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Design: Descriptive study in... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831415" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">To examine 10-m comfortable walking speed and 6-minute distance in healthy individuals and individuals after stroke and to assess the level of disability associated with poor walking endurance after stroke. Design: Descriptive study in which comfortable walking speed over 10 m and distance covered in 6 minutes (6-minute walk test) were compared between healthy subjects and subjects after stroke. Subjects: Twelve healthy subjects and 14 subjects after stroke. Main outcome measures: Walking speed and 6-minute distances were compared between groups. In addition, for each group, actual distance walked in 6 minutes was compared with the distance predicted by the 10-m walking speed test and the distance predicted by normative reference equations. Results: Subjects after stroke had significant reductions in 10-m speed and 6-minute distance compared with healthy subjects (p < 0.05). Subjects after stroke were not able to maintain their comfortable walking speed for 6 minutes, whereas healthy subjects walked in excess of their comfortable speed for 6 minutes. The average distance walked in 6 minutes by individuals after stroke was only 49.8 ± 23.9% of the distance predicted for healthy individuals with similar physical characteristics. Conclusion: In our subjects after stroke, walking speed over a short distance overestimated the distance walked in 6 minutes. Both walking speed and endurance need to be measured and trained during rehabilitation. form of independent ambulation 1,2 few achieve a level of skill that matches the challenges imposed in the community. For example, Hill and colleagues 2 reported that only 7% of patients discharged from rehabilitation met the criteria for community ambulation which included the ability to walk 500 m continuously and at speeds that would enable them to cross the road safely. Walking speed is used both in clinical practice and research as the variable of choice to measure</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831415" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="eca9d0a349ad92de3d2be6ab769fa873" rel="nofollow" data-download="{"attachment_id":68044123,"asset_id":49831415,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044123/download_file?st=MTczOTgzNDM1MCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831415 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831415"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831415, container: ".js-paper-rank-work_49831415", }); 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Design: Descriptive study in which comfortable walking speed over 10 m and distance covered in 6 minutes (6-minute walk test) were compared between healthy subjects and subjects after stroke. Subjects: Twelve healthy subjects and 14 subjects after stroke. Main outcome measures: Walking speed and 6-minute distances were compared between groups. In addition, for each group, actual distance walked in 6 minutes was compared with the distance predicted by the 10-m walking speed test and the distance predicted by normative reference equations. Results: Subjects after stroke had significant reductions in 10-m speed and 6-minute distance compared with healthy subjects (p \u003c 0.05). Subjects after stroke were not able to maintain their comfortable walking speed for 6 minutes, whereas healthy subjects walked in excess of their comfortable speed for 6 minutes. The average distance walked in 6 minutes by individuals after stroke was only 49.8 ± 23.9% of the distance predicted for healthy individuals with similar physical characteristics. Conclusion: In our subjects after stroke, walking speed over a short distance overestimated the distance walked in 6 minutes. Both walking speed and endurance need to be measured and trained during rehabilitation. form of independent ambulation 1,2 few achieve a level of skill that matches the challenges imposed in the community. For example, Hill and colleagues 2 reported that only 7% of patients discharged from rehabilitation met the criteria for community ambulation which included the ability to walk 500 m continuously and at speeds that would enable them to cross the road safely. 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Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":441660,"name":"Motor Function","url":"https://www.academia.edu/Documents/in/Motor_Function","nofollow":true},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences","nofollow":true}],"publication_year":2008,"publication_year_with_fallback":2008,"paper_rank":null,"all_time_views":6,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49831417" data-work_id="49831417" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49831417/Navigational_strategies_during_fast_walking_A_comparison_between_trained_athletes_and_non_athletes">Navigational strategies during fast walking : A comparison between trained athletes and non-athletes</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Many common activities such as walking in a shopping mall, moving in a busy subway station, or even avoiding opponents during sports, all require different levels of navigational skills. Obstacle circumvention is beginning to be... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831417" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Many common activities such as walking in a shopping mall, moving in a busy subway station, or even avoiding opponents during sports, all require different levels of navigational skills. Obstacle circumvention is beginning to be understood across age groups, but studying trained athletes with greater levels of motor ability will further our understanding of skilful adaptive locomotor behavior. The objective of this work was to compare navigational skills during fast walking between elite athletes (e.g. soccer, field hockey, basketball) and aged-matched nonathletes under different levels of environmental complexity in relation to obstacle configuration and visibility. The movements of eight women athletes and eight women non-athletes were measured as they walked as fast as possible through different obstacle courses in both normal and low lighting conditions. Results showed that athletes, despite similar unobstructed maximal speeds to non-athletes, had faster walking times during the navigation of all obstructed environments. It appears that athletes can process visuo-spatial information faster since both groups can make appropriate navigational decisions, but athletes can navigate through complex, novel, environments at greater speeds. Athletes' walking times were also more affected by the low lighting conditions suggesting that they normally scan the obstructed course farther ahead. This study also uses new objective measures to assess functional locomotor capacity in order to discriminate individuals according to their level of navigational ability. The evaluation paradigm and outcome measures developed may be applicable to the evaluation of skill level in athletic training and selection, as well as in gait rehabilitation following impairment.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831417" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="f5d4d5ccf43d6b8631ddaf2b2c55861e" rel="nofollow" data-download="{"attachment_id":68044155,"asset_id":49831417,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044155/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831417 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831417"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831417, container: ".js-paper-rank-work_49831417", }); 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Obstacle circumvention is beginning to be understood across age groups, but studying trained athletes with greater levels of motor ability will further our understanding of skilful adaptive locomotor behavior. The objective of this work was to compare navigational skills during fast walking between elite athletes (e.g. soccer, field hockey, basketball) and aged-matched nonathletes under different levels of environmental complexity in relation to obstacle configuration and visibility. The movements of eight women athletes and eight women non-athletes were measured as they walked as fast as possible through different obstacle courses in both normal and low lighting conditions. Results showed that athletes, despite similar unobstructed maximal speeds to non-athletes, had faster walking times during the navigation of all obstructed environments. It appears that athletes can process visuo-spatial information faster since both groups can make appropriate navigational decisions, but athletes can navigate through complex, novel, environments at greater speeds. Athletes' walking times were also more affected by the low lighting conditions suggesting that they normally scan the obstructed course farther ahead. This study also uses new objective measures to assess functional locomotor capacity in order to discriminate individuals according to their level of navigational ability. The evaluation paradigm and outcome measures developed may be applicable to the evaluation of skill level in athletic training and selection, as well as in gait rehabilitation following impairment.","publication":"Gait Posture","publication_with_fallback":"Gait Posture","downloadable_attachments":[{"id":68044155,"asset_id":49831417,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044155/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044155/j.gaitpost.2006.11.20920210712-7238-13owd8q-libre.pdf?1626138265=\u0026response-content-disposition=attachment%3B+filename%3DNavigational_strategies_during_fast_walk.pdf\u0026Expires=1739837951\u0026Signature=EcIuUMXOOxTMJYErHLNZ8ZYCpVrCMcjyKq3au9Ii3ckQo1Y8ggjxtULN3Ww0GKn8cOZyMC7N-WXIGSeSMZ52Mg7vAoc1wTIVsebYlXmoA~M9Er1CM0B-ie-sJJBQH2zXSQ0Juwh2apDTzmdXyn1-pHfcYNKXiUw9YhzcC~63Q6Tpvwp~FsQJWjI3f1RP46SDpcMbK7H2qO0Q7gzuColOsL0u3X~48WB3qSgyS8q2NJvcaO69nkJEhiJRra-pMRvjLDVJ6Q51U2xkaqJ8SvnJ5dtEXjZ6RO5dxx2RjMy0hzHpJJ-3-HUPo27RvtwgoN3viYHjALilLjPIcDWajbNa2g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044155/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044155/mini_magick20210712-17006-16nw6p5.png?1626136639"}],"downloadable_attachments_with_full_thumbnails":[{"id":68044155,"asset_id":49831417,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044155/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044155/j.gaitpost.2006.11.20920210712-7238-13owd8q-libre.pdf?1626138265=\u0026response-content-disposition=attachment%3B+filename%3DNavigational_strategies_during_fast_walk.pdf\u0026Expires=1739837951\u0026Signature=EcIuUMXOOxTMJYErHLNZ8ZYCpVrCMcjyKq3au9Ii3ckQo1Y8ggjxtULN3Ww0GKn8cOZyMC7N-WXIGSeSMZ52Mg7vAoc1wTIVsebYlXmoA~M9Er1CM0B-ie-sJJBQH2zXSQ0Juwh2apDTzmdXyn1-pHfcYNKXiUw9YhzcC~63Q6Tpvwp~FsQJWjI3f1RP46SDpcMbK7H2qO0Q7gzuColOsL0u3X~48WB3qSgyS8q2NJvcaO69nkJEhiJRra-pMRvjLDVJ6Q51U2xkaqJ8SvnJ5dtEXjZ6RO5dxx2RjMy0hzHpJJ-3-HUPo27RvtwgoN3viYHjALilLjPIcDWajbNa2g__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044155/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044155/mini_magick20210712-17006-16nw6p5.png?1626136639"}],"has_pdf":true,"has_fulltext":true,"page_count":7,"ordered_authors":[{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":60,"name":"Mechanical