International Journal of Audiology最新文献_第4页

Cochlear Implant Remote Assist: Clinical and Real-World Evaluation. 人工耳蜗远程辅助：临床和真实世界评估

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-05-02 DOI: 10.1080/14992027.2024.2337075

Saji Maruthurkkara

{"title":"Cochlear Implant Remote Assist: Clinical and Real-World Evaluation.","authors":"Saji Maruthurkkara","doi":"10.1080/14992027.2024.2337075","DOIUrl":"10.1080/14992027.2024.2337075","url":null,"abstract":"Objectives: To develop and evaluate Cochlear™ Remote Assist (RA), a smartphone-based cochlear implant (CI) teleaudiology solution. The development phase aimed to identify the minimum features needed to remotely address most issues typically experienced by CI recipients. The clinical evaluation phase assessed ease of use, call clarity, system latency, and CI recipient feedback.Design: The development phase involved mixed methods research with experienced CI clinicians. The clinical evaluation phase involved a prospective single-site clinical study and real-world use across 16 clinics.Study sample: CI clinicians (N = 23), CI recipients in a clinical study (N = 15 adults) and real-world data (N = 57 CI recipients).Results: The minimum feature set required for remote programming in RA, combined with sending replacements by post, should enable the clinician to address 80% of the issues typically seen in CI follow-up sessions. Most recipients completed the RA primary tasks without prior training and gave positive ratings for usefulness, ease of use, effectiveness, reliability, and satisfaction on the Telehealth Usability Questionnaire. System latency was reported to be acceptable.Conclusion: RA is designed to help clinicians address a significant proportion of issues typically encountered by CI recipients. Clinical study and real-world evaluation confirm RA's ease of use, call quality, and responsiveness.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"232-242"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrated bimodal fitting and binaural streaming technology outcomes for unilateral cochlear implant users. 单侧人工耳蜗用户的综合双模态装配和双耳流媒体技术成果。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-05-03 DOI: 10.1080/14992027.2024.2341954

Manal Alfakhri, Nicole Campbell, Ben Lineton, Carl Verschuur

{"title":"Integrated bimodal fitting and binaural streaming technology outcomes for unilateral cochlear implant users.","authors":"Manal Alfakhri, Nicole Campbell, Ben Lineton, Carl Verschuur","doi":"10.1080/14992027.2024.2341954","DOIUrl":"10.1080/14992027.2024.2341954","url":null,"abstract":"Objective: Adults typically receive only one cochlear implant (CI) due to cost constraints, with a contralateral hearing aid recommended when there is aidable hearing. Standard hearing aids differ from a CI in terms of processing strategy and function as a separate entity, requiring the user to integrate the disparate signals. Integrated bimodal technology has recently been introduced to address this challenge. The aim of the study was to investigate the performance of unilateral CI users with and without an integrated bimodal fitting and determine whether binaural streaming technology offers additional benefit.Study sample: Twenty-six CI users using integrated bimodal technology.Design: Repeated measures where outcomes and user experience were assessed using a functional test battery more representative of real life listening (speech perception in noise tests, localisation test, tracking test) and the speech, spatial and qualities-of-hearing scale (SSQ).Results: Bimodal outcomes were significantly better than for CI alone. Speech perception in noise improvements ranged from 1.4 dB to 3.5 dB depending on the location of speech and noise. The localisation and tracking tests, and the SSQ also showed significant improvements. Binaural streaming offered additional improvement (1.2 dB to 6.1 dB on the different speech tests).Conclusions: Integrated bimodal and binaural streaming technology improved the performance of unilateral CI users.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"243-252"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of cochlear and vestibular afferents in long-latency cervical vestibular evoked myogenic potentials. 耳蜗和前庭传入在长频率颈前庭诱发肌源性电位中的作用

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-05-13 DOI: 10.1080/14992027.2024.2341101

Stuart J Hope, Sendhil Govender, Rachel L Taylor, Belinda Y C Kwok, Jacob M Pogson, Benjamin Nham, Chao Wang, Allison S Young, Alyssa C Dyball, Jonathan H K Kong, Miriam S Welgampola, Sally M Rosengren

