Faculty of Engineering and Applied Science
INSTITUTE OF SOUND AND VIBRATION RESEARCH
MSc Audiology Year: 2002-03




Module Specification



Unit/Module Code: Module Title:
IS615/12 Adult Rehabilitation 1 & 2


1.Basic Information
 
Department responsible for the module ISVR
Programme MSc Audiology 
Also available to MPhil/PhD students registered in ISVR
Timetable Semesters 1 and 2
Session 2002-03
Credit Value 20 CAT points (= 200 hours) Level M
Pre-requisites None
Co-requisites None
Module Lecturers Ms J Burgneay (A.Rehab 1 Co-ordinator)
Ms E Payne (A.Rehab 2 Co-ordinator)
Mr D Baguley
Ms J C Brinton
Dr V Cleaver
Mrs A Downie

Ms A Morris
Contact jbb@isvr.soton.ac.uk ep@isvr.soton.ac.uk
Formal Contact Hours Lectures (1.5 h/wk) = 36 hours + 2 hours practical session
Private Study Hours 4 hours assignment up to 158 hours own study time
Coursework One assignment 
External Examiner Dr G J Sutton 
Last Approved  
Last Revision  
Course Web Site www.isvr.soton.ac.uk/audiology/msc_aud.htm 
 
 
2.Description
 
2.1Aims
 
  The aims of this module are to:
  • equip you with the basic knowledge and understanding required to provide a clinical hearing aid service or to pursue research in a hearing-aid related field.
  • give you an understanding of the further rehabilitation needs of adults with acquired hearing loss, tinnitus, or balance problems and an awareness of the means by which such rehabilitation may be achieved.
  • enable you to apply your practical and theoretical knowledge and comprehension as a clinical scientist to all aspects of the rehabilitation needs of adult patients.
  • enable you to develop skills to critically evaluate and analyse information from the relevant scientific literature.

2.2Objectives (teaching)
 

 		 The objectives of this module are to:
  • give you knowledge of the structure and performance of hearing aids and other auditory hardware, understanding of the factors involved in their selection and evaluation and awareness of the practical skills required for their fitting and follow-up.
  • provide you with information about the practical, psychological and social effects of acquired hearing loss, tinnitus and balance dysfunction on the individual and on other people, about the principal methods used to provide rehabilitative help and about the range of relevant resources available in the UK.
 
2.3Objectives (planned learning outcomes)
 
 Knowledge and understanding
Having successfully completed the module, you will be able to demonstrate knowledge and understanding in the following areas:
  • how to assess and analyse an individual patient's hearing needs, take an accurate ear impression, select an appropriate NHS hearing aid fitting on the basis of audiometric and other information, select a suitable earmould with appropriate modifications, measure and evaluate the technical performance and check the other functional properties of a hearing aid, both in a coupler and the real ear, provide relevant instruction and information to a new hearing-aid user and optimise the potential benefit from the hearing aid fitting.
  • awareness of the range of different technologies used in the manufacture of commercially available hearing aids and the variation in performance achieved, the benefits and limitations of the various techniques used to assess the outcome of hearing-aid fitting, the existence and relative performance of other hardware such as cochlear implants, that can be used to improve impaired hearing and the range of assistive devices that can be of benefit to hearing-impaired people.
  • practical skills in the treatment and management of patients with troublesome tinnitus and balance difficulties.
  • insight into the experience of acquired hearing loss, tinnitus, and balance dysfunction that enables you to deal sensitively and empathetically with patients and their families.
  • awareness of social issues that may arise from acquired hearing loss, tinnitus and balance dysfunction.
  • knowledge about the basic skills used in counselling and in providing communication for patients in need of these.
  • awareness of the extra needs of those with additional disabilities and of the range of relevant statutory and other rehabilitation services available in the UK.
  • evaluate and synthesise information from the evidence base relating to the above interventions.
 
 Cognitive (thinking) skills
  Having successfully completed the module, you will be able to:
  • synthesise all the relevant information you have obtained about each individual patient and, with reference to the evidence base, recognise and select appropriate techniques for successful management and evaluation of that management.
 
 Practical, subject-specific skills
Having successfully completed the module, you will be able to:
  • take impressions of the ear, test hearing aids, carry out real ear measurements, detect and treat benign paroxysmal positional vertigo (BPPV) and other balance disorders.
 
 Key transferable skills
Having successfully completed the module, you will have skills in:
  • patient handling, patient management, counselling and communication.
  • the use of technical apparatus including computer based procedures.
  • managing patient records and report writing.
 
