In Rehabilitation

Auditory working memory is the process of remembering and working with sounds previously heard and no longer present in the environment [1]. As auditory information is received, it must be processed and stored for use as needed. Working memory serves as an interface between perception, long-term memory, and action [2]. This process is key to managing everyday tasks such as engaging in conversations. This then impacts an individual’s ability to manage both work and social situations.

Hearing Loss & Auditory Working Memory

Hearing loss is a factor that can influence auditory working memory capacity [1]. Untreated hearing loss may affect the integrity of the neural system which underlies some cognitive abilities such as storing auditory information into memory [1].

During communication activities, the brain processes incoming sounds received to facilitate understanding in the listener. However, the brain must work harder to process the sounds if hearing loss is present [5]. This greater workload may use resources that the brain needs for other activities such as learning and committing what is heard to memory. Reduced auditory working memory and its follow-on effects can be the result. When background noise is present, cognitive processes, including working memory, become even more important [3].

Improving Cochlear Implant Recipients’ Working Memory Capacity

After provision of hearing technology, such as hearing aids or cochlear implants, additional training of the auditory working memory capacity becomes possible with the accompanying improved hearing. Auditory training has been shown to have a positive impact on working memory [4]. It has also been suggested that an integrated auditory-cognitive training approach may lead to increased training benefit for speech understanding in background noise [4].

To help professionals work with recipients to improve their auditory working memory and offer a more integrated auditory-cognitive training approach, we have included tasks in our free Adult Rehabilitation Kits to facilitate auditory-cognitive training.

Auditory Training Can Build Working Memory Capacity

Our latest resource, Adult Rehabilitation Kit 10: Sports—In The Game, includes an example of an activity designed specifically to help train auditory working memory. In this activity, the recipient needs to listen to, remember, and then act on instructions containing multiple elements. This is done in a fun activity incorporating characters and a sport playing field. All instructions are included.

Tips to help recipients enjoy watching sports in social environments are also included in this kit.

Free Download: MED-EL Adult Rehabilitation Kit 10: Sports – In The Game

Check Out Our Previous Adult Rehabilitation Kits

In case you missed any of them, you can download all of the previous Adult Rehabilitation Kits here:

Adult Rehabilitation Kit Introductory Activities designed to get recipients started in the first weeks after device activation.

Adult Rehabilitation Kit 1.

Adult Rehabilitation Kit 2.

Adult Rehabilitation Kit 3.

Adult Rehabilitation Kit 4.

Adult Rehabilitation Kit 5.

Adult Rehabilitation Kit 6.

Adult Rehabilitation Kit 7.

Adult Rehabilitation Kit 8.

Adult Rehabilitation Kit 9.

 

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Not all products, features, or indications shown are approved in all countries. Please contact your local MED-EL representative for more information.

Special thanks to Donna Sperandio, Senior Rehabilitation Manager at MED-EL, for contributing this article.

  1. Roy, Rinu. (2018). Auditory Working Memory: A Comparison Study in Adults with Normal Hearing and Mild to Moderate Hearing Loss. Global Journal of Otolaryngology, 13, DOI:10.19080/GJO.2018.13.555862
  2. Baddeley, A. (2003). Working memory and language: An overview. Journal of Communication Disorders, 36, 189-208. https://doi.org/10.1016/S0021-9924(03)00019-4
  3. Heinrich, A., Henshaw, H., and Ferguson, M. A. (2015). The relationship of speech intelligibility with hearing sensitivity, cognition, and perceived hearing difficulties varies for different speech perception tests.  Psychol. 6:782. https://doi.org/10.3389/fpsyg.2015.00782
  4. Ferguson, M., & Henshaw, H. (2015). Auditory training can improve working memory, attention, and communication in adverse conditions for adults with hearing loss. Frontiers In Psychology6, 556. https://doi.org/10.3389/fpsyg.2015.00556
  5. Meister H, Schreitmüller S, Ortmann M, Rählmann S and Walger M (2016) Effects of Hearing Loss and Cognitive Load on Speech Recognition with Competing Talkers.  Psychol. 7:301. https://doi.org/10.3389/fpsyg.2016.00301 

 

 

 

 

 

 

 

 

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