• Title/Summary/Keyword: Audiological Rehabilitation

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A Case Report of Delayed Identification of Hearing Loss and Hearing Aid Fitting Failure (청력손실과 보청기 조절 오류의 발견 지연 1례 보고)

  • Heo, Seung-Deok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.3
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    • pp.215-221
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    • 2017
  • Audiological rehabilitation by itself can provide satisfactory services through acquisition of background information on hearing loss, audiological evaluation, analysis of electroacoustic characteristics of hearing aids, and determining acoustic gain. However, hearing can be exacerbated, and sound pressure level of hearing aids can be lowered. Moreover, breakdown of hearing aids can happen. Therefore, the early detection of hearing loss and regular follow-up observations are very important. The aim of this study concern the direction of effective audiological rehabilitation by checking the clinical cases where hearing aids fitting failures were found.

A Case of Interpretation for Audiological Evaluation in Preschool Child with Mild-to-Moderately Severe Asymmetric Ski-Slop Sensorineural Hearing Loss (학령 전기 경도 및 중등고도 대칭성 고음급추형 감각신경성 난청의 청각학적 평가 해석 증례)

  • Kim, Na-Yeon;So, Won-Seop;Ha, Ji-Wan;Heo, Seung-Deok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.1
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    • pp.9-14
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    • 2017
  • Preschool children to do production and acquisition of phonological system from birth to 8 years of age. If a child has hearing loss, he/she has a lot of difficulties to hear sound. The problem of auditory perception can causes limited speech acquisition, delayed language development, and communication disorders. It also affects learning, social and emotional development. Early detection and diagnosis of hearing loss are important for intervention. However, it may be difficult to detect if the degree of hearing loss are slight and/or it appears only on some frequencies. In cases of these kinds of hearing losses, it is often difficult to provide aural intervention. The goal of this study is to discuss the interpretation of audiological evaluation in case of mild-to-moderately severe asymmetric ski-slop sensorineural hearing loss, analyze communication problems, and concerning about audiological, and speech-language pathological rehabilitation.

Audiological Benefits in Dynamic Range Compression Hearing Aids (가청범위압축방식 보청기의 청각학적 이득에 관한 연구)

  • Heo, Seung-Deok;Kim, Lee-Suk;Jung, Dong-Keun;Ko, Do-Heung;Park, Byung-Gun
    • Speech Sciences
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    • v.11 no.2
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    • pp.19-25
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    • 2004
  • Hearing aids play an very important role in aural rehabilitation for hearing impaired person who could not be medically treated. Especially, hearing aids with dynamic range compression (level dependent frequency response: LDFR) method concentrated dynamic output range of receiver into the narrowing dynamic range of sensorineural hearing impaired person. Thus, if aided hearing threshold level is improved and uncomfortable loudness level rises, then the users of hearing aids are favored with extended dynamic range. This study aims to evaluate audiological benefits in dynamic range compression hearing aids. To achieve this, pure tone and speech audiometry were examined to 15 children and 3 adults with narrow dynamic range moderate-to-severe binaural sensorineural hearing loss.

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Evaluation of Saccule Function in Patients with Vitamin D Deficiency

  • Talebi, Hossein;Moallemi, Marziyeh;Ghorbani, Mitra
    • Journal of Audiology & Otology
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    • v.23 no.1
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    • pp.49-52
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    • 2019
  • Background and Objectives: Considering important role of vitamin D in many physiological processes including vestibular system in the ear, aim of present study is to evaluate saccule function via cervical vestibular evoked myogenic potential (cVEMP), in patients with vitamin D deficiency. Subjects and Methods: After routine audiological tests, cVEMP were recorded in 15 patients with vitamin D deficiency and 16 normal subjects. The short tone burst (95 dB nHL, 500 Hz) was presented to ears. cVEMP was recorded with surface electromyography over the contracted ipsilateral sternocleidomastoid muscle. Results: Mean of p13, n13, interpeak latencies and amplitude ratios were measured in both groups. Statistical analysis did not show differences between two groups. Conclusions: Maybe serum 25-hydroxyvitamin D concentration was not low enough to have effect on saccule in the patients in present study or saccule have had low susceptibility to effects of vitamin D deficiency. For better judgment about effect of vitamin D deficiency on saccular function planning studies with high sample size is recommended.

Evaluation of Saccule Function in Patients with Vitamin D Deficiency

  • Talebi, Hossein;Moallemi, Marziyeh;Ghorbani, Mitra
    • Korean Journal of Audiology
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    • v.23 no.1
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    • pp.49-52
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    • 2019
  • Background and Objectives: Considering important role of vitamin D in many physiological processes including vestibular system in the ear, aim of present study is to evaluate saccule function via cervical vestibular evoked myogenic potential (cVEMP), in patients with vitamin D deficiency. Subjects and Methods: After routine audiological tests, cVEMP were recorded in 15 patients with vitamin D deficiency and 16 normal subjects. The short tone burst (95 dB nHL, 500 Hz) was presented to ears. cVEMP was recorded with surface electromyography over the contracted ipsilateral sternocleidomastoid muscle. Results: Mean of p13, n13, interpeak latencies and amplitude ratios were measured in both groups. Statistical analysis did not show differences between two groups. Conclusions: Maybe serum 25-hydroxyvitamin D concentration was not low enough to have effect on saccule in the patients in present study or saccule have had low susceptibility to effects of vitamin D deficiency. For better judgment about effect of vitamin D deficiency on saccular function planning studies with high sample size is recommended.

Changes of Speech Discrimination Score Depending on Inter-syllable Pause Duration in Normal Hearing Children (정상 청력 아동의 음절 간 쉼 간격에 따른 어음이해도 변화)

  • Park, J.I.;Lee, J.Y.;Heo, S.D.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.2
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    • pp.139-144
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    • 2014
  • Speech discrimination is affected by the speed of speech. The speed of speech can be adjusted at the pause duration, the pause duration can take the resting time to avoid in overloading information. The study will be examine the effects of aging and audiological rehabilitation, and the auditory processing as basic research to investigate the normative data. 7 boys and 8 girls were participated. They have no problem with speech language pathologically and audiologically. There are 4 sets of test implement, and each test set was made out with 20 3-syllable words. Pause duration of all of these words are adjusted in normal(250 ms), slow(500 ms) and very slow(1000 ms). There are 4 words for a multiple-choice that including one word with written correctly and three words with written 1 phoneme wrong. Participant hear the word, and then have to choose one. Speech discrimination score in 250, 500, 1,000 ms of pause duration were $73{\pm}19.4%$, $84{\pm}12.2%$, $88{\pm}8.8%$, respectively.

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A Review of Contemporary Teleaudiology: Literature Review, Technology, and Considerations for Practicing

  • Kim, Jinsook;Jeon, Seungik;Kim, Dokyun;Shin, Yerim
    • Korean Journal of Audiology
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    • v.25 no.1
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    • pp.1-7
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    • 2021
  • The scope of teleaudiology has been noted with telehealth due to Coronavirus disease (COVID-19) recently. As the notion has been around us for more than 20 years ever since 1999, it is necessary to perceive the knowledge accurately and prepare for the successful implementation of it. Therefore, the literature review including screening and diagnostic audiometry, cochlear implants and hearing aids, and aural rehabilitation, telecommunications technology regarding several fields of teleaudiology, and considerations for practicing were identified. Although overall internet-based audiological services showed benefits in terms of outcome and accessibility, uncertainties of cost-effectiveness, the optimal level of support, and a need for further studies of many aspects for teleaudiology has arisen. In the view of technology, the store-and-forward (asynchronous/hybrid) and a real-time (synchronous) methods were introduced with one applied and nine registered patents recorded from 2004 to 2020 for the invention of teleaudiology in the United States. Also, 10 checklists were suggested for planning teleaudiology practice from prior experience in hosting the teleaudiology program. Conclusively, it is hoped that this review sheds light on recognizing and improving the existing teleaudiology services and helps overcome the challenges faced in the era of pandemic and untact world to come.

