Evaluating Hearing Loss for Individuals with Cochlear Implants (2021) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-28
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The Listings are organized into 14 body systems for adults and 15 body systems for children. Each of the Listings includes impairments that, for adults, SSA considers severe enough to prevent any gainful activity and, for children, SSA considers severe enough to cause marked and severe functional limitations.
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To be used in SSA's program, HINT testing must be performed on a person with properly functioning cochlear implants set at normal settings, with no visual testing cues, in a quiet sound field, and at 60 dB HL (decibel hearing level) .1 Unlike the Listing for hearing loss in individuals with cochlear implants, the Listing for hearing loss not treated with cochlear implantation (2.10 and 102.10)
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3. Among the hearing tests described in task 2, identify those with characteristics most similar to the HINT, determine which tests, performed in the sound field, either binaurally or monaurally, in either quiet or noise, produce measurements most closely analo gous to the word recognition score of the HINT (given HINT testing parameters of properly functioning cochlear implants set at normal settings, with no visual testing cues, in a quiet sound field, at 60 dB HL)
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Whether the equivalent scores identified in task 3 remain accurate proxies for the HINT word recognition scores when assessing persons with single-sided deafness or asymmetric hearing loss receiving a cochlear implant. 2 See 20 Code of Federal Regulations 416.926a and DI (disability insurance)
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Specifically, the members have expertise in audiology, otolaryngology, cochlear implantation in both children and adults, hearing loss testing, biostatistics, and epidemiology. The committee met four times.
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and adults with single-sided deafness and asymmetric hearing loss. Both approvals include indications that base candidacy for cochlear implantation on a word score for both children and adults, and represent a trend toward the 3 Open-set tasks are designed without limitations on the possible responses, such as an es say question on an exam or a speech recognition task for which the listener must provide a response without prompts.
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. The wire sends signals to the vestibulocochlear FIGURE 1-1 Diagram of an ear with a cochlear implant.
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(2020) reviewed 74 articles and identified 20 evidence-based consensus statements about cochlear implants, including Cochlear implants significantly improve speech recognition in both quiet and moderate noise in adults with severe, profound, or moderate sloping to profound bilateral sensorineural hearing loss; these gains in speech recognition are likely to remain stable over time.
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. INTRODUCTION TO THE HEARING IN NOISE TEST The HINT, first published in 1994, is the test that SSA currently uses to determine functional hearing ability in adults or children with hearing loss who have been treated with cochlear implantation.
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Chapter 3 addresses the Statement of Task's item 1, which asks the committee to: Identify and describe the salient test characteristics of the HINT, which is currently used to determine the functional hearing ability in adults or children with hearing loss treated with cochlear implantation, and provide recommendations as to how to generalize those characteristics into criteria that can be applied to other validated hearing tests for persons with cochlear implants. Chapter 4 describes the Statement of Task's item 2, that is, Describe the characteristics of hearing tests, administered in the sound field, either binaurally or monaurally, in either quiet or noise, that are in use for those with cochlear implants, and describe to the degree pos sible, their availability, patient burden, the appropriateness of the test and whether test outcomes might vary based on demographic or other 4 The ceiling effect is observed when an independent variable no longer has an effect on a dependent variable or when the level above which variance in an independent variable is no longer measurable.
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2020. Unilateral cochlear implants for severe, profound, or moderate sloping to profound bi lateral sensorineural hearing loss: A systematic review and consensus statements.
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2010. Effects of early auditory experience on word learning and speech perception in deaf children with cochlear implants: Implications for sensitive periods of language development.
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2010. Spoken language development in children following cochlear implantation.
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