Speech Discrimination in Elderly Cochlear Implant Users

Nakajima, S.; Iwaki, Shinobu; Fujisawa, Naoto; Yamaguchi, Shinobu; Kawano, Michio; Fujiki, Nobuya; Naito, Yasushi; Honjo, Iwao

doi:10.1159/000059213

Cited by 11 publications

(14 citation statements)

References 1 publication

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“…On the other hand, a number of studies indicate that older subjects who are provided with a CI can achieve speech perception scores that are identical or very similar to younger CI users [Nakajima et al, 2000;Orabi et al, 2006;Clark et al, 2012;Hast et al, 2015]. Further, elderly CI listeners also demonstrate benefit from individually tailored auditory training therapy that can result in auditory outcomes marginally below those observed for younger CI users [Schumann et al, 2014].…”

Section: Discussionmentioning

confidence: 99%

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

Hoppe

Hocke²,

Müller

et al. 2016

Audiol Neurotol

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Hearing impairment in the elderly is usually treated with conventional hearing aids; however, a large number of older people do not achieve sufficient speech recognition with hearing aids. The aim of the study was to describe speech perception with hearing aids in comparison to pure-tone hearing loss and maximum speech recognition scores for phonemically balanced words. Data from 392 hearing aid users with different degrees of hearing loss were evaluated retrospectively. In particular, pure-tone thresholds, the maximum monosyllabic word score, and the monosyllabic word score in quiet at conversational level with a hearing aid were analysed. The results showed that speech perception scores decline with increasing age. Even when corrected for pure-tone hearing loss, a significant decline in speech recognition scores after the age of 80 years was observed. Regarding the maximum monosyllabic word score, the effect is smaller but still observable; thus, speech recognition with hearing aids is significantly lower for older subjects. This can be attributed partially to the reduction of the information-carrying capacity in this group.

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Section: Discussionmentioning

confidence: 99%

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

Hoppe

Hocke²,

Müller

et al. 2016

Audiol Neurotol

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“…Several studies have documented effective use of CIs by patients over the age of 65, including significant improvement in speech recognition abilities and results which are not significantly different from those obtained by younger patient groups [35][36][37][38][39][40] .…”

Section: Speech Perception Outcomes In CI Usersmentioning

confidence: 99%

“…In another study, Nakajima et al [40] compared a group of 12 patients aged 65 and older (average age 73) with a group of 15 patients under 65 years (average age 48) using CIs with the SPEAK strategy. Both groups received CIs and were tested on syllables and sentences spoken with slow and normal speech rates in quiet and noise.…”

Section: Speech Perception Outcomes In CI Usersmentioning

confidence: 99%

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

2010

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Background: According to the World Health Organization (WHO), by 2025 there will be approximately 1.2 billion people in the world over the age of 60, which marks a shift in world population to a greater proportion of older people. An estimated 70–80% of adults between 65 and 75 years of age suffer from presbycusis, or age-related, bilateral sensorineural hearing loss (HL) in the high frequencies. Presbycusis is correlated with decreased quality of life (QoL) and depression and according to WHO, is a leading cause of years lived with disability in the adult years. Objective: The purpose of the current study was to review the body of literature on treatment options and considerations for the elderly population, as there is a variety of audio-technology available today to treat presbycusis. Methods: A PubMed literature search was conducted using the keywords ‘presbycusis/presbyacusis/geriatric AND hearing aids/cochlear implants/electric acoustic stimulation/middle ear implants’ and ‘elderly AND cochlear implants’. References were also mined from papers found. Results: 431 articles were considered in this review of treatment options for elderly patients suffering from presbycusis. Conclusion: Hearing aids and cochlear implants (CIs) are the most commonly used devices for treating mild-severe presbycusis. Reported outcomes with hearing aids indicate they are an effective method for treating mild-moderate HL in cases where the patient is appropriately fitted and is willing, motivated, and able to use the device. Depending on the type and severity of the HL and the specific needs of the patient, electric-acoustic stimulation and active middle ear implants may also be appropriate solutions for treating presbycusis. Finally, very positive QoL and speech perception outcomes have been documented in treating severe-profound presbycusis with CIs. In some studies, QoL outcomes have even exceeded expectations of elderly patients.

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“…Nakajima et al (15) observed that elderly patients performed significantly worse than control patients when test materials were presented more rapidly or with noise. A central process is also implicated by Friedland et al (8) who matched patients according to preoperative HINT scores as a method to control for peripheral hearing status and found that elderly patients performed worse than controls.…”

Section: E289 Speech Perception With Age Among CI Recipientsmentioning

confidence: 99%

Speech Perception Performance as a Function of Age at Implantation Among Postlingually Deaf Adult Cochlear Implant Recipients

Mahmoud

Ruckenstein

2014

Otology &Amp; Neurotology

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Speech Discrimination in Elderly Cochlear Implant Users

Cited by 11 publications

References 1 publication

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

Speech Perception and Information-Carrying Capacity for Hearing Aid Users of Different Ages

Current Trends in Treating Hearing Loss in Elderly People: A Review of the Technology and Treatment Options – A Mini-Review

Speech Perception Performance as a Function of Age at Implantation Among Postlingually Deaf Adult Cochlear Implant Recipients

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