摘要:

ABSTRACT The pilot investigation was undertaken to determine if there were any measurable changes in laryngeal function when comparing pre‐ and post‐operative status with regard to cochlear implant surgery. The subjects, all totally deafened adults with various aetiologies, were unable to monitor speech/voice production accoustically before surgery. The study aimed to evaluate whether change was effected to laryngeal function, and therefore voice quality, once an auditory feedback loop had been re‐established and no direct therapeutic intervention had taken place. All the subjects were implanted with multi‐channel cochlear implant devices (Nucleus 22: SPEAK strategy). Previous studies have measured various vocal parameters for subjects using single‐channel cochlear implant devices. Examples of these include longitudinal effects of single‐channel cochlear implantation on voice quality (Leder et al., 1990), changes in speech breathing following cochlear implantation in post‐lingually deafened adults (Lane et al., 1991), immediate effects of cochlear implants on voice quality (Leder et al., 1987) and voice intensity levels (Leder et al., 1987). This pilot investigation used the following assessments: videostroboscopy, laryngography, speech production recordings, and the ‘Vocal Profile Analysis’ (Laver, 1981). The patients were assessed immediately before cochlear implantation (within one week of surgery), and three months after implantation in order to compare results. A further follow‐up assessment nine months after cochlear implant surgery was carried out to monitor and evaluate further change. Results indicate that a statistically significant change can be measured in laryngeal function when comparing pre‐ and post‐operative status of cochlear implant surgery. Furthermore, the assessment of laryngeal function identifies the source of acoustic findings which facilitates effective management of voice quality during rehabilitation follow

ISSN:1368-2822    

DOI:10.1111/j.1460-6984.1995.tb01763.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACT In 1989 the first exclusively paediatric cochlear implant programme in the UK was established in Nottingham. As implant team speech and language therapists, this has enabled us to work collaboratively with colleagues from six to eight different backgrounds and to consider the importance and benefits of effective interdisciplinary teamwork. The Nottingham Paediatric Cochlear Implant Programme commitment is to a child‐family‐centred philosophy of service delivery. Its emphasis on sharing information and rehabilitation skills with parents and a range of professionals has led us to extend if not question more traditional models of ‘unidisciplinary’ programme

ISSN:1368-2822    

DOI:10.1111/j.1460-6984.1995.tb01764.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

ABSTRACT A postal questionnaire was given to 18 adults aged between 16–74 with acquired hearing loss, one month before, and one and six months after their Nucleus multi‐channel cochlear implant was ‘switched on’. Improvements in quality of life (QOL) on both disease‐specific and generic measures after ‘switch on’ were revealed. Overall QOL was measured on a 10 cm visual analogue scale, which showed a mean improvement of 20% after ‘switch on’ (p<0.001). An adapted version of the Patient Generated Index of QOL enabled subjects to elicit and rate the important areas of their QOL. Improvements were revealed in social life, music, self‐confidence, conversation, groups, miscellaneous sounds, telephone and work, but the initial improvements in telephone use and work were not maintained at six months after ‘switch on’. The improvements at one month after ‘switch on’ were as much as/the same as had been hoped for, but after six months, the changes experienced were mot as much as had been desired, and subjects may have been disappointed by the extent of change. Three dimensions from the generic SF‐36 health status questionnaire revealed that before ‘switch on’, subjects' mean scores were below the UK norms, but after ‘switch on’ they were at or above norms. Improvements were revealed in mental health (p<0.01), social functioning (p<0.001), and vitality (p<0.001) and in a disease‐specific dimension ‘isolation’ (p<0.001). Areas of counselling are identified especially regarding p

ISSN:1368-2822    

DOI:10.1111/j.1460-6984.1995.tb01765.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1368-2822    

DOI:10.1111/j.1460-6984.1995.tb01632.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY