影响老年人最普遍的感觉障碍是与年龄相关的听力损失(HL)。这影响了大约65%的60岁以上的人。这种双边,对称性感觉神经性损伤会严重影响听觉感知,言语歧视,以及对听觉信号的全面理解。受多种因素影响,与年龄相关的HL可显著影响个体的生活质量和心理健康,并可导致抑郁。人工耳蜗植入(CI)是一种标准的干预措施,然而,尽管取得了进步,音乐感知挑战依然存在,这可以通过个性化的音乐疗法来解决。这个案例报告描述了一位81岁的音乐家经历了深刻的感觉神经性听力损失的旅程,人工耳蜗植入,和康复音乐疗法。听觉评估,音乐练习,生活质量评估强调了音乐感知的有意义的改善,听觉技能,植入后的总体满意度。音乐疗法促进了情感,功能,和音乐的参与程度,特别是增强了他感知旋律的能力,节奏,不同的工具。此外,主观评估和听力图表明听觉分化有显著改善,音乐享受,和整体听力阈值。这种将双边CI和音乐疗法结合在一起的综合方法展示了听力和生活质量的提高,这些老年人患有严重的听力损失,强调这种联合治疗方法的疗效。
The most prevalent sensory impairment impacting the elderly is age-related hearing loss (HL), which affects around 65% of individuals over the age of 60 years. This bilateral, symmetrical sensorineural impairment profoundly affects auditory perception, speech discrimination, and the overall understanding of auditory signals. Influenced by diverse factors, age-related HL can substantially influence an individual\'s quality of life and mental health and can lead to depression. Cochlear implantation (CI) stands as a standard intervention, yet despite advancements, music perception challenges persist, which can be addressed with individualized music therapy. This case report describes the journey of an 81-year-old musician through profound sensorineural hearing loss, cochlear implantation, and rehabilitative music therapy. Auditory evaluations, musical exercises, and quality of life assessments highlighted meaningful improvements in music perception, auditory skills, and overall satisfaction post-implantation. Music therapy facilitated emotional, functional, and musical levels of engagement, notably enhancing his ability to perceive melody, rhythm, and different instruments. Moreover, subjective assessments and audiograms indicated marked improvements in auditory differentiation, music enjoyment, and overall hearing thresholds. This comprehensive approach integrating bilateral CIs and music therapy showcased audiological and quality of life enhancements in an elderly individual with profound hearing loss, emphasizing the efficacy of this combined treatment approach.