Engineering","url":"https://www.academia.edu/Documents/in/Mechanical_Engineering","nofollow":true},{"id":5359,"name":"Visual perception","url":"https://www.academia.edu/Documents/in/Visual_perception","nofollow":true},{"id":45349,"name":"Space perception","url":"https://www.academia.edu/Documents/in/Space_perception","nofollow":true},{"id":50456,"name":"Sports","url":"https://www.academia.edu/Documents/in/Sports","nofollow":true},{"id":59695,"name":"Navigation","url":"https://www.academia.edu/Documents/in/Navigation"},{"id":60256,"name":"Gait","url":"https://www.academia.edu/Documents/in/Gait"},{"id":119665,"name":"Reaction Time","url":"https://www.academia.edu/Documents/in/Reaction_Time"},{"id":138520,"name":"Spatial Information","url":"https://www.academia.edu/Documents/in/Spatial_Information"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":307156,"name":"Gait and Posture","url":"https://www.academia.edu/Documents/in/Gait_and_Posture"},{"id":321194,"name":"Obstacle Avoidance","url":"https://www.academia.edu/Documents/in/Obstacle_Avoidance"},{"id":413194,"name":"Analysis of Variance","url":"https://www.academia.edu/Documents/in/Analysis_of_Variance"},{"id":961214,"name":"Low Light","url":"https://www.academia.edu/Documents/in/Low_Light"},{"id":1470936,"name":"Age Groups","url":"https://www.academia.edu/Documents/in/Age_Groups"},{"id":1902100,"name":"Biomechanical Phenomena","url":"https://www.academia.edu/Documents/in/Biomechanical_Phenomena"},{"id":2444775,"name":"Psychomotor Performance","url":"https://www.academia.edu/Documents/in/Psychomotor_Performance"},{"id":2592746,"name":"Outcome measure","url":"https://www.academia.edu/Documents/in/Outcome_measure"}],"publication_year":2007,"publication_year_with_fallback":2007,"paper_rank":null,"all_time_views":20,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49831419" data-work_id="49831419" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49831419/Working_memory_and_mental_practice_outcomes_after_stroke_1_1_No_commercial_party_having_a_direct_fin">Working memory and mental practice outcomes after stroke 1 1 No commercial party having a direct fin</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective: To examine the relationship between working memory and motor improvement obtained after a single training session combining mental and physical practice. Design: Before-after trial. Setting: Laboratory of a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831419" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective: To examine the relationship between working memory and motor improvement obtained after a single training session combining mental and physical practice. Design: Before-after trial. Setting: Laboratory of a university-affiliated research rehabilitation center. Participants: A sample of 12 patients with stroke and 14 age-and gender-matched healthy subjects. Intervention: In a single session, patients were trained with combined mental and physical practice to increase the loading on the affected leg while standing up and sitting down. Main Outcome Measures: Motor improvement as measured by the percentage change in limb loading on the affected limb after training and 24 hours later (follow-up), and the relationship between working memory and percentage motor improvement. Results: The loading on the affected leg was improved after training (PϽ.01) and at follow-up (PϽ.05), and working memory scores at follow-up correlated significantly (PϽ.004 to PϽ.007) with the level of improvement. The visuospatial domain yielded the strongest correlation (rϭ.83), followed by the verbal (rϭ.62) and kinesthetic (rϭ.59) domains. Conclusions: These results suggest that the outcome (improved limb loading) of mental rehearsal with motor imagery depends on the ability to maintain and manipulate information in working memory.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831419" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a54cc8f2ce9eb5880597069aa82e776f" rel="nofollow" data-download="{"attachment_id":68044126,"asset_id":49831419,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044126/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831419 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831419"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831419, container: ".js-paper-rank-work_49831419", }); });</script></li><li class="js-percentile-work_49831419 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 49831419; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_49831419"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_49831419 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="49831419"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 49831419; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=49831419]").text(description); $(".js-view-count-work_49831419").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49831419").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="49831419"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">14</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="8538" rel="nofollow" href="https://www.academia.edu/Documents/in/Working_Memory">Working Memory</a>, <script data-card-contents-for-ri="8538" type="text/json">{"id":8538,"name":"Working Memory","url":"https://www.academia.edu/Documents/in/Working_Memory","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="9658" rel="nofollow" href="https://www.academia.edu/Documents/in/Locomotion">Locomotion</a>, <script data-card-contents-for-ri="9658" type="text/json">{"id":9658,"name":"Locomotion","url":"https://www.academia.edu/Documents/in/Locomotion","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="10882" rel="nofollow" href="https://www.academia.edu/Documents/in/Evolution">Evolution</a>, <script data-card-contents-for-ri="10882" type="text/json">{"id":10882,"name":"Evolution","url":"https://www.academia.edu/Documents/in/Evolution","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="46858" rel="nofollow" href="https://www.academia.edu/Documents/in/Memory">Memory</a><script data-card-contents-for-ri="46858" type="text/json">{"id":46858,"name":"Memory","url":"https://www.academia.edu/Documents/in/Memory","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=49831419]'), work: {"id":49831419,"title":"Working memory and mental practice outcomes after stroke 1 1 No commercial party having a direct fin","created_at":"2021-07-12T17:34:17.931-07:00","owner_id":32546765,"url":"https://www.academia.edu/49831419/Working_memory_and_mental_practice_outcomes_after_stroke_1_1_No_commercial_party_having_a_direct_fin","slug":"Working_memory_and_mental_practice_outcomes_after_stroke_1_1_No_commercial_party_having_a_direct_fin","dom_id":"work_49831419","summary":"Objective: To examine the relationship between working memory and motor improvement obtained after a single training session combining mental and physical practice. Design: Before-after trial. Setting: Laboratory of a university-affiliated research rehabilitation center. Participants: A sample of 12 patients with stroke and 14 age-and gender-matched healthy subjects. Intervention: In a single session, patients were trained with combined mental and physical practice to increase the loading on the affected leg while standing up and sitting down. Main Outcome Measures: Motor improvement as measured by the percentage change in limb loading on the affected limb after training and 24 hours later (follow-up), and the relationship between working memory and percentage motor improvement. Results: The loading on the affected leg was improved after training (PϽ.01) and at follow-up (PϽ.05), and working memory scores at follow-up correlated significantly (PϽ.004 to PϽ.007) with the level of improvement. The visuospatial domain yielded the strongest correlation (rϭ.83), followed by the verbal (rϭ.62) and kinesthetic (rϭ.59) domains. Conclusions: These results suggest that the outcome (improved limb loading) of mental rehearsal with motor imagery depends on the ability to maintain and manipulate information in working memory.","publication":"Arch Phys Med Rehabil","publication_with_fallback":"Arch Phys Med Rehabil","downloadable_attachments":[{"id":68044126,"asset_id":49831419,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044126/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044126/Malouin_202004-libre.pdf?1626138268=\u0026response-content-disposition=attachment%3B+filename%3DWorking_memory_and_mental_practice_outco.pdf\u0026Expires=1739837951\u0026Signature=MhON9pomLLL8JgL~XNTI7kMtmUB1Kk9LjZLemfHjQlconRxdo-pH8Xz0wpYPErIbFsNwejb6b4F73CObPHnOGh4yzPdZxsFaLRqrsb5R7qzxMvDliKsCF0vuJyJt7aza0JV5n80Q~-lJhYxuLnth1JUb4TcwzpfHtXK3X~l4AWM1XaRdwcA0rxbHbVNcrf3Of8Pv1FM04XcEw6c-jbKDBuicjr-jPvvTzu1SQafJk7Is6rSwQhUEMPpyS-L2s4mayF4xi5NJSgcVih2BIT~0YUHCaVOhss5qzNjlv~71M7AFis5whvpfCTQ3NLfuj22-MvcAJeR2dFPOS1HnxDtZ8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044126/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044126/mini_magick20210712-12451-a9w7s7.png?1626136560"}],"downloadable_attachments_with_full_thumbnails":[{"id":68044126,"asset_id":49831419,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044126/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044126/Malouin_202004-libre.pdf?1626138268=\u0026response-content-disposition=attachment%3B+filename%3DWorking_memory_and_mental_practice_outco.pdf\u0026Expires=1739837951\u0026Signature=MhON9pomLLL8JgL~XNTI7kMtmUB1Kk9LjZLemfHjQlconRxdo-pH8Xz0wpYPErIbFsNwejb6b4F73CObPHnOGh4yzPdZxsFaLRqrsb5R7qzxMvDliKsCF0vuJyJt7aza0JV5n80Q~-lJhYxuLnth1JUb4TcwzpfHtXK3X~l4AWM1XaRdwcA0rxbHbVNcrf3Of8Pv1FM04XcEw6c-jbKDBuicjr-jPvvTzu1SQafJk7Is6rSwQhUEMPpyS-L2s4mayF4xi5NJSgcVih2BIT~0YUHCaVOhss5qzNjlv~71M7AFis5whvpfCTQ3NLfuj22-MvcAJeR2dFPOS1HnxDtZ8A__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044126/download_file?st=MTczOTgzNDM1MSw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044126/mini_magick20210712-12451-a9w7s7.png?1626136560"}],"has_pdf":true,"has_fulltext":true,"page_count":7,"ordered_authors":[{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol 