Hearing fitness - the optimal all-round hearing aid fitting solution

This training guides new and experienced hearing aid users to achieve better listening comprehension

Die Definitionen von Hörgeräten und ihrer Bedeutung lesen sich reichlich spröde: "Das Hörgerät ist ein Hilfsmittel, mit dem schwerhörige Menschen das Defizit oder den Schaden ihres Gehörorgans ausgleichen und damit ihr Sprachverständnis wiederherstellen können." Die Definition selbst macht schon deutlich, dass der Ansatz des Hörgeräts zu kurz greift - geht sie doch davon aus, dass allein der "Ausgleich des Schadens des Gehörorgans" genüge, um Sprachverstehen wiederherzustellen. Diesen seit mehr als 100 Jahren fortbestehende Irrglaube - das erste elektrische Hörgerät wurde bereits im Jahre 1898 von Miller Reese Hutchison erfunden - gilt es zu korrigieren und drastisch zu erweitern.

In fact, we know today that the ear is comparable to a kind of analog-to-digital converter. Any sound, no matter whether we want to perceive it or not, is translated into nerve impulses by the ear and transmitted to the hearing centre in the brain. There - and not in the ear - it is decided which information is relevant and further processed. And which information is not important and should be hidden.

Modern hearing aids have impressive filtering options that can support this process. However, how often does the fully successful and satisfying hearing aid fitting suffer from the fact that the designated hearing aid wearer is not able to cope with the noise around him again thanks to the technically high-quality ear fitting and demands more and more noise suppression by the hearing system? This, in turn, is usually quickly at the expense of hearing comprehension. To put it simply: a distinction must be made between feel-good hearing aids and understanding hearing aids. But the customer always expects both.

However, the (potentially) most powerful filter of your customers does not sit on but always between the ears. For decades our brain has been doing this filter work every day without any effort. From the age of 40 onwards, some will notice that in noisy situations, such as in restaurants or in public, it becomes more strenuous to follow conversations without restriction. Here he notices for the first time the degradation process of his listening comprehension, which often begins creepingly from the beginning / mid-20s and to which we are all more or less strongly subjected. 

With 60+ the ears move into the "border area", as it is formulated so often straight by the specialist. This means that the hearing loss of >30dB is so pronounced that the statutory health insurance funds consider a hearing aid fitting to be appropriate and (partially) finance it. However, this target group often does not benefit enough from the hearing aid, because the main problem will not be in the ear, but in the processing and perception between the ears.

This can be checked by simple means: For example, the BASS test (software) a solid way to test basic central hearing functions and to determine the basal level speech processing ability of those affected. The automatically available report identifies strengths and weaknesses and documents the client's hearing age for each function. A screening of two such central hearing functions can be carried out by any interested person using the Audiofitness App which can be downloaded free of charge in the App-Store by Apple and the Playstore by Google as wekk.

With the help of the AXONE module, the acoustician supports the client in the immediate fitting phase during hearing aid acclimatisation and can significantly promote and accelerate the client's path of experience - a kind of physiotherapy for the ear and brain as preparation for further hearing comprehension training, which is an essential prerequisite for the client's hearing comprehension success. With the hörFit module, the Hörfitness app offers long-term support for the hearing aid user - and makes it clear that continuous - moderate - brain performance training can impressively enhance the benefits of the hearing aids. Hearing fitness leads out of the feeling of being "old" or even "ill" with a hearing aid and supports acousticians and end users in getting the maximum benefit out of a hearing aid fitting together.