Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity

Gabrielle Saunders, Melissa T. Frederick, Theresa H. Chisolm, Shienpei Silverman, Michelle Arnold, Paula Myers

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Traumatic brain injury can impact the central auditory system leading to poor auditory recall and increased difficulties hearing in poor acoustic environments. In recent years, audiologists have increasingly encountered blast-exposed veterans who report speech understanding problems that are disproportionate to their essentially normal hearing sensitivity, and thus are thought to have an auditory processing disorder. In light of studies showing frequency-modulated (FM) systems to be effective rehabilitation for auditory processing difficulties, we examined the use of an FM system intervention for blast-exposed veterans with functional hearing problems in the presence of normal hearing sensitivity. The outcomes for three veterans who were provided with an FM system as part of a multisite randomized clinical trial are described. Data indicate that FM systems are beneficial for some patients reporting hearing problems in the presence of normal hearing sensitivity but factors other than audiometric profile and reported complaints influence outcome. These include understanding of speech in noise, patient communication demands, auditory lifestyle, and the presence of posttraumatic stress disorder or other mental health factors. Furthermore, education (and reeducation if necessary) of the patient and their spouse or family is critical to successful outcome.

Original languageEnglish (US)
Pages (from-to)227-238
Number of pages12
JournalSeminars in Hearing
Volume35
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Veterans
Hearing
Auditory Perceptual Disorders
Post-Traumatic Stress Disorders
Spouses
Acoustics
Noise
Life Style
Mental Health
Rehabilitation
Randomized Controlled Trials
Communication
Education

Keywords

  • assistive devices
  • auditory processing disorder
  • case reports
  • rehabilitation
  • Traumatic brain injury

ASJC Scopus subject areas

  • Speech and Hearing

Cite this

Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity. / Saunders, Gabrielle; Frederick, Melissa T.; Chisolm, Theresa H.; Silverman, Shienpei; Arnold, Michelle; Myers, Paula.

In: Seminars in Hearing, Vol. 35, No. 3, 2014, p. 227-238.

Research output: Contribution to journalArticle

Saunders, Gabrielle ; Frederick, Melissa T. ; Chisolm, Theresa H. ; Silverman, Shienpei ; Arnold, Michelle ; Myers, Paula. / Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity. In: Seminars in Hearing. 2014 ; Vol. 35, No. 3. pp. 227-238.
@article{bbe57e41cfdd444b8185b089265ceecf,
title = "Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity",
abstract = "Traumatic brain injury can impact the central auditory system leading to poor auditory recall and increased difficulties hearing in poor acoustic environments. In recent years, audiologists have increasingly encountered blast-exposed veterans who report speech understanding problems that are disproportionate to their essentially normal hearing sensitivity, and thus are thought to have an auditory processing disorder. In light of studies showing frequency-modulated (FM) systems to be effective rehabilitation for auditory processing difficulties, we examined the use of an FM system intervention for blast-exposed veterans with functional hearing problems in the presence of normal hearing sensitivity. The outcomes for three veterans who were provided with an FM system as part of a multisite randomized clinical trial are described. Data indicate that FM systems are beneficial for some patients reporting hearing problems in the presence of normal hearing sensitivity but factors other than audiometric profile and reported complaints influence outcome. These include understanding of speech in noise, patient communication demands, auditory lifestyle, and the presence of posttraumatic stress disorder or other mental health factors. Furthermore, education (and reeducation if necessary) of the patient and their spouse or family is critical to successful outcome.",
keywords = "assistive devices, auditory processing disorder, case reports, rehabilitation, Traumatic brain injury",
author = "Gabrielle Saunders and Frederick, {Melissa T.} and Chisolm, {Theresa H.} and Shienpei Silverman and Michelle Arnold and Paula Myers",
year = "2014",
doi = "10.1055/s-0034-1383507",
language = "English (US)",
volume = "35",
pages = "227--238",
journal = "Seminars in Hearing",
issn = "0734-0451",
publisher = "Thieme Medical Publishers",
number = "3",

}

TY - JOUR

T1 - Use of a frequency-modulated system for veterans with blast exposure, perceived hearing problems, and normal hearing sensitivity

AU - Saunders, Gabrielle

AU - Frederick, Melissa T.

AU - Chisolm, Theresa H.

AU - Silverman, Shienpei

AU - Arnold, Michelle

AU - Myers, Paula

PY - 2014

Y1 - 2014

N2 - Traumatic brain injury can impact the central auditory system leading to poor auditory recall and increased difficulties hearing in poor acoustic environments. In recent years, audiologists have increasingly encountered blast-exposed veterans who report speech understanding problems that are disproportionate to their essentially normal hearing sensitivity, and thus are thought to have an auditory processing disorder. In light of studies showing frequency-modulated (FM) systems to be effective rehabilitation for auditory processing difficulties, we examined the use of an FM system intervention for blast-exposed veterans with functional hearing problems in the presence of normal hearing sensitivity. The outcomes for three veterans who were provided with an FM system as part of a multisite randomized clinical trial are described. Data indicate that FM systems are beneficial for some patients reporting hearing problems in the presence of normal hearing sensitivity but factors other than audiometric profile and reported complaints influence outcome. These include understanding of speech in noise, patient communication demands, auditory lifestyle, and the presence of posttraumatic stress disorder or other mental health factors. Furthermore, education (and reeducation if necessary) of the patient and their spouse or family is critical to successful outcome.

AB - Traumatic brain injury can impact the central auditory system leading to poor auditory recall and increased difficulties hearing in poor acoustic environments. In recent years, audiologists have increasingly encountered blast-exposed veterans who report speech understanding problems that are disproportionate to their essentially normal hearing sensitivity, and thus are thought to have an auditory processing disorder. In light of studies showing frequency-modulated (FM) systems to be effective rehabilitation for auditory processing difficulties, we examined the use of an FM system intervention for blast-exposed veterans with functional hearing problems in the presence of normal hearing sensitivity. The outcomes for three veterans who were provided with an FM system as part of a multisite randomized clinical trial are described. Data indicate that FM systems are beneficial for some patients reporting hearing problems in the presence of normal hearing sensitivity but factors other than audiometric profile and reported complaints influence outcome. These include understanding of speech in noise, patient communication demands, auditory lifestyle, and the presence of posttraumatic stress disorder or other mental health factors. Furthermore, education (and reeducation if necessary) of the patient and their spouse or family is critical to successful outcome.

KW - assistive devices

KW - auditory processing disorder

KW - case reports

KW - rehabilitation

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84904872390&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904872390&partnerID=8YFLogxK

U2 - 10.1055/s-0034-1383507

DO - 10.1055/s-0034-1383507

M3 - Article

VL - 35

SP - 227

EP - 238

JO - Seminars in Hearing

JF - Seminars in Hearing

SN - 0734-0451

IS - 3

ER -