Skip to main content
SpringerLink
Log in

Hörrehabilitation mithilfe von Cochleaimplantaten und kognitive Fähigkeiten

Hearing rehabilitation with cochlear implants and cognitive abilities

  • Leitthema
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Die Untersuchung kognitiver Fähigkeiten erlangt vor dem Hintergrund des demografischen Wandels zunehmend Relevanz. Die Frage nach dem Effekt einer Cochleaimplantation bei taub geborenen Kindern im Vergleich zu Hörgesunden stand noch bis vor wenigen Jahren im Fokus. Es stellt sich heute die Frage, ob eine Hörrehabilitation bei Älteren, z. B. mithilfe eines Cochleaimplantats (CI), einen protektiven Effekt auf die kognitiven Fähigkeiten und damit auch auf das Demenzrisiko besitzt. Die vorliegende Übersichtsarbeit behandelt die Verknüpfungen der kognitiven Fähigkeiten mit Hörstörungen und Cochleaimplantation. Historische Aspekte der Intelligenztestung werden beschrieben. In der aktuellen Literatur sind Erkenntnisse über kognitive Aspekte bei älteren hörgestörten Patienten und CI-Trägern rar. Erste Untersuchungsergebnisse weisen einen positiven Zusammenhang von Hörverbesserung und Kognition aus. Im Umgang mit kognitiven Defiziten und hörgestörten Patienten sind weitere Untersuchungen zur Erarbeitung von Handlungsempfehlungen dringend erforderlich.

Abstract

The relevance of assessing cognitive functioning is increasing against the background of the continuing demographic changes. Up to a few years ago the focus was on the effects of cochlear implantation in children born deaf in comparison to healthy individuals. Currently, the question arises whether hearing rehabilitation in the elderly, e.g. by postlingual cochlear implantation, has a protective effect on cognitive functioning and therefore on the risk of onset of dementia. This review describes the association of cognitive functioning with hearing disorders and cochlear implantation. Historical aspects of intelligence testing are illustrated. Knowledge on cognitive aspects in elderly persons with hearing disorders and cochlear implants is rare in the currently available literature. Initial findings indicate a positive correlation between hearing improvement and cognitive functioning. Further studies are urgently required in order to elucidate appropriate guidelines for the treatment of patients with cognitive deficits and hearing impairment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Akeroyd MA (2008) Are individual differences in speech reception related to individual differences in cognitive ability? A survey of twenty experimental studies with normal and hearing-impaired adults. Int J Audiol 47:53–S71. https://doi.org/10.1080/14992020802301142

    Article  Google Scholar 

  2. Amieva H, Ouvrard C, Giulioli C et al (2015) Self-reported hearing loss, hearing aids, and cognitive decline in elderly adults: A 25-year study. J Am Geriatr Soc 63:2099–2104. https://doi.org/10.1111/jgs.13649

    Article  PubMed  Google Scholar 

  3. Blamey PJ, Maat B, Başkent D et al (2015) A retrospective multicenter study comparing speech perception outcomes for bilateral implantation and bimodal rehabilitation. Ear Hear 36:408–416. https://doi.org/10.1097/AUD.0000000000000150

    Article  PubMed  Google Scholar 

  4. Boake C (2002) From the Binet-Simon to the Wechsler-Bellevue: Tracing the history of intelligence testing. J Clin Exp Neuropsychol 24:383–405. https://doi.org/10.1076/jcen.24.3.383.981

    Article  PubMed  Google Scholar 

  5. Büchsenschütz K, Arnolds J, Bagus H et al (2015) Surgical risk profile and audiological outcome in the elderly after cochlea-implantation. Laryngorhinootologie 94:670–675. https://doi.org/10.1055/s-0034-1390454

    PubMed  Google Scholar 

  6. Castiglione A, Benatti A, Velardita C et al (2016) Aging, cognitive decline and hearing loss: effects of auditory rehabilitation and training with hearing aids and cochlear implants on cognitive function and depression among older adults. Audiol Neurotol. https://doi.org/10.1159/000448350

    Google Scholar 

  7. Cherko M, Hickson L, Bhutta M (2016) Auditory deprivation and health in the elderly. Maturitas 88:52–57. https://doi.org/10.1016/j.maturitas.2016.03.008

    Article  PubMed  Google Scholar 

  8. Cosetti M, Pinkston J, Flores J et al (2016) Neurocognitive testing and cochlear implantation: insights into performance in older adults. Clin Interv Aging 11:603. https://doi.org/10.2147/CIA.S100255

