Tag Archives: Ponto 5

Beyond Hearing: Music Appreciation for BAHS Users

Beyond mere entertainment, music plays a profound role in shaping human experiences and enriching quality of life, socialization, and psychosocial well-being.1 In fact, listening to and making music is touted by the World Health Organization (WHO) as a way to improve quality of life.2

One of the most profound ways music enriches our lives is through its ability to evoke and express emotions. Listening to music, as well as specific music therapy, has been shown to improve anxiety, depression, feelings of hopelessness, and even fatigue.3

Beyond its emotive impact, engaging with music stimulates cognitive functions and enhances brain health.4 For individuals facing cognitive decline or additional communication disorders, music therapy has emerged as a promising intervention for preserving cognitive function and enhancing overall quality of life. Music therapy is often utilized when targeting social and communication skills and is beneficial for both the pediatric and adult population.5

Music has a remarkable ability to foster social bonds and cultivate a sense of belonging within communities. Whether it’s attending a concert, participating in a choir, or simply sharing playlists with friends, music provides a shared language through which people connect and communicate. By increasing an individual’s social interaction, we can not only provide enhanced social support, but also reduce loneliness and isolation.2

How hearing loss impedes music appreciation

Unsatisfactory music appreciation in individuals with hearing loss, with or without hearing aids, has been well documented. Research shows that individuals with post-lingual hearing loss of any degree note a significant decrease in music enjoyment post-onset of hearing impairment. Additionally, those with more severe losses noted a greater decline in music enjoyment both with and without amplification. Individuals with single-sided deafness noted music to be less natural, pleasant, and distinct than before the onset of hearing loss.6

While music appreciation and perception has been studied in individuals with cochlear implants and hearing aids, with varying results, there is a lack of similar research into bone anchored hearing systems (BAHS).

Music perception in BAHS users

By utilizing a myriad of quantitative tasks evaluating pitch, harmony, rhythm, and timbre, a recent study aimed to fill this gap and compared music appreciation and perception in BAHS users and peers with normal hearing. BAHS users included in the study were diagnosed with either asymmetric hearing loss or single-sided deafness. As noted above, without some form of amplification, these individuals not only experience speech perception difficulty, but unsatisfactory music perception and appreciation. The present study found that when utilizing a bone anchored device, users not only obtained similar scores when comparing their BAHS ear to their “better ear,” but they also performed similarly to their normal hearing peers. These findings are important, as they show that BAHS can help to maintain the integrity of music for users.7

When focusing on the Ponto™ system, users had better scores on instrument identification tasks when compared to users of a competitor’s device.7 Let’s dive into how Oticon Medical maintains music integrity and improves quality of life for our users.

Ponto and music appreciation

98 percent of all users report an increased quality of life after minimally invasive Ponto surgery8, and as we discussed prior, a large part of quality of life is music! But how do the Ponto 5 family of hearing processors maintain music integrity?

Figure 1: Maximum Force Output (OVFL90)

Figure 2: Output 50 dB SPL, Full-On Gain

  • Optimized output (Fig. 1) and uncompromised gain (Fig. 2) – Not only do Ponto 5 Mini and SuperPower hearing processors provide access to an increased dynamic range, but they provide appropriate gain and better audibility for even soft sounds.
  • No risk of feedback – While charts and graphs can show how much gain is provided by a product, those figures don’t take feedback into account. As a user moves through their day, the risk of feedback is ever-present; whether they’re hugging a loved one or taking off a hat. With traditional feedback management, gain is reduced whenever feedback is present. This limits users’ gain throughout the day. The Ponto 5 processor employs a feedback management strategy that not only maintains gain but prevents audible feedback.
  • Special programs – Ponto 5 makes several preset special purpose programs available to its users, including one for music. This program is specifically designed to further maintain music integrity by increasing gain for the mid and high frequencies and reducing compression for low frequencies.

As research and innovation expand our understanding of the therapeutic benefits of music, it becomes increasingly crucial to acknowledge and appreciate its profound influence on human well-being. Whether experienced in the concert hall or integrated into therapeutic settings, music exemplifies the resilience of the human spirit and the profound transformative effects of artistic expression.

At Oticon Medical, we know music occupies a central place in the human experience, enriching our lives on multiple levels—emotionally, cognitively, and socially. We view our users holistically ensuring their quality of life beyond improved speech understanding alone.

