scholarly journals Importance of Auditory Verbal Therapy/Speech Therapy after Cochlear Implantation: A Case Study

2018 ◽  
Vol 7 (3) ◽  
pp. 6-8
Author(s):  
Anna Vinu Varghese
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Speech Therapy ◽  
Single Case ◽  
Listening Skills ◽  
Profound Hearing Loss ◽  
The Past ◽  
Auditory Verbal Therapy ◽  
Post Therapy

Studies in the past years have shown that cochlear implant is the most effective management for profound hearing loss. Majority of the Cochlear Implant recipients are children. With the surgery done after early identification and with intensive speech therapy/ auditory verbal therapy, the speech and language skills as well as the listening skills can be improved. The present study shows the importance of AVT/Speech Therapy in habilitation children with Cochlear Implants by demonstrating the pre and post therapy results of subjective measures done in a single case, even with a gap in habilitation of 1.5 years. The study brings out notable results which correlate with previous studies published.

Musical ear syndrome in adult cochlear implant patients

2013 ◽  
Vol 127 (9) ◽  
pp. 854-858 ◽  
Author(s):  
W-K Low ◽  
C A Tham ◽  
V-D D'Souza ◽  
S-W Teng
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Instrumental Music ◽  
Single Case ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
Single Case Report

AbstractObjective:Except for a single case report, musical ear syndrome in cochlear implantees has not been studied. We aimed to study the prevalence and nature of musical ear syndrome among adult cochlear implant patients, as well as the effect on their emotional well-being.Study design, patients and intervention:A cross-sectional survey of patients aged 18 years and above who had received cochlear implants for profound hearing loss between 1997 and 2010.Results:Of the 82 patients studied, 18 (22 per cent) were found to have experienced musical ear syndrome. Seven and 11 patients had musical ear syndrome prior to and after cochlear implantation, respectively. The character of musical ear syndrome symptoms was described as instrumental music (n = 2), singing (6) or both (10). Fourteen patients reported an adverse emotional effect, with three expressing ‘intolerance’.Conclusions:In this study, 22 per cent of cochlear implantees experienced musical ear syndrome. These symptoms affected patients' emotional state, but most coped well. Musical ear syndrome can occur prior to and after cochlear implantation.

scholarly journals Costs involved in using a cochlear implant in South Africa

2012 ◽  
Vol 59 (1) ◽  
Author(s):  
Gillian Robyn Kerr ◽  
Seppo Tuomi ◽  
Alida Müller
Keyword(s):  
South Africa ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Consumer Price Index ◽  
Information Costs ◽  
Profound Hearing Loss ◽  
Short And Long Term ◽  
Implant System

Cochlear implantation is an expensive but effective lifelong intervention for individuals with a severe-to-profound hearing loss. The primary aim of this study was to survey the short- and long-term costs of cochlear implantation. Individuals (N=154) using cochlear implants obtained from the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit in Cape Town, South Africa were surveyed using a questionnaire and patient record review. The questionnaire used a combination of closed and open-ended questions to gather both quantitative and qualitative information. Costs were categorised as short- and long-term costs. All costs were converted to constant rands (June 2010) using the Consumer Price Index to allow for comparison in real terms over time. In the first 10 years of implantation the average estimated costs incurred by adults totalled R379 626, and by children R455 225. The initial purchase of the implant system was the most substantial cost, followed by upgrading of the processor. Travel and accommodation costs peaked in the first 2 years. On average the participants spent R2 550 per year on batteries and spares. Rehabilitation for children cost an average of R7 200. Insurance costs averaged R4 040 per year, and processor repairs R3 000 each. In addition to the upfront expense of obtaining the cochlear implant system, individuals using a cochlear implant in South Africa should be prepared for the long-term costs of maintenance, accessing the unit, support services and additional costs associated with use. Knowledge of these costs is important to ensure that individuals are successful users of their cochlear implants in the long term.

Intervention for co-occurring speech and language difficulties: Addressing the relationship between the two domains

2012 ◽  
Vol 28 (1) ◽  
pp. 123-135 ◽  
Author(s):  
Belinda Seeff-Gabriel ◽  
Shula Chiat ◽  
Tim Pring
Keyword(s):  
Single Case ◽  
Speech And Language ◽  
Similar Treatment ◽  
The Past ◽  
Language Difficulties ◽  
Potential Impact ◽  
Irregular Verbs ◽  
Past Tenses ◽  
The Relationship