    Article  PubMed  PubMed Central  Google Scholar 

  9. Daseking M, Petermann F (2013) Analyse von Querschnittsdaten zur Intelligenzentwicklung im Erwachsenenalter: eine Studie zur deutschsprachigen Version der WAIS-IV. Z Neuropsychol 24:149–160. https://doi.org/10.1024/1016-264X/a000098

    Article  Google Scholar 

  10. DESTATIS (2015) Bevölkerung und Erwerbstätigkeit – Ausgangsdaten der Bevölkerungsfortschreibung aus dem Zensus 2011

    Google Scholar 

  11. Heinrich A, Henshaw H, Ferguson MA (2015) The relationship of speech intelligibility with hearing sensitivity, cognition, and perceived hearing difficulties varies for different speech perception tests. Front Psychol 6:782. https://doi.org/10.3389/fpsyg.2015.00782

    Article  PubMed  PubMed Central  Google Scholar 

  12. Hertzog C, Dixon RA, Hultsch DF, MacDonald SWS (2003) Latent change models of adult cognition: are changes in processing speed and working memory associated with changes in episodic memory? Psychol Aging 18:755–769. https://doi.org/10.1037/0882-7974.18.4.755

    Article  PubMed  Google Scholar 

  13. Hey M, Brademann G, Ambrosch P (2016) Der Freiburger Einsilbertest in der postoperativen CI-Diagnostik. HNO 64:601–607. https://doi.org/10.1007/s00106-016-0194-y

    Article  CAS  PubMed  Google Scholar 

  14. Knopke S, Gräbel S, Förster-Ruhrmann U et al (2016) Impact of cochlear implantation on quality of life and mental comorbidity in patients aged 80 years. Laryngoscope 126:2811–2816. https://doi.org/10.1002/lary.25993

    Article  PubMed  Google Scholar 

  15. Knopke S, Szczepek AJ, Häussler SM et al (2017) Cochlear implantation of bilaterally deafened patients with Tinnitus induces sustained decrease of Tinnitus-related distress. Front Neurol 8:158. https://doi.org/10.3389/fneur.2017.00158

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kral A, Kronenberger WG, Pisoni DB, O’Donoghue GM (2016) Neurocognitive factors in sensory restoration of early deafness: a connectome model. Lancet Neurol 15:610–621. https://doi.org/10.1016/S1474-4422(16)00034-X

    Article  PubMed  Google Scholar 

  17. Lehrl S, Funk R, Seifert K (2005) Erste Hörhilfe erhöht die geistige Leistungsfähigkeit. HNO 53:852–862. https://doi.org/10.1007/s00106-005-1253-y

    Article  CAS  PubMed  Google Scholar 

  18. Lin FR (2011) Hearing loss and cognition among older adults in the United States. J Gerontol A Biol Sci Med Sci 66:1131–1136. https://doi.org/10.1093/gerona/glr115

    Article  PubMed  Google Scholar 

  19. Lin FR, Albert M (2014) Hearing loss and dementia – who is listening? Aging Ment Health. https://doi.org/10.1080/13607863.2014.915924

    PubMed Central  Google Scholar 

  20. Lin FR, Metter EJ, O’Brien RJ et al (2011) Hearing loss and incident dementia. Arch Neurol 68:214–220. https://doi.org/10.1001/archneurol.2010.362

    PubMed  PubMed Central  Google Scholar 

  21. Lin FR, Yaffe K, Xia J et al (2013) Hearing loss and cognitive decline in older adults. JAMA Intern Med 173:293–299. https://doi.org/10.1001/jamainternmed.2013.1868

    Article  PubMed  Google Scholar 

  22. Lin VYW, Chung J, Callahan BL et al (2017) Development of cognitive screening test for the severely hearing impaired: Hearing-impaired MoCA. Laryngoscope 127:S4–S11. https://doi.org/10.1002/lary.26590

    Article  PubMed  Google Scholar 

  23. Meister H (2017) Sprachaudiometrie, Sprachwahrnehmung und kognitive Funktionen. HNO 65:189–194. https://doi.org/10.1007/s00106-016-0229-4

    Article  CAS  PubMed  Google Scholar 

  24. Meister H, Schreitmüller S, Ortmann M et al (2016) Effects of hearing loss and cognitive load on speech recognition with competing talkers. Front Psychol 7:301. https://doi.org/10.3389/fpsyg.2016.00301

