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  • Rehabilitation program after cochlear implantation "I hear the world!"


    Postoperative auditory rehabilitation is the most important part of all measures for cochlear implantation, without it it is impossible to achieve the optimal result after cochlear implantation in the development of natural auditory behavior.

    The purpose of rehabilitation is to learn to perceive (acoustic) sound signals (non-verbal and speech), to understand them and to use new auditory sensations for the development of oral speech.

    The program of auditory rehabilitation "I hear the world!" Is an innovative method developed by the staff of the St. Petersburg Research Institute of the ENT, combining the efforts of doctors, faculty, children and their parents and ensuring the creation of a single developmental listening environment for the child, as well as its integration into society hearing people.

    In the process of postoperative rehabilitation, a whole team of specialists participates: otorhinolaryngologist, speech therapist, faculty, psychologist, psychiatrist, engineer, etc. Leading specialists of the institute are the head of the rehabilitation team: V. Pudov, I. Koroleva, O. Zontova. Only thanks to the well-coordinated efforts of a large team of the institute, which has more than 15 years of experience, we achieve good results after cochlear implantation in practically all patients. Even among those who were denied in other centers. The fact that all the specialists of the Institute work remarkably and with full dedication, say the numerous gratitude of patients, who were returned to the ability to study and work on an equal basis with hearing people.
  • Why is rehabilitation after cochlear implantation necessary?


    By itself, cochlear implantation does not allow deaf children immediately after connecting the speech processor to distinguish between sound signals and to use speech for communicative purposes. Therefore, after the first adjustment of the processor, the child needs pedagogical assistance in the development of auditory perception and the development of speech. In this connection, the main goal of rehabilitation of small children with a cochlear implant is to teach the child to perceive, distinguish, recognize and recognize the circling sounds, understand their meaning and use this experience for the development of speech.

    For this purpose, postoperative rehabilitation of preschool children includes the following components:

        1. Setting up the speech processor of the cochlear implant.
        2. Development of auditory perception and speech.
        3. General development of the child (non-verbal intelligence, motor skills, memory, attention, etc.)
        4. Psychological assistance to the child and his loved ones.

  • What is the speech processor setting?


    After 3-4 weeks after the surgery is performed the speech processor to connect to the cochlear implant and the initial configuration of the speech processor. From this point on, the patient can hear the surrounding sounds. The speech processor after the connection is configured to get the maximum effect from the user. The settings are made by an audiologist, his work is aimed at forming a person's full-fledged auditory sensations.

  • Classes with specialists


    The main direction of postoperative auditory rehabilitation for all patients is the development of perception of sound signals with the help of an implant. The cochlear implant provides the opportunity to hear, but the perception of the sounds of the environment and the understanding of speech are much more complex processes that include also the ability to distinguish signals, highlight important for recognizing signs, recognize isolated words and words in conjoined speech, understand the meaning of utterances, signals from noise, etc.

    Then classes begin with the teacher with the purpose of development of auditory perception and development of oral speech. The teacher teaches the child to use his new hearing. The main process of rehabilitation should be provided by parents at home.

    Rehabilitation lessons after include training in the following aspects:

        detection of presence-absence of sounds;
        detection of differences between acoustic signals (identical - different);
        distinguishing the voice of a person and other non-verbal household signals;
        identification of household signals;
        the definition of various characteristics of sounds (intensity, duration, height, etc.);
        difference and recognition of individual sounds of speech, (intonation, rhythm), phonemic with signs (hardness-softness, place of articulation, etc.);
        recognition of isolated words, sentences;
        understanding of speech; understanding speech and recognizing domestic sounds in an environment of interference.

  • What determines the effectiveness of rehabilitation?


    The experience of using cochlear implantation showed that those who lost their hearing after learning to speak (postlingual deafness) quickly restore their ability to understand speech and even can talk on the phone. Children who have an implant installed early enough during the development of speech, are trained to speak and can receive auditory education. At the same time, the effectiveness of the implant depends very much on a variety of factors, including the understated or overstated expectations of the patient and his desire to achieve results.

    Today, cochlear implants are used both for hearing care adults and children, regardless of whether they were born deaf or hearing loss occurred later.

    The shorter for the patient was the period of deafness, the more successful the operation will be. But if the auditory nerve for a long time has not been stimulated, it can not conduct sound information well enough to the brain, even with the implant.

    The brain also needs experience in recognizing sounds from early childhood. That is why it is so important in case of congenital deafness to perform implantation before the child reaches the age of five, and best of all - at the age of three, otherwise time will be lost irrevocably.

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