 
2.4Teaching and Learning Activities
 
 Teaching methods include
 
  • 1.5 hours lectures a week in formal classroom setting. Typical class size is 16-20 students. During these lectures there may be small group work with 4 students per group discussing salient issues with feedback from each group to the whole class.
  • practical exercise of various clinical techniques. This involves small group work with two tutors assisting.
  • you will need to work in your own time and in time-tabled independent learning sessions to supplement lectures and practical skills by researching and evaluating the evidence base contained in journals and recommended texts . In addition to the information resources available to you, you will be able to go to the module co-ordinators for assistance.
 
 
 Learning activities include
 
  • working on a formal assignment which is based on your own experience of a simulated hearing loss and writing about that experience. This is discussed in subsequent lectures as well as being marked.
  • you are expected to read supporting texts and a booklist is provided.
 
 
2.5Methods of Assessment (summative assessment)
 
 MSc Audiology
      Assessment Methods Number % contribution to final mark Comment
      Assignments    0   
      Exam 2hr  2  100   

 
2.6Feedback to students during module study (formative assessment)
 
  • tutorial assistance from module co-ordinators as required. Co-ordinators adopt an “open door” policy.
  • previous examination papers with guidelines to answers are made available.
  • ad hoc question and answer sessions and topic tests during lectures.
 
2.7Relationship between the teaching, learning and assessment methods
 
  • the examinations test your knowledge and understanding of the procedures and techniques relating to the management of acquired hearing loss, tinnitus and balance dysfunction. You will be examined on your ability to analyse and synthesise information acquired in lectures supplemented by your independent learning. There will be a choice of question in the examinations; (4 out of 5 for Adult Rehabilitation 1 and 3 out of 4 for Adult Rehabilitation 2).
  • the assignment helps you develop insight into the experience of acquired hearing loss towards enabling you to deal sensitively and empathetically with patients.
 
3.TOPICS COVERED
 
  • Overview of adult auditory rehabilitation and hearing aid fitting.
  • Introduction to hearing aids and components. Specification and measurement of electroacoustic characteristics. International standards and data sheets.
  • Impressions. Ear moulds and modifications.
  • Hearing aid selection and fitting. Candidacy, ergonomic considerations, selection of electroacoustic characteristics by prescription methods.
  • Verification of hearing aid performance using real ear measurements.
  • Advanced hearing aids - programmable, digital, non-linear, CROS, BC, VT and ALDs.
  • Cochlear implants - candidacy, procedure, types, processing strategies and mapping.
  • Evaluation of aided performance including use of speech and speech in noise tests, subjective judgements and questionnaires, SII.
  • Psychosocial aspects of acquired hearing loss, principles of counselling, communication skills and communication training, rehabilitation of cochlear implant users.
  • Effects of vertigo and dizziness, rehabilitation techniques, management of BPPV, outcome measures.
  • Tinnitus -incidence, aetiology and assessment, principles of management.
  • Hearing-impaired people with additional needs: ageing, visual impairment and other handicaps. Provision of rehabilitation services, statutory and voluntary agencies.
 
