![]() 1 This may have been the result of the misplaced belief that once audibility was established, adequate communication would automatically follow, and was almost certainly affected by the poor or nonexistent reimbursement available to audiologists for aural rehabilitation services. As manufacturers promoted and marketed advances in hearing aids, the number of audiologists engaging in the delivery of aural rehabilitation decreased. ![]() Over time, however, the focus of research shifted to improving wearable amplification. In the 1940s, when the profession of audiology was founded, aural rehabilitation was considered the centerpiece of care for hearing-impaired individuals. This renewed attention is also welcome because it appears that the use of aural rehabilitation had been on the decline for the past 2 decades. It is welcome because neither wearable amplification nor cochlear implantation can restore to the wearer the frequency and temporal resolution required to provide a listening experience that allows for comfortable and successful communication in all adverse listening environments. It is noticeable from the growing number of audiologists engaging in at least some form of rehabilitation designed to augment the benefit from hearing aids or cochlear implantation, as well as in the increasing number of scientific papers and presentations addressing this topic. There has been a noticeable, and welcome, resurgence of interest in aural rehabilitation in the past few years. The results from a study of the effect of d-amphetamine in conjunction with intensive aural rehabilitation with cochlear implant patients are also described. Another promising area of aural rehabilitation research is the use of pharmaceuticals in the rehabilitation process. This article reviews these programs and outlines the similarities and differences in their design. Several computerized aural rehabilitation programs for hearing aid wearers and cochlear implant recipients have recently been developed and were reported on at the 2006 State of the Science Conference of the Rehabilitation Engineering Research Center on Hearing Enhancement at Gallaudet University. These new delivery methods allow for a consistent, cost-effective, and convenient training program. Advances in aural rehabilitation have seen previous techniques such as speech tracking and analytic auditory training reappear in computerized forms. ![]() The level of interest in aural rehabilitation has increased recently, both in clinical use and in research presentations and publications. ![]()
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