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SENSÖRİNÖRAL İŞİTME KAYIPLI BİREYLERİN İŞİTME CİHAZI AYARINDA DİNAMİK RANJIN AKTİF KULLANILMASININ KONUŞMAYI AYIRT ETME BECERİLERİNE ETKİSİ

Year 2024, Volume: 3 Issue: 1, 49 - 60, 10.07.2024
https://doi.org/10.61830/balkansbd.1349161

Abstract

Amaç: Çalışmamızda, sensörinöral işitme kayıplı bireylerin rehabilitasyonunda cihaz verimliliğini artırmak için işitme cihazı kullanan bireylerde rahatsız edici ses seviyesinin işitme cihazı programlamasında kullanılmasını yaygınlaştırmayı ve böylece işitsel dinamik ranjın işitme cihazlı bireylerde aktif kullanılmasının, konuşmayı anlama ve ayırt etme becerilerini artırmasını amaçladık.
Yöntem: Çalışmamıza 18-75 yaşları arasında yaş ortalaması 42.56 ± 21.49 olan 23 erkek, 19 kadın olmak üzere toplam 42 birey dâhil edildi. Normal işiten bireyler Grup1, sensörinöral işitme kaybı olan ve işitme cihazı kullanan bireyler Grup2 olarak ve Grup2 kendi içinde 3 alt grupta değerlendirildi. Bireylerin işitme cihazı olmadan işitme ve konuşma testlerinin değerlendirilmesi (Grup 2A), Bireylerin UCL değeri girilmeden ayarlanmış işitme cihazı kullanırken değerlendirilmesi (Grup 2B), Bireylerin UCL değeri girildikten 6 ay sonra işitme ve konuşma testlerinin değerlendirilmesi (Grup 2C) yapılarak, tüm gruplar ve ölçümler karşılaştırıldı.
Bulgular: Grup1’in konuşmayı ayırt etme skoru ortalaması ile Grup2’nin ortalama karşılaştırıldığında istatistiksel olarak anlamlı farklılık gözlendi (p=0.00). Grup2A ve 2B arasındaki konuşmayı ayırt etme skorları değişimlerinde istatistiksel olarak anlamlı bir artış gözlendi (p=0.00). Grup2B ve 2C arasındaki SDS değişimlerinde istatistiksel olarak anlamlı bir artış gözlendi (p=0.00).
Sonuç: Çalışmamız sonucunda, işitme cihazı ayarına rahatsız edici ses seviyesinin (UCL) girilmesinin, bireylerin dinamik aralıklarının etkili bir biçimde kullanılmasını sağlayarak işitme cihazını daha verimli kullanmalarına ve cihazdan rahatsızlık duymadan dinlemesini sağlayıp bireylerin iletişim becerilerine olumlu etkisinin olacağını düşündük.

Supporting Institution

TUBİTAK

Project Number

1919B012107176

Thanks

1919B012107176 numaralı projeye vermiş oldukları desteklerinden ötürü; TUBİTAK' a teşekkür ederiz.

