Department of Otolaryngology, The Ohio State University, Columbus.
Nationwide Children's Hospital, Columbus, OH.
Am J Speech Lang Pathol. 2021 Jul 14;30(4):1909-1911. doi: 10.1044/2021_AJSLP-20-00189. Epub 2021 May 27.
Background Standards for auditory rehabilitation are currently lacking for adults who receive cochlear implants. Speech recognition outcomes are highly variable, and many adults with cochlear implants present with suboptimal performance. Functional real-life communication abilities are not routinely measured clinically and are not strongly linked to performance on traditional measures of speech recognition. In fact, even individuals with relatively good speech recognition outcomes often present with persistent communication difficulties. In contrast to pediatric cochlear implant users, speech-language pathologists are not routinely involved in the rehabilitation of adults who receive cochlear implants. Purpose The purpose of this article is to describe the value of including a speech-language pathologist in a comprehensive approach to auditory rehabilitation for adults with cochlear implants. Method The theoretical and clinical foundations of incorporating a speech-language pathologist into an adult auditory rehabilitation program are discussed. A description of the skills and potential roles of the speech-language pathologist for providing adult cochlear implant rehabilitation services is presented, along with potential barriers to implementation. Conclusion Person-centered management of postlingually deafened adults with cochlear implants can be augmented by a more complete approach utilizing the skill set of a speech-language pathologist. Supplemental Material https://doi.org/10.23641/asha.14669652.
背景 目前，对于接受人工耳蜗植入的成年人，缺乏听觉康复的标准。言语识别的结果差异很大，许多接受人工耳蜗植入的成年人表现出不尽人意的效果。功能性现实生活沟通能力在临床上并未常规测量，与传统言语识别测量结果也没有很强的关联。事实上，即使是言语识别效果相对较好的个体，也常常存在持续的沟通困难。与儿童人工耳蜗使用者不同，言语语言病理学家通常不参与成人人工耳蜗植入者的康复。
目的 本文旨在描述在人工耳蜗植入者的全面听觉康复中纳入言语语言病理学家的价值。
方法 讨论了将言语语言病理学家纳入成人听觉康复计划的理论和临床基础。描述了言语语言病理学家为提供成人人工耳蜗康复服务而具备的技能和潜在角色，以及实施的潜在障碍。
结论 利用言语语言病理学家的技能集，对后天失聪的成年人工耳蜗植入者进行以患者为中心的管理，可以得到增强。
