5/25/2023 0 Comments Thai tone ear practiceThe hearing loss can be of two types- conductive (50%) and sensorineural (50%). Hence, we have to make all the efforts to prevent this aging hearing loss and if curable to cure it. This huge population of senior citizen will be a big liability and great socio economic loss. We must remember even the best quality hearing aid provides only amplification of sound it does not add benefit in terms of speech recognition hence in old age deafness only 20% people are benefited with hearing aids. Deafness is not like any other deficiency or disability like impairment of vision or orthopaedic problems which can be corrected in majority of cases while for deafness even after cochlear implantation person remains disabled and needs a lifelong support. With the increasing life span we expect the prevalence of deafness as high as 48% above the age of 75 years. It should be a part of training program of all paramedical courses of all speciality and visual aids to be displayed in waiting area of the hospitals ( Figure 1).įigure 1: Free field hearing test below two years. Behavioural Observation audiometry is a simple way of assessing the hearing in children below the age of four years and if practiced may be a good priceless way for basic screening. Parents feel that the baby can hear but is careless hence is delayed management and rehabilitation. There is extreme poor speech discrimination due to poor functioning of inner hair cells. The usual pathology is at the inner hair cells or spiral ganglion. It is a hearing disorder where the sound grasped by inner ear is normal but the electrical signal formation and transmission to the brain is impaired. In children Auditory neuropathy should always be kept in mind. In familial deafness option of Preimplantation genetic diagnosis should be highlighted. In familial deafness, Consanguinity is also a precipitating factor which must be kept in mind. The common factor during pregnancy and child birth includes premature birth, birth asphyxia, TORCH infection, Jaundice and ototoxic drugs. Though only 9% children suffer from deafness but an attempt must be made to find out the etiological factor. Hyper note (Ultrasound) sound can stimulate the inner ear. By neck muscles (cervical) exercise and deep breathing exercises we can increase the blood and oxygen supply to inner ear. Noise induced hearing loss is 100% preventable, but once the patient had it, it is for life time Stress which is more in professionals affects the speech discrimination at cortical level in brain. The noise, electromagnetic field, diabetes, cervical spondyliosis, hypertension, hypothyroidism, obesity, sinusitis, Eustachian tube dysfunction, Ototoxicity of drugs and chemicals are the few which aggravate the age related sensorineural deafness (Presbyacusis). Disabling hearing loss is >40 dB loss in better ear in an individual above the age of 15 years and >30 dB in better ear below the age of 15 years. WHO estimates 360 million individuals in the world have disabling hearing loss, of which 91% adults and only 9% are children. With increasing noise pollution, mobile phones, Wi-Fi and electromagnetic field due to mobile towers, ototoxic drugs, ototoxic chemicals the incidence of old age deafness is on the increase. Hearing is an essential sense of the individual, which is crucial for the verbal communication and social living. Ototoxicity, Noise, Ototoxic drugs, Chemicals, Presbyacusis, Pesticides, Vitamin D, Yoga, Holistic approach to deafness, Aasanas, Electro-magnetic field, Life style changes Introduction Yoga is a known modality in life style management and de-stressing along with restriction of mobile phone, modification of diet, eliminating Vit D deficiency, we can provide some improvement in sensorineural deafness if not at least we can improve the quality of life by yoga exercises. By neck muscles (cervical) exercises and deep breathing exercises Kumbhak we can increase the blood and oxygen supply to the inner ear. WHO estimates 360 million individuals in the world have disabling hearing loss, of which 91% adults. With increasing noise pollution, mobile phones, ototoxic drugs, ototoxic chemicals the incidence of old age deafness is on increase. Hearing is an essential sense of the individual, which is crucial for verbal communication and social living.
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