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Binaural interference occurs when the speech input to one ear interferes with the input to the other ear during binaural stimulation. The first published study on binaural interference twenty-five years ago demonstrated that some individuals, particularly older individuals, perform more poorly with two hearing aids than with one and/or more poorly with binaural than monaural stimulation on electrophysiologic as well as behavioral measures. Binaural interference is relevant to every audiologist because it impacts the successful use of binaural hearing aids and may explain communicative difficulty in noise or other challenging listening situations in persons with normal-hearing sensitivity as well as persons with hearing loss. This exciting new book written by two highly respected audiologists first traces the history of its study by researchers, then reviews the evidence, both direct and indirect, supporting its reality. This is followed by a discussion of the possible causes of the phenomenon and in-depth analysis of illustrative cases. The authors outline a systematic approach to the clinical detection, evaluation and amelioration of individuals who exhibit binaural interference. Suggestions are furnished on improved techniques for evaluation of the binaural advantage in general and on sensitized detection of the disorder in particular. The book ends with recommendations for future directions. Given the adverse impact of binaural interference on auditory function and its occurrence in a significant subset of the population with hearing loss, as well as in some individuals with normal-hearing sensitivity, research on binaural interference only recently has begun to flourish, and adaptation of audiologic clinical practice to identify, assess, and manage individuals with binaural interference has yet to become widespread. The authors intend for the book to provide impetus for pursuing further research and to encourage audiologists to explore the possibility of binaural interference when patient complaints suggest it and when performing audiologic evaluations. The book is intended for practicing clinical audiologists, audiology students, and hearing scientists.
The field of Binaural Hearing involves studies of auditory perception, physiology, and modeling, including normal and abnormal aspects of the system. Binaural processes involved in both sound localization and speech unmasking have gained a broader interest and have received growing attention in the published literature. The field has undergone some significant changes. There is now a much richer understanding of the many aspects that comprising binaural processing, its role in development, and in success and limitations of hearing-aid and cochlear-implant users. The goal of this volume is to provide an up-to-date reference on the developments and novel ideas in the field of binaural hearing. The primary readership for the volume is expected to be academic specialists in the diverse fields that connect with psychoacoustics, neuroscience, engineering, psychology, audiology, and cochlear implants. This volume will serve as an important resource by way of introduction to the field, in particular for graduate students, postdoctoral scholars, the faculty who train them and clinicians.
Written in an engaging, easy-to-read format by three of the industry's leading experts, Speech Mapping and Probe Microphone Measurements is an essential clinical companion for all practitioners fitting and dispensing hearing aids. The key to successful hearing aid fittings is the patient-specific programming of gain and output. As outlined in all Best Practices Guidelines, the cornerstone of this process is the real-ear verification. Although speech mapping and probe-microphone measures have been used clinically for decades, new techniques and procedures continue to emerge. This is the first handbook to be published in 25 years that is dedicated to this critical clinical measure. Starting with an emphasis on evidenced-based practice, and the need to develop a well-researched gold standard, Speech Mapping and Probe Microphone Measurements takes you through the process of conducting valid and reliable speech mapping testing. Following a review of the basics of signal types, presentation levels, and patient and probe positioning, the chapters flow to the patient-centered real-ear verification process. In addition to extensive step-by-step guidelines regarding the routine testing and adjustment of gain and output, protocols for the evaluation of special features and fittings also are outlined. As a bonus, the authors provide a review of how speech mapping findings can be used with other measures that are part of the overall hearing aid fitting protocol.
Essentials of Modern Hearing Aids: Selection, Fitting, and Verification is a comprehensive textbook, ideal for graduate-level amplification courses in audiology programs. It also is the ultimate go-to reference for anyone fitting and dispensing hearing aids. This is truly an "A to Z" textbook, with topics including audiologic prefitting testing, needs assessment and treatment planning, hearing aid selection, verification, orientation and counseling, post-fitting follow-up, and real-world validation. Moreover, a substantial portion of the book reviews the underlying up-to-date design and function of digital hearing aid components, circuitry and processing, the wide assortment of hearing aid features, and the many algorithms that make these features work successfully. The world-renowned authors have included numerous prefitting and post-fitting tests that can be conducted along with step-by-step protocols for their administration and scoring. They also review the selection of hearing aid styles and fitting arrangements, explain the process of obtaining an ear impression, and making critical decisions regarding earmolds and hearing aid plumbing. Essentials of Modern Hearing Aidsprovides guidance for selecting prescriptive fitting approaches and detailed protocols for the use of behavioral measures and real-ear speech mapping to both verify the fitting and assess special hearing aid features. Follow-up care and validation options also are reviewed, with detailed guidelines for using a wide range of outcome measures. Key Features Included throughout the text are short paragraphs identified as "Technical Tips," "Key Concepts," "Things to Remember," "Points to Ponder," and "Soapbox" for quick reference.The text covers both foundation and direct clinical application.The veteran authors have over 100 years of combined experience in day-to-day patient care and clinical research.The book is infused with humor throughout! Written in an accessible and easy-to-read style, this text includes not only reference information, but also tools supported by research and clinical experience. The information is presented in a way that is both accessible to clinical students with little experience in the field and with enough depth for even the serious hearing aid researcher. The text is also appropriate as a handy companion for busy clinicians - a friendly resource where they can quickly find critical information needed for the next patient. *Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.
