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ORIGINAL ARTICLE
Year : 2019  |  Volume : 33  |  Issue : 2  |  Page : 63-70

Adaptation of “Adult aural rehabilitation guide” in Marathi and its utility in evaluation of postlingual adult cochlear implanted recipients


1 Department of Audiology and Speech Therapy, T. N. Medical College and B.Y.L. Nair Hospital, Mumbai, Maharashtra, India
2 Department of Audiology, Ali Yavar Jung National Institute of Speech and Hearing Disorders(D), Mumbai, Maharashtra, India

Correspondence Address:
Deepa Aniket Valame
Department of Audiology and Speech Therapy, T. N. Medical College and B.Y.L. Nair Hospital, Dr. A. Nair Road, Mumbai Central, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisha.JISHA_8_18

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Introduction: There is a need for a systematic assessment and training module in Marathi to ascertain the auditory performance of adult cochlear implantation (CI) recipients and to provide a standard regimen for treatment. The present study aimed to adapt the adult aural rehabilitation guide (AARG) in Marathi and to evaluate the performance of adult CI recipients using this tool; and to study the effect of chronological age, duration of the unaided hearing, postimplant duration (PID), and presence/absence of training on the auditory performance of adult CI recipients. Methods: Analytic and synthetic sections from the AARG were adapted in Marathi based on the acoustic-phonetic properties of Marathi. Two separate manuals – assessment manual and training manual – were developed. The assessment tool was administered on 26 adult postlingual CI recipients who were native speakers of Marathi. Training manual was used in two participants for a step-by-step aural rehabilitation program of eight sessions. Results: Most participants achieved scores above 20 for the analytic section, but <20 in synthetic section, out of a maximum score of 29. The difficulty was greater for open-set tasks, for sentences with uncommon words, and for longer sentences. Recipients could not use auditory commands for information transfer, seeking information, and in role-play. There was no correlation of auditory performance with chronological age, duration of unaided hearing, and PID of participants. The scores obtained were correlated to the presence/absence of previous rehabilitation. Conclusion: This study could successfully bring out a systematic assessment protocol in Marathi for postlingual CI recipients, and developed a systematic training module for their rehabilitation.


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