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Hearing aids, South Devon

Hearing aids, South Devon

The Honiton hearing centre is an independent hearing specialist centre based in Honiton South Devon.  We specialise in the very latest hearing aids that will transform your life. The new 2018 digital hearing aids are a joy to use, connecting with your Iphone or most Android smart phones that are on the market today.  You can really hear the benefits of the latest hearing tech, so why not book in and have a hearing test today and discuss your needs.

We cover Honiton, Exeter, Teignmouth, Torbay, Torquay, Totnes, Plymouth, Sidmouth, Kingsbridge, Seaton and South Hams.

 

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The latest 2018 hearing aids available at the Honiton hearing centre, Devon

Swedish University Researchers Develop New Test for Balance Disorders

Original story by The Hearing Review

Bo Håkansson, Professor in Biomedical Engineering, undergoes testing using the new compact vibrating device he and the team helped design. Credit: Johan Bodell/Chalmers University of Technology

Many individuals over age 65 suffer from dizziness and problems with balance; however, tests to identify the causes of such problems are often painful and can risk hearing damage. Now, researchers from Chalmers University of Technology have developed a new testing device using bone conduction technology that is said to offer “significant advantages” over current tests, the Sweden-based university announced. 

Hearing aids Teighnmouth, Devon

Potentials (VEMP) test uses loud sounds to evoke a muscle reflex contraction in the neck and eye muscles, triggered by the vestibular system—the system responsible for our balance. The Chalmers researchers have now used bone-conducted sounds to achieve what they say are better results.

“We have developed a new type of vibrating device that is placed behind the ear of the patient during the test,” said Bo Håkansson, a professor in the research group ‘Biomedical signals and systems’ at Chalmers.

Bo Håkansson, Professor in Biomedical Engineering at Chalmers. Photo Credit: Johan Bodell/Chalmers University of Technology

Bo Håkansson, Professor in Biomedical Engineering at Chalmers. Photo Credit: Johan Bodell/Chalmers University of Technology

The vibrating device is small and compact in size, and optimized to provide an adequate sound level for triggering the reflex at frequencies as low as 250 Hz. Previously, no vibrating device has been available that was directly adapted for this type of test of the balance system.

In bone-conduction transmission, sound waves are transformed into vibrations through the skull, stimulating the cochlea within the ear, in the same way as sound waves go through the ear canal, the eardrum, and the middle ear. Håkansson has over 40 years of experience in this field and has previously developed hearing aids using this technology.

The cause of dizziness can be difficult to diagnose for several reasons. In 50% of cases, dizziness is due to problems in the vestibular system. But today’s VEMP methods have major shortcomings, and can cause hearing loss and discomfort for patients.

Hearing aids Exeter, Devon

For example, the VEMP test uses very high sound levels, and may, in fact, cause permanent hearing damage itself, according to the university’s press release.  And, if the patient already suffers from certain types of hearing loss, it may be impossible to draw any conclusions from the test. The Chalmers researchers’ new method offers significant advantages.

“Thanks to this bone conduction technology, the sound levels which patients are exposed to can be minimized,” said postdoctoral researcher Karl-Johan Fredén Jansson, who made all the measurements in the project. “The previous test was like a machine gun going off next to the ear—with this method it will be much more comfortable. The new vibrating device provides a maximum sound level of 75 decibels. The test can be performed at 40 decibels lower than today’s method using air-conducted sounds through headphones. This eliminates any risk that the test itself could cause hearing damage.”

The benefits also include safer testing for children as well as patients with impaired hearing function due to chronic ear infections or congenital malformations in the ear canal and middle ear.

The vibrating device is compatible with standardized equipment for balance diagnostics in healthcare and the cost of the new technology is estimated to be lower than the corresponding equipment used today.

A pilot study has been conducted and recently published. The next step is to conduct a larger patient study in collaboration with Sahlgrenska University Hospital in Gothenburg, where 30 participants with normal hearing will also be included.

More about the research

The scientific article “VEMP using a new low-frequency bone conduction transducer” has recently been published by Dove Medical Press, in the journal Medical Devices: Evidence and Research.

Chalmers’ partners in the study are the Sahlgrenska Academy at the University of Gothenburg, and the Danish audio companies Ortofon andInteracoustics. Grants for this project are received from Vinnova (Swedish Innovations Agency) and Hörselskadades Riksförbund (Hearing Impairment Federation).

See the researchers’ own presentation of the project

Read more about research on medical signals and systems

Original Paper: Håkansson B, Fredén Jansson K-J, Tengstrand T, et al. VEMP using a new low-frequency bone conduction transducer. Medical Devices: Evidence and Research. 2018;11:301-312.

