SEMINAR ON COCHLEAR IMPLANTS AND TECHNOLOGY FOR PERSONS WITH HEARING IMPAIRMENTS AUD 7324, FALL, 2013

Transcription

1 SEMINAR ON COCHLEAR IMPLANTS AND TECHNOLOGY FOR PERSONS WITH HEARING IMPAIRMENTS AUD 7324, FALL, 2013 Course Information Time: Thursdays, 10:00 a.m. 1:00 p.m. Location: Callier Richardson, Room Course Credits: 3 Professor Contact Information Instructor: Andrea Warner-Czyz, Ph.D. Telephone: warnerczyz@utdallas.edu Office Hours: Mondays, 10:00 a.m. 12:00 p.m., or by appointment Course Description This course will explore the many different areas and issues related to cochlear implantation. Topics to be covered include signal processing, candidacy determination, medical considerations, steps in programming, audiologic (re)habilitation techniques, ethical issues, and speech perception and speech production outcomes in children and adults. Information will be presented and learned through lectures, guest speakers, video presentations, hands-on activities, assignments, and interactions with users of cochlear implants. Future technologies and assistive devices will be discussed. This course is intended to be an interactive course, with regular student participation. This course is designed with an emphasis on independent critical thinking and learning activities. Student Learning Objectives/Outcomes 1. Students will be able to list the criteria for consideration for cochlear implantation in both adults and children. They will demonstrate ability to perform pre- and post-cochlear implantation evaluations and select appropriate test batteries, rehabilitative, and treatment options (Standard IV-E). 2. Students will discuss the types and use of FDA-approved cochlear implant devices (Standard IV- E). 3. Students will analyze controversial issues such as Deaf Culture and their role in cochlear implantations (Standard IV-E). For Doctorate of Audiology students, this class will provide knowledge relevant to your certification in audiology in the following areas: 1. Standard IV-A, Sections B3, B4, B5, B6, B9, B11, B13, B15, B16, B17, and B Standard IV-C, Section C3. The applicant must be competent in the prevention and identification of auditory and vestibular disorders. 3. Standard IV-D, Sections D2, D3, D7, D8, D10, and D11. The applicant must be competent in the evaluation of individuals with suspected disorders of the auditory, balance, and communication systems. 4. Standard IV-E, Sections E2, E3, E4, E6, E7, E8, E10, E11, and E15. The applicant must be competent in the treatment of individuals with auditory, balance, and related communication disorders. Course Syllabus AUD7364 Page 1

2 Required Textbooks and Materials Required and supplemental readings will be posted online at elearning or made available for students to photocopy or print online. The readings are meant to supplement and expand upon information presented in class and must be read to complete the course s annotated bibliography requirement. Required Course Materials Wolfe, J., & Schafer, E. (2010). Programming cochlear implants. Plural Publishing: San Diego, CA.. ISBN Assignments & Academic Calendar Date Topic 8/29/2013 History of cochlear implants (CI); CI anatomy and function 9/5/2013 CI candidacy; Deaf culture 9/12/2013 Surgical Considerations; Social work and psychology 9/19/2013 CI equipment and signal processing 9/26/2013 Programming and follow-up in CI; Speech perception outcomes 10/3/2013 Cochlear, BAHA, and ABI Specialist; Advanced Bionics Clinical Specialist 10/10/2013 Med El Clinical Specialist; Speech and language outcomes 10/17/2013 Binaural hearing and CI 10/24/2013 Music perception and appreciation 10/31/2013 Quality of life; Vestibular and CI 11/7/2013 Different applications of CI technology 11/14/2013 Audiologic (re) habilitation and Auditory-Verbal Therapy 11/21/2013 Coupling the CI with external devices 11/28/2013 No class Thanksgiving 12/5/2013 Research and future directions TBD Final exam* Course Syllabus AUD7364 Page 2