{"title":"The role of cochlear and vestibular afferents in long-latency cervical vestibular evoked myogenic potentials.","authors":"Stuart J Hope, Sendhil Govender, Rachel L Taylor, Belinda Y C Kwok, Jacob M Pogson, Benjamin Nham, Chao Wang, Allison S Young, Alyssa C Dyball, Jonathan H K Kong, Miriam S Welgampola, Sally M Rosengren","doi":"10.1080/14992027.2024.2341101","DOIUrl":"10.1080/14992027.2024.2341101","url":null,"abstract":"Objective: To examine the origin of cervical vestibular evoked myogenic potential (cVEMP) late waves (n34-p44) elicited with air-conducted click stimuli.Design: Using a retrospective design, cVEMPs from normal volunteers were compared to those obtained from patients with vestibular and auditory pathologies.Study sample: (1) Normal volunteers (n = 56); (2) severe-to-profound sensorineural hearing loss (SNHL) with normal vestibular function (n = 21); (3) peripheral vestibular impairment with preserved hearing (n = 16); (4) total vestibulocochlear deficit (n = 23).Results: All normal volunteers had ipsilateral-dominant early p13-n23 peaks. Late peaks were present bilaterally in 78%. The p13-n23 response was present in all patients with SNHL but normal vestibular function, and 43% had late waves. Statistical comparison of these patients to a subset of age-matched controls showed no significant difference in the frequencies, amplitudes or latencies of their ipsilateral early and late peaks. cVEMPs were absent in all patients with vestibular impairment.Conclusion: The presence of long-latency cVEMP waves was not dependent on the integrity of sensorineural hearing pathways, but instead correlated with intact vestibular function. This finding conflicts with the view that these late waves are cochlear in origin, and suggests that vestibular afferents may assume a more prominent role in their generation.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"201-208"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Masked speech recognition by 6-13-year-olds with early-childhood otitis media: effects of acoustic condition and otologic history. 6-13 岁儿童早期中耳炎患者的屏蔽语音识别能力：声学条件和耳科病史的影响。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-05-20 DOI: 10.1080/14992027.2024.2348506

Shno Koiek, Christian Brandt, Sören Möller, Harvey Dillon, Tobias Neher

{"title":"Masked speech recognition by 6-13-year-olds with early-childhood otitis media: effects of acoustic condition and otologic history.","authors":"Shno Koiek, Christian Brandt, Sören Möller, Harvey Dillon, Tobias Neher","doi":"10.1080/14992027.2024.2348506","DOIUrl":"10.1080/14992027.2024.2348506","url":null,"abstract":"Objective: To investigate speech recognition in school-age children with early-childhood otitis media (OM) in conditions with noise or speech maskers with or without interaural differences. To also investigate the effects of three otologic history factors.Design: Using headphone presentation, speech recognition thresholds (SRTs) were measured with simple sentences. As maskers, stationary speech-shaped noise (SSN) or two-talker running speech (TTS) were used. The stimuli were presented in a monaural and binaural condition (SSN) or a co-located and spatially separated condition (TTS). Based on the available medical records, overall OM duration, OM onset age, and time since the last OM episode were estimated.Study sample: 6-13-year-olds with a history of recurrent OM (N = 42) or without any ear diseases (N = 20) with normal tympanograms and audiograms at the time of testing.Results: Mixed-model regression analyses that controlled for age showed poorer SRTs for the OM group (Δ-value = 0.84 dB, p = 0.009). These appeared driven by the spatially separated, binaural, and monaural conditions. The OM group showed large inter-individual differences, which were unrelated to the otologic history factors.Conclusions: Early-childhood OM can affect speech recognition in different acoustic conditions. The effects of the otologic history warrant further investigation.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"224-231"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals - Part 2: dynamic range. 从个人临床常规数据中确定关键 AMEI 性能参数的简便方法 - 第二部分：动态范围。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-06-04 DOI: 10.1080/14992027.2024.2360031