Although many children are referred with difficulties in both their speech and their language, the literature offers relatively little guidance on their therapy. Should clinicians treat these difficulties independently? Or should treatment depend on the potential impact of one domain on the other? This study aimed to investigate the relationship between speech and morphosyntax in treatment for a 5-year-old boy, B, with speech and language difficulties. Therapy targeted the production of regular past tenses and plurals. B had the necessary phonology for the former but not the latter. Therapy therefore directly targeted production of the past tense but targeted plurals by treating the production of the necessary phonology. After therapy, B successfully produced regular past tenses for both treated and untreated verbs. Irregular verbs did not improve. Treatment for production of word-final /s/ was successful and generalized to untreated words but not to the production of /s/ in initial or medial positions. Plurals formed by adding /s/ but not those by adding /z/ benefited. Similar treatment for production of word-final /z/ was also successful and appeared to generalize to words with /z/ in initial and medial positions. However, although plurals were now marked, they were usually realized as [dz]. The results of this single-case study demonstrate that intervention for children with speech and language impairments should take account of the aspects of speech and morphology that are impaired, and the ways these may impact on each other.

scholarly journals Integration, Application and Importance of Collaboration in Sustainable Project Management

2019 ◽  
Author(s):  
Johan Larsson ◽  
Lisa Larsson
Keyword(s):  
Project Management ◽  
Sustainable Management ◽  
Management Practices ◽  
Single Case ◽  
Single Case Study ◽  
Infrastructure Projects ◽  
The Past ◽  
Sustainability Challenges ◽  
Infrastructure Maintenance

The need to consider sustainability has substantially increased the complexity of implementing construction and infrastructure projects and new management practices have emerged during the past decade to tackle the global sustainability challenges, where the engagement and coordination of broader competences from stakeholders throughout the supply chain is required. This new project management paradigm has been accompanied by greater attention to the concept of collaborative business arrangements, often called partnering, that has emerged in construction and infrastructure projects to improve project deliveries. However, there are uncertainties about the optimal strategy to foster, integrate and maintain the required collaboration, particularly in sustainable management practices in infrastructure maintenance projects. This paper addresses these uncertainties, based on a single case study of an infrastructure maintenance contract involving an extensive collaborative business arrangement. The findings reveal that different collaborative practices affect diverse aspects of sustainable project management. Further, the extensive collaborative business arrangement has promoted sustainable deliveries based upon organizational learning and continuous improvements. Thus, this study offers an encouraging example of how extensive collaboration can be fostered and play a key role in sustainable project management practices.

scholarly journals Outcomes of Telepractice Speech Therapy for an Adult Who Covertly Stutters: A Case Study

2021 ◽  
pp. 1-17
Author(s):  
Megann McGill ◽  
Patrizha Schroth
Keyword(s):  
Visual Inspection ◽  
Speech Therapy ◽  
Single Case ◽  
Maintenance Phase ◽  
Preliminary Evidence ◽  
Self Report ◽  
Language Therapy ◽  
Data Points ◽  
Therapy Sessions

Purpose: The purpose of this study was to report on telepractice-based holistic speech-language therapy services to reduce avoidance of stuttering and increase positive self-image as a communicator for an adult who covertly stutters as compared with baseline. Method: A single case study design was employed with baseline, intervention, and maintenance phases completed via telepractice. The participant received biweekly speech-language pathology services, including both individual and group sessions. The Overall Assessment of the Speaker's Experience of Stuttering–Adult and Stuttering Severity Instrument–Fourth Edition assessed the participant's overt and covert stuttering behaviors at pretreatment and posttreatment time frames. Weekly data points of participant's self-report of avoidance of stuttering during therapy sessions and during the week between therapy sessions as well as researcher-calculated frequency of stuttering were measured. Visual inspection was utilized to analyze treatment outcomes. Results: The participant demonstrated a reduction in avoidance of stuttering within sessions as well as the week prior to a session, as compared with baseline. Additionally, the participant presented with an increased percent of words stuttered following into maintenance as compared with baseline. Visual inspection of weekly data points of frequency of stuttering and self-report of avoidance appeared to present promising results throughout the intervention phase with potential treatment effects continuing into the maintenance phase. Conclusion: Results of this study demonstrate preliminary evidence for potential positive outcomes of holistic speech therapy via telepractice for people who covertly stutter.

Building a Cochlear Implant Practice: Five Lessons Learned

2013 ◽  
Vol 20 (1) ◽  
pp. 14-21
Author(s):  
Anne M. Lobdell ◽  
Joseph E. Dansie ◽  
Sarah Hargus Ferguson
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Lessons Learned ◽  
Clinical Aspects ◽  
University Of Utah ◽  
The Third ◽  
The Past ◽  
Speech Science ◽  
The University ◽  
First Time

Cochlear implants are becoming available to an increasing proportion of the deaf and hard-of-hearing population. As interest in and success with cochlear implants has grown, more and more private practice clinics are incorporating them into their scopes of practice. Over the past 2 years, the first 2 authors of this article have been heavily involved in developing cochlear implant programs in separate otolaryngology private practices. A recent conversation about this process revealed several common experiences and lessons learned. During these same 2 years, the third author began teaching the cochlear implant course at the University of Utah. Although her audiology and speech science background gave her extensive knowledge of the science behind cochlear implants, she had no clinical experience with them. The first author took this course the first time the third author taught it, and the experiences and insights she shared with the third author during and since the course have been an important component of the third author’s personal education in the clinical aspects of cochlear implants. In this article, the first 2 authors share 5 things we wish we had known when first beginning their work with cochlear implants.