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Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":410370,"name":"Public health systems and services research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":974411,"name":"Memory Disorders","url":"https://www.academia.edu/Documents/in/Memory_Disorders"},{"id":1627527,"name":"Cognition disorders","url":"https://www.academia.edu/Documents/in/Cognition_disorders"},{"id":1756573,"name":"Motor Skills","url":"https://www.academia.edu/Documents/in/Motor_Skills"},{"id":1819399,"name":"Case Control Studies","url":"https://www.academia.edu/Documents/in/Case_Control_Studies"}],"publication_year":2004,"publication_year_with_fallback":2004,"paper_rank":null,"all_time_views":2,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49831421" data-work_id="49831421" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49831421/Locomotor_specific_measure_of_spasticity_of_plantarflexor_muscles_after_stroke">Locomotor-specific measure of spasticity of plantarflexor muscles after stroke</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objectives: To study the stretch reflex excitability (spasticity) of the plantarflexor muscles during gait in patients with hemiparesis and to study the relationships of spasticity during gait with spasticity at rest and gait speed.... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831421" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objectives: To study the stretch reflex excitability (spasticity) of the plantarflexor muscles during gait in patients with hemiparesis and to study the relationships of spasticity during gait with spasticity at rest and gait speed. Design: Cross-sectional, descriptive. Setting: Rehabilitation center. Participants: Convenience sample of 30 patients (58 Ϯ 11yr) with hemiparesis (Ͻ6mo poststroke) and 15 healthy controls (59 Ϯ 8yr). Interventions: Patients walked at natural speed, healthy subjects at very slow speed for 10 gait cycles. Electromyographic activation of the medial gastrocremius was recorded by using surface electrodes. A 2-dimensional video camera system with reflective markers was used to acquire kinematics of the lower limbs. Main Outcome Measures: Electromyography-lengthening velocity slopes, calculated from measures obtained during the lengthening periods of the medial gastrocnemius muscle during the stance and the swing phases. Measured spatisticity (Modified Ashworth Scale [MAS]), static strength (ankle clonus), and motor control (Fugl-Meyer test). Results: Velocity-sensitive electromyographic responses, indicative of hyperactive stretch reflexes, were found on the paretic side during the stance phase of gait (in 66% of the patients), but not on the nonparetic side or in controls. In many patients, velocity-sensitive responses coexisted with low plantarflexor activation levels during the stance phase. No clear patterns of response were measured during the swing phase in either group. Spasticity during gait in the patients was found to be positively related (r ϭ .47, p Ͻ .01; r ϭ .57, p Ͻ .001) to spasticity at rest (MAS; ankle clonus), whereas it was found to be negatively related to gait speed (r ϭ Ϫ.47 to Ϫ.53, p Ͻ .01). Conclusions: The validity of the present method is supported by the fact that it is locomotor-specific and that it allowed for a good discrimination between spastic and nonspastic limbs, as well as between stance and swing phases of the gait cycle. The results also support plantarflexor spasticity as a factor contributing to the poor locomotor performance after stroke.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831421" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="152d62749648f45f8eb058cd82f17e97" rel="nofollow" data-download="{"attachment_id":68044145,"asset_id":49831421,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044145/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831421 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831421"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831421, container: ".js-paper-rank-work_49831421", }); 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Design: Cross-sectional, descriptive. Setting: Rehabilitation center. Participants: Convenience sample of 30 patients (58 Ϯ 11yr) with hemiparesis (Ͻ6mo poststroke) and 15 healthy controls (59 Ϯ 8yr). Interventions: Patients walked at natural speed, healthy subjects at very slow speed for 10 gait cycles. Electromyographic activation of the medial gastrocremius was recorded by using surface electrodes. A 2-dimensional video camera system with reflective markers was used to acquire kinematics of the lower limbs. Main Outcome Measures: Electromyography-lengthening velocity slopes, calculated from measures obtained during the lengthening periods of the medial gastrocnemius muscle during the stance and the swing phases. Measured spatisticity (Modified Ashworth Scale [MAS]), static strength (ankle clonus), and motor control (Fugl-Meyer test). Results: Velocity-sensitive electromyographic responses, indicative of hyperactive stretch reflexes, were found on the paretic side during the stance phase of gait (in 66% of the patients), but not on the nonparetic side or in controls. In many patients, velocity-sensitive responses coexisted with low plantarflexor activation levels during the stance phase. No clear patterns of response were measured during the swing phase in either group. Spasticity during gait in the patients was found to be positively related (r ϭ .47, p Ͻ .01; r ϭ .57, p Ͻ .001) to spasticity at rest (MAS; ankle clonus), whereas it was found to be negatively related to gait speed (r ϭ Ϫ.47 to Ϫ.53, p Ͻ .01). Conclusions: The validity of the present method is supported by the fact that it is locomotor-specific and that it allowed for a good discrimination between spastic and nonspastic limbs, as well as between stance and swing phases of the gait cycle. The results also support plantarflexor spasticity as a factor contributing to the poor locomotor performance after stroke.","publication":"Archives of Physical Medicine and Rehabilitation","publication_with_fallback":"Archives of Physical Medicine and 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itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49831423/Perspectives_of_health_care_professionals_on_the_facilitators_and_barriers_to_the_implementation_of_a_stroke_rehabilitation_guidelines_cluster_randomized_controlled_trial">Perspectives of health care professionals on the facilitators and barriers to the implementation of a stroke rehabilitation guidelines cluster randomized controlled trial</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial (SCORE-IT) was a cluster randomized controlled trial that evaluated two knowledge translation (KT) interventions for the promotion of the uptake of best... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831423" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The Stroke Canada Optimization of Rehabilitation by Evidence Implementation Trial (SCORE-IT) was a cluster randomized controlled trial that evaluated two knowledge translation (KT) interventions for the promotion of the uptake of best practice recommendations for interventions targeting upper and lower extremity function, postural control, and mobility. Twenty rehabilitation centers across Canada were randomly assigned to either the facilitated or passive KT intervention. The objective of the current study was to understand the factors influencing the implementation of the recommended treatments and KT interventions from the perspective of nurses, occupational therapists and physical therapists, and clinical managers following completion of the trial. A qualitative descriptive approach involving focus groups was used. Thematic analysis was used to understand the factors influencing the implementation of the recommended treatments and KT interventions. The Clinical Practice Guideline...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831423" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="cdd18d3c2abbbabfbfc5e84e6f6ece37" rel="nofollow" data-download="{"attachment_id":68044124,"asset_id":49831423,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044124/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831423 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831423"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831423, container: ".js-paper-rank-work_49831423", }); 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Twenty rehabilitation centers across Canada were randomly assigned to either the facilitated or passive KT intervention. The objective of the current study was to understand the factors influencing the implementation of the recommended treatments and KT interventions from the perspective of nurses, occupational therapists and physical therapists, and clinical managers following completion of the trial. A qualitative descriptive approach involving focus groups was used. Thematic analysis was used to understand the factors influencing the implementation of the recommended treatments and KT interventions. The Clinical Practice Guideline...","publication":"BMC health services research","publication_with_fallback":"BMC health services 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research","url":"https://www.academia.edu/Documents/in/Public_health_systems_and_services_research-1"},{"id":557817,"name":"Rehabilitation Centers","url":"https://www.academia.edu/Documents/in/Rehabilitation_Centers"},{"id":599219,"name":"Interdisciplinary Communication","url":"https://www.academia.edu/Documents/in/Interdisciplinary_Communication"},{"id":850924,"name":"Physical Therapists","url":"https://www.academia.edu/Documents/in/Physical_Therapists"},{"id":1592835,"name":"Translational Medical Research","url":"https://www.academia.edu/Documents/in/Translational_Medical_Research"},{"id":2482506,"name":"Randomized Controlled Trials as Topic","url":"https://www.academia.edu/Documents/in/Randomized_Controlled_Trials_as_Topic"},{"id":2491318,"name":"Guideline Adherence","url":"https://www.academia.edu/Documents/in/Guideline_Adherence"},{"id":2876065,"name":"Health Resources","url":"https://www.academia.edu/Documents/in/Health_Resources"},{"id":3196731,"name":"Interviews as 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class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The Stroke Canada Optimization of Rehabilitation by Evidence-Implementation Trial (SCORE-IT) showed that a facilitated knowledge translation (KT) approach to implementing a stroke rehabilitation guideline was more likely than passive... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831424" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The Stroke Canada Optimization of Rehabilitation by Evidence-Implementation Trial (SCORE-IT) showed that a facilitated knowledge translation (KT) approach to implementing a stroke rehabilitation guideline was more likely than passive strategies to improve functional walking capacity, but not gross manual dexterity, among patients in rehabilitation hospitals. This paper presents the results of a planned process evaluation designed to assess whether the type and number of recommended treatments implemented by stroke teams in each group would help to explain the results related to patient outcomes. As part of a cluster randomized trial, 20 rehabilitation units were stratified by language and allocated to a facilitated or passive KT intervention group. Sites in the facilitated group received the guideline with treatment protocols and funding for a part-time nurse and therapist facilitator who attended a 2-day training workshop and promoted guideline implementation for 16 months. Sites i...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831424" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="3f880c9b86446302860f972d7ad3695d" rel="nofollow" data-download="{"attachment_id":68044122,"asset_id":49831424,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044122/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831424 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831424"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831424, container: ".js-paper-rank-work_49831424", }); 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$(".js-view-count[data-work-id=49831424]").text(description); $(".js-view-count-work_49831424").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49831424").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="49831424"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">9</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="6186" rel="nofollow" href="https://www.academia.edu/Documents/in/Implementation_Science">Implementation Science</a>, <script data-card-contents-for-ri="6186" type="text/json">{"id":6186,"name":"Implementation Science","url":"https://www.academia.edu/Documents/in/Implementation_Science","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="14004" rel="nofollow" href="https://www.academia.edu/Documents/in/Stroke_rehabilitation">Stroke rehabilitation</a>, <script data-card-contents-for-ri="14004" type="text/json">{"id":14004,"name":"Stroke rehabilitation","url":"https://www.academia.edu/Documents/in/Stroke_rehabilitation","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="25443" rel="nofollow" href="https://www.academia.edu/Documents/in/Exercise_therapy">Exercise therapy</a>, <script data-card-contents-for-ri="25443" type="text/json">{"id":25443,"name":"Exercise therapy","url":"https://www.academia.edu/Documents/in/Exercise_therapy","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="54114" rel="nofollow" href="https://www.academia.edu/Documents/in/Canada">Canada</a><script data-card-contents-for-ri="54114" type="text/json">{"id":54114,"name":"Canada","url":"https://www.academia.edu/Documents/in/Canada","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=49831424]'), work: {"id":49831424,"title":"Facilitated interprofessional implementation of a physical rehabilitation guideline for stroke in inpatient settings: process evaluation of a cluster randomized trial","created_at":"2021-07-12T17:34:18.451-07:00","owner_id":32546765,"url":"https://www.academia.edu/49831424/Facilitated_interprofessional_implementation_of_a_physical_rehabilitation_guideline_for_stroke_in_inpatient_settings_process_evaluation_of_a_cluster_randomized_trial","slug":"Facilitated_interprofessional_implementation_of_a_physical_rehabilitation_guideline_for_stroke_in_inpatient_settings_process_evaluation_of_a_cluster_randomized_trial","dom_id":"work_49831424","summary":"The Stroke Canada Optimization of Rehabilitation by Evidence-Implementation Trial (SCORE-IT) showed that a facilitated knowledge translation (KT) approach to implementing a stroke rehabilitation guideline was more likely than passive strategies to improve functional walking capacity, but not gross manual dexterity, among patients in rehabilitation hospitals. This paper presents the results of a planned process evaluation designed to assess whether the type and number of recommended treatments implemented by stroke teams in each group would help to explain the results related to patient outcomes. As part of a cluster randomized trial, 20 rehabilitation units were stratified by language and allocated to a facilitated or passive KT intervention group. Sites in the facilitated group received the guideline with treatment protocols and funding for a part-time nurse and therapist facilitator who attended a 2-day training workshop and promoted guideline implementation for 16 months. Sites i...","publication":"Implementation science : IS","publication_with_fallback":"Implementation science : IS","downloadable_attachments":[{"id":68044122,"asset_id":49831424,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044122/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044122/s13012-017-0631-7-libre.pdf?1626138270=\u0026response-content-disposition=attachment%3B+filename%3DFacilitated_interprofessional_implementa.pdf\u0026Expires=1739800343\u0026Signature=NqZRrHnLdjCSVi24APRkTcogottfEBuNvaUD-wwFs6gK-l7ANKY2OlQnE2fBVXb-ojjhSmYiAfkb15UIPscvuvF04LA~txOy2ued3YoABviAPq2hbM4Qi6uBWKnvRBs45k4YqTvmkeHRVhtNB6NzcJixPgcbnD0lo1vA21MYuNgUNDke8cCnAIGiHLtL4rq6OVNJv2gIDMrHPC8iajE42aKtf-bvmeXdQ-MBUxBeOEAV79sfHywd4388EeBAr8Yd8pk4pupihvV7uS7cNDj7S1wO-w5~wZntN3-FAIysMK-IO1HzED5kQo7CbbH3MdiazmorUghAVxPNfupZ1d~TdA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044122/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044122/mini_magick20210712-26111-12q3a4q.png?1626136567"}],"downloadable_attachments_with_full_thumbnails":[{"id":68044122,"asset_id":49831424,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/68044122/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/68044122/s13012-017-0631-7-libre.pdf?1626138270=\u0026response-content-disposition=attachment%3B+filename%3DFacilitated_interprofessional_implementa.pdf\u0026Expires=1739800343\u0026Signature=NqZRrHnLdjCSVi24APRkTcogottfEBuNvaUD-wwFs6gK-l7ANKY2OlQnE2fBVXb-ojjhSmYiAfkb15UIPscvuvF04LA~txOy2ued3YoABviAPq2hbM4Qi6uBWKnvRBs45k4YqTvmkeHRVhtNB6NzcJixPgcbnD0lo1vA21MYuNgUNDke8cCnAIGiHLtL4rq6OVNJv2gIDMrHPC8iajE42aKtf-bvmeXdQ-MBUxBeOEAV79sfHywd4388EeBAr8Yd8pk4pupihvV7uS7cNDj7S1wO-w5~wZntN3-FAIysMK-IO1HzED5kQo7CbbH3MdiazmorUghAVxPNfupZ1d~TdA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/68044122/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/68044122/mini_magick20210712-26111-12q3a4q.png?1626136567"}],"has_pdf":true,"has_fulltext":true,"page_count":11,"ordered_authors":[{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":6186,"name":"Implementation Science","url":"https://www.academia.edu/Documents/in/Implementation_Science","nofollow":true},{"id":14004,"name":"Stroke rehabilitation","url":"https://www.academia.edu/Documents/in/Stroke_rehabilitation","nofollow":true},{"id":25443,"name":"Exercise therapy","url":"https://www.academia.edu/Documents/in/Exercise_therapy","nofollow":true},{"id":54114,"name":"Canada","url":"https://www.academia.edu/Documents/in/Canada","nofollow":true},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":395473,"name":"Patient Care Team","url":"https://www.academia.edu/Documents/in/Patient_Care_Team"},{"id":854662,"name":"Inpatients","url":"https://www.academia.edu/Documents/in/Inpatients"},{"id":3276599,"name":"interprofessional relations","url":"https://www.academia.edu/Documents/in/interprofessional_relations"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences"}],"publication_year":2017,"publication_year_with_fallback":2017,"paper_rank":null,"all_time_views":12,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_49831425" data-work_id="49831425" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/49831425/Accuracy_of_administrative_claims_data_for_cerebral_palsy_diagnosis_a_retrospective_cohort_study">Accuracy of administrative claims data for cerebral palsy diagnosis: a retrospective cohort study</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Cerebral palsy is the most common cause of childhood physical disability, with multiple associated comorbidities. Administrative claims data provide population-level prevalence estimates for cerebral palsy surveillance; however, their... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_49831425" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Cerebral palsy is the most common cause of childhood physical disability, with multiple associated comorbidities. Administrative claims data provide population-level prevalence estimates for cerebral palsy surveillance; however, their diagnostic accuracy has never been validated in Quebec. This study aimed to assess the accuracy of administrative claims data for the diagnosis of cerebral palsy. We conducted a retrospective cohort study of children with cerebral palsy born between 1999 and 2002 within 6 health administrative regions of Quebec. Provincial cerebral palsy registry data (reference standard) and administrative physician claims were linked. We explored differences between true-positive and false-negative cases using subgroup sensitivity analysis. A total of 301 children were identified with confirmed cerebral palsy from the provincial registry, for an estimated prevalence of 1.8 (95% confidence interval [CI] 1.6-2.1) per 1000 children 5 years of age. The sensitivity and sp...