Industrial Electronics

Cochlear Implants Don’t Improve Cognitive Function in Older Adults, According to New Study

12 September 2018

Cognitive function and hearing loss go hand in hand with age. Doctors have long known that hearing loss is one symptom of failing cognitive function, and wondered: what if improving hearing loss with a device like a cochlear implant also improves cognitive function?

A new study from researchers at the Department of Otorhinolaryngology, Antwerp University Hospital, Belgium, aimed to answer just this question. Unfortunately, the results were not promising.

The study compared the cognitive abilities of patients with cochlear implants aged 55+ who have 18 years or more experience with cochlear implants, and similarly aged adults who don’t require cochlear implants. The team put both groups through a specialized cognitive test.

Dr. Annes Claes explains, "If we used a regular cognitive test, the hearing-impaired individuals would have been at a disadvantage. We developed the RBANS-H test, which provides both auditory and visual information to the recipient, instead of just an auditory presentation."

After the testing, the team found that there is no correlation between improved cognitive function and the implementation of cochlear implants. This may sound like disappointing news, but it’s a breakthrough in the healthcare of cochlear implant-using adults. The team says that this study proves that cochlear-implant patients need to have adjusted rehabilitation to match their needs. They also say that there is a major need for more long-term studies on cognitive function.

"Even when we took differences such as age, sex and education level into account, elderly adults fitted with a cochlear implant performed significantly lower in a cognitive function test than those with normal hearing," says Claes.

Professor Griet Mertens, who coordinates the cognitive hearing project at the Antwerp University Hospital continues, "Cochlear implants may have a positive effect on the cognitive functions of these patients. Nevertheless, our results point out that cochlear implant recipients do not align with their normal-hearing peers in the longer-term after cochlear implantation."

"More studies are needed to ultimately assess in which way cochlear implants influence the natural cognitive decline. We have some preliminary results from a collaborative multi-center study showing there is a cognitive improvement after cochlear implantation but no normalization. This is in line with our current findings that imply a cochlear implant is not able to keep the older adults with a severe hearing loss at an age-expected level of cognition or to completely restore the level of cognition," said Mertens. "Additional rehabilitation in the long-term after implantation, tailored to the cognitive profile of individuals, may be appropriate for cochlear implant patients."

The paper on this study was published in Frontiers in Neuroscience.

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