Susan Busch, Thomas Lenarz, Hannes Maier

{"title":"An easy method to determine crucial AMEI performance parameters from clinical routine data in individuals - Part 2: dynamic range.","authors":"Susan Busch, Thomas Lenarz, Hannes Maier","doi":"10.1080/14992027.2024.2360031","DOIUrl":"10.1080/14992027.2024.2360031","url":null,"abstract":"Objective: The dynamic range (DR) available to the patient is a central parameter to determine speech intelligibility in quiet.Design: In this retrospective study, the DR for the Vibrant Soundbridge implanted in individual patients was calculated using in situ thresholds of the patients and technical data of the implant system. The average DR across frequencies (0.5, 1, 2, 4 kHz) was correlated with the patients' assigned word recognition score (WRS) in quiet.Study sample: A data set of 66 cases (4 bilateral and 2 revised cases) from 60 implanted patients between 14.3-81.8 years were analysed.Results: The relationship between DR and WRS was described by a sigmoidal growth function with R2=0.6371 and a maximum WRS (upper asymptote) of 93.5%. Word recognition scores in quiet improved with increasing DR. A significant shift in performance was detected from DR bin 2 (10-20 dB, median WRS 55%) to bin 3 (20-30 dB, median WRS 80%) and from DR bin 4 (30-40 dB, median WRS 82.5%) to bin 5 (40-50 dB, median WRS 90%).Conclusion: A minimum DR of 20 dB can yield sufficient speech intelligibility in quiet in implanted patients, however, an optimum DR is suggested to be 40 dB.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"298-305"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short- and long-term effects of remote synchronous fine-tuning for first-time hearing aid users: a randomised controlled trial. 远程同步微调对首次使用助听器者的短期和长期影响：随机对照试验。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-07-20 DOI: 10.1080/14992027.2024.2378798

Milijana Malmberg, Jennie Hagberg

{"title":"Short- and long-term effects of remote synchronous fine-tuning for first-time hearing aid users: a randomised controlled trial.","authors":"Milijana Malmberg, Jennie Hagberg","doi":"10.1080/14992027.2024.2378798","DOIUrl":"10.1080/14992027.2024.2378798","url":null,"abstract":"Objective: To evaluate the short- and long-term effect of remote synchronous fine-tuning and follow-up visits on hearing-related problems and hearing aid (HA) benefits for first-time HA users.Design: A randomised controlled trial.Study sample: Patients at public tax-funded HA clinics in Sweden due for aural rehabilitation (AR) were randomised to either an intervention group (n = 33) or a control group (n = 36). Both groups completed the conventional AR process, but the intervention group received synchronous remote fine-tuning of HAs and online follow-up visits. Outcome measures were used before and after intervention, and 6 months and 1 year after intervention.Results: Both groups improved hearing-related problems measured with the Hearing Handicap Inventory for the Elderly/Adults over time, and no significant differences were found between the groups. Such improvements were also found for the Abbreviated Profile of Hearing Aid Benefit except for the subscale aversiveness. Both groups decreased the use of HAs in hours/day over time. The intervention group reported significant improvements in activity limitation when measured directly after the intervention, compared to the control group.Conclusion: Synchronous remote fine-tuning and follow-ups for first-time HA users did not influence the outcomes of hearing-related problems and HA benefits differently from standard care at our clinic.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"271-279"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141727173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Update on the state of audiology in South Africa. 南非听力学的最新情况。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-05-25 DOI: 10.1080/14992027.2024.2354511

Bopane Mothemela, Lebogang Ramma, De Wet Swanepoel

引用次数: 0

Spanish versions of the Vanderbilt Fatigue Scale for Adults: translation and cultural adaptation. 西班牙文版范德比尔特成人疲劳量表：翻译与文化适应。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-07-09 DOI: 10.1080/14992027.2024.2371886

Carlos R Benítez-Barrera, Aimee Jones, Benjamin W Y Hornsby, Beatriz de Diego-Lázaro

