Chronicle of a deaf audiologist

How Does Auditory Training Help?

How does auditory training help? It addresses the three key factors in our ability to understand each other: processing speed, memory, and the presence of distractors (Van Der Linden, M., Hupet, M., Feyereisen, P., Schelstraete, M.-A., Bestgen, Y., Bruyer, R., et al. (1999). Cognitive Mediators of Age-Related Differences in Language Comprehension and Verbal Memory Performance. Aging, Neuropsychology, and Cognition , 6, 32-55.).

Let’s take a look at each one in more detail and how each impacts our ability to understand what is going on around us.

Processing Speed:

A key change in our brain as we get older is that our processing speed slows down (Diamond, B. D., Rosenthal, D., Vlad, R., Davis, K., Lucas, G., Noskin, O., et al. (2000). Information Processing in Older Versus Younger Adults: Accuracy Versus Speed. International Journal of Rehabilitation and Health , 5 (1), 55-64.).

A slowdown in processing speed affects our ability to hear in challenging listening environments—even for people with normal hearing. I emphasize even for people with normal hearing because some people believe that the hearing aids alone should provide the benefits that they are seeking, without any work on their part. But even older adults with normal hearing have difficulty in challenging listening environments, so hearing aids are not the whole solution.

Memory:

When we want to remember something we must hear it clearly. A memory can be only as clear as its original signal. As a result, hearing loss can affect memory. A study found that people with mild hearing loss had significantly poorer recall for compared to their normally-hearing peers of the same age (Rabbitt, P. (1990). Mild Hearing Loss Can Cause Apparent Memory Failures Which Increase With Age and Reduce with IQ. Acta Otolaryngol Suppl , 476, 167-75.). There is evidence that a slowdown in brain processing speed also affects memory (Mayo Clinic. (2009, February 11). Improving Brain Processing Speed Helps Memory. Retrieved November 12, 2010, from ScienceDaily).

The presence of distractors:

The third key factor that affects how we understand each other is the presence of distractors. Background noise is a menacing distractor.

As we get older, we require a more favourable listening environment than younger adults do — and this is true even for people with normal hearing. (Dubno, J., Dirks, D., & Morgan, D. (1984). Effects of age and mild hearing loss on speech recognition in noise. Journal of the Acoustical Society of America , 76 (1), 87-96.).

In a noisy restaurant we might notice that we can hear what people say, but we can’t understand them. And remember, this is also true for older adults with normal hearing: so hearing loss is not the only culprit (and hearing aids are not the whole solution!).

So, here it is, in a nutshell: brain processing speed slows as we age. Brain processing speed and hearing loss impacts our ability to remember and recall. We also have difficulty in noisier listening environments. What can we do about this? The good news is: processing speed, and memory, and our ability to hear in noisy situations can improve with auditory training.

Next: Why Do I Need Auditory Training?

 

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  • Photo credit:  © Alan Fortune

    Sandra Vandenhoff

    Dr. Sandra Vandenhoff is an audiologist with hearing loss, founder of HEARa, Hearing Rehabilitation teacher, and Canadian author, who does not remember saying on her first day of wearing hearing aids: "Mom, I can hear my shoelaces!"

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