adults ◽

Alzheimer's Disease ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Speech Perception ◽

Sentence Context ◽

Speech Perception In Noise ◽

Healthy Older Adults ◽

Speech Cues

Purpose Speech perception in noise becomes difficult with age but can be facilitated by audiovisual (AV) speech cues and sentence context in healthy older adults. However, individuals with Alzheimer's disease (AD) may present with deficits in AV integration, potentially limiting the extent to which they can benefit from AV cues. This study investigated the benefit of these cues in individuals with mild cognitive impairment (MCI), individuals with AD, and healthy older adult controls. Method This study compared auditory-only and AV speech perception of sentences presented in noise. These sentences had one of two levels of context: high (e.g., “Stir your coffee with a spoon”) and low (e.g., “Bob didn't think about the spoon”). Fourteen older controls ( M age = 72.71 years, SD = 9.39), 13 individuals with MCI ( M age = 79.92 years, SD = 5.52), and nine individuals with probable Alzheimer's-type dementia ( M age = 79.38 years, SD = 3.40) completed the speech perception task and were asked to repeat the terminal word of each sentence. Results All three groups benefited (i.e., identified more terminal words) from AV and sentence context. Individuals with MCI showed a smaller AV benefit compared to controls in low-context conditions, suggesting difficulties with AV integration. Individuals with AD showed a smaller benefit in high-context conditions compared to controls, indicating difficulties with AV integration and context use in AD. Conclusions Individuals with MCI and individuals with AD do benefit from AV speech and semantic context during speech perception in noise (albeit to a lower extent than healthy older adults). This suggests that engaging in face-to-face communication and providing ample context will likely foster more effective communication between patients and caregivers, professionals, and loved ones.

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Impact of Cochlear Implantation on Cognitive Functions of Older Adults

Otology & Neurotology ◽

10.1097/mao.0000000000001502 ◽

2017 ◽

Vol 38 (8) ◽

pp. e289-e295 ◽

Cited By ~ 29

Author(s):

Dona M. P. Jayakody ◽

Peter L. Friedland ◽

Esmeralda Nel ◽

Ralph N. Martins ◽

Marcus D. Atlas ◽

...

Keyword(s):

Older Adults ◽

Cognitive Functions ◽

Cochlear Implantation

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The speech perception after cochlear implantation: The hearing gain difference according to the implant systems is important?

Auris Nasus Larynx ◽

10.1016/j.anl.2018.09.006 ◽

2019 ◽

Vol 46 (3) ◽

pp. 330-334

Author(s):

Jeong Hun Jang ◽

Hyoung Ah Mun ◽

Oak-Sung Choo ◽

Hun Yi Park ◽

Yun-Hoon Choung

Keyword(s):

Speech Perception ◽

Cochlear Implantation ◽

Hearing Gain

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Cochlear Implantation in Children with Postlingual Progressive Steeply Sloping High-Frequency Hearing Loss

Journal of the American Academy of Audiology ◽

10.3766/jaaa.16115 ◽

2017 ◽

Vol 28 (10) ◽

pp. 913-919 ◽

Cited By ~ 7

Author(s):

Margaret A. Meredith ◽

Jay T. Rubinstein ◽

Kathleen C. Y. Sie ◽

Susan J. Norton

Keyword(s):

Hearing Loss ◽

Speech Perception ◽

Hearing Aids ◽

Cochlear Implantation ◽

High Frequency ◽

Case Series ◽

Hearing Preservation ◽

Rapid Improvement ◽

Retrospective Case ◽

Monosyllabic Word

Background: Children with steeply sloping sensorineural hearing loss (SNHL) lack access to critical high-frequency cues despite the use of advanced hearing aid technology. In addition, their auditory-only aided speech perception abilities often meet Food and Drug Administration criteria for cochlear implantation. Purpose: The objective of this study was to describe hearing preservation and speech perception outcomes in a group of young children with steeply sloping SNHL who received a cochlear implant (CI). Research Design: Retrospective case series. Study Sample: Eight children with steeply sloping postlingual progressive SNHL who received a unilateral traditional CI at Seattle Children’s Hospital between 2009 and 2013 and had follow-up data available up to 24 mo postimplant were included. Data Collection and Analysis: A retrospective chart review was completed. Medical records were reviewed for demographic information, preoperative and postoperative behavioral hearing thresholds, and speech perception scores. Paired t tests were used to analyze speech perception data. Hearing preservation results are reported. Results: Rapid improvement of speech perception scores was observed within the first month postimplant for all participants. Mean monosyllabic word scores were 76% and mean phoneme scores were 86.7% at 1-mo postactivation compared to mean preimplant scores of 19.5% and 31.0%, respectively. Hearing preservation was observed in five participants out to 24-mo postactivation. Two participants lost hearing in both the implanted and unimplanted ear, and received a sequential bilateral CI in the other ear after progression of the hearing loss. One participant had a total loss of hearing in only the implanted ear. Results reported in this article are from the ear implanted first. Bilateral outcomes are not reported. Conclusions: CIs provided benefit for children with steeply sloping bilateral hearing loss for whom hearing aids did not provide adequate auditory access. In our cohort, significant improvements in speech understanding occurred rapidly postactivation. Preservation of residual hearing in children with a traditional CI electrode is possible.

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