Prevention of Cognitive Impairment Through Audiocognitive Rehabilitation: Results of the NeuRea Method
Main Article Content
Abstract
Background: The aging of the world´s population have led to an increase in the prevalence of neurodegenerative diseases.
Aims: The study aims to analyze the prevention of cognitive impairment through the application of audiocognitive rehabilitation (NeuRea Method) on people with hearing impairment.
Methods: A total of 409 patients met the inclusion criteria. They were divided into an Experimental (EG) and a Control Group (CG). The EG underwent an audiological and speech therapy program. These programs included neuroadaptation adjustment of hearing aids and rehabilitation of impaired auditory and cognitive functions. Patients without cognitive alterations in EG also received cognitive training. The CG did not receive any interventions. Both groups were cognitively assessed at the beginning and at the end of the study.
Results: Results showed that 85.16% of the EG obtained better results in the cognitive test, and no one contained worse results, compared to a 3% improvement in CG, 4% obtained worse results. 81% of the EG patients without cognitive impairment also improved.
Conclusion: The NeuRea method can be used as an additional treatment for wearing hearing aids to improve the language comprehension capacity of people with hearing loss, reduce their cognitive load, and improve their cognition whether already altered or not.
Keywords:
Hearing loss, cognitive impairment, audiocognitive rehabilitation, phonemic adaptation, cognitive impairment prediction, dementia prevention
Article Details
How to Cite
R, Albaladejo Bernal et al.
Prevention of Cognitive Impairment Through Audiocognitive Rehabilitation: Results of the NeuRea Method.
Medical Research Archives, [S.l.], v. 12, n. 6, june 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5477>. Date accessed: 21 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i6.5477.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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23. Tsimpida D, Kontopantelis E, Ashcroft D, Panagioti M. Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing. JAMA Netw Open. 2020;3(8):e2015009. Published 2020 Aug 3. Doi:10.1001/jamanetworkopen.2020.15009
24. Sanders ME, Kant E, Smit AL, Stegeman I. The effect of hearing aids on cognitive function: A systematic review. PLoS One. 2021;16(12):e0261207. Published 2021 Dec 31. Doi:10.1371/journal.pone.0261207.
25. Yeo BSY, Song HJJMD, Toh EMS, et al. Association of Hearing Aids and Cochlear Implants With Cognitive Decline and Dementia: A Systematic Review and Meta-analysis. JAMA Neurol. 2023;80(2):134-141. Doi:10.1001/jamaneurol.2022.4427.
26. Kwak C, Han W, Bahng J. Systematic Review and Meta-Analysis of the Application of Virtual Reality in Hearing Disorders. J Audiol Otol. 2022;26(4):169-181. Doi:10.7874/jao.2022.00234
27. Convery E, Keidser G, McLelland M, Groth J. A Smartphone App to Facilitate Remote Patient-Provider Communication in Hearing Health Care: Usability and Effect on Hearing Aid Outcomes. Telemed J E Health. 2020;26(6): 798-804. Doi:10.1089/tmj.2019.0109.
2. García-Herranz S, Díaz-Mardomingo MC, Peraita H. Evaluación y seguimiento del envejecimiento sano y con deterioro cognitivo leve (DCL) a través del TAVEC. Anales de Psicología. 2014; 30(1): 372-379. Doi: 10.6018/analesps.30.1.150711
3. Rallapalli V, Ellis G, Souza P. Effects of Directionality, Compression, and Working Memory on Speech Recognition. Ear Hear. 2021;42(3):492-505. Doi:10.1097/AUD.0000000000000970
4. Elias MF, Beiser A, Wolf PA, Au R, White RF, D'Agostino RB. The preclinical phase of alzheimer disease: A 22-year prospective study of the Framingham Cohort. Arch Neurol. 2000;57(6):808 -813. Doi:10.1001/archneur.57.6.808.
5. Singh-Manoux A, Kivimaki M, Glymour MM, et al. Timing of onset of cognitive decline: results from Whitehall II prospective cohort study. BMJ. 2012;344 :d7622. Published 2012 Jan 5. Doi:10.1136/bmj.d7622
6. Vassilaki M, Aakre JA, Knopman DS, et al. Informant-based hearing difficulties and the risk for mild cognitive impairment and dementia. Age Ageing. 2019;48(6):888-894. Doi:10.1093/ageing/afz099.
7. Zheng Y, Fan S, Liao W, Fang W, Xiao S, Liu J. Hearing impairment and risk of Alzheimer's disease: a meta-analysis of prospective cohort studies. Neurol Sci. 2017;38(2):233-239. Doi:10.1007/s10072-016-2779-3.
8. Amieva H, Ouvrard C, Giulioli C, Meillon C, Rullier L, Dartigues JF. Self -Reported Hearing Loss, Hearing Aids, and Cognitive Decline in Elderly Adults: A 25 -Year Study. J Am Geriatr Soc. 2015;63(10):2099-2104. Doi:10.1111/jgs.13649.