Source: Chalmers University of Technology, Medical Devices: Evidence and Research

Image: Johan Bodell/Chalmers University of Technology

 

Best Hearing aids South Hams Devon

Best Hearing aids South Hams Devon

 

Honiton hearing News in South Devon:

 

Starkey Launches Livio AI Hearing Aid with Integrated Sensors and Artificial Intelligence

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New Hearing aids in Devon at the Honiton Hearing centre. Ear wax removal using Microsuction

 

The Honiton hearing centre in South Devon, has the very latest hearing aids from Starkey. Read the news below to see what the new Starkey hearing aids can do fo your hearing today. Book an appointment to get your ear wax removed, or a hearing test.

Starkey® Hearing Technologies is said to have “reinvented both the hearing experience and the hearing aid” with Livio AI. Livio AI is reportedly “the world’s first” Healthable™ hearing aid to utilize integrated sensors and artificial intelligence and the first device to track physical activity and cognitive health as measured by hearing aid use in social situations, Starkey announced.

The launch also includes a brand-new mobile app—Thrive™ Hearing—and three new wireless accessories, the Starkey Hearing Technologies TV, the Remote, and the Remote Microphone +. With the Remote Micorophone+, Livio AI is also the first hearing aid to feature Amazon® Alexa connectivity.

“First and foremost, Livio AI is the best performing and best sounding hearing aid we have ever made,” said Starkey Hearing Technologies President Brandon Sawalich. “What makes today a pivotal moment in the hearing industry, is that with Livio AI, we have transformed a single-use device into the world’s first multi-purpose hearing aid, a Healthable with integrated sensors and artificial intelligence. Livio AI is so much more than just a hearing aid, it is a gateway to better health and wellness.”

According to Starkey, the new Hearing Reality™ technology is said to provide an average 50% reduction in noisy environments, significant reduced listening effort, and newly enhanced clarity of speech, while the use of artificial intelligence and integrated sensors enables it to help optimize the hearing experience.

Artificial intelligence and advancements in hearing technology enabled Livio AI to provide the following unique features and benefits, according to Starkey’s announcement:

  • Understand and see the real-time health benefits of using hearing aids – NEW
  • Overall health and wellness tracking through the app’s combined brain and body health score (Thrive Wellness Score) – NEW
  • Integration of the physical activity data measured by inertial sensors of the hearing aids with Apple Health and Google Fit apps – NEW
  • Personalized Control for customizable adjustments to sound and programs
  • Remote programming by users’ hearing professionals to put hearing healthcare in the hands of the users – NEW
  • Natural user interface with tap control – NEW
  • Unprecedented, natural listening, and speech clarity in the noisiest environments with the new Hearing Reality technology – NEW
  • Integrated language translation – NEW
  • Dual-radio wireless platform: 2.4GHz radio for streaming of phone calls, music, media, apps, and connecting with various devices including TVs and Amazon Alexa; near-field magnetic induction technology for true ear-to-ear communication and binaural noise reduction
  • Fall detection with inertial sensors integrated within the hearing aids (App support coming soon) – NEW

Designed to help users live their healthiest life, Livio AI is available as a RIC 312 and BTE 13 in a variety of colors. In addition to the above features, Livio AI also includes Starkey’s feedback cancellation, high-definition music prescription, Multiflex Tinnitus Technology, and Surface™ NanoShield pioneering water, wax, and moisture repellant system to help protect and ensure durability and dependability.

How integrated sensors and AI helped Starkey transform the hearing aid

“Artificial intelligence, coupled with advanced sensing devices, is rapidly changing the world around us,” Starkey Hearing Technologies Chief Technology Officer and Executive Vice President of Engineering Dr Achin Bhowmik said. “We are proud to introduce these transformational technologies into the world of hearing aids to both optimize the users’ hearing experiences and enable them to continuously monitor and improve their overall health besides treating hearing loss, reducing the associated risks of dementia, anxiety, and social isolation.”

The integrated 3D motion sensors inside Livio AI enable the hearing aids to detect movement, track activities, and recognize gestures. The hearing aids communicate with each other and compatible mobile accessories to deliver meaningful, real-time feedback about users’ overall body and cognitive health and fitness.

This technology may allow people to take a proactive and personal approach to treating hearing loss, which has been linked to various health issues including dementia, cognitive decline, anxiety, stress, social isolation, and an increased risk of falling.

