Solnitsa I, Kobosko I, Pankovska A, Skarzhin'skiĭ P Kh, Zdoga M, Skarzhin'skiĭ Kh
Vestn Otorinolaringol. 2014(4):25-30.
Auditory training consists of the exercises taking advantage of the environmental sounds and human speech; it is designed to ensure hearing for a person suffering its impairment within the range of acoustic experiences comparable with that of the normally hearing subjects. The successful treatment of partial deafness with the use of a cochlear implant (CI) resulted in the increase of the number of patients who needed auditory training to enable them to recognize mid-and high-frequency sounds. Bearing in mind the lack of the teaching aids permitting to adequately address the specific hearing problems in such patients, the Rehabilitation Clinic of the Institute of Physiology and Pathology of Hearing undertook to develop the relevant materials to satisfy the needs of auditory training following surgical cochlear implantation.
The evaluation, by the patients suffering partial deafness and speech therapists, of the usefulness and the difficulty of the proposed auditory training based on the use of environmental sounds and human speech in the mid- and high-frequency ranges.
The study included 29 adult CI users presenting with partial deafness participating in the Institute's rehabilitation program. Both the patients and the speech therapists independently evaluated the usefulness of the proposed training and the difficulties encountered with its practical realization by completing the questionnaire according to the Likert 5-point scale.
The patients with partial deafness and speech therapists found out that the proposed auditory training was difficult to perform; this inference was especially true as regards the exercises designed to enable the identification of the mid- and high frequency speech sounds. The women experienced significantly more difficulties than men when performing the proposed exercises. Both the patients and the speech therapists confirmed the usefulness of the recommended auditory training as a component of the rehabilitation process.
The surgical treatment of the patients presenting with partial deafness should be supplemented by the appropriate auditory training focused on the reception and identification of mid- and high-frequency sounds. The present study provided the rationale for the development of the materials to be used for rehabilitation of the subjects suffering partial deafness.
听觉训练包括利用环境声音和人类语音进行的练习；其目的是确保听力受损者在与正常听力受试者相当的声学体验范围内恢复听力。使用人工耳蜗（CI）成功治疗部分耳聋，导致需要听觉训练以识别中高频声音的患者数量增加。鉴于缺乏能够充分解决此类患者特定听力问题的教学辅助工具，听力生理与病理研究所康复诊所着手开发相关材料，以满足人工耳蜗植入手术后听觉训练的需求。
让部分耳聋患者和言语治疗师评估基于使用中高频范围内环境声音和人类语音的拟议听觉训练的有用性和难度。
该研究纳入了29名参与该研究所康复计划的成年人工耳蜗使用者，他们均患有部分耳聋。患者和言语治疗师通过根据李克特5级量表完成问卷，独立评估了拟议训练的有用性以及实际实施过程中遇到的困难。
部分耳聋患者和言语治疗师发现，拟议的听觉训练难以实施；对于旨在识别中高频语音的练习而言，这一推断尤为正确。在进行拟议练习时，女性比男性遇到的困难明显更多。患者和言语治疗师均确认，推荐的听觉训练作为康复过程的一个组成部分是有用的。
对部分耳聋患者的手术治疗应辅以适当的听觉训练，重点是中高频声音的接收和识别。本研究为开发用于部分耳聋患者康复的材料提供了理论依据。