    Article  PubMed  PubMed Central  Google Scholar 

  25. Miller G, Miller C, Marrone N et al (2015) The impact of cochlear implantation on cognition in older adults: a systematic review of clinical evidence. BMC Geriatr 15:16. https://doi.org/10.1186/s12877-015-0014-3

    Article  PubMed  PubMed Central  Google Scholar 

  26. Moser S, Luxenberger W, Freidl W (2017) Wahrnehmung von Hörproblemen bei älteren Menschen. HNO. https://doi.org/10.1007/s00106-017-0334-z

    PubMed  Google Scholar 

  27. Mosnier I, Bebear J‑P, Marx M et al (2015) Improvement of cognitive function after cochlear implantation in elderly patients. JAMA Otolaryngol Head Neck Surg 141:442–450. https://doi.org/10.1001/jamaoto.2015.129

    Article  PubMed  Google Scholar 

  28. Olze H, Gräbel S, Förster U et al (2012) Elderly patients benefit from cochlear implantation regarding auditory rehabilitation, quality of life, tinnitus, and stress. Laryngoscope 122:196–203. https://doi.org/10.1002/lary.22356

    Article  PubMed  Google Scholar 

  29. Olze H, Gräbel S, Haupt H et al (2012) Extra benefit of a second cochlear implant with respect to health-related quality of life and tinnitus. Otol Neurotol 33:1169–1175. https://doi.org/10.1097/MAO.0b013e31825e799f

    Article  PubMed  Google Scholar 

  30. Olze H, Knopke S, Gräbel S, Szczepek AJ (2016) Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older. Audiol Neurotol 21:43–47. https://doi.org/10.1159/000448354

    Article  Google Scholar 

  31. Olze H, Szczepek AJ, Haupt H et al (2011) Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope 121:2220–2227. https://doi.org/10.1002/lary.22145

    Article  PubMed  Google Scholar 

  32. Olze H, Szczepek AJ, Haupt H et al (2012) The impact of cochlear implantation on tinnitus, stress and quality of life in postlingually deafened patients. Audiol Neurootol 17:2–11. https://doi.org/10.1159/000323847

    Article  PubMed  Google Scholar 

  33. Park M, Song JJ, Oh SJ et al (2015) The relation between nonverbal IQ and postoperative CI outcomes in cochlear implant users: preliminary result. Biomed Res Int. https://doi.org/10.1155/2015/313274

    Google Scholar 

  34. Rönnberg J, Lunner T, Zekveld A et al (2013) The Ease of Language Understanding (ELU) model: theoretical, empirical, and clinical advances. Front Syst Neurosci 7:31. https://doi.org/10.3389/fnsys.2013.00031

    Article  PubMed  PubMed Central  Google Scholar 

  35. Shehata-Dieler W, Großmann W (2017) Präoperative audiologische Evaluation und postoperative Verlaufsdiagnostik bei Cochleaimplantatversorgung. HNO 65:298–307. https://doi.org/10.1007/s00106-016-0214-y

    Article  CAS  PubMed  Google Scholar 

  36. Stemmler M, Petermann F, Daseking M et al (2013) Diagnostik und Verlauf von kognitiven Fähigkeiten bei älteren Menschen. Gesundheitswesen 75:761–767. https://doi.org/10.1055/s-0033-1357164

    Article  CAS  PubMed  Google Scholar 

  37. Uhlmann RF, Larson EB, Rees TS et al (1989) Relationship of hearing impairment to dementia and cognitive dysfunction in older adults. JAMA 261:1916–1919

    Article  CAS  PubMed  Google Scholar 

  38. Wingfield A (2016) Evolution of models of working memory and cognitive resources. Ear Hear 37:35S–43S. https://doi.org/10.1097/AUD.0000000000000310

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Campus Virchow-Klinikum, Klinik für Hals‑, Nasen- und Ohrenheilkunde, Augustenburger Platz 1, 13353, Berlin, Deutschland

    S. Knopke & H. Olze

  2. Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Campus Charité Mitte, Klinik für Hals‑, Nasen- und Ohrenheilkunde, Berlin, Deutschland

    H. Olze

Authors
  1. S. Knopke
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Olze
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Knopke.

Ethics declarations

Interessenkonflikt

S. Knopke und H. Olze geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Knopke, S., Olze, H. Hörrehabilitation mithilfe von Cochleaimplantaten und kognitive Fähigkeiten. HNO 66, 364–368 (2018). https://doi.org/10.1007/s00106-017-0423-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-017-0423-z

Schlüsselwörter

Keywords

Search

Navigation