Aural Rehabilitation Program

An aural rehabilitation program is is an integral part of the first year post-implant process and is available for all adults receiving cochlear implants. Although early intervention is most beneficial, intervention at any stage can be helpful.

Getting started

• Part of the hook-up, the 2-week, and the 1-month checks include suggestions for independent rehabilitation activities. 

Evaluation

• Most post-implant adults can benefit from an aural rehabilitation program.
• Every program is individualized based on the specific needs of the cochlear implant user.
• The goal of treatment is to improve functional ability.
• The clinician and implant user develop training goals and objectives based on personal goals and evaluation findings.
• The evaluation is comprehensive and includes:
  • In depth interview to determine pre-and post-implant level of function, perception of the problem, and expectation for improvement.
  • Assessment of the home/work/social environment (natural and adaptive)
  • Evaluation of communication skills (in quiet and noise)
  • Evaluation of compensation strategies

Treatment

• The frequency and duration of treatment is variable and depends on the needs of the patient.
• All treatment programs:
  • Empower patients to improve their communication environment.
  • Builds on skill level and progress along a continuum from easy to complex.
  • Develop listening strategies for specific communication situations.
  • Include an independent home program.
  • Transition from structured tasks to real life situations.
  • Implement strategies for life long auditory training.
• Some treatment programs:
  • Include cognitive strategies fro attending and sorting information.
  • Address the communication style of communication partners.

Discharge

• Some cochlear implant users attend only a few therapy sessions because of the distance traveled, insurance restrictions and/or because of the implant user' ability to proceed independently, given initial guidance.
• Others continue along a more structured path until therapy goals are achieved or optimal level of performance is achieved.

Scheduling

• Aural rehabilitation is scheduled through the Center for Communication and Swallowing Disorders (414.805.5588).