Lori m Posted November 23, 2020 Report Share Posted November 23, 2020 Hello all, thank you in advance for any tips useful for rehab with single side deaf. i still haven’t found anything particularly useful. listening apps that are directed into c. I only, do not come even close to real life hearing. If I listen “out loud” to the apps, then my real ear hears instead of my bionic ear. This happens even with good ear plugs and noise canceling head phones. In real life, background noise and distance between me and the person speaking, make it impossible to catch words. i haven’t figured out how to practice and improve my understanding. Audi appointments do direct connect testIng, and say that I’m doing great, when actually I am failing badly in real life. any advice or past experience would be terrific! lori Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Kylie Posted November 24, 2020 HearPeers Heroes Report Share Posted November 24, 2020 I also am SSD. You need to plug into your listening app to isolate that CI side. Yes it sounds weird but it's the only way to force it to get better! Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Mary Beth Posted November 24, 2020 HearPeers Heroes Report Share Posted November 24, 2020 @Lori m There was a difference in time for me between when I was able to repeat words correctly during speech testing and when those words sounded natural and full. Even after my CI ear plateaued in speech testing scores, sound quality continued to improve. We discussed experiences with single sided deafness & CI during our November video chat. When people have one perfect acoustic ear and one CI, we wondered whether audio rehab should focus on pushing the CI ear as far as it can go separately or working both ears together in order to get the best combined outcome? Aural rehab for single sided deaf with a CI is a relatively young field. Let’s ask @MED-EL Moderator if they have resources specifically for aural rehab for adults with single sided deafness and CI. Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Mary Beth Posted November 24, 2020 HearPeers Heroes Report Share Posted November 24, 2020 @Lori m https://www.entandaudiologynews.com/reviews/journal-reviews/post/how-to-train-adults-with-single-sided-deafness-and-cochlear-implants ( @Kylie the article is from Perth, Australia!) Kylie 1 Quote Link to comment Share on other sites More sharing options...
MED-EL Moderator Posted November 25, 2020 Report Share Posted November 25, 2020 @Lori m @Mary Beth thanks for tagging us! I will check with our Rehab experts and let you know Best, Verena Quote Link to comment Share on other sites More sharing options...
MED-EL Moderator Posted November 25, 2020 Report Share Posted November 25, 2020 Hi @Lori m, here is what rehab expert Natalie shared with me for you: Hi Lori It sounds like you are doing a great job with your CI rehabilitation – trialling different conditions and continuing to challenge yourself. I encourage you to keep going! Here are a couple of tips Communicating in the presence of background noise and with distance from the speaker is a difficult listening condition. Using communication strategies will help you to communicate more easily in these situations. Try; Moving closer to the speaker Reducing noise where possible Moving to a quieter space Using clarification strategies Sharing communication strategies with your daily communication partners, Here is some more information on communication strategies https://blog.medel.com/rehab-for-adults-how-to-use-communication-strategies/ are some tips for communication strategies this holiday season https://blog.medel.com/10-tips-to-hear-your-best-these-holidays/ Take a look at this resource ‘Single-Sided Deafness & Cochlear Implant Rehabilitation’. https://www.medel.com/docs/librariesprovider3/rehabilitation-downloads/single-sided-deafness-cochlear-implant-rehabilitation/27886-1-0-single-sided-deafness-and-cochlear-implant-rehabilitation---english-2020-(low).pdf?sfvrsn=eebe042_11 . Also available as the third download here https://www.medel.com/support/rehab/rehabilitation-downloads Although this material was written for professionals, it may be of help to you especially the section ‘Development of Binaural Benefit’ on page 4. I would encourage that you slowly add background noise to your practice condition. First, use familiar materials (ones that you find easy with your CI alone and a direct connection) add low background noise while listening ‘out loud’ with your CI and have your typically hearing ear blocked (noise cancelling headphones or ear plugs). Then slowly increase the background noise volume. Then vary the background noise in this condition. White noise or orchestral music (anything without singing/lyrics) may be easier that speech babble background noise. Also think about where you position the device which is playing the background noise and where you position the device with the target speech (what you want to listen to and understand). Change these conditions around e.g. target speech on CI side with noise on typically hearing ear side, both devices on your CI side, both on your typically hearing ear side. Kylie and Mary Beth 2 Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Mary Beth Posted November 25, 2020 HearPeers Heroes Report Share Posted November 25, 2020 @MED-EL Moderator These are excellent rehab tips! Please thank Natalie! MED-EL Moderator 1 Quote Link to comment Share on other sites More sharing options...
