Open AccessStructured Counseling for Auditory Dynamic Range Expansion
Author(s) -
Susan Gold,
C. Formby
Publication year - 2017
Publication title -
seminars in hearing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.592
H-Index - 27
eISSN - 1098-8955
pISSN - 0734-0451
DOI - 10.1055/s-0037-1598068
Subject(s) - loudness , hyperacusis , audiology , protocol (science) , medicine , hearing aid , hearing loss , psychology , alternative medicine , pathology
A structured counseling protocol is described that, when combined with low-level broadband sound therapy from bilateral sound generators, offers audiologists a new tool for facilitating the expansion of the auditory dynamic range (DR) for loudness. The protocol and its content are specifically designed to address and treat problems that impact hearing-impaired persons who, due to their reduced DRs, may be limited in the use and benefit of amplified sound from hearing aids. The reduced DRs may result from elevated audiometric thresholds and/or reduced sound tolerance as documented by lower-than-normal loudness discomfort levels (LDLs). Accordingly, the counseling protocol is appropriate for challenging and difficult-to-fit persons with sensorineural hearing losses who experience loudness recruitment or hyperacusis. Positive treatment outcomes for individuals with the former and latter conditions are highlighted in this issue by incremental shifts (improvements) in LDL and/or categorical loudness judgments, associated reduced complaints of sound intolerance, and functional improvements in daily communication, speech understanding, and quality of life leading to improved hearing aid benefit, satisfaction, and aided sound quality, posttreatment.