3 Readings History of cochlear implants Loizou, P. (1998). Mimicking the human ear. IEEE Processing magazine, Wolfe, J., & Schafer, E. (2010). Programming cochlear implants. Plural Publishing: San Diego, CA.. Chapter 1. Cochlear implant candidacy Gifford, R. (2011). Who is a cochlear implant candidate? The Hearing Journal, 64(6), Leigh, J., Dettman, S., Dowell, R., & Sarant, J. (2011). Evidence-based approach for making cohclear implant recommendations for infants with residual hearing. Ear & Hearing, 32(3), Surgical considerations Francis, Buchman, Visaya, Wang, Zwolan, Fink, The CDaCI Investigative Team, and Niparko (2008). Surgical Factors in Pediatric Cochlear Implantation and Their Early Effects on Electrode Activation and Functional Outcomes. Otology & Neurotology, 29, Lorry G. Rubin, MD, Blake Papsin, MD et al. (2010). Policy Statement Cochlear Implants in Children: Surgical Site Infections and Prevention and Treatment of Acute Otitis Media and Meningitis. PEDIATRICS Volume 126, Number 2, Deaf Culture Levy, N. (2002). Deafness, culture, and choice. Journal of Medical Ethics, NAD position statement on cochlear implants (2000). Ramsey, C.L. (2000). Ethics and culture in the Deaf Community response to cochlear implants. Seminars in Hearing, 21(1), Cochlear implant equipment and signal processing Wolfe, J., & Schafer, E. (2010). Programming cochlear implants. Plural Publishing: San Diego, CA.. Chapters 2 & 3. Rubinstein, J. (2004). How cochlear implants encode speech. Curr Opin Otolaryngol Head Neck Surg 12: Programming and follow-up Shapiro, W.H., & Bradham, T.S. (2012). Cochlear implant programming. Otolaryngologic Clinics of North America, 45(1), Wolfe, J., & Schafer, E. (2010). Programming cochlear implants. Plural Publishing: San Diego, CA.. Chapters 5. Warner-Czyz, A.D. (2009). Initial stimulation and mapping: What to expect. In B. Loy & P. Roland (Eds.) Cochlear Implants: What Parents Should Know (pp ). Plural Publishing: San Diego. Speech perception outcomes Green, K.M.J., Bhatt, Y.M., Mawman, D.J., O'Driscoll, M.P., Saeed, S.R., Ramsden, R.T., & Green, M.W. (2007). Predictors of audiological outcome following cochlear implantation in adults. Cochlear Implants International, 8(1), Tobey, E.A., Warner-Czyz, A.D., Britt, L., Peskova, O., and Pugh. K.C. (2012). Evidence about the Effectiveness of Cochlear Implants for Children: Open-Set Speech Recognition. Invited book chapter for L. Hickson and L.L.N. Wong (Eds.), Evidence Based Practice in Audiology: Evaluating Interventions for Children and Adults with Hearing Impairment (pp ), Plural Publishing: San Diego. Speech and language outcomes Course Syllabus AUD7364 Page 3

4 Leigh J ; Dettman S ; Dowell R ; Briggs R (2013). Communication development in children who receive a cochlear implant by 12 months of age. Otology & Neurotology, 34 (3), Geers, A.E. & Sedey, A. Language and verbal reasoning skills in adolescents with 10 or more years of cochlear implant experience. Ear and Hearing, 32 (1 Suppl), 39S-48S. Geers, A.E. & Hayes, H. Reading, writing, and phonological processing skills of adolescents with 10 or more years of cochlear implant experience. Ear and Hearing, 32 (1 Suppl), 49S-59S. Binaural hearing Dowell, R.C., Galvin, D.K., Dettman, S.J., Leigh, J.R., Hughes, K.C., van Hoesel, R. (2011). Bilateral Cochlear Implants in Children. Seminars in Hearing, 32(1), Litovsky, R. (2011). Review of recent work on spatial hearing skills in children with bilateral cochlear implants. Cochlear Implants International, 12, SupplementS1, p Dorman, M. Yost, W.A., Wilson, B., & Gifford, R.H.(2011). Speech Perception and Sound Localization by Adults with Bilateral Cochlear Implants. Seminars in Hearing, 32(1), Music perception and appreciation Limb & Rubinstein (2012). Current Research on Music Perception in Cochlear Implant Users. Otolaryngol Clin N Am, 45, Drennan & Rubinstein. (2008). Music perception in cochlear implant users and its relationship with psychophysical capabilities. J Rehabil Res Dev., 45(5): Looi, V., Gfeller, K., & Driscoll, V.D. (2012). Music Appreciation and Training for Cochlear Implant Recipients: A Review. Seminars in Hearing, 33 (4), Quality of Life Warner-Czyz, A.D., Loy, B., Tobey, E.A., Nakonezy, P., & Roland, P.S. (2011). Exploring quality of life in children and adolescents using cochlear implants. International Journal of Pediatric Otorhinolaryngology, 75(1), Archbold, S. M., Sach, T. H., O'Neill, C., Lutman, M. E., & Gregory, S. (2008). Outcomes from cochlear implantation for child and family: Parental Perspectives. Deafness Education International, 10, Looi V ; Mackenzie M ; Bird P ; Lawrenson R. (2011). Quality-of-life outcomes for adult cochlear implant recipients in New Zealand. The New Zealand Medical Journal, 124 (1340), Vestibular and CI Katsiari, E., Balatsouras, D., Sengas, J., Riga, M., Korres, G., & Xenelis, J. (2013). Influence of cochlear implantation on the vestibular function. European Archives of Oto-Rhino-Laryngology, 270 (2), FM Thibodeau, L. (2010). Interfacing FM Systems with Implantable hearing devices. Seminars in Hearing,31, Wolfe et al. (2009). Evaluation of Speech Recognition in Noise with Cochlear Implants and Dynamic FM. Journal of the American Academy of Audiology, 20, Future directions Clark, G.M. (2008). Personal reflections on the multichannel cochlear implant and a view of the future. Journal of rehabilitation research and development, 45 (5), Wilson, B.S., & Dorman, M.F. (2008). Cochlear implants: a remarkable past and a brilliant future. Hearing Research, 242 (1-2), Course Syllabus AUD7364 Page 4