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/49831425" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="45bd60ef879fa14a1e6823a0c304caa9" rel="nofollow" data-download="{"attachment_id":68044121,"asset_id":49831425,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/68044121/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32546765" href="https://ulaval.academia.edu/CarolRichards">Carol Richards</a><script data-card-contents-for-user="32546765" type="text/json">{"id":32546765,"first_name":"Carol","last_name":"Richards","domain_name":"ulaval","page_name":"CarolRichards","display_name":"Carol Richards","profile_url":"https://ulaval.academia.edu/CarolRichards","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_49831425 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="49831425"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 49831425, container: ".js-paper-rank-work_49831425", }); });</script></li><li class="js-percentile-work_49831425 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 49831425; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_49831425"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_49831425 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="49831425"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 49831425; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=49831425]").text(description); $(".js-view-count-work_49831425").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_49831425").removeClass('hidden') })</script></div></li></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_13083374" data-work_id="13083374" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/13083374/L%C3%A9valuation_des_habilet%C3%A9s_math%C3%A9matiques_de_lenfant_inventaire_critique_des_outils_disponibles">L'évaluation des habiletés mathématiques de l'enfant: inventaire critique des outils disponibles</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">The evaluation of a child with mathematical difficulties comprises several important steps: the history interview to identify the child and family complaint, the evaluation of general mathematical abilities with standardized tests to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_13083374" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">The evaluation of a child with mathematical difficulties comprises several important steps: the history interview to identify the child and family complaint, the evaluation of general mathematical abilities with standardized tests to identify mathematic learning difficulties; and the evaluation of basic numerical skills (i.e. processing of quantities presented in the analog, Arabic and oral codes), which is essential to objectify the presence of a numerical cognitive disorder and to diagnose dyscalculia. This evaluation process facilitates the differentiation between children with delay in mathematical development and children with dyscalculia. This article is a critical review of French clinical tools for the assessment of general and basic numerical abilities. L’évaluation d’un enfant en difficulté mathématique comporte plusieurs étapes tout aussi importantes les unes que les autres : l’entretien d’anamnèse pour identifier les besoins de l’enfant et de sa famille ; l’évaluation de...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/13083374" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="0762d6cf8bece6705483b219f4c2e33f" rel="nofollow" data-download="{"attachment_id":45691236,"asset_id":13083374,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/45691236/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="32329210" href="https://ulaval.academia.edu/MariecatherineStpierre">Marie-catherine St-pierre</a><script data-card-contents-for-user="32329210" type="text/json">{"id":32329210,"first_name":"Marie-catherine","last_name":"St-pierre","domain_name":"ulaval","page_name":"MariecatherineStpierre","display_name":"Marie-catherine St-pierre","profile_url":"https://ulaval.academia.edu/MariecatherineStpierre","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_13083374 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="13083374"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 13083374, container: ".js-paper-rank-work_13083374", }); });</script></li><li class="js-percentile-work_13083374 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 13083374; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_13083374"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_13083374 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="13083374"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 13083374; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=13083374]").text(description); $(".js-view-count-work_13083374").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_13083374").removeClass('hidden') })</script></div></li></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787545" data-work_id="92787545" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787545/Cross_modal_reorganization_and_speech_perception_in_cochlear_implant_users">Cross-modal reorganization and speech perception in cochlear implant users</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Recent work suggests that once the auditory cortex of deaf persons has been reorganized by cross-modal plasticity, it can no longer respond to signals from a cochlear implant (CI) installed subsequently. To further examine this issue, we... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787545" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Recent work suggests that once the auditory cortex of deaf persons has been reorganized by cross-modal plasticity, it can no longer respond to signals from a cochlear implant (CI) installed subsequently. To further examine this issue, we compared the evoked potentials involved in the processing of visual stimuli between CI users and hearing controls. The stimuli were concentric circles replaced by a different overlapping shape, inducing a shape transformation, known to activate the ventral visual pathway in human adults. All CI users had their device implanted for >1 year, but obtained different levels of auditory performance following training to establish language comprehension. Seven of the 13 patients showed good capacities for speech recognition with the CI (good performers) while the six others demonstrated poor speech recognition abilities (poor performers). The evoked potentials of all patients showed larger amplitudes, with different distributions of scalp activations between the two groups. The poor performers exhibited broader, anteriorly distributed, high P2 amplitudes over the cortex whereas the good performers showed significantly higher P2 amplitudes over visual occipital areas. These results suggest the existence of a profound cross-modal reorganization in the poor performers and an intramodal reorganization in the good performers. We interpret these data on the basis of enhanced audiovisual coupling as the key to a long-term functional improvement in speech discrimination in CI users.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787545" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="76021991c8d416302d22bf177c82718a" rel="nofollow" data-download="{"attachment_id":95704075,"asset_id":92787545,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704075/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787545 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787545"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787545, container: ".js-paper-rank-work_92787545", }); });</script></li><li class="js-percentile-work_92787545 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 92787545; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_92787545"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_92787545 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="92787545"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92787545; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=92787545]").text(description); $(".js-view-count-work_92787545").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787545").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787545"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="221" rel="nofollow" href="https://www.academia.edu/Documents/in/Psychology">Psychology</a>, <script data-card-contents-for-ri="221" type="text/json">{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="867" rel="nofollow" href="https://www.academia.edu/Documents/in/Perception">Perception</a>, <script data-card-contents-for-ri="867" type="text/json">{"id":867,"name":"Perception","url":"https://www.academia.edu/Documents/in/Perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4139" rel="nofollow" href="https://www.academia.edu/Documents/in/Audiology">Audiology</a>, <script data-card-contents-for-ri="4139" type="text/json">{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a><script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787545]'), work: {"id":92787545,"title":"Cross-modal reorganization and speech perception in cochlear implant users","created_at":"2022-12-13T05:32:43.707-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787545/Cross_modal_reorganization_and_speech_perception_in_cochlear_implant_users","slug":"Cross_modal_reorganization_and_speech_perception_in_cochlear_implant_users","dom_id":"work_92787545","summary":"Recent work suggests that once the auditory cortex of deaf persons has been reorganized by cross-modal plasticity, it can no longer respond to signals from a cochlear implant (CI) installed subsequently. To further examine this issue, we compared the evoked potentials involved in the processing of visual stimuli between CI users and hearing controls. The stimuli were concentric circles replaced by a different overlapping shape, inducing a shape transformation, known to activate the ventral visual pathway in human adults. All CI users had their device implanted for \u003e1 year, but obtained different levels of auditory performance following training to establish language comprehension. Seven of the 13 patients showed good capacities for speech recognition with the CI (good performers) while the six others demonstrated poor speech recognition abilities (poor performers). The evoked potentials of all patients showed larger amplitudes, with different distributions of scalp activations between the two groups. The poor performers exhibited broader, anteriorly distributed, high P2 amplitudes over the cortex whereas the good performers showed significantly higher P2 amplitudes over visual occipital areas. These results suggest the existence of a profound cross-modal reorganization in the poor performers and an intramodal reorganization in the good performers. We interpret these data on the basis of enhanced audiovisual coupling as the key to a long-term functional improvement in speech discrimination in CI