References

  1. Looi, Valerie & Rutledge, Kate & Prvan, Tania. (2018). Music Appreciation of Adult Hearing Aid Users and the Impact of Different Levels of Hearing Loss. Ear and Hearing. 40. 1. 10.1097/AUD.0000000000000632.
  2. Fancourt D, Finn S. What is the evidence on the role of the arts in improving health and well-being? A scoping review [Internet]. Copenhagen: WHO Regional Office for Europe; 2019. (Health Evidence Network synthesis report, No. 67.) SUMMARY. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553775/
  3. Bradt J, Dileo C, Myers-Coffman K, Biondo J. Music interventions for improving psychological and physical outcomes in people with cancer. Cochrane Database of Systematic Reviews 2021, Issue 10. Art. No.: CD006911. DOI: 10.1002/14651858.CD006911.pub4. Accessed 29 February 2024.
  4. Hanna-Pladdy, B., & MacKay, A. (2011). The relation between instrumental musical activity and cognitive aging. Neuropsychology, 25(3), 378–386. https://doi.org/10.1037/a0021895
  5. Jamie B Boster, Alyson M Spitzley, Taylor W Castle, Abby R Jewell, Christina L Corso, John W McCarthy, Music Improves Social and Participation Outcomes for Individuals With Communication Disorders: A Systematic Review, Journal of Music Therapy, Volume 58, Issue 1, Spring 2021, Pages 12–42, https://doi.org/10.1093/jmt/thaa015
  6. Meehan, S., Hough, E. A., Crundwell, G., Knappett, R., Smith, M., & Baguley, D. M. (2017). The impact of single-sided deafness upon music appreciation. Journal of the American Academy of Audiology, 28(05), 444-462.
  7. Jiam NT, Formeister EJ, Chari DA, David AP, Alsoudi AF, Purnell S, Jiradejvong P, Limb CJ. Music Perception in Bone-Anchored Hearing Implant Users. Laryngoscope. 2024 Mar;134(3):1381-1387. doi: 10.1002/lary.30919. Epub 2023 Sep 4. PMID: 37665102.
  8. Lagerkvist H, et al. (2020). Ten years of experience with the Ponto bone anchored hearing system – A systematic literature review. Clin Otolaryngol. 45(5):667-680.

 

Presidential Perspective

We Can Help You Provide High-Quality Telehealth Service to Audiology Patients

I think you’ll agree that one major takeaway from the past two-plus years is that having virtual alternatives for providing patient care has moved from nice to have to necessary. The inability or inadvisability of meeting with audiology patients live in offices or clinics has taken a toll on business, and unfortunately delayed individuals in need of hearing devices from pursuing treatment. Considering the already sizable gap from diagnosis of hearing loss to purchasing hearing devices (an average of 7 years), we certainly didn’t need another barrier to spring up and further delay treatment. Yet here we are.

Previously, many audiology professionals expressed reticence to adopt telehealth options for hearing healthcare. The concerns ranged from not wanting to be “on call” 24/7 to reluctance to learn the new technology, and concerns about whether quality of care could be on par with in-person visits. While all valid concerns, what was once a value-added offering has become a must for treatments to proceed. And even though the worst of the pandemic appears (fingers crossed!) to be behind us, there is no way to know for sure that we won’t find ourselves in a similar situation, where in-person visits become impossible again. Not to mention we still have patients who, due to personal health issues, cannot travel easily to clinics for live appointments. Providing viable telehealth alternatives could be the deciding factor between a patient electing to go to your clinic or seeking help from your telehealth-friendly competition.

As your partner in providing end-to-end hearing healthcare solutions, we have added a major telehealth solution to our new family of Ponto 5 bone anchored hearing systems: Ponto 5 RemoteCare. Additionally, we continue to offer our Ponto Care app. The following is an overview of both of these conveniences, and how they help enhance the level of care you can offer BAHS wearers.

Ponto Care app

The free, secure, HIPAA-compliant Ponto Care app enables you to support and guide your patients from the Trial through Aftercare BAHS fitting phases. It aims to make patients more engaged, independent, and involved in their bone anchored treatment by providing them with a self-help tool right on their mobile phone. This allows them to have the best possible trial experience and insightful conversations with you, their hearing care professional, as they move through the process. Patients are guided as to how and where to use their Ponto, can rate different environments, take notes, send you a report, and much more. For example, during the Aftercare phase, you can take the first baseline photo of the implant site, and then show your patient how to use their phone’s camera to monitor their implant site and keep notes about their progress. These can be shared with you during your next face-to-face or remotely.

The best way to get the app set up is to download it with your patient while they are in your office. It’s easy to access from either the App® Store or Google Play™. Run through the app’s screens while explaining the importance of the report and clarify when and where to send the report according to your preferences. You can also send your patient a reminder a few days before a follow-up appointment if they haven’t emailed you their report yet.

Ponto 5 RemoteCare

Hold virtual appointments with patients and provide follow-up care, adjustments, and upgrades remotely using the Ponto 5 family’s RemoteCare option. Your patient will need to pair their smartphone with their BAHS, install the app, and set up an account. All required instructions for use are provided in the app itself. You and your patient will be able to see each other onscreen during appointments so long as both of you have cameras enabled, but if desired you can turn yours off. You can also text back and forth during the meeting if conversation via audio proves challenging. As you adjust your patient’s Ponto devices, they will see graphic indications that this is taking place, along with a notice that settings are being uploaded and when they have been completed.

One thing I’d like to stress: using RemoteCare does not mean you are expected to hop on appointments or adjust your patients’ devices around the clock. You arrange with them to set appointment times exactly as you would if you were meeting with them in your clinic. This is simply a convenient, viable alternative for patients who, for whatever reason, cannot or do not want to come into your clinic. Also, RemoteCare is for touching base and making fairly minor adjustments to devices. It is not meant as a substitute for care and treatment requiring more in-depth consultation, testing, or repairs.

Talk to your Oticon Medical rep about telehealth alternatives

Ready to learn more about our options for supporting you in providing high-quality virtual care to patients? Your OM representative will be happy to discuss your needs and our tools. For general information on the support we provide to audiology professionals, please visit https://www.oticonmedical.com/us/support/professionals/bone-conduction/.