4.RESOURCES
 
 Core Texts
  AUTHORS TITLE/EDITION/DATE PUBLISHER UNI. LIB Class Mark E.J. Richards Library
1.Harvey DillonHearing Aids (2001) Thieme Medical PublishersWV270DIL 2 Copies
2.R E SandlinTextbook of Hearing Aid Amplification (2000) Singluar Publishing GroupWV274ALL2 copies on order
3.T H VenemaCompression for Clinicians(1998) Singular Publishing Group1565939735WV274Ven 1 copy 1 copy
4.R E SandlinHandbook of Hearing Aid Amplification Vol 1: Theoretical & Practical Considerations Singluar Publishing Group, London 1565933990 2 copies (1 ref only)
5.R E SandlinVol II: Clinical Considerations and Fitting Practices (1995) 1565934008 2 copies (1ref only)
6.R E SandlinTextbook of Hearing aid amplification
(2000)		 Singular Publishing GroupWV274ALL 2 copies 2 copies
On order
7.R E SandlinHandbook of Hearing Aid Amplification Vol 1: Theoretical & Practical Considerations Singluar Publishing Group, London 1565933990WV270 1 copy 2 copies(1 ref only)
8.R E SandlinVol II: Clinical Considerations and Fitting Practices (1995) 1565934008 2 copies (1ref only)
9.J KatzHandbook of Clinical Audiology 4th edn (1994)Chapters 43 & 465th Edn (2002)Chapters 35-37 Williams & Wilkins, Baltimore 0683045482WV270KAT1 copyQWV270CAT2copies
10.Handbook of Clinical Audiology 3rd edn (1985) (with W L Gabbay)Ch 43 & 44 0683045490WV270 KAT1 copy 4 copies(1 ref only)
11.H G Mueller
D B HawkinsJ L Northern		Probe Microphone Measurements - Hearing Aid Selection and Assessment (1992) Singular Publishing Group, California1879105683TK7882.H3MUE3 copies 1 copy(ref only)
12.M C Martin (ed)Speech Audiometry 2nd edn (1997) Whuur, London ISBN 1897635125WV272 MAR1 copy
13.M ValenteHearing Aids: Standards, Options and Limitations(1996) Thieme Medical PublisherTK7882.H3VAL1 copy ---
14.M ValenteStrategies for Selecting and Verifying Hearing Aid Fittings(1994) Thieme Medical PublisherTK7882.H3VAL2 copies ---
15.S HerdmanVestibular Rehabilitation (2000) FA Davis, Philadelphia0803604440WV255HER2 copies
16.R H Hull (ed)Aural Rehabilitation 2nd edn (1992) Chapman and Hall0412468700--- 3 copies(1 ref only)
17.H OriansAdjustment to Adult Hearing Loss (1991) Singluar Publishing187910470--- 2 copies
18.R HinchcliffeHearing and Balance in the Elderly (1983) Churchill Livingstone, London0443020752WV2701 copy 1 copy
19.D N Brooks (ed)Adult Aural Rehabilitation (1989) Chapman and Hall, London 0412332906--- 1 copy
20.N P ErberCommunication Therapy for Hearing Impaired Adults( 1988) Clavis Publishing, Austrailia0731633806--- 1 copy
21.N P ErberCommunication and Adult Hearing Loss (1993) Clavis Publishing, Austrailia0646141562--- 1 copy
22.L J Yardley(out of print but available on www.menieres.org.uk)Vertigo and Dizziness (1994) Routledge, London041510209XWV258 YAR2 copies 2 copies
23.R Corney (ed)Developing Communication and Counselling Skills in Medicine (1991) Routledge, London0415042364W621 copy(Health Services Library) 1 copy
24.S B WaltzmannCochlear Implants(1999) Thieme0-86577-882-5On order ---
25.N Shepard S TelianPractical Management of the Balance Disorder Patient (1996) Singular Publishing1879105845WV255SHE1 copy 1 copy
26.N ShepardPractical Issues in the Management of the dizzy and balance disorder patient (2000) Saunders2 copieson order ---
27.J GoebelPractical Management of the dizzy patient Lippincott, Williams and Wilkins0-7817-1820-1WV255 GOE 2 copies ---
28.L Luxon R Davies (ed)Handbook of Vestibular Rehabilitation (1997) Whurr Publishing1861560214WV255LUX2 copies 1 copy
29.D AllumCochlear Implant Rehabilitation in Children and Adults (1996) Whurr1 897635 54 0WV274ALL2 copies ---
30.J Niparko, K Kirk, N Mellon, D Tucci,A McConkey Robbins, D WilsonCochlear Implants:Principles and Practices(2000) Lippincott Williams and Wilkins0-7817-1782-5QC2245NIP1 copy ---

  Secondary Texts
  AUTHORS TITLE/EDITION/DATE PUBLISHER UNI. LIB Class Mark E.J. Richards Library
1. None

 
 Other library support
 
The ISVR’s E J Richards Library houses some relevant journals. 
 
 Staff required
 
As well as the two module co-ordinators assigned to this course, there are a range of other lecturers both from within ISVR and from outside, including hearing therapists, clinical scientists, speech and language therapists. 
 
 Teaching space, layout and equipment required
 
A lecture room with 30 seats is required for 1.5 hours a week. The room should be equipped with overhead and slide projection facilities, and blackboard and/or whiteboard. The regular use of a data projector is required. The lecture room is suitable for hearing impaired students Use of dedicated computer room (in ISVR) for students is required for independent learning and for completion of the assignment. 
 
 Laboratory space required
 
None 
 
 Computer requirements
 
These are provided by the Department - see above. 
 
 Software requirements
 
Microsoft office, SPSS and access to on line journals and web pages. 
 
 Off-campus activities
 
None 
 
 Part-time/distance learning students
 
Provision is made for part-time students. 
 
 Other
 
Web sites - www.menieres.org.ukwww.vestibular.orgwww.tinnitus.org
www.vestibular.org