users.","publication":"Brain","publication_with_fallback":"Brain","downloadable_attachments":[{"id":95704075,"asset_id":92787545,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704075/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704075/awl264-libre.pdf?1670940716=\u0026response-content-disposition=attachment%3B+filename%3DCross_modal_reorganization_and_speech_pe.pdf\u0026Expires=1739837952\u0026Signature=Si5PDUT59Eswd~gXyxZXXrKTelKmormOZtk7QvAb9EqseG0w0E6jCn37OKPOV1ap4fj-oCtS1RnqWab6o9Zt~FeRSx9Eroo2uMW879Y0NlhqYTj524SfjO8p4Pw6NJnUSDvldaVBk-t5RQsSzerPO~2A-XlTW9IMIuFsqLNx3XJbFnKloexaW6uP619pueyVllah5nXZTNiT2hpx1QngzZD3nNezwjYaS0KcpHK-5nBEzLDjeHW~IgGsZp98yRqjZ2LjpYsyDwDixmjmjFkMItMGdKUrdVRDkcyCRLUAhJUX-r8yUsDVatQeJJrtZwKklydghcUQNUsbNM0TfCOKUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704075/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704075/mini_magick20221216-1-6lvfgy.png?1671155527"}],"downloadable_attachments_with_full_thumbnails":[{"id":95704075,"asset_id":92787545,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704075/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704075/awl264-libre.pdf?1670940716=\u0026response-content-disposition=attachment%3B+filename%3DCross_modal_reorganization_and_speech_pe.pdf\u0026Expires=1739837952\u0026Signature=Si5PDUT59Eswd~gXyxZXXrKTelKmormOZtk7QvAb9EqseG0w0E6jCn37OKPOV1ap4fj-oCtS1RnqWab6o9Zt~FeRSx9Eroo2uMW879Y0NlhqYTj524SfjO8p4Pw6NJnUSDvldaVBk-t5RQsSzerPO~2A-XlTW9IMIuFsqLNx3XJbFnKloexaW6uP619pueyVllah5nXZTNiT2hpx1QngzZD3nNezwjYaS0KcpHK-5nBEzLDjeHW~IgGsZp98yRqjZ2LjpYsyDwDixmjmjFkMItMGdKUrdVRDkcyCRLUAhJUX-r8yUsDVatQeJJrtZwKklydghcUQNUsbNM0TfCOKUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704075/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704075/mini_magick20221216-1-6lvfgy.png?1671155527"}],"has_pdf":true,"has_fulltext":true,"page_count":8,"ordered_authors":[{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology","nofollow":true},{"id":867,"name":"Perception","url":"https://www.academia.edu/Documents/in/Perception","nofollow":true},{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true},{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":33887,"name":"Language Comprehension","url":"https://www.academia.edu/Documents/in/Language_Comprehension"},{"id":52176,"name":"Brain Mapping","url":"https://www.academia.edu/Documents/in/Brain_Mapping"},{"id":61474,"name":"Brain","url":"https://www.academia.edu/Documents/in/Brain"},{"id":76622,"name":"Cochlear Implant","url":"https://www.academia.edu/Documents/in/Cochlear_Implant"},{"id":132020,"name":"Neuronal Plasticity","url":"https://www.academia.edu/Documents/in/Neuronal_Plasticity"},{"id":173382,"name":"Cochlear Implants","url":"https://www.academia.edu/Documents/in/Cochlear_Implants"},{"id":186883,"name":"Apparent Motion","url":"https://www.academia.edu/Documents/in/Apparent_Motion"},{"id":723371,"name":"Auditory Cortex","url":"https://www.academia.edu/Documents/in/Auditory_Cortex"},{"id":2849038,"name":"photic stimulation","url":"https://www.academia.edu/Documents/in/photic_stimulation"},{"id":3763225,"name":"Medical and Health Sciences","url":"https://www.academia.edu/Documents/in/Medical_and_Health_Sciences"}],"publication_year":2006,"publication_year_with_fallback":2006,"paper_rank":null,"all_time_views":4,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787546" data-work_id="92787546" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787546/Utility_of_ear_implants_can_all_benefits_be_valued">Utility of ear implants: can all benefits be valued?</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Every health system is confronted with the constantly rising cost of medical technologies and treatments. Decisions regarding the adoption of these technologies are now heavily based on scientific evidence. Economic evidence is often a... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787546" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Every health system is confronted with the constantly rising cost of medical technologies and treatments. Decisions regarding the adoption of these technologies are now heavily based on scientific evidence. Economic evidence is often a key issue in accepting the new technologies and defining indications. Thus, cost/effectiveness, and more specifically cost/utility analysis, constitutes a growing approach in valuing medical devices, including electronic ear implants, using uniform units such as the quality-adjusted life-year or QALY. These units are extracted from health preference weights expressed by large portions of the general population. Researchers have used different tools for the assessment of the utility of ear implants. In the cochlear implant field, the Health Utility Index, the Quality of Well-Being Scale or the visual analog scale have generally been the reference instruments. The Quality of Well-Being Scale and the Health Utility Index are generic instruments designed to assess global health status. The Quality of Well-Being Scale focuses on the physical aspects of daily life in three dimensions, that is mobility, physical and social activity. The Health Utility Index assesses the functional level for eight attributes, including sensory and psycho-social ones such as vision, hearing, speech, emotion, cognition and pain. Each attribute is quoted on a six-level scale. The hearing scale goes from level 6, that is unable to hear at all, to level 1, defined as being able to hear without a hearing aid. Median scores represents a pseudo-hierarchy of capacities involving the use of hearing aids in quiet or noisy environments. Both Quality of Well-Being Scale and Health Utility Index are weighted on preferences expressed by large samples of people. The visual analog scale is simply a segmented or non-segmented line with extreme markers at both ends on which a person specifies his estimation of his own quality of life. Thus, this measure is not a real utility measure, as it is not weighted by preferences from the general population. Researchers have shown that treating profoundly deaf candidates with a cochlear implant generally gives an improvement of 20-40% in quality of life (</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787546" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="d63b294fc2e1243305fa8a6d6754a27e" rel="nofollow" data-download="{"attachment_id":95704133,"asset_id":92787546,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704133/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787546 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787546"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787546, container: ".js-paper-rank-work_92787546", }); 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Decisions regarding the adoption of these technologies are now heavily based on scientific evidence. Economic evidence is often a key issue in accepting the new technologies and defining indications. Thus, cost/effectiveness, and more specifically cost/utility analysis, constitutes a growing approach in valuing medical devices, including electronic ear implants, using uniform units such as the quality-adjusted life-year or QALY. These units are extracted from health preference weights expressed by large portions of the general population. Researchers have used different tools for the assessment of the utility of ear implants. In the cochlear implant field, the Health Utility Index, the Quality of Well-Being Scale or the visual analog scale have generally been the reference instruments. The Quality of Well-Being Scale and the Health Utility Index are generic instruments designed to assess global health status. The Quality of Well-Being Scale focuses on the physical aspects of daily life in three dimensions, that is mobility, physical and social activity. The Health Utility Index assesses the functional level for eight attributes, including sensory and psycho-social ones such as vision, hearing, speech, emotion, cognition and pain. Each attribute is quoted on a six-level scale. The hearing scale goes from level 6, that is unable to hear at all, to level 1, defined as being able to hear without a hearing aid. Median scores represents a pseudo-hierarchy of capacities involving the use of hearing aids in quiet or noisy environments. Both Quality of Well-Being Scale and Health Utility Index are weighted on preferences expressed by large samples of people. The visual analog scale is simply a segmented or non-segmented line with extreme markers at both ends on which a person specifies his estimation of his own quality of life. Thus, this measure is not a real utility measure, as it is not weighted by preferences from the general population. Researchers have shown that treating profoundly deaf candidates with a cochlear implant generally gives an improvement of 20-40% in quality of life (","publication":"Cochlear Implants International","publication_with_fallback":"Cochlear Implants International","downloadable_attachments":[{"id":95704133,"asset_id":92787546,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704133/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704133/cii.26820221213-1-nclu1s-libre.pdf?1670940695=\u0026response-content-disposition=attachment%3B+filename%3DUtility_of_ear_implants_can_all_benefits.pdf\u0026Expires=1739837952\u0026Signature=c9MlxBbCDjRZi8eCJMMrDUtoz3tbIav0TVprZMpYUa~IoirgybMoPoDlj-j6tZQcUpI6KgXxoFM8dvtiSX7~SNDBrweQT51UaYZRSHoK7RCrurEwpvQiAoTkDugCm04ZqEvNrGCypGFPDh-SPmqSrqKGt3DqpRGDwVJo823grGyZ7PYXseJ7wTSweEYKSwSxN2G17PRpSij5GIs0Odgz2dpoopD2PUj~I7lMOxWSSFdGzZts1vlaUKyqBo0A4En5GMwkA-A57uczdG0e091moq-vtiBohCz-Cy09I0UV2THXxOkyvoXuBPkBe6nvRGjAwEgKXlt8YUr6-voqAZVdpg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704133/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704133/mini_magick20221215-1-12bwym3.png?1671132560"}],"downloadable_attachments_with_full_thumbnails":[{"id":95704133,"asset_id":92787546,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704133/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704133/cii.26820221213-1-nclu1s-libre.pdf?1670940695=\u0026response-content-disposition=attachment%3B+filename%3DUtility_of_ear_implants_can_all_benefits.pdf\u0026Expires=1739837952\u0026Signature=c9MlxBbCDjRZi8eCJMMrDUtoz3tbIav0TVprZMpYUa~IoirgybMoPoDlj-j6tZQcUpI6KgXxoFM8dvtiSX7~SNDBrweQT51UaYZRSHoK7RCrurEwpvQiAoTkDugCm04ZqEvNrGCypGFPDh-SPmqSrqKGt3DqpRGDwVJo823grGyZ7PYXseJ7wTSweEYKSwSxN2G17PRpSij5GIs0Odgz2dpoopD2PUj~I7lMOxWSSFdGzZts1vlaUKyqBo0A4En5GMwkA-A57uczdG0e091moq-vtiBohCz-Cy09I0UV2THXxOkyvoXuBPkBe6nvRGjAwEgKXlt8YUr6-voqAZVdpg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704133/download_file?st=MTczOTgzNDM1Miw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704133/mini_magick20221215-1-12bwym3.png?1671132560"}],"has_pdf":true,"has_fulltext":true,"page_count":2,"ordered_authors":[{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true},{"id":173382,"name":"Cochlear Implants","url":"https://www.academia.edu/Documents/in/Cochlear_Implants","nofollow":true},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences","nofollow":true}],"publication_year":2005,"publication_year_with_fallback":2005,"paper_rank":null,"all_time_views":0,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787547" data-work_id="92787547" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787547/Cochlear_Implantation_in_Postmeningitic_Deafness">Cochlear Implantation in Postmeningitic Deafness</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objectives/Hypothesis: To propose guidelines in the management of a profound bilateral sensorineural hearing loss after bacterial meningitis. Study Design: Retrospective chart review. Patients: All 40 postmeningitic cochlear implantation... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787547" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objectives/Hypothesis: To propose guidelines in the management of a profound bilateral sensorineural hearing loss after bacterial meningitis. Study Design: Retrospective chart review. Patients: All 40 postmeningitic cochlear implantation surgeries performed between August 1987 and April 2007. Methods: Descriptive analysis of data on the cause of meningitis, preoperative imaging evaluation, age at implantation, time elapsed between meningitis and implantation, and relevant surgical findings. Results: Twenty-seven children and 13 adults with postmeningitic deafness were implanted. Mean age was 3 years 8 months for the children and 44 years and 10 months for the adults. The mean time delay between meningitis and surgery was 2 years 1 month for children and 28 years for adults. Eighteen children (67%) were implanted within a year. Labyrinthitis ossificans was evidenced at surgery in 62% of patients. Intraoperative cochlear ossification was classified according to the scale described by Smullen and Balkany (2005). Stage II ossification was seen in 3 patients within 49 days, with 1 of them as soon as 21 days. There was a partial insertion in 9 patients secondary to ossification. Open-set speech discrimination was achieved by 37% of the children (10 of 27) and 23% of the adults (3 of 13). Conclusion: We recommend early cochlear implantation for patients with bilateral profound deafness secondary to meningitis.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787547" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="b9c9936578adc109291c554e788e8ef2" rel="nofollow" data-download="{"attachment_id":95704151,"asset_id":92787547,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704151/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787547 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787547"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787547, container: ".js-paper-rank-work_92787547", }); 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$(".js-view-count[data-work-id=92787547]").text(description); $(".js-view-count-work_92787547").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787547").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787547"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="4139" rel="nofollow" href="https://www.academia.edu/Documents/in/Audiology">Audiology</a>, <script data-card-contents-for-ri="4139" type="text/json">{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="22506" rel="nofollow" href="https://www.academia.edu/Documents/in/Adolescent">Adolescent</a>, <script data-card-contents-for-ri="22506" type="text/json">{"id":22506,"name":"Adolescent","url":"https://www.academia.edu/Documents/in/Adolescent","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="64664" rel="nofollow" href="https://www.academia.edu/Documents/in/Sensorineural_Hearing_Loss">Sensorineural Hearing Loss</a><script data-card-contents-for-ri="64664" type="text/json">{"id":64664,"name":"Sensorineural Hearing Loss","url":"https://www.academia.edu/Documents/in/Sensorineural_Hearing_Loss","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787547]'), work: {"id":92787547,"title":"Cochlear Implantation in Postmeningitic Deafness","created_at":"2022-12-13T05:32:43.924-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787547/Cochlear_Implantation_in_Postmeningitic_Deafness","slug":"Cochlear_Implantation_in_Postmeningitic_Deafness","dom_id":"work_92787547","summary":"Objectives/Hypothesis: To propose guidelines in the management of a profound bilateral sensorineural hearing loss after bacterial meningitis. Study Design: Retrospective chart review. Patients: All 40 postmeningitic cochlear implantation surgeries performed between August 1987 and April 2007. Methods: Descriptive analysis of data on the cause of meningitis, preoperative imaging evaluation, age at implantation, time elapsed between meningitis and implantation, and relevant surgical findings. Results: Twenty-seven children and 13 adults with postmeningitic deafness were implanted. Mean age was 3 years 8 months for the children and 44 years and 10 months for the adults. The mean time delay between meningitis and surgery was 2 years 1 month for children and 28 years for adults. Eighteen children (67%) were implanted within a year. Labyrinthitis ossificans was evidenced at surgery in 62% of patients. Intraoperative cochlear ossification was classified according to the scale described by Smullen and Balkany (2005). Stage II ossification was seen in 3 patients within 49 days, with 1 of them as soon as 21 days. There was a partial insertion in 9 patients secondary to ossification. Open-set speech discrimination was achieved by 37% of the children (10 of 27) and 23% of the adults (3 of 13). Conclusion: We recommend early cochlear implantation for patients with bilateral profound deafness secondary to meningitis.","publication":"Otology \u0026amp; Neurotology","publication_with_fallback":"Otology \u0026amp; 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Disorders","url":"https://www.academia.edu/Documents/in/Language_Development_Disorders"}],"publication_year":2009,"publication_year_with_fallback":2009,"paper_rank":null,"all_time_views":50,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787549" data-work_id="92787549" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787549/Cochlear_Reimplantation_Causes_of_Failure_Outcomes_and_Audiologic_Performance">Cochlear Reimplantation: Causes of Failure, Outcomes, and Audiologic Performance</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objectives/Hypothesis: To review Quebec's experience with cochlear reimplantation in adults and children and describe failure rates, causes of revision, surgical findings, and the impact of reimplantation on audiologic performances. Study... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787549" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objectives/Hypothesis: To review Quebec's experience with cochlear reimplantation in adults and children and describe failure rates, causes of revision, surgical findings, and the impact of reimplantation on audiologic performances. Study Design: Retrospective analysis of all 45 cochlear implant revision surgeries (43 reimplantations) performed on 16 adults and 25 children at the Centre Hospitalier Universitaire de Qué bec (Hô tel-Dieu de Qué bec) in Quebec City, between 1987 and 2005. Methods: Data on patient demographics, failure sources including review of manufacturer's investigation reports, surgical findings, and outcomes (electrode insertion, complications, and audiologic performances). Results: Mean length of device use before explantation was 5.5 years and ranged from 3 months to 17 years. Explantation was related to documented hard failure (53.3%), traumatic device failure (13.3%, only in children), extrusion of electrode array or scalp flap infection (13.3%), a decrease in performance or soft failure (11.1%), intratemporal pathology (6.7%), and a perilymphatic fistula (2.2%). Overall revision rates of 8.0% and 5.4% were obtained for children and adults, respectively. Total device failure rates of 6.2% in children and 3.3% in adults were calculated. Failure rates decreased with each new generation of Nucleus devices. Perioperative complications were uncommon. A moderate amount of fibrosis was found in the cochlea lumen, and sometimes osteoneogenesis made the reinsertion challenging. Electrode reinsertion depth was mostly comparable with the initial surgery. Speech perception abilities were maintained after reimplantation. Conclusions: Management of implant failures, including revision surgeries, is becoming an increasingly important part of cochlear implant program activity. It appears more commonly in children because of trauma. Medical and audiologic outcomes are generally excellent. Revision implantation appears to be a safe and effective procedure.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787549" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="e66ee1a3f4078d0adb6c0c5760549b49" rel="nofollow" data-download="{"attachment_id":95704159,"asset_id":92787549,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704159/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787549 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787549"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787549, container: ".js-paper-rank-work_92787549", }); 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$(".js-view-count[data-work-id=92787549]").text(description); $(".js-view-count-work_92787549").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787549").