Telepractice Aural Habilitation for School-Age Children

2008 ◽  
Vol 15 (1) ◽  
pp. 5-17
Author(s):  
Jill Duncan
Keyword(s):  
Cochlear Implant ◽  
School Age Children ◽  
School Age ◽  
Royal Institute ◽  
Teaching Behaviors ◽  
Cochlear Implant User ◽  
Auditory Verbal Therapy ◽  
Successful Teaching

Abstract This paper examines telepractice aural habilitation for school-age children delivered via videoconferencing. It identifies issues, concerns, and successful teaching behaviors and strategies employed in this unique environment. The paper concludes with a description of the Royal Institute for Deaf and Blind Children’s Teleschool and a case study of a 16-year-old cochlear implant user who has received intercontinental auditory-verbal therapy via videoconferencing for 24 months.

Intervention for Children With Cochlear Implants: Maximizing Auditory Benefits of Bilateral Hearing

2009 ◽  
Vol 19 (2) ◽  
pp. 85-97
Author(s):  
Karen MacIver-Lux
Keyword(s):  
Cochlear Implants ◽  
Standard Of Care ◽  
Skills Training ◽  
Rehabilitation Program ◽  
Profound Hearing Loss ◽  
Bilateral Cochlear Implants ◽  
Research With Children ◽  
Rehabilitative Intervention ◽  
Auditory Verbal Therapy ◽  
Auditory Skills

Abstract Bilateral cochlear implantation has become the standard of care for children with bilateral profound hearing loss. To achieve optimal benefit from bilateral cochlear implants, an intensive rehabilitation program focusing on auditory skills development is necessary. There are several aspects of rehabilitative intervention that are unique when serving children with bilateral cochlear implants. The following article highlights these aspects with specific focus on neuromaturation of the central auditory nervous system, effects of maturation on auditory processes, characteristics of therapy sessions for children with bilateral cochlear implants, research with children with bilateral cochlear implants and implications for therapy, and case studies describing auditory verbal therapy and auditory skills training for children with bilateral cochlear implants.

scholarly journals Listen and Speak: Power-Knowledge-Truth and Cochlear Implants in Toronto

2015 ◽  
Vol 35 (1) ◽  
Author(s):  
Tracey Edelist
Keyword(s):  
Cochlear Implant ◽  
Sign Language ◽  
Cochlear Implants ◽  
Opportunity To Learn ◽  
Modern Medicine ◽  
Deaf Children ◽  
Deaf People ◽  
Deaf Community ◽  
Auditory Verbal Therapy ◽  
Insight Into

<span>Cochlear implants and auditory-verbal therapy are the latest techniques and technologies used to make deaf people learn to listen and speak. This paper provides a genealogical analysis of the Cochlear Implant Program at SickKids Hospital in Toronto, Ontario, Canada and shows how this program exemplifies the medicalization of deafness while denying deaf children the opportunity to learn sign language. Using Foucault's concept of governmentality, the relations between power, knowledge, truth and their influences on the program's practices are revealed in order to provide insight into Canadian society's conceptions of deafness. This analysis reveals the Cochlear Implant Program as a capitalist establishment that is supported by unquestioned reverence of modern medicine and technology, oriented by a quest for normalcy. The paper concludes by encouraging members of the Deaf community and their supporters to challenge the hegemony of normalcy by utilizing alternate research-based knowledge-truths of cochlear implants and sign language.</span>

Contemporary Considerations for Cochlear Implantation for Children With Multiple Disabilities

2009 ◽  
Vol 19 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Susan Waltzman
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Multiple Disabilities ◽  
Profound Hearing Loss ◽  
Contemporary Management

Abstract Due to advances in cochlear implant technology and the remarkable outcomes often achieved by persons with severe to profound hearing loss, cochlear implant candidacy criteria has expanded since the first children were implanted almost twenty years ago. Evidence of this can be seen in the increased willingness to provide cochlear implants for children with multiple disabilities. Over the last decade, several reports have appeared in the peer-reviewed literature describing cochlear implant outcomes of children with multiple disabilities. This paper will summarize those reports, discuss realistic expectations of implantation for children with multiple disabilities, and describe contemporary management protocols for the otologic, audiologic, and rehabilitative management of children with multiple disabilities.

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