Available at the Honiton hearing centre, South Hams Devon

Livio AI is reportedly the first device utilizing the ears to help users better understand not only how to improve their overall health and wellness, but also the deep connection between treating hearing loss and reducing health risks. This helps to improve key areas of wellbeing by reconnecting users to the people, places, and activities they love.

Livio AI is available in the United States and Canada at this time, with a global rollout to more than 20 countries in 2019. For more information about Livio AI hearing aids, the Thrive mobile app, and new Starkey Hearing Technologies accessories, please visit www.starkey.com

Stay tuned to Hearing Review for a follow-up article detailing Starkey’s launch of Livio AI.

Source: Starkey

Depression and Hearing loss

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Depression and Hearing loss. Honiton hearing Blog

 

Depression and Hearing Loss

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Depression and its connection to hearing loss seems pretty logical and self-evident, especially if you’re a dispensing professional who experiences daily the difference that amplification can make in a person’s life. In fact, many clinicians find themselves explaining the connection as follows: a person’s hearing loss and related communication problems can lead to gaffes and social faux pas; leading to embarrassment, anxiety, and loss of self-esteem; leading to gradual withdrawal from social situations and physical activity; leading to social isolation and loneliness; and eventually bringing them down the path to depression.

Karl Strom_photo

While this is probably an adequate description for some cases, a recent webinar1 by Victor Bray, PhD, associate professor and former dean of Salus University’s Osborne College of Audiology, points to more recent scientific literature that paints a far more complex picture of hearing loss and its association with depression—one we all should be aware of. The utility of hearing aids, cochlear implants, and assistive devices is made no less important by this complexity; however, it’s vital to understand who might be most at risk for depression in your patient population, how best to administer simple screening tools (ie, the PHQ-2 or PHQ-9), and why it’s important to refer patients to a medical doctor or psychologist, when indicated. 

Depression, also known as major depressive disorder (MDD), is present in 5-10% of the general population (up to 40% in some groups), and is a serious medical illness that negatively affects feelings, thoughts, and actions. The primary risk factors for depression are co-morbid chronic medical conditions (hearing loss is a pervasive chronic condition, especially among seniors) and recent stressful events. And, as with cognitive decline and dementia—the subject of my editorial last month—the stakes in treating depression are high for society and healthcare professionals. As Hsu and colleagues (2016) pointed out:

Depression is a common mental disorder, which affects 350 million people in the world. Unipolar depressive disorders and adult-onset hearing loss, the most common neuropsychiatric conditions, and sense organ disorder, respectively, are the first and second leading nonfatal causes of year loss due to disability among adults in high-income countries.2

Several of the studies reviewed by Dr Bray tend to suggest that the odds ratio for acquiring depression increases by a factor of about two if you have untreated hearing loss. However, a lot of the studies also show that a variety of chronic illnesses—ranging from cirrhosis to diabetes mellitus—can be associated with depression, so there could be some underlying neurophysiological common cause in hearing loss and other health problems that hasn’t been discovered yet. Dr Bray also looks at some very intriguing research about how dual-sensory loss (ie, hearing and vision loss) and sudden sensorineural hearing loss (particularly among young people) can greatly increase the risk for depression, as well as studies that are shedding light on how treated hearing loss might positively affect those suffering from anxiety, loneliness, and depression. 

As Dr Bray explains, the linkage of hearing loss to depression could come from both a social (downstream) effect, as described at the beginning of this article, and a biological/neurological (upstream) effect, as proposed in a model by Rutherford et al.3 If that were the case, an effective treatment plan could involve therapy and/or medication from a psychologist, in coordination with a hearing device and/or auditory and cognitive retraining from a hearing care professional. 

Dr Bray’s webinar was sponsored by Hamilton CapTel, and the company also sponsored an exceptionally interesting and well-viewed webinar last year about hearing loss and associated co-morbidities (including depression) by Harvey Abrams, PhD.4,5 When viewed together, they put an exclamation point on the fact that hearing loss isn’t just about the ears, it’s about health, the brain, quality of life, healthy aging, and so much more—while underscoring the crucial role of the hearing care professional in general healthcare.

To see Dr Bray’s webinar, visit https://bit.ly/2Lpt4AW

Citation for this article: Strom KE. Depression and hearing loss. Hearing Review. 2018;25(8):6.

References

1. Bray V. Depression, hearing loss, and treatment with hearing aids [Webinar]. July 13, 2018. Available at: http://www.hearingreview.com/2018/07/new-webinar-depression-hearing-loss-treatment-hearing-aids

2. Hsu W-T, Hsu C-C, Wen M-H, et al. Increased risk of depression in patients with acquired sensory hearing loss: A 12-year follow-up study. Medicine. 2016;95(44):e5312.