References

  • 1.Maroonroge S, Emanuel DC, Letowski TR. Basic anatomy of the hearing system. Helmet-Mounted Displays: Sensation, Perception and Cognition Issues Fort Rucker, Alabama: US Army Aeromedical Research Laboratory. 2000:279-306.
  • 2.Stephenson J, editor WHO Report Predicts Hearing Loss for 1 in 4 People Worldwide by 2050. JAMA Health Forum; 2021: American Medical Association.
  • 3.Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E. Audiogram configurations among older adults: prevalence and relation to self-reported hearing problems. International Journal of Audiology. 2011;50(11):793-801.
  • 4.Cummings C, Flint P, Haughey B, Robbins K, Thomas J, Harker L, et al. Cummings otolaringoloji baş ve boyun cerrahisi. Baskı Güneş Tıp Kitabevi. 2007.
  • 5.Gürboğa C, Kargın T. İşitme engelli yetişkinlerin farklı ortamlarda kullandıkları iletişim yöntemlerinin/becerilerinin incelenmesi. Ankara University Journal of Faculty of Educational Sciences (JFES). 2003;36(1):51-64.
  • 6.Şahin D. Geriatrik populasyonda iletişim problemleri ve işitme duyarlılığı arasındaki ilişki: Ondokuz Mayıs Üniversitesi, Sağlık Bilimleri Enstitüsü; 2010.
  • 7.Uhlmann RF, Larson EB, Rees TS, Koepsell TD, Duckert LG. Relationship of hearing impairment to dementia and cognitive dysfunction in older adults. Jama. 1989;261(13):1916-9.
  • 8.Öven T. Kulak Arkası İşitme Cihazı Kullanan Kişilerde Bilateral ve Unilateral Cihaz Kullanımının Yaşam Kalitesi Üzerine Etkilerinin Değerlendirilmesi: Karatay Üniversitesi, Sağlık Bilimleri Enstitüsü; 2022.
  • 9.Abrams H, Chisolm TH, McArdle R. A cost-utility analysis of adult group audiologic rehabilitation: Are the benefits worth the cost? Journal of Rehabilitation Research & Development. 2002;39(5).
  • 10.Holly H, Judy L. Acceptance, Benefit and Satisfaction Measures of Heaing Aid User Attitues. Textbook of Hearing Aid Amplification Technical and Clinical Considerationsand Fitting Practices, 2nd ed San Diego, California. 2000:467-85.
  • 11.Levitt H. A historical perspective on digital hearing aids: how digital technology has changed modern hearing aids. Trends in amplification. 2007;11(1):7-24.
  • 12.Vestergaard MD. Self-report outcome in new hearing-aid users: Longitudinal trends and relationships between subjective measures of benefit and satisfaction: Resultado auto-reportado en nuevos usuarios de auxiliares auditivos: Tendencia longitudinal y relaciones entre mediciones subjetivas de beneficio y satisfacción. International journal of audiology. 2006;45(7):382-92.
  • 13.Hawley M, Sherlock L, Gold S, Payne J, Brooks R, Parton J, et al. A Sound Therapy-Based Intervention to Expand the Auditory Dynamic Range for Loudness among Persons with Sensorineural Hearing Losses: A Randomized Placebo-Controlled Clinical Trial. Seminars in Hearing. 2015 Apr 8;36(02):077-110. 14.Chang KC, Kuo YT, Lin TJ, Liu CW. Complexity-effective dynamic range compression for digital hearing aids. 2010 May 1; 15.Moore BCJ, Sęk A. Preferred Compression Speed for Speech and Music and Its Relationship to Sensitivity to Temporal Fine Structure. Trends in Hearing. 2016 Sep;20:233121651664048.
  • 16.Cornelisse LE, Seewald RC, Jamieson DG. The input/output formula: A theoretical approach to the fitting of personal amplification devices. 1995 Mar 1;97(3):1854–64.
  • 17.Souza PE. Effects of Compression on Speech Acoustics, Intelligibility, and Sound Quality. Trends in Amplification. 2002 Dec;6(4):131–65. 18.Picou EM. MarkeTrak 10 (MT10) Survey Results Demonstrate High Satisfaction with and Benefits from Hearing Aids. Seminars in Hearing. 2020 Feb;41(01):021–36. 19.McCormack A, Fortnum H. Why do people fitted with hearing aids not wear them? International journal of audiology. 2013;52(5):360-8.
  • 20.Moore BC, Glasberg BR. Use of a loudness model for hearing-aid fitting. I. Linear hearing aids. British journal of audiology. 1998;32(5):317-35. 21.Karawani H, Jenkins K, Anderson S. Neural Plasticity Induced by Hearing Aid Use. Frontiers in Aging Neuroscience. 2022 May 19;14.
  • 22.Hood J, Poole J. Speech audiometry in conductive and sensorineural hearing loss. British Journal of Audiology. 1971;5(2):30-8.
  • 23.Kurioka T, Sano H, Furuki S, Yamashita T. Effects of the conductive component of hearing loss on speech discrimination ability. The Journal of International Advanced Otology. 2020;16(1):93. 24.Downs DW. Effects of hearing aid use on speech discrimination and listening effort. Journal of Speech and Hearing Disorders. 1982;47(2):189-93.

