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Structured Counseling for Auditory Dynamic Range Expansion.

Susan L Gold1, Craig Formby2

  • 1Retired; formerly affiliated with the University of Maryland Tinnitus and Hyperacusis Center, Baltimore, Maryland.

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|March 14, 2017
PubMed
Summary
This summary is machine-generated.

This study introduces a new counseling protocol and sound therapy to help hearing-impaired individuals expand their auditory dynamic range (DR). This approach improves tolerance for amplified sound, enhancing hearing aid effectiveness and quality of life.

Keywords:
Structured counselingdynamic-range expansionsensorineural hearing losssound therapy.

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Area of Science:

  • Audiology
  • Hearing Science
  • Speech and Hearing Disorders

Background:

  • Reduced auditory dynamic range (DR) limits hearing aid benefit for many individuals.
  • Elevated audiometric thresholds and reduced loudness discomfort levels (LDLs) contribute to limited DR.
  • Difficult-to-fit patients with sensorineural hearing loss often experience loudness recruitment or hyperacusis.

Purpose of the Study:

  • To present a structured counseling protocol combined with sound therapy.
  • To facilitate the expansion of the auditory dynamic range (DR) for loudness.
  • To address limitations in amplified sound use for hearing-impaired individuals with reduced DRs.

Main Methods:

  • A structured counseling protocol was developed.
  • Low-level broadband sound therapy was administered using bilateral sound generators.
  • The protocol targeted individuals with reduced DRs, loudness recruitment, or hyperacusis.

Main Results:

  • Positive treatment outcomes were observed, including improvements in LDLs and loudness judgments.
  • Patients reported reduced sound intolerance and enhanced daily communication.
  • Functional improvements in speech understanding and quality of life were noted.

Conclusions:

  • The combined protocol and sound therapy offer a novel tool for audiologists.
  • This approach effectively improves hearing aid benefit, satisfaction, and aided sound quality.
  • It provides a viable treatment for individuals with challenging hearing loss profiles and reduced DRs.