3. Rutherford BR, Brewster K, Golub JS, Kim AH, Roose SP. Sensation and psychiatry: Linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry. 2017;175(3):215-224.

4. Abrams H. Hearing loss and associated comorbidities: What do we know [Webinar]? May 31, 2017. Available at: http://www.hearingreview.com/2017/05/new-webinar-hearing-loss-associated-comorbidities-know/

5. Abrams H. Hearing loss and associated comorbidities: What do we know? Hearing Review. 2017;24(12):32-35. Available at: http://www.hearingreview.com/2017/11/hearing-loss-associated-comorbidities-know/

BBC news reader now wears a hearing aid.

Newsreader Lewis Vaughan Jones makes debut wearing hearing aid

Honiton hearing News:

This post is from the original BBC news item.

 “It was crowded and loud on air”

A newsreader who suddenly lost the hearing in his left ear, has received messages of support after his first appearance on air with a hearing aid.

Lewis Vaughan Jones, 37, feared his career presenting the news on the BBC and ITN was over after doctors told him the hearing loss was permanent.

“That was the darkest moment,” he told BBC Radio 5 live.

He also spoke of his embarrassment in social situations and the difficulties of coming to terms with a hearing aid.

Vaughan Jones had good hearing all his life until he got a cold several months ago and couldn’t hear in one ear.

Doctors found his left eardrum was no longer working and the nerve which takes sound to the brain had given up, he told BBC Breakfast.

When they told him the sudden hearing loss and the tinnitus were permanent, he walked out of hospital “completely bamboozled”, he added.

The charity Action on Hearing Loss says about 11m people in the UK have some form of hearing loss, and 2m use hearing aids. It estimates that there are about 6.7m people who could benefit from hearing aids.

Before being fitted with a hearing aid, Vaughan Jones said his situation had left him frustrated and embarrassed.

“There’s only so many times you can interrupt. You feel embarrassed so you withdraw,” he said.

He also described how he would smile and nod along when spending time with friends and family, feeling unable to engage and as though he was missing out.

His hearing aid, he said, has been a massive help, allowing him to return to work.

His return to screen, however, was a noisy one as he can hear the director and correspondents through an earpiece in his right ear and an amplified, distorted version of his own voice through the hearing aid in his left.

The brain should learn to quieten down that distortion, he said.

Getting used to wearing a hearing aid has not come easy.

“I was self-conscious about it. My hair is slightly longer so that’s a reflection that I might have been trying to hide it,” he adds.

Now back on air, he wants to show everyone he is wearing one.

“There’s no logical reason why I shouldn’t wear my hearing aid on air and feel good about it,” he said.

Some took to Twitter to agree.

Robbie M said he started wearing two hearing aids five years ago after finding he was unable to hear in meetings. He advised Vaughan Jones to “wear them with pride,” adding: “Quality of life over people’s thoughts every time.”

Nikki Magrath said: “Great to hear you talk about SSHL [Sudden Sensorineural Hearing Loss] today. I know just how it feels. Has happened twice – once with full recovery.”

Heading a football could create Balance issues

Heading a Football May Be Linked to Increase in Balance Problems

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Soccer players who head the ball more often may be more likely to have balance problems than players who do not head the ball as often, according to a preliminary study released today that will be presented at the American Academy of Neurology’s (AAN) Sports’ Concussion Conference in Indianapolis July 20 to 22, 2018, the AAN announced on its website.

“Soccer headers are repetitive subconcussive head impacts that may be associated with problems with thinking and memory skills and structural changes in the white matter of the brain,” said study author John Jeka, PhD, of the University of Delaware in Newark, Del. “But the effect of headers on balance control has not been studied.”

For the study, 20 soccer players recruited from the community in Newark took a balance test where they walked along a foam walkway with their eyes closed under two conditions: with galvanic vestibular stimulation (GVS) and without GVS. For GVS, electrodes placed behind each ear stimulate the nerves that send messages from the balance system in the inner ear to the brain. So the stimulator can make you feel like you are moving when you are not. In this case, it made participants feel like they were falling sideways.

The soccer players, who had an average age of 22, also completed questionnaires about how many times they had headed the ball during the past year. The number of headers over a year for each participant ranged from 16 to 2,100, with an average of 451 headers. Those numbers were calculated by asking participants for the average number of headers during a practice and game, the average number of practices and games per week, and the average number of months per year that the player participated.

