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Auditory processing disorders and problems with hearing-aid fitting in old age.

A R Antonelli

    Audiology : Official Organ of the International Society of Audiology
    |January 1, 1978
    PubMed
    Summary
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    Elderly hearing loss involves more than just ear damage; central auditory pathways and learning also play roles. Binaural hearing aids may offer better speech understanding for seniors compared to monaural ones.

    Area of Science:

    • Audiology
    • Gerontology
    • Neuroscience

    Background:

    • Hearing handicap in the elderly is not solely due to peripheral hearing loss.
    • Central auditory processing and cognitive factors like learning significantly impact speech discrimination abilities in older adults.

    Purpose of the Study:

    • To investigate the contributing factors to hearing handicap in elderly individuals.
    • To explore the potential benefits of binaural hearing over monaural hearing for improving speech discrimination in the elderly.

    Main Methods:

    • Analysis of factors contributing to hearing handicap in elderly subjects.
    • Evaluation of speech discrimination learning under diotic listening conditions.
    • Theoretical consideration of binaural gain and binaural release from masking.

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    Main Results:

    • Elderly hearing impairment is influenced by central auditory pathway function and slowed learning processes.
    • Diotic listening conditions appear to accelerate speech discrimination learning in elderly individuals, especially with sensitized speech.
    • Binaural hearing offers theoretical advantages over monaural hearing due to binaural gain and release from masking.

    Conclusions:

    • Central auditory processing and learning deficits are significant contributors to hearing handicap in the elderly.
    • Binaural hearing aid fitting is theoretically superior to monaural fitting for enhancing speech understanding in older adults.