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Maximizing Cochlear Implant Outcomes with Short-Term Aural Rehabilitation.

Claire Marcus Bernstein1, Diane Majerus Brewer2, Matthew H Bakke1

  • 1Department of Hearing, Speech, and Language Sciences, Gallaudet University, Washington, District of Columbia.

Journal of the American Academy of Audiology
|April 23, 2021
PubMed
Summary
This summary is machine-generated.

A short-term aural rehabilitation (AR) program significantly improved speech recognition and psychosocial function in adult cochlear implant (CI) users. These benefits were maintained two months post-treatment, enhancing CI outcomes.

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Area of Science:

  • Audiology
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Cochlear implants (CIs) are increasingly used in adults, often improving quality of life.
  • However, some CI recipients experience persistent challenges with speech recognition and communication.
  • Aural rehabilitation (AR) offers a potential solution to enhance outcomes for these individuals.

Purpose of the Study:

  • To investigate the impact of a brief AR intervention on speech recognition, functional communication, and psychosocial well-being.
  • To evaluate outcomes in adults with post-lingual deafness who use cochlear implants.
  • To assess the effectiveness of AR in maximizing the benefits of cochlear implantation.

Main Methods:

  • A multisite randomized clinical study comparing an AR treatment group with an active control group.
  • Both groups received 6 weekly 90-minute individual sessions.
  • Assessments were conducted pre-treatment, 1 week, and 2 months post-treatment.

Main Results:

  • The AR group demonstrated statistically significant improvements in speech recognition, psychosocial function, and communication goals.
  • No significant improvements were observed in the active control group.
  • The positive effects of the AR intervention were sustained at the 2-month follow-up.

Conclusions:

  • A short-term, multidimensional AR intervention effectively enhances outcomes for adult post-lingual cochlear implant users.
  • This AR protocol can maximize the benefits derived from cochlear implants.
  • The findings suggest this AR approach may serve as a model for best practices in adult CI care.