The study found that the players with the largest number of headers had the largest balance responses to GVS in both foot placement and hip adduction during the walking test, which indicated that they had vestibular processing and balance recovery problems. Researchers found for every 500 headers, foot placement response increased about 9 millimeters and hip adduction response increased about 0.2 degrees.

“Soccer players must have good balance to play the game well, yet our research suggests that headers may be undermining balance, which is key to all movement, and yet another problem now linked to headers,” said study author Fernando V. Santos, PT, of the University of Delaware. “It is important that additional research be done to look more closely at this possible link with balance and to confirm our findings in larger groups of people.”

A limitation of the study was that participants relied on memory when reporting how many times they headed the ball. The study was supported by the National Institutes of Health (NIH).

Learn more about concussion at www.BrainandLife.org, the American Academy of Neurology’s free patient and caregiver magazine and website focused on the intersection of neurologic disease and brain health. Follow Brain & Life on FacebookTwitter, and Instagram.

To learn more about the AAN’s Sports Concussion Guideline and access resources, visit https://www.aan.com/concussion.

Original Paper: Santos FV, Caccese JB, Gongora M, et al. Greater exposure to repetitive subconcussive head impacts is associated with vestibular dysfunction and balance impairments during walking. Paper presented at: 2018 AAN Sports Concussion Conference; Indianapolis, IN. https://www.aan.com/PressRoom/Home/GetDigitalAsset/12757

Source: AAN

Image: © Macleoddesigns Dreamstime.com

Earwax removal in Devon

Earwax removal Devon @ Honiton hearing.

GN Hearing Launches Rechargeable Battery Option for ReSound Linx 3D

Devon earwax removal and hearing tests available at the Honiton hearing centre. We also conduct hearing tests and supply and fit the very latests digital hearing aids in Devon.

Honiton Hearing News:

 

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GN Hearing—the medical device division of the GN Group—has introduced a rechargeable battery option for the ReSound LiNX 3D hearing aids, the company announced. The rechargeable battery solution, available in North America and other major markets from September 1, gives ReSound users more options to choose from. The rechargeable option is also available for Beltone Trust in North America, and from September 1, this will be extended to other major markets.

The rechargeable battery option is made available based on an understanding of user expectations as well as a commitment to empower users to choose the solution best suited for their needs and preferences. The announcement follows GN Hearing’s release of the innovative 5thgeneration 2.4 GHz wireless technology ReSound LiNX 3D hearing aids, which offer unmatched sound quality, an enhanced fitting experience, and comprehensive remote fine-turning, giving users a new hearing care experience, GN Hearing said.

According to the company, ReSound LiNX 3D rechargeable has all of the benefits of ReSound LiNX 3D, now combined with the all-day power of a rechargeable battery. With overnight charging, users will experience the advantage of all-day power, without the need to change batteries.

ReSound Linx 3D rechargeable accessory.

ReSound LiNX 3D rechargeable accessory.

“GN Hearing is pleased to provide yet another option for hearing aid users, built on our commitment to providing unmatched sound quality and user experience,” said Anders Hedegaard, president & CEO, GN Hearing. “This new rechargeable battery solution allows hearing care professionals to offer an additional option to their clients, and gives hearing aids users even more choices to tailor their hearing experience to their unique preferences,” he added.

Source: GN Hearing 

Image: GN Hearing 

http://www.ear-wax-removal.co.uk

Best earwax removal in Devon (Honiton)

Best earwax removal in Devon (Honiton)

 

The Honiton hearing centre in Devon are regarded as being the best in Devon according to clients. They come back time after time after trying other earwax removal clinics in the Devon area.

 

Colin Eaton the top audiologist for the Whole of Devon runs the Honiton Hearing Centre and is a proud member of AHHIP the industry council and advisory body for hearing audiologists.  http://www.aihhp.org/

If you are looking for earwax removal using the gentle technique of Microsuction https://honiton-hearing.co.uk/services/earwax-removal/ or the more traditional water irrigation technique, here at the Honiton hearing centre they can do them both.

 

Honiton hearing centre News:

In the news this week:

Researchers Identify New Type of Vertigo, According to Study Published in ‘Neurology’

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Earwax removal and digital hearing aids in Devon U.K.

Neurologists have identified a new type of vertigo with no known cause, according to a study published in the May 23, 2018 online issue of Neurology, the medical journal of the American Academy of Neurology(AAN), the AAN announced on its website.

With vertigo, people have episodes of dizziness that can last from minutes to days. Vertigo can be caused by serious conditions, such as tumors, or conditions that are fairly benign, such the inner ear disorder Meniere’s disease. But for some people, no cause can be found.