THE EFFECT OF ACTIVE USE OF DYNAMIC RANGE IN HEARING AID ADJUSTMENT ON SPEECH DİSCRİMİNATİON SKİLLS OF INDIVIDUALS WITH SENSORINEURAL HEARING LOSS

Year 2024, Volume: 3 Issue: 1, 49 - 60, 10.07.2024
https://doi.org/10.61830/balkansbd.1349161

Abstract

Aim: In our study, we aimed to extend the use of the annoying sound level in hearing aid programming in individuals with hearing aids in order to increase device efficiency in the rehabilitation of individuals with sensorineural hearing loss, and thus the active use of auditory dynamic ranging in individuals with hearing aids will increase speech understanding and discrimination skills.
Method: A total of 42 individuals (23 males and 19 females) aged 18-75 years with a mean age of 42.56 ± 21.49 years were included in our study. Individuals with normal hearing were classified as Group1, individuals with sensorineural hearing loss and hearing aids were classified as Group2, and Group2 was divided into 3 subgroups. Hearing and speech tests were evaluated without hearing aids (Group 2A), hearing and speech tests were evaluated while using hearing aids without the UCL value (Group 2B), hearing and speech tests were evaluated 6 months after the UCL value was entered (Group 2C), and all groups and measurements were compared.
Results: A statistically significant difference was observed when the mean speech discrimination score of Group1 was compared with the mean of Group2 (p=0.00). A statistically significant increase was observed in the change in speech discrimination scores between Groups 2A and 2B (p=0.00). A statistically significant increase was observed in SDS changes between groups2B and 2C (p=0.00).
Conclusion: As a result of our study, we thought that entering the disturbing sound level (UCL) in the hearing aid setting would have a positive effect on the communication skills of the individuals by enabling them to use the dynamic ranges effectively, enabling them to use the hearing aid more efficiently and listening without being disturbed by the device.

