The use of speech audiometry in the practice of the geriatric center

Boboshko, M. Yu.; Zhilinskaia, E V; Golovanova, L. E.; Legostaeva, T. V.; Berardino, Federica Di; Cesarani, Antonio

doi:10.1134/s2079057017020023

Cited by 2 publications

(1 citation statement)

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“…Meanwhile, the refuse of patients with hearing loss to use HA is known to disturb socialization significantly, to lead to social isolation, to intensify cognitive disorders, to reduce the safety of vital activity, and to cause the essential deterioration of quality of life [57]. To evaluate the effectiveness of HA, the speech audiometry in free field is commonly used in adults along with questionnaires [58]. Together with medical parameters, social criteria (ability to practice their profession, to communicate in family without any difficulties, to lead an active social life, etc.)…”

Section: Rehabilitation Of Patients With Presbycusismentioning

confidence: 99%

Characteristics of Hearing in Elderly People

Boboshko¹,

Zhilinskaya²,

Maltseva³

2018

Gerontology

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The authors define the term presbycusis and discuss the prevalence of hearing loss in elderly people, its etiology, and methods of diagnostics (anamnesis, evaluation of the peripheral and central parts of the hearing system). The authors emphasize that central auditory processing disorder (CAPD) significantly impairs speech perception in elderly people and makes difficult the rehabilitation of patients with presbycusis. The possibility of improving speech intelligibility by using auditory training is considered. Improved functioning of the central auditory pathways in hearing aid (HA) users with moderate to moderately severe chronic sensorineural hearing loss (SNHL) and symptoms of CAPD was shown after the auditory training with the use of two approaches ("bottom-up" and "top-down"). The algorithm of the auditory training was designed based on distinction between nonverbal and verbal stimuli of varying complexity, as well as tasks to improve memory (e.g., memorizing poetry). The benefits of the auditory training in the rehabilitation of HA users with low speech intelligibility were demonstrated. Improvement of speech intelligibility in elderly patients with SNHL proves that plasticity of the auditory regions of the brain remains possible throughout the life. Options of the presbycusis prophylaxis are summarized.Different authors sometimes interpret this term differently. Some researchers meant (imply under this term) age-related hearing disorders caused by involutional changes only in the cochlea, and others meant that changes involve all parts of the auditory system [1,2]. Presbycusis is considered to be one of the forms of progressive SNHL, which is associated with age-related involutional changes of different parts of the hearing system and is presented by symmetric pure tone audiogram with flat loss toward high-frequency range (less steep than 20 dB/oct) [3]. Numerous studies are dedicated to anatomical and functional risk factors of the presbycusis [4][5][6][7][8][9]. The significance of the presbycusis problem is determined by its social importance, lack of data about its etiology, and need for clinical practice to accurately determine an impaired area of auditory system and to identify the presbycusis genesis. PrevalencePresbycusis is a rather common disorder. According to the World Health Organization (WHO), more than 5% of global population (about 328 millions of adults) suffers from any degree of hearing loss, while among people older than 65 years of age, the prevalence of hearing loss exceeds 30% [10].Its prevalence increases every year that may be due to the general trend of increased life duration-much more adults reach aged (from 60 to 74 years old according to the WHO classification) and senile (75 years old and more) periods. The world population is rapidly aging. At the period between 2000 and 2050, the proportion of the world's population over 60 years will double from about 11 to 22%. The absolute number of people aged 60 years and over is expected to increase from 605 million to 2 billion ov...

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Section: Rehabilitation Of Patients With Presbycusismentioning

confidence: 99%