In this new study, neurologists have identified a new type of vertigo where treatment may be effective.

“These conditions can be difficult to diagnose and quite debilitating for people, so it’s exciting to be able to discover this new diagnosis of a condition that may respond to treatment,” said study author Ji-Soo Kim, MD, PhD, of Seoul National University in Seongnam, South Korea.

To diagnose this new condition, the person sits in a dark room and the examiner moves the patient’s head forward and then the head is shaken horizontally for about 15 seconds. Then the patient opens his or her eyes and a video recording is taken of eye movements. The neurologists discovered that after the test, people with this new condition had eye movements called nystagmus that lasted longer than for other people. The new condition is called recurrent spontaneous vertigo with head-shaking nystagmus.

Among 338 people with vertigo with no known cause, 35 had this new condition and were included in the study. The participants had attacks of vertigo ranging from two or three times a week to once a year. They also experienced nausea or vomiting, headaches, and intolerance of head motions during the attacks.

The participants were compared to 35 people with other conditions that can cause vertigo, such Meniere’s disease, vestibular migraine, and vestibular neuritis. The test measured the time constant, or the time that represents the speed with which the reflexive eye movements can respond to change. For those with the new condition, the time constant during the primary phase of the nystagmus was 12 seconds, while it was six seconds for those with Meniere’s disease and five seconds for those with vestibular neuritis and vestibular migraine.

The neurologists also found that people with the new type of vertigo were more likely to have severe motion sickness than those with other types of vertigo.

A total of 20 of the 35 people with the new type of vertigo who had frequent attacks and severe symptoms were given preventive medication. About one-third of those had partial or complete recovery with the new medication. During the long-term follow-up of an average of 12 years after the first symptoms for 31 participants, five reported no more attacks, 14 said their symptoms had improved, and only one said symptoms had gotten worse.

Kim said that people with this condition may have a hyperactive mechanism in their vestibular system that helps the brain respond to movement of the body and in the environment.

“It’s possible that the vertigo occurs when this unstable mechanism is disrupted by factors either within the person’s body or in their environment,” Kim said.

The study was supported by the National Research Foundation of Korea. Learn more about the brain at www.BrainandLife.org, the American Academy of Neurology’s free patient and caregiver magazine and website focused on the intersection of neurologic disease and brain health. Follow Brain & Life on FacebookTwitter, and Instagram.

The American Academy of Neurology is said to be the world’s largest association of neurologists and neuroscience professionals, with 34,000 members. The AAN is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer’s disease, stroke, migraine, multiple sclerosis, concussion, Parkinson’s disease, and epilepsy.

For more information about the American Academy of Neurology, visit AAN.com or find us on FacebookTwitterLinkedIn, and YouTube.

Original Paper: Lee S-U, Jeong-Yoon C, Hyo-Jung K, Ji-Soo, K. Recurrent spontaneous vertigo with interictal headshaking nystagmus. Neurology. 2018. Available at: http://n.neurology.org/content/early/2018/05/23/WNL.0000000000005689

Source: AAN, Neurology 

 

 

 

Tinnitus therapy, Honiton, Devon

Brainwave Abnormality Could Be Common to Parkinson’s Disease, Tinnitus, Depression

Tinnitus, news update:

Earwax removal, hearing aids and hearing tests in Honiton, Devon.

 

The Honiton hearing centre in Devon offers Tinnitus therapy

A brainwave abnormality could be a common link between Parkinson’s disease, neuropathic pain, tinnitus, and depression—a link that authors of a new study suggest could lead to treatment for all four conditions.

Dr Sven Vanneste, an associate professor in the School of Behavioral and Brain Sciences at The University of Texas at Dallas, is one of three authors of a paper in the journal Nature Communications regarding thalamocortical dysrhythmia (TCD), a theory that ties a disruption of brainwave activity to the symptoms of a wide range of neurological disorders, The University of Texas announced.

Dr Sven Vanneste, associate professor in the School of Behavioral and Brain Sciences.

Dr Sven Vanneste, associate professor in the School of Behavioral and Brain Sciences.

Vanneste and his colleagues—Dr Jae-Jin Song of South Korea’s Seoul National University and Dr Dirk De Ridder of New Zealand’s University of Otago—analyzed electroencephalograph (EEG) and functional brain mapping data from more than 500 people to create what Vanneste believes is the largest experimental evaluation of TCD, which was first proposed in a paper published in 1996.