5 Grading Policy Exams (40%) The real value of a test is the preparation, learning, and critical thinking ability that develops out of preparing for a test. The tests are designed with an eye toward everyday clinical decision making. There will be two exams. The format will be a combination of the following: Multiple choice, true/false, matching, labeling diagrams, fill-in-the-blank, short answer, short essay, and application (i.e., case studies). The midterm exam will be a take-home test; the final exam will be an in-class exam. * The Registrar s office determines final exam dates and schedules. Exam schedules will be available after census day and will posted in Orion and announced in class and on the course elearning page. Individual projects (15%) The purpose of these assignments is to allow students to think critically and independently on cochlear implants outside of class and to share this information with others. Each project should be the original work of the student. Copying and pasting large amounts of information from other sources will not be accepted. Small quotes from other sources of information, with proper citations, are acceptable. All postings must include proper grammar, spelling, punctuation, language, and a clear organization of thoughts. Links to outside sources and images may be included. Complete three recorded, live, or text-based courses on Audiology Online ( related to cochlear implants. Complete the multiple choice tests at the end of each course. Print and submit these tests to show completion and passing scores. Also, please write a summary of the course and your experience/impressions. If you are unsure as to whether an offering on the Audiology Online website meets the criteria for the assignment, please the instructor before you begin the assignment. Due 09/26/2013. Observe a cochlear implant-related session. This could include watching cochlear implant surgery; observing speech-language therapy; viewing audiological testing and MAPping; attending a CI support group; etc. Write a one-page summary about your experience. Due 10/31/2013. New technologies for auditory implants include auditory brainstem implants, electroacoustic stimulation (EAS) devices, totally implantable devices, and waterproof devices emerge constantly. Create and design a new implantable product to market to individuals with severe to profound hearing loss. Think about the type of research that will be needed to test your product and the niche that your product will fill. Come prepared to talk about this on the last day of class. Due 12/05/2013. Group projects and presentation (20%) The class will be divided into small groups (2-3 students each) to select a topic to research. Create a handout or brochure. Present it as experts in a 15-minute class lecture with a 5-minute question and answer period. The group should choose three recent (within the past 10 years) and relevant publications for the entire class to read to prepare for their class presentation. All documents must be made available one week prior to the presentation. Unilateral CI vs. Bimodal CI + HA vs. Bilateral CIs Music perception and appreciation with cochlear implants Participation in sports with a CI Participation in non-sport activities and/or traveling with a CI Other topics approved in advance Participation (10%) Your participation grade will be based upon in-class participation and class summaries. Active participation includes but is not limited to contributions to topic discussions, asking questions, answering questions, giving presentations, and making connections to other topics within the class, in other classes, or within the field. In addition, students will write some type of summary for each class and submit it by Course Syllabus AUD7364 Page 5

6 the following Tuesday. These summaries vary in style (chart, summary, list, etc.) and will enhance understanding of topics by allowing students to explain ideas or concepts in their own words. These summaries also allow the instructors to determine topics that require additional explanation. Course & Instructor Policies No make-up assignments or additional assignments for extra credit will be given in the event of student absence from the class that cannot be documented as an emergency or death in the family. Regular attendance and active participation in discussion are strongly encouraged. UT Dallas Syllabus Policies and Procedures The information contained in the following link constitutes the University s policies and procedures segment of the course syllabus. Please go to for these policies. The descriptions and timelines contained in this syllabus are subject to change at the discretion of the Professor. Course Syllabus AUD7364 Page 6