9. Lin FR, Albert M. Hearing loss and dementia - who is listening?. Aging Ment Health. 2014;18(6):671 -673. Doi:10.1080/13607863.2014.915924.
10. Wong LL, Yu JK, Chan SS, Tong MC. Screening of cognitive function and hearing impairment in older adults: a preliminary study. Biomed Res Int. 2014;2014:867852 Doi:10.1155/2014/867852.
11. Glista D, Scollie S, Moodie S, Easwar V ; Network of Pediatric Audiologists of Canada. The Ling 6(HL) test: typical pediatric performance data and clinical use evaluation. J Am Acad Audiol. 2014;25(10):1008- 1021. Doi:10.3766/jaaa.25.10.9
12. Ciesielska N, Sokołowski R, Mazur E, Podhorecka M, Polak-Szabela A, Kędziora-Kornatowska K. Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. Czy test Montreal Cognitive Assessment (MoCA) może być skuteczniejszy od powszechnie stosowanego Mini-Mental State Examination (MMSE) w wykrywaniu łagodnych zaburzeń funkcji poznawczych u osób po 60. roku życia? Metaanaliza. Psychiatr Pol. 2016;50(5):1039-1052. Doi:10.12740/PP/45368
13. Pinto TCC, Machado L, Bulgacov TM, et al. Is the Montreal Cognitive Assessment (MoCA) screening superior to the Mini-Mental State Examination (MMSE) in the detection of mild cognitive impairment (MCI) and Alzheimer's Disease (AD) in the elderly?. Int Psychogeriatr. 2019;31(4):491-504. Doi:10.1017/S1041610218001370
14. McHugh ML. The odds ratio: calculation, usage, and interpretation. Biochemia medica.2009; 19(2):120-126. Doi: 10.11613/BM.2009.011
15. Slade K, Plack CJ, Nuttall HE. The Effects of Age-Related Hearing Loss on the Brain and Cognitive Function. Trends Neurosci. 2020;43(10):810-821. Doi:10.1016/j.tins.2020.07.005
16. Sordera y Pérdida de la Audición. World Health Organization. Accessed April 2, 2024. https://www.who.int/es/health-topics/hearing-loss#tab=tab_2.
17. Nkyekyer J, Meyer D, Pipingas A, Reed NS. The cognitive and psychosocial effects of auditory training and hearing aids in adults with hearing loss. Clin Interv Aging. 2019;14:123-135. Published 2019 Jan 11. Doi:10.2147/CIA.S183905
18. Sarant J, Harris D, Busby P, et al. The Effect of Cochlear Implants on Cognitive Function in Older Adults: Initial Baseline and 18-Month Follow Up Results for a Prospective International Longitudinal Study. Front Neurosci. 2019;13:789. Published 2019 Aug 2.
Doi: 10.3389/fnins.2019.00789
19. Uchida Y, Sugiura S, Nishita Y, Saji N, Sone M, Ueda H. Age-related hearing loss and cognitive decline - The potential mechanisms linking the two. Auris Nasus Larynx. 2019;46(1):1-9. Doi:10.1016/j.anl.2018.08.010.
20. Livingston G, Sommerlad A, Orgeta V, et al. Dementia prevention, intervention, and care. Lancet. 2017;390(10113):2673-2734. Doi:10.1016/S0140-6736(17)31363-6
21. Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA. Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis [published correction appears in JAMA Otolaryngol Head Neck Surg. 2018 Feb 1;144(2):176]. JAMA Otolaryngol Head Neck Surg. 2018;144(2):115-126. Doi:10.1001/jamaoto.2017.2513.
22. Cardemil F, Aguayo L, Fuente A. Programas de rehabilitación auditiva en adultos mayores, ¿qué sabemos de su efectividad?. Acta Otorrinolaringol Esp. 2014;65(4):249-57.
23. Tsimpida D, Kontopantelis E, Ashcroft D, Panagioti M. Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing. JAMA Netw Open. 2020;3(8):e2015009. Published 2020 Aug 3. Doi:10.1001/jamanetworkopen.2020.15009
24. Sanders ME, Kant E, Smit AL, Stegeman I. The effect of hearing aids on cognitive function: A systematic review. PLoS One. 2021;16(12):e0261207. Published 2021 Dec 31. Doi:10.1371/journal.pone.0261207.
25. Yeo BSY, Song HJJMD, Toh EMS, et al. Association of Hearing Aids and Cochlear Implants With Cognitive Decline and Dementia: A Systematic Review and Meta-analysis. JAMA Neurol. 2023;80(2):134-141. Doi:10.1001/jamaneurol.2022.4427.
26. Kwak C, Han W, Bahng J. Systematic Review and Meta-Analysis of the Application of Virtual Reality in Hearing Disorders. J Audiol Otol. 2022;26(4):169-181. Doi:10.7874/jao.2022.00234
27. Convery E, Keidser G, McLelland M, Groth J. A Smartphone App to Facilitate Remote Patient-Provider Communication in Hearing Health Care: Usability and Effect on Hearing Aid Outcomes. Telemed J E Health. 2020;26(6): 798-804. Doi:10.1089/tmj.2019.0109.