Understanding the array and complexity of instrumentation available to audiologists and hearing scientists is important to students, beginning clinicians, and even seasoned professionals. The second edition of Instrumentation for Audiology and Hearing Science: Theory and Practice is a comprehensive and accessible look at instrumentation used in these fields for research and clinical purposes. The expert authors introduce the laws of physics as they relate to audiology and hearing science and explain a range of concepts in electronics directly related to instrumentation used in audiology and hearing science, such as filtering and immittance (involving admittance and impedance), explain the fundamental instrumentation concepts in mathematics, physics, and electronics in a systematic manner including only the necessary formulae and basic scientific principles. This unique professional text presents the fundamentals of the evolution of communication systems from analog to digital, including such concepts as digital signals, sound resolution, sampling, quantization and their applications to current technology such as video calls and noise canceling head phones. In addition, the authors comprehensively cover calibration of test and research equipment and stimuli used in audiology and hearing science. They also clearly describe elements of electronics and digital technology as they apply to our everyday lives and experiences, as well as to the fields of audiology and hearing sciences. New to the Second Edition * New chapters on amplification, assistive listening devices, and vestibular assessment (electronystagmography and videonystagmography), geared toward audiology and hearing science students and professionals * Extensive reorganization for a smoother flow of information * Expanded focus on evidence-based practice * Informed by the authors’ teaching, research, and clinical experiences, the original chapters have either been eliminated or completely updated to reflect current scientific and clinical theories * Accompanying videos for the construction of direct- and alternating-current electrical circuits, as well as the construction of high-pass, low-pass, and band-pass filters
The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.
Compression for Clinicians: A Compass for Hearing Aid Fittings, Third Edition explains many developments that have taken place in the world of hearing aid compression, fitting methods, and real ear measurement. The text aims to make difficult concepts easier to understand and to explain in plain language many topics pertaining to compression. Directional microphones and digital features of noise reduction, feedback reduction, and expansion are also covered. The third edition recognizes two distinct clinical populations of sensorineural hearing loss: mild to moderate, on one hand, and more severe, on the other. These two clinical populations are well served by a corresponding pair of compression types: wide dynamic range compression and output limiting compression. Another double distinction held throughout the text is the two-part task for all hearing aids: providing gain and also increasing the signal-to-noise ratio. Gain is addressed by compression, while listening in noise is addressed by directional microphones and digital noise reduction. The Third Edition: Includes new chapters on common clinical encounters (Chapter 1), real ear measurement (Chapter 5), and adaptive dynamic range optimization (Chapter 10)Distinguishes between "sensory" and "neural" hearing loss and devotes a separate chapter to each of these types of sensorineural hearing lossContains updated coverage of digital hearing aids, directional microphones, and digital noise reductionRetains a strong focus on the historical development of compression from yesterday's analog hearing aids to digital hearing aids of today Compression for Clinicians is intended for those studying to become hearing health care professionals, including audiologists and hearing instrument practitioners. It is also intended for practicing clinicians who simply want to refresh their knowledge base concerning hearing loss and hearing aids. Clinically relevant and very thorough, it provides a compass in the world of compression hearing aids.
A Primer on Wavelength Acoustics for Musical Instruments -- Music (and Speech) for the Audiologist -- Hearing Aids and Musicians: What the Literature Says -- Clinical Approaches to Fitting Hearing Aids for Music -- A Return to Older Technology?
The third edition of Fitting and Dispensing Hearing Aids provides clinical audiologists, hearing instrument specialists, and graduate students with the latest in practical information reflecting current clinical practice standards. Authored by two of the industry's leading authorities on adult amplification and audiology practice management, the book is sequenced to match the patient's journey through a clinical practice. Its 12 chapters are packed with the latest commercial innovations in hearing aids, basic hearing assessment procedures, patient-related outcome measures, and innovative counseling techniques. Experienced clinicians will also find the updated chapters on help-seeking behavior and hearing aid features and benefits to be valuable to their continued professional development. Hearing aid dispensing always has been a technology-driven profession, heavily dependent on the expertise, thoughtfulness, and good judgment of the licensed professional. Over the past few years, even as technology has continued to evolve at breakneck speed, these skills have become more relevant than ever in the delivery of high-quality patient care, especially to the rapidly aging Baby Boomer population. This bestselling text is required reading for those studying to obtain their hearing aid dispensing license or audiology or speech pathology students looking for the latest in dispensing and fitting hearing aids in a succinct, entertaining format. Because each chapter is written around a specific theme–like wine tasting, travel, baseball, country music, and more–this succinct and entertaining textbook is actually fun to read! New to the Third Edition: * The chapters devoted to fitting modern hearing aids have been thoroughly updated * Thoroughly updated chapter on connectivity * Material on over-the-counter hearing aids and automated real ear measures * Information on newer outcome measures and updated approaches to counseling patients * Information on hearables, self-fitting hearing aids, over-the-counter hearing aids, and personal sound amplification products (PSAPs) * Complete review of all special features with case study examples * Revised appendix with several up-to-date industry resources