A Review of Contemporary Teleaudiology: Literature Review, Technology, and Considerations for Practicing

  • Kim, Jinsook;Jeon, Seungik;Kim, Dokyun;Shin, Yerim
    • Journal of Audiology & Otology
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    • v.25 no.1
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    • pp.1-7
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    • 2021
  • The scope of teleaudiology has been noted with telehealth due to Coronavirus disease (COVID-19) recently. As the notion has been around us for more than 20 years ever since 1999, it is necessary to perceive the knowledge accurately and prepare for the successful implementation of it. Therefore, the literature review including screening and diagnostic audiometry, cochlear implants and hearing aids, and aural rehabilitation, telecommunications technology regarding several fields of teleaudiology, and considerations for practicing were identified. Although overall internet-based audiological services showed benefits in terms of outcome and accessibility, uncertainties of cost-effectiveness, the optimal level of support, and a need for further studies of many aspects for teleaudiology has arisen. In the view of technology, the store-and-forward (asynchronous/hybrid) and a real-time (synchronous) methods were introduced with one applied and nine registered patents recorded from 2004 to 2020 for the invention of teleaudiology in the United States. Also, 10 checklists were suggested for planning teleaudiology practice from prior experience in hosting the teleaudiology program. Conclusively, it is hoped that this review sheds light on recognizing and improving the existing teleaudiology services and helps overcome the challenges faced in the era of pandemic and untact world to come.

Resonance Changes in the External Auditory Canal Associated with the Ear Canal Volume (외이도용적에 따른 외이도공명의 변화)

  • Choi, Ah-Hyun;Lee, Mi-So;Choi, Ah-Reum;Heo, Seung-Deok
    • Phonetics and Speech Sciences
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    • v.1 no.3
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    • pp.151-154
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    • 2009
  • The external ear generates resonance gain because of anatomical characteristics. The ear canal resonance is influenced by the length and volume of the ear canal, the pinna, the concha cavity, the body trunk, and the speed of sound wave. This study is focus on the influence of the volume of ear canal. 17-healthy-adult (32 ears) were participated. They did not have any medical and ear disease history. The maximum resonance frequency of the ear canal was 2675 (${\pm}265$) Hz at azimuth $0^{\circ}$ and 2784 (${\pm}268$) Hz at azimuth $45^{\circ}$. The resonance gain was 18.1 (${\pm}3.9$) dB at azimuth $0^{\circ}$ and 17.9 (${\pm}3.8$) dB at azimuth $45^{\circ}$, respectively. The ear canal volume was 0.78 (${\pm}0.2$) cc and 1.32 (${\pm}0.8$) cc including static compliance. The ear canal resonance was changed depending on the ear canal volume. It was also statistically correlated at azimuth $0^{\circ}$ (p=0.038) and $45^{\circ}$ (p=0.013), respectively. The resonance gain was not correlated with the ear canal volume. The change of resonance frequency according to the ear canal volume will be useful information in the field of audiological rehabilitation especially for hearing aids fitting. In addition, we expected this study can provide the basic information for the study of the external ear resonance characteristics.

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Masking Level Difference: Performance of School Children Aged 7-12 Years

  • de Carvalho, Nadia Giulian;do Amaral, Maria Isabel Ramos;de Barros, Vinicius Zuffo;dos Santos, Maria Francisca Colella
    • Journal of Audiology & Otology
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    • v.25 no.2
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    • pp.65-71
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    • 2021
  • Background and Objectives: In masking level difference (MLD), the masked detection threshold for a signal is determined as a function of the relative interaural differences between the signal and the masker. Study 1 analyzed the results of school-aged children with good school performance in the MLD test, and study 2 compared their results with those of a group of children with poor academic performance. Subjects and Methods: Study 1 was conducted with 47 school-aged children with good academic performance (GI) and study 2 was carried out with 32 school-aged children with poor academic performance (GII). The inclusion criteria adopted for both studies were hearing thresholds within normal limits in basic audiological evaluation. Study 1 also considered normal performance in the central auditory processing test battery and absence of auditory complaints and/or of attention, language or speech issues. The MLD test was administered with a pure pulsatile tone of 500 Hz, in a binaural mode and intensity of 50 dBSL, using a CD player and audiometer. Results: In study 1, no significant correlation was observed, considering the influence of the variables age and sex in relation to the results obtained in homophase (SoNo), antiphase (SπNo) and MLD threshold conditions. The final mean MLD threshold was 13.66 dB. In study 2, the variables did not influence the test performance either. There was a significant difference between test results in SπNo conditions of the two groups, while no differences were found both in SoNo conditions and the final result of MLD. Conclusions: In study 1, the cut-off criterion of school-aged children in the MLD test was 9.3 dB. The variables (sex and age) did not interfere with the MLD results. In study 2, school performance did not differ in the MLD results. GII group showed inferior results than GI group, only in SπNo condition.