AUDITORY TRAINING

LACE®

Just as physical therapy can help rebuild muscles and adjust movements to compensate for physical weakness or injury, auditory training will help you develop skills and strategies to deal with situations when hearing is inadequate. LACE®, Listening and Communication Enhancement, is a home based self-paced adaptive auditory training program designed to improve listening and communication skills. It retrains the brain to comprehend speech up to 40% better in difficult listening situations such as:

  1. Noisy restaurants
  2. Rapid speakers
  3. Competing speakers

If you are having difficulty hearing speech in background noise, irrespective of whether your hearing is normal or not, this may be the solution for you. We are a certified training provider of the program, and routinely offer it as part of our hearing aid fitting appointments in addition to stand alone sessions for those with clinically normal hearing.

LACE logo

MEDICOLEGAL AUDIOLOGy

High quality­­­­­ medicolegal assessments

We specialise in the provision of high quality­­­­­ medicolegal assessments, reporting and rehabilitation related to hearing and balance impairment. Our expert team are highly experienced in carrying out comprehensive diagnostic audio-vestibular evaluations to accurately identity, verify and manage impairments of the ear that may have arisen as a result of occupational disease or accidental trauma.

 

All investigations are carried out in fully compliant clinical environments and in strict accordance to BSA guidelines.

Services

NOISE INDUCED HEARING LOSS (NIHL)

Noise induced hearing loss is a significant problem and is estimated to account for 75% of civil claims linked to occupational disease in the UK.  

Our medicolegal audiograms–which are fully compliant and impartial–are performed to the highest clinical standards to ensure the accurate diagnosis of NIHL. All testing is performed in sound-proof booths in-line with strict testing protocols. In addition, and where requested, we also offer aural rehabilitation in the form of hearing aids to ensure all claimant case needs are met.

TINNITUS

Tinnitus is another significant problem that often results from occupational disease or accidents.

Our medicolegal tinnitus evaluations include detailed consultation, validated tinnitus questionnaires, audiometry and psychophysical testing measures, with findings summarised in a concise clinical report. In addition, and where requested, we also offer rehabilitation in the form of tinnitus retraining therapy to ensure all claimant case needs are met.

BALANCE

Balance impairment commonly results from trauma suffered to the head from accidents/ injury and is a key feature in related civil cases.  

Our medicolegal balance evaluations include detailed consultation, validated balance questionnaires and a comprehensive audio-vestibular test battery, with findings summarised in a concise clinical report. In addition, and where requested, we also offer vestibular rehabilitation to ensure all claimant case needs are met.

AUDITORY IMPLANTS

There are a number of situations in which hearing aids are deemed unsuitable or of limited benefit for certain types of hearing loss. If your hearing loss falls into one of these categories, then an auditory implant may be a viable solution to your hearing needs. There are four main types of auditory implant, as listed below:

COCHLEAR IMPLANTS

These are surgically implanted electronic devices that convert sound into electrical signals which bypass the damaged hair cells in the inner ear and provide direct auditory stimulation. They possess two parts–an internal receiver which is implanted surgically under the skin behind the ear, and an external sound processor part which is worn like a hearing aid. They are usually suitable for children/ adults with severe to profound permanent deafness who gain limited or no benefit from their hearing aids.

MIDDLE EAR IMPLANTS

These devices are surgically implanted hearing aids and are an option where conventional hearing aids or bone conduction hearing devices are not suitable for medical reasons. They work by directly stimulating the bones of the middle ear, bypassing the outer ear entirely. They are generally of two types:

  • Fully implantable– all parts of the device lie under the skin, without the need for an external sound processor
  • Semi-implantable– part of the device is worn externally, and part placed in the middle ear

BONE CONDUCTION HEARING DEVICES

These devices work by transmitting sound vibrations through the bones of the skull to the cochlear of the inner ear and are suitable in situations where sounds are unable to pass through the ear in the usual way (i.e. through the outer and middle ear). These are generally of two types:

  • Bone conduction hearing implants; which are positioned permanently into the bone behind the ear via surgery.
  • Bone conduction hearing aids; these are a non-permanent, non-surgical option and typically are available to be worn in the form of a soft headband or spectacles.  

AUDITORY BRAINSTEM IMPLANTS

These are the least common of the various implant types and are mostly fitted on adults who have suffered trauma to their hearing nerve and would therefore not benefit from hearing aids or cochlear implants. They are similar to cochlear implants in how they look and work, however the internal part of these implants is surgically positioned onto the brainstem, therefore bypassing the cochlea and auditory nerve completely.

Irrespective of the type of hearing loss you may have, there is always a solution to help you hear better. For further information on auditory implants, please get in touch to book in for a consultation with our experts who will advise on the most appropriate options available to you.

Contact us

For further information on the services and products we offer, please visit the relevant page from the menu. To book an appointment, please get in touch below.