Eikelboom Robert H, Jayakody Dona Mp, Swanepoel De Wet, Chang Samuel, Atlas Marcus D
Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia Ear Science Institute Australia, Subiaco, Australia Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia Ear Science Institute Australia, Subiaco, Australia.
J Telemed Telecare. 2014 Jun;20(4):171-177. doi: 10.1177/1357633X14529234. Epub 2014 Mar 27.
Recipients of cochlear implants need to attend regular mapping sessions to adjust their speech processors. We developed a PC-based system for remote mapping, which employed voice, video and text communication. Eleven implant recipients had their implant electrodes programmed (mapped) both by conventional methods and remotely. Speech tests, conducted by a family member or research assistant, were used to test the outcome of the programming during the remote consultation. The recipient and audiologist were surveyed regarding aspects of the teleconsultation. There were no significant differences between conventionally and remotely programmed electrode settings. The speech test results were perfect in most cases. The average time to complete the conventional mapping session was 37 min and the average time for the remote mapping session was 42 min (P = 0.034). Recipients and the audiologist reported favourably on most aspects of the consultations. Lack of synchronisation between voice and video was the most common problem, which disrupted communication. The assistant was important to overcome this problem. All but one participant indicated they would be willing to use tele-mapping in the future. Remote programming of cochlear implants can be conducted reliably with relatively simple equipment, potentially in the homes of remotely located patients assisted by a family member.
人工耳蜗植入者需要定期参加调机 sessions 来调整他们的言语处理器。我们开发了一种基于个人电脑的远程调机系统，该系统采用语音、视频和文本通信。11名植入者通过传统方法和远程方式对其植入电极进行了编程（调机）。由家庭成员或研究助理进行的言语测试用于在远程会诊期间测试编程的结果。就远程会诊的各个方面对植入者和听力学家进行了调查。传统编程和远程编程的电极设置之间没有显著差异。在大多数情况下，言语测试结果是理想的。完成传统调机 session 的平均时间为37分钟，远程调机 session 的平均时间为42分钟（P = 0.034）。植入者和听力学家对会诊的大多数方面给予了好评。语音和视频不同步是最常见的问题，这干扰了通信。助手对于克服这个问题很重要。除了一名参与者外，所有参与者都表示他们将来愿意使用远程调机。使用相对简单的设备就可以可靠地进行人工耳蜗的远程编程，在家庭成员协助下，有可能在偏远患者的家中进行。