引用次数: 0

The reliability of remote diagnostic hearing assessment in school-entry-aged children. 入学年龄儿童听力远程诊断评估的可靠性。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-03-01 Epub Date: 2024-03-29 DOI: 10.1080/14992027.2024.2333392

Patrick Bowers, Kelley Graydon, Dani Tomlin, Gary Rance

{"title":"The reliability of remote diagnostic hearing assessment in school-entry-aged children.","authors":"Patrick Bowers, Kelley Graydon, Dani Tomlin, Gary Rance","doi":"10.1080/14992027.2024.2333392","DOIUrl":"10.1080/14992027.2024.2333392","url":null,"abstract":"Objective: To explore the feasibility of remote diagnostic hearing testing within schools, for school-entry aged children (4-7 years).Design: A prospective cross-sectional comparative study design was used to establish the reliability of remote hearing assessment by comparing traditional face-to-face pure tone audiometry (PTA) with remote PTA, traditional otoscopy with remote video otoscopy and interpretation of tympanograms in-person with remote analysis.Study sample: 464 school-entry year level children from 18 schools.Results: Air conduction thresholds established by remote testing were within a clinically acceptable range of ±10 dB HL from traditional thresholds in 98% of cases at 1 kHz and 97.8% at 4 kHz. Bone conduction thresholds varied by ≤10 dB HL in 100% of cases at 1 kHz and 95.7% at 4 kHz. Remote otoscopy and tympanometry interpretation had 78.6% agreement (moderate; κ = 0.6) and 92.2% agreement (almost perfect; κ = 0.9), respectively.Conclusions: We found there to be good reliability between face-to-face PTA and remote PTA performed within the school environment. Furthermore, assessment of the outer and middle ear via video otoscopy and remote tympanometry classification were both viable. Remote diagnostic hearing tests in schools can extend reach of paediatric services in rural areas.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"261-270"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140318240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevention of noise-induced hearing loss in children - evidence-informed recommendations for safe listening at events. 预防儿童噪声性听力损失——关于活动中安全听力的循证建议。

IF 1.8 3区医学

International Journal of Audiology Pub Date : 2025-02-28 DOI: 10.1080/14992027.2025.2467789

Anita Gáborján, Gábor Koscsó, Réka Garai, László Tamás, Klára Vicsi, Tamás Hacki

{"title":"Prevention of noise-induced hearing loss in children - evidence-informed recommendations for safe listening at events.","authors":"Anita Gáborján, Gábor Koscsó, Réka Garai, László Tamás, Klára Vicsi, Tamás Hacki","doi":"10.1080/14992027.2025.2467789","DOIUrl":"https://doi.org/10.1080/14992027.2025.2467789","url":null,"abstract":"Objective: Children's events are often perceived as excessively loud, with risks of noise-induced hearing loss and other adverse effects. In many countries, including Hungary, specific regulations for recreational noise levels are absent. This research aims to establish a scientific basis for safety categories and noise level limits to protect children's hearing.Design: Noise levels were measured at events, and otoacoustic emissions were assessed to determine auditory impacts. Children and parents also completed loudness perception surveys.Study sample: Thirteen events were analysed with 25 noise-level measurement points. We included children aged 3-12 years, conducted 38 otoacoustic emission tests on both ears before and after the event, and collected 51 completed questionnaires.Results: Only seven measurement points were in the \"safe\" category, 40% were \"risky\", and 32% were \"dangerous\". While safe events did not alter inner ear function, it was reduced in several cases after risky events. High noise intensities were uncomfortable for 80% of the children.Conclusions: Children's events often exceed safe noise levels, underscoring the critical need for sound monitoring and control. We recommend implementing guidelines, public education, and warnings to prevent hearing loss, with proposed regulations and age-related safety recommendations, presenting sound intensity categories with letters A to F.","PeriodicalId":13759,"journal":{"name":"International Journal of Audiology","volume":" ","pages":"1-10"},"PeriodicalIF":1.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0