“We fed all the data into the computer model, which picked up the brain signals that TCD says would predict if someone has a particular disorder,” Vanneste said. “Not only did the program provide the results TCD predicted, we also added a spatial feature to it. Depending on the disease, different areas of the brain become involved.”

https://honiton-hearing.co.uk/services/tinnitus-control/

The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.

Brainwaves are the rapid-fire rhythmic fluctuations of electric voltage between parts of the brain. The defining characteristics of TCD begin with a drop in brainwave frequency—from alpha waves to theta waves when the subject is at rest—in the thalamus, one of two regions of the brain that relays sensory impulses to the cerebral cortex, which then processes those impulses as touch, pain, or temperature.

A key property of alpha waves is to induce thalamic lateral inhibition, which means that specific neurons can quiet the activity of adjacent neurons. Slower theta waves lack this muting effect, leaving neighboring cells able to be more active. This activity level creates the characteristic abnormal rhythm of TCD.

“Because you have less input, the area surrounding these neurons becomes a halo of gamma hyperactivity that projects to the cortex, which is what we pick up in the brain mapping,” Vanneste said.

While the signature alpha reduction to theta is present in each disorder examined in the study—Parkinson’s, pain, tinnitus, and depression—the location of the anomaly indicates which disorder is occurring.

“If it’s in the auditory cortex, it’s going to be tinnitus; if it’s in the somatosensory cortex, it will be pain,” Vanneste explained. “If it’s in the motor cortex, it could be Parkinson’s; if it’s in deeper layers, it could be depression. In each case, the data show the exact same wavelength variation—that’s what these pathologies have in common. You always see the same pattern.”

EEG data from 541 subjects was used. About half were healthy control subjects, while the remainder were patients with tinnitus, chronic pain, Parkinson’s disease, or major depression. The scale and diversity of this study’s data set are what set it apart from prior research efforts.

“Over the past 20 years, there have been pain researchers observing a pattern for pain, or tinnitus researchers doing the same for tinnitus,” Vanneste said. “But no one combined the different disorders to say, ‘What’s the difference between these diseases in terms of brainwaves, and what do they have in common?’ The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.”

With these results in hand, the next step could be a treatment study based on vagus nerve stimulation—a therapy being pioneered by Vanneste and his colleagues at the Texas Biomedical Device Center at UT Dallas. A different follow-up study will examine a new range of psychiatric diseases to see if they could also be tied to TCD. Tinnitus, is thought to be connected.

For now, Vanneste is glad to see this decades-old idea coming into focus and suggest that Tinnitus is getting better understood,.

“More and more people agree that something like thalamocortical dysrhythmia exists,” he said. “From here, we hope to stimulate specific brain areas involved in these diseases at alpha frequencies to normalize the brainwaves again. We have a rationale that we believe will make this type of tinnitus therapy work.”

The research was funded by the National Research Foundation of Korea(NRF) and the Seoul National University Bundang Hospital.

Original Paper: Vanneste S, Song J-J, De Ridder D. Thalamocortical dysrhythmia detected by machine learning. Nature Communications. 2018;9(1103)

Source: Nature Communications, University of Texas at Dallas, Tinnitus.

Image: University of Texas at Dallas

http://www.ear-wax-removal.co.uk

http://www.keynshamhearing.co.uk

Earwax removal in Devon (Honiton hearing centre)

Earwax removal in Devon at the Honiton Hearing Centre.

Earwax- (ear wax), removal in Devon at the Honiton hearing centre.

 The Honiton hearing centre conduct free hearing test and hearing aid trials. Colin Eaton is the Chairman of AHHIP and is fully trained and qualified to conduct Microsuction and ear irrigation at his clinic in Honiton Devon.
Oticon OPN_miniRITE_miniRITE-T_BTE13 PP_

Reportedly the “official supplier” of hearing devices to the Veterans Affairs Administration, Department of Defense, and other federal agencies, Oticon has already brought the Oticon Opn™ open sound experience to many US veterans and active duty military service personnel, the company announced.  Microsuction of the ears to reduce ear wax is crucial before any work is done on a free hearing test at the Honiton hearing centre, the Oticon Government Services team will supply two new Opn solutions, Opn miniRITE-T and BTE Plus Power, and two new features, Tinnitus SoundSupport™ and Speech Rescue LX, to support the care provided by VA and government audiologists.

Microsuction for earwax removal is critical before any hearing aid is dispensed. Failing Microsuction there is always the option for the traditional earwax removal using water irrigation (ear irrigation).

