Monday, December 3, 2012

For those who are hard of hearing, devices that mimic hearing are placed in both ears have helped to improve communication.



A person that has hair damage in their cochlea is considered severely hard of hearing or deaf. These are the perfect patients for cochlear implants. Cochlear implants consist of a microphone, to pick up sound, and transmitter, to transform the sounds to electrical signals, which collect in the auditory nerve. This device restores the perception of sound to an individual who has no sound.  When cochlear implants were first invented, they were only placed in one ear. People were skeptical of their abilities and questioned their effectiveness. In recent years, the bilateral placement of cochlear implants has become very popular. Also in recent years more information has been provided about how these bilateral cochlear implants have helped to improve communication. It is also important to note that bilateral cochlear implants can also be referred to as binaural cochlear implants.

Communication efforts are improved through the more effective use of Speech Therapy.
Speech therapist help to improve communication through oral structure isolation techniques. For example, if a speech pathologist has a patient who cannot produce the /b/ sound, the speech pathologist will use exercises that require the patient to put their lips together and try to blow air in order to build up a force until they are able to produce a /b/ sound. Being able to properly hear the intended sound aids in the reproduction of that sound. As the patient begins mastering sounds, their communication improves. Better communication allows for them to better interact and successfully relay emotions and ideas to others. Now imagine closing your ears and trying to produce a new sound that you have never heard before. It would be very complicated. Many of times deaf and hard of hearing individuals are identified as by the way they speak. Not being able to hear, or having muffled hearing has cause their language skills to develop differently and have not hear the correct pronunciation of many sounds. Implants could help change this. Not only taking my word for it, an expert point of view is posted below. From a first account of a active speech pathologist working at a local clinic in Maryland, Kaleena Rogers believes that the bilateral cochlear implants helps specifically in the area of articulation, voice and language. One important idea that is pinpointed is the idea that cochlear implants help to mirror normal hearing.  Again, please note that binaural cochlear implants is a synonym for bilateral cochlear implants.

Although Bilateral Cochlear Implants sound like a God sent, there are some residual side effects that can impair the emotional side of a person.
With the implementation of cochlear implants, the patients will lose all hearing. While this maybe insignificant for those who are completely deaf, those who are hard of hearing struggle with the idea of losing the small amount of hearing that they have. There is always a possibility that the operation will not work and so in turn cochlear implants is an emotional risk. Also in relation to the emotional risk, the hearing aid to the cochlear implant is visible. For those who are uncomfortable with their disability, a cochlear implant microphone will indicate to others that they have a hearing disability. A person must be comfortable within their own disability in order to have the implants. Last but by far not the least, cochlear implants are a costly investment. This is included in the emotional affects because it is a conscious decision to help yourself and make the financial commitment to yourself. According to the American Speech-Language-Hearing Association (ASHA), cochlear implants can exceed $40,000 and for bilateral implants the cost doubles. These are only a few of the risk and benefits for bilateral cochlear implants. Check out the Federal Food and Drug Administration for more facts about cochlear implants.

Bilateral cochlear implants pose many views. While there is an emotional risk present, the implants can help improve the lives of so many through an increase in communication. Speech therapists see first hand how helpful the implants are in therapy sessions. The areas that are specifically impacted are articulation, voicing and language. These areas are essential for communication. Communication leads to success. Below is a clip when I asked a non-expert how important communication is for success in life. This non-expert works in the financial field and has no background in speech. The importance of including a non-expert opinion is to show that communication is important in all walks of life. It is also worth stating that speech therapy is just as important for those who are hearing as those who are hearing impaired. Please do not hesitate to test your language skills.