Lori m Posted November 25, 2020 Author Report Share Posted November 25, 2020 Thank you Mary Beth for the list of articles. Very interesting content, all very clinical with glowing research results that I am a bit envious of. Thank you verena for the fast reply. i will look at attachment when I’m not working. No I wouldn’t say I’m doing great at rehab, or trying different situations. I’m simply trying to participate in life at work and at home. Currently both are full of frustration caused by missing/misunderstanding speech. im also still hoping others will comment on travel case ideas. thank you all and happy thanksgiving! Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Mary Beth Posted November 25, 2020 HearPeers Heroes Report Share Posted November 25, 2020 @Lori m @Kylie has had a very interesting way of having her CI electrode levels measured for single sided deafness. I did post about travel cases on a different topic perhaps? I use a travel case from Med-El for backup processors and spare parts. I use a zippered case for other items. Quote Link to comment Share on other sites More sharing options...
HearPeers Heroes Mary Beth Posted November 25, 2020 HearPeers Heroes Report Share Posted November 25, 2020 @Lori m travel case options from Med-El The zippered soft case I use is from Vera Bradley I believe. Any zippered case would do. Quote Link to comment Share on other sites More sharing options...
pdk Posted November 26, 2020 Report Share Posted November 26, 2020 18 hours ago, MED-EL Moderator said: Hi @Lori m, here is what rehab expert Natalie shared with me for you: Hi Lori It sounds like you are doing a great job with your CI rehabilitation – trialling different conditions and continuing to challenge yourself. I encourage you to keep going! Here are a couple of tips Communicating in the presence of background noise and with distance from the speaker is a difficult listening condition. Using communication strategies will help you to communicate more easily in these situations. Try; Moving closer to the speaker Reducing noise where possible Moving to a quieter space Using clarification strategies Sharing communication strategies with your daily communication partners, Here is some more information on communication strategies https://blog.medel.com/rehab-for-adults-how-to-use-communication-strategies/ are some tips for communication strategies this holiday season https://blog.medel.com/10-tips-to-hear-your-best-these-holidays/ Take a look at this resource ‘Single-Sided Deafness & Cochlear Implant Rehabilitation’. https://www.medel.com/docs/librariesprovider3/rehabilitation-downloads/single-sided-deafness-cochlear-implant-rehabilitation/27886-1-0-single-sided-deafness-and-cochlear-implant-rehabilitation---english-2020-(low).pdf?sfvrsn=eebe042_11 . Also available as the third download here https://www.medel.com/support/rehab/rehabilitation-downloads Although this material was written for professionals, it may be of help to you especially the section ‘Development of Binaural Benefit’ on page 4. I would encourage that you slowly add background noise to your practice condition. First, use familiar materials (ones that you find easy with your CI alone and a direct connection) add low background noise while listening ‘out loud’ with your CI and have your typically hearing ear blocked (noise cancelling headphones or ear plugs). Then slowly increase the background noise volume. Then vary the background noise in this condition. White noise or orchestral music (anything without singing/lyrics) may be easier that speech babble background noise. Also think about where you position the device which is playing the background noise and where you position the device with the target speech (what you want to listen to and understand). Change these conditions around e.g. target speech on CI side with noise on typically hearing ear side, both devices on your CI side, both on your typically hearing ear side. excellent article. Will definitely add more info about Med-El on my website. Med-El definitely has the most progressive forum and keeps adding new rehab resources. MED-EL Moderator 1 Quote Link to comment Share on other sites More sharing options...
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