“Many hearing care professionals in the Veterans Affairs Administration have experienced firsthand how Opn’s benefits of less effort, better recall, and better speech understanding in noise provide real-world, practical, and significant impact on quality of life,” said David Horowitz, Oticon Government Services manager. “Now our expanded offerings bring even more benefits to more patients, especially veterans suffering with tinnitus, the most prevalent service-connected disability.”

Tinnitus SoundSupport is designed to enable VA audiologists to address the needs of veterans who experience both hearing loss and tinnitus with a range of customizable relief sounds, including broadband and ocean-like sounds. For veterans who prefer a telecoil, the small, discreet Opn miniRITE-T features a telecoil and tactile toggle switch for volume and program control.  The Opn BTE 13 Plus Power gives veterans with hearing loss up to 105 dB HL access to Opn’s open sound experience. This hearing solution features a telecoil, toggle switch, and a two-color LED indicator.

All Opn styles and performance levels now also feature Speech Rescue LX, a feature that is designed to improve clarity and speech understanding for people with high-frequency hearing loss, according to Oticon. Speech Guard LX is designed to increase access to speech by rescuing speech cues that might otherwise be inaudible.

For more information about the expanded Oticon Opn family, visit www.Oticon.com/OPN.

Source: Oticon

Image: Oticon

Honiton earwax removal Devon

Devon earwax removal service in Honiton

Honiton-hearing.co.uk

Children with Hearing Loss May Experience Higher Rate of Bullying

Honiton hearing

balance issues in children

New UT Dallas research indicates that children and adolescents with hearing loss experience higher rates of peer victimization, or bullying, than children with typical hearing, UT Dallas announced in a press release on its website.

In the study, approximately 50% of the adolescents with hearing loss said they were picked on in at least one way in the past year. Previous studies show about 28% of adolescents in the general population report being bullied.

“I thought more children and adolescents with hearing loss would report getting picked on, but I did not expect the rates to be twice as high as the general population,” said Dr Andrea Warner-Czyz, an assistant professor in the School of Behavioral and Brain Sciences and a researcher at the Callier Center for Communication Disorders.

Dr Andrea Warner-Czyz

Dr Andrea Warner-Czyz

The study, which appears in the journal Exceptional Children, showed the type of bullying experienced by youth and adolescents with hearing loss mimics patterns in children with other special needs, with significantly higher rates of social exclusion.

More than one-fourth of adolescents with hearing loss indicated they felt left out of social activities, compared to only 5% of the general population reporting exclusion. These findings parallel published reports of fewer invitations to social events, lower quantity and quality of friendships, and higher loneliness in children and adolescents with hearing loss.

Researchers conducted an online survey of 87 children and adolescents ages 7 to 18 who wear cochlear implants or hearing aids for hearing loss. If they indicated they were picked on at all, the survey automatically generated follow-up questions on how often it occurred and why they thought they were targeted.

Approximately 45% said they did not know why, 20% said it was because of their hearing loss or cochlear implant, and 20% said it was because of how they looked or how they acted.

Based on information provided by parents and from other studies, Warner-Czyz said the problems with peers might reflect communication difficulties related to auditory skills.

“Sometimes they miss puns or a play on words, or other cues that have to do with humor. Or when something is said very quietly or in a noisy location, the student with hearing loss might miss it. And that can make them feel like an outcast, or it can make them look like an outcast,” she said.

“Friendships are important to most young people, but I believe are especially important for children with hearing loss.”
said Warner-Czyz. Alternatively, she said peer problems might indicate a broader issue of not recognizing social cues from conversation or distinguishing true friendship from acquaintances.

Researchers have previously said having at least one good friend is a protective factor against bullying. Most children in this study cited several or lots of friends, but anecdotal reports from parents and clinicians questioned the veracity of these friendships.

“Friendships are important to most young people, but I believe they are especially important for children with hearing loss,” said Warner-Czyz. “Anything parents can do to facilitate social interaction and friendship and letting them learn how to be a friend and who is a friend is critical.”

She said future research will delve more deeply into the reasons behind differences in friendship quality and peer victimization in children and adolescents with hearing loss to guide evidence-based, targeted therapeutic intervention and potentially contribute to effective anti-bullying programs geared toward children with special needs. She said these factors might go beyond individual youth characteristics to include a microsystem of school and home settings.

The research is part of a larger study exploring the quality of life in children and adolescents with cochlear implants.

Original Paper: Warner-Czyz AD, Loy B, Pourchot H, White T, Cokely E. Effect of hearing loss on peer victimization in school-age children. Exceptional Children. 2018;84(3):280-297.

Source: UT Dallas, Exceptional Children

Image: UT Dallas