Project Number

1919B012107176

References

  • 1.Maroonroge S, Emanuel DC, Letowski TR. Basic anatomy of the hearing system. Helmet-Mounted Displays: Sensation, Perception and Cognition Issues Fort Rucker, Alabama: US Army Aeromedical Research Laboratory. 2000:279-306.
  • 2.Stephenson J, editor WHO Report Predicts Hearing Loss for 1 in 4 People Worldwide by 2050. JAMA Health Forum; 2021: American Medical Association.
  • 3.Hannula S, Bloigu R, Majamaa K, Sorri M, Mäki-Torkko E. Audiogram configurations among older adults: prevalence and relation to self-reported hearing problems. International Journal of Audiology. 2011;50(11):793-801.
  • 4.Cummings C, Flint P, Haughey B, Robbins K, Thomas J, Harker L, et al. Cummings otolaringoloji baş ve boyun cerrahisi. Baskı Güneş Tıp Kitabevi. 2007.
  • 5.Gürboğa C, Kargın T. İşitme engelli yetişkinlerin farklı ortamlarda kullandıkları iletişim yöntemlerinin/becerilerinin incelenmesi. Ankara University Journal of Faculty of Educational Sciences (JFES). 2003;36(1):51-64.
  • 6.Şahin D. Geriatrik populasyonda iletişim problemleri ve işitme duyarlılığı arasındaki ilişki: Ondokuz Mayıs Üniversitesi, Sağlık Bilimleri Enstitüsü; 2010.
  • 7.Uhlmann RF, Larson EB, Rees TS, Koepsell TD, Duckert LG. Relationship of hearing impairment to dementia and cognitive dysfunction in older adults. Jama. 1989;261(13):1916-9.
  • 8.Öven T. Kulak Arkası İşitme Cihazı Kullanan Kişilerde Bilateral ve Unilateral Cihaz Kullanımının Yaşam Kalitesi Üzerine Etkilerinin Değerlendirilmesi: Karatay Üniversitesi, Sağlık Bilimleri Enstitüsü; 2022.
  • 9.Abrams H, Chisolm TH, McArdle R. A cost-utility analysis of adult group audiologic rehabilitation: Are the benefits worth the cost? Journal of Rehabilitation Research & Development. 2002;39(5).
  • 10.Holly H, Judy L. Acceptance, Benefit and Satisfaction Measures of Heaing Aid User Attitues. Textbook of Hearing Aid Amplification Technical and Clinical Considerationsand Fitting Practices, 2nd ed San Diego, California. 2000:467-85.
  • 11.Levitt H. A historical perspective on digital hearing aids: how digital technology has changed modern hearing aids. Trends in amplification. 2007;11(1):7-24.
  • 12.Vestergaard MD. Self-report outcome in new hearing-aid users: Longitudinal trends and relationships between subjective measures of benefit and satisfaction: Resultado auto-reportado en nuevos usuarios de auxiliares auditivos: Tendencia longitudinal y relaciones entre mediciones subjetivas de beneficio y satisfacción. International journal of audiology. 2006;45(7):382-92.
  • 13.Hawley M, Sherlock L, Gold S, Payne J, Brooks R, Parton J, et al. A Sound Therapy-Based Intervention to Expand the Auditory Dynamic Range for Loudness among Persons with Sensorineural Hearing Losses: A Randomized Placebo-Controlled Clinical Trial. Seminars in Hearing. 2015 Apr 8;36(02):077-110. 14.Chang KC, Kuo YT, Lin TJ, Liu CW. Complexity-effective dynamic range compression for digital hearing aids. 2010 May 1; 15.Moore BCJ, Sęk A. Preferred Compression Speed for Speech and Music and Its Relationship to Sensitivity to Temporal Fine Structure. Trends in Hearing. 2016 Sep;20:233121651664048.
  • 16.Cornelisse LE, Seewald RC, Jamieson DG. The input/output formula: A theoretical approach to the fitting of personal amplification devices. 1995 Mar 1;97(3):1854–64.
  • 17.Souza PE. Effects of Compression on Speech Acoustics, Intelligibility, and Sound Quality. Trends in Amplification. 2002 Dec;6(4):131–65. 18.Picou EM. MarkeTrak 10 (MT10) Survey Results Demonstrate High Satisfaction with and Benefits from Hearing Aids. Seminars in Hearing. 2020 Feb;41(01):021–36. 19.McCormack A, Fortnum H. Why do people fitted with hearing aids not wear them? International journal of audiology. 2013;52(5):360-8.
  • 20.Moore BC, Glasberg BR. Use of a loudness model for hearing-aid fitting. I. Linear hearing aids. British journal of audiology. 1998;32(5):317-35. 21.Karawani H, Jenkins K, Anderson S. Neural Plasticity Induced by Hearing Aid Use. Frontiers in Aging Neuroscience. 2022 May 19;14.
  • 22.Hood J, Poole J. Speech audiometry in conductive and sensorineural hearing loss. British Journal of Audiology. 1971;5(2):30-8.
  • 23.Kurioka T, Sano H, Furuki S, Yamashita T. Effects of the conductive component of hearing loss on speech discrimination ability. The Journal of International Advanced Otology. 2020;16(1):93. 24.Downs DW. Effects of hearing aid use on speech discrimination and listening effort. Journal of Speech and Hearing Disorders. 1982;47(2):189-93.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Research Articles
Authors

Gülçin Hançer Arslan 0000-0003-4061-3365

Murat Arslan 0000-0003-3827-9142

Ahmet Oğuzhan Özmert 0009-0000-8227-6809

Bedriye Neval Tekin 0009-0000-6446-059X

Gizem Çavuşoğlu 0009-0005-5491-4814

Erdogan Bulut 0000-0003-2036-6870

Project Number 1919B012107176
Publication Date July 10, 2024
Published in Issue Year 2024 Volume: 3 Issue: 1

Cite

Vancouver Hançer Arslan G, Arslan M, Özmert AO, Tekin BN, Çavuşoğlu G, Bulut E. SENSÖRİNÖRAL İŞİTME KAYIPLI BİREYLERİN İŞİTME CİHAZI AYARINDA DİNAMİK RANJIN AKTİF KULLANILMASININ KONUŞMAYI AYIRT ETME BECERİLERİNE ETKİSİ. Balkan Health Sci J. 2024;3(1):49-60.

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