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787549"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="647" rel="nofollow" href="https://www.academia.edu/Documents/in/Surgery">Surgery</a>, <script data-card-contents-for-ri="647" type="text/json">{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5391" rel="nofollow" href="https://www.academia.edu/Documents/in/Speech_perception">Speech perception</a>, <script data-card-contents-for-ri="5391" type="text/json">{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="64933" rel="nofollow" href="https://www.academia.edu/Documents/in/Child">Child</a><script data-card-contents-for-ri="64933" type="text/json">{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787549]'), work: {"id":92787549,"title":"Cochlear Reimplantation: Causes of Failure, Outcomes, and Audiologic Performance","created_at":"2022-12-13T05:32:44.219-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787549/Cochlear_Reimplantation_Causes_of_Failure_Outcomes_and_Audiologic_Performance","slug":"Cochlear_Reimplantation_Causes_of_Failure_Outcomes_and_Audiologic_Performance","dom_id":"work_92787549","summary":"Objectives/Hypothesis: To review Quebec's experience with cochlear reimplantation in adults and children and describe failure rates, causes of revision, surgical findings, and the impact of reimplantation on audiologic performances. Study Design: Retrospective analysis of all 45 cochlear implant revision surgeries (43 reimplantations) performed on 16 adults and 25 children at the Centre Hospitalier Universitaire de Qué bec (Hô tel-Dieu de Qué bec) in Quebec City, between 1987 and 2005. Methods: Data on patient demographics, failure sources including review of manufacturer's investigation reports, surgical findings, and outcomes (electrode insertion, complications, and audiologic performances). Results: Mean length of device use before explantation was 5.5 years and ranged from 3 months to 17 years. Explantation was related to documented hard failure (53.3%), traumatic device failure (13.3%, only in children), extrusion of electrode array or scalp flap infection (13.3%), a decrease in performance or soft failure (11.1%), intratemporal pathology (6.7%), and a perilymphatic fistula (2.2%). Overall revision rates of 8.0% and 5.4% were obtained for children and adults, respectively. Total device failure rates of 6.2% in children and 3.3% in adults were calculated. Failure rates decreased with each new generation of Nucleus devices. Perioperative complications were uncommon. A moderate amount of fibrosis was found in the cochlea lumen, and sometimes osteoneogenesis made the reinsertion challenging. Electrode reinsertion depth was mostly comparable with the initial surgery. Speech perception abilities were maintained after reimplantation. Conclusions: Management of implant failures, including revision surgeries, is becoming an increasingly important part of cochlear implant program activity. It appears more commonly in children because of trauma. Medical and audiologic outcomes are generally excellent. Revision implantation appears to be a safe and effective procedure.","publication":"The Laryngoscope","publication_with_fallback":"The Laryngoscope","downloadable_attachments":[{"id":95704159,"asset_id":92787549,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704159/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704159/mlg.0b013e31805c9a0620221213-1-bz73aa-libre.pdf?1670940693=\u0026response-content-disposition=attachment%3B+filename%3DCochlear_Reimplantation_Causes_of_Failur.pdf\u0026Expires=1739837953\u0026Signature=KxQmFMyY4q9CLB16VeIkukism~oBDrf2OZMaSzXw8hYyNreyiGCdnHsTroni8ixW2b3A-~wXbyqvxGmZwCxMe2zfZEWEgaGWUp3cBko1M93HclLiL5tY16KKltNjqA~mDyEwrHu9mO1Vxl3SgvE~CPDBzGz-E0RgHAtPmIWpJ1md26unuSOWPIbZnuSbTQNKmgwe3Y7NyW1FCuilKvn24AnEvm1ox7e1MrE4jb9y9SdgMIhmAJDLgduljeX-oSoBqkP6NGYmKaH1deWTfQLCvL0VWa1DomXOZwggj3Q5mRXA~ljtjGxRj3oDiuRpEVwYmgnR9d8uWLYuKn3sybwa5w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704159/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704159/mini_magick20221215-1-1jhkl0g.png?1671132530"}],"downloadable_attachments_with_full_thumbnails":[{"id":95704159,"asset_id":92787549,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704159/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704159/mlg.0b013e31805c9a0620221213-1-bz73aa-libre.pdf?1670940693=\u0026response-content-disposition=attachment%3B+filename%3DCochlear_Reimplantation_Causes_of_Failur.pdf\u0026Expires=1739837953\u0026Signature=KxQmFMyY4q9CLB16VeIkukism~oBDrf2OZMaSzXw8hYyNreyiGCdnHsTroni8ixW2b3A-~wXbyqvxGmZwCxMe2zfZEWEgaGWUp3cBko1M93HclLiL5tY16KKltNjqA~mDyEwrHu9mO1Vxl3SgvE~CPDBzGz-E0RgHAtPmIWpJ1md26unuSOWPIbZnuSbTQNKmgwe3Y7NyW1FCuilKvn24AnEvm1ox7e1MrE4jb9y9SdgMIhmAJDLgduljeX-oSoBqkP6NGYmKaH1deWTfQLCvL0VWa1DomXOZwggj3Q5mRXA~ljtjGxRj3oDiuRpEVwYmgnR9d8uWLYuKn3sybwa5w__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704159/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704159/mini_magick20221215-1-1jhkl0g.png?1671132530"}],"has_pdf":true,"has_fulltext":true,"page_count":11,"ordered_authors":[{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":647,"name":"Surgery","url":"https://www.academia.edu/Documents/in/Surgery","nofollow":true},{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true},{"id":64933,"name":"Child","url":"https://www.academia.edu/Documents/in/Child","nofollow":true},{"id":76622,"name":"Cochlear Implant","url":"https://www.academia.edu/Documents/in/Cochlear_Implant"},{"id":173382,"name":"Cochlear Implants","url":"https://www.academia.edu/Documents/in/Cochlear_Implants"},{"id":226636,"name":"Deafness","url":"https://www.academia.edu/Documents/in/Deafness"},{"id":244814,"name":"Clinical Sciences","url":"https://www.academia.edu/Documents/in/Clinical_Sciences"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":407481,"name":"Implant","url":"https://www.academia.edu/Documents/in/Implant"},{"id":469105,"name":"Retrospective Studies","url":"https://www.academia.edu/Documents/in/Retrospective_Studies"},{"id":1253980,"name":"Cochlear Implantation","url":"https://www.academia.edu/Documents/in/Cochlear_Implantation"},{"id":2463800,"name":"Severity of Illness Index","url":"https://www.academia.edu/Documents/in/Severity_of_Illness_Index"},{"id":2482067,"name":"Reoperation","url":"https://www.academia.edu/Documents/in/Reoperation"},{"id":2560481,"name":"Perioperative","url":"https://www.academia.edu/Documents/in/Perioperative"}],"publication_year":2007,"publication_year_with_fallback":2007,"paper_rank":null,"all_time_views":3,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787551" data-work_id="92787551" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787551/Comparison_of_eSRTs_and_comfort_levels_in_users_of_Digisonic_SP_cochlear_implants">Comparison of eSRTs and comfort levels in users of Digisonic SP cochlear implants</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objective This project proposes to assess the relation between the electrical stapedius reflex threshold (eSRT) and comfort levels in users of the Digisonic SP cochlear implant. Methods Cross-sectional study, where eSRTs are compared to... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787551" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objective This project proposes to assess the relation between the electrical stapedius reflex threshold (eSRT) and comfort levels in users of the Digisonic SP cochlear implant. Methods Cross-sectional study, where eSRTs are compared to the comfort current levels at 2 weeks and at 1-year post-fitting in a group of 11 adults getting a significant improvement in open set speech recognition from a Digisonic SP cochlear implant. Results The linear relation between eSRTs and comfort levels results in Pearson correlation coefficients of 0.65 (P &lt; 0.01; at 2 weeks) to 0.60 (P &lt; 0.05; at 1 year). The comfort levels can be predicted from the eSRTs for the Digisonic SP device from the model equation C level = 19.12 + 0.41*eSRT within a clinically acceptable margin of error. Discussion Reflex thresholds could be obtained in most participants, and in most channels of the Digisonic implant. The equation model appears as a quite reliable predictor of comfort levels for users of this device.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787551" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a4c5a5784cc8b2c35c48235714413878" rel="nofollow" data-download="{"attachment_id":95704139,"asset_id":92787551,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704139/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787551 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787551"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787551, container: ".js-paper-rank-work_92787551", }); 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$(".js-view-count[data-work-id=92787551]").text(description); $(".js-view-count-work_92787551").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787551").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787551"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">15</a>  </div><span class="InlineList-item-text u-textTruncate u-pl10x"><a class="InlineList-item-text" data-has-card-for-ri="4139" rel="nofollow" href="https://www.academia.edu/Documents/in/Audiology">Audiology</a>, <script data-card-contents-for-ri="4139" type="text/json">{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5391" rel="nofollow" href="https://www.academia.edu/Documents/in/Speech_perception">Speech perception</a>, <script data-card-contents-for-ri="5391" type="text/json">{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="76622" rel="nofollow" href="https://www.academia.edu/Documents/in/Cochlear_Implant">Cochlear Implant</a><script data-card-contents-for-ri="76622" type="text/json">{"id":76622,"name":"Cochlear Implant","url":"https://www.academia.edu/Documents/in/Cochlear_Implant","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787551]'), work: {"id":92787551,"title":"Comparison of eSRTs and comfort levels in users of Digisonic SP cochlear implants","created_at":"2022-12-13T05:32:44.492-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787551/Comparison_of_eSRTs_and_comfort_levels_in_users_of_Digisonic_SP_cochlear_implants","slug":"Comparison_of_eSRTs_and_comfort_levels_in_users_of_Digisonic_SP_cochlear_implants","dom_id":"work_92787551","summary":"Objective This project proposes to assess the relation between the electrical stapedius reflex threshold (eSRT) and comfort levels in users of the Digisonic SP cochlear implant. Methods Cross-sectional study, where eSRTs are compared to the comfort current levels at 2 weeks and at 1-year post-fitting in a group of 11 adults getting a significant improvement in open set speech recognition from a Digisonic SP cochlear implant. Results The linear relation between eSRTs and comfort levels results in Pearson correlation coefficients of 0.65 (P \u0026lt; 0.01; at 2 weeks) to 0.60 (P \u0026lt; 0.05; at 1 year). The comfort levels can be predicted from the eSRTs for the Digisonic SP device from the model equation C level = 19.12 + 0.41*eSRT within a clinically acceptable margin of error. Discussion Reflex thresholds could be obtained in most participants, and in most channels of the Digisonic implant. The equation model appears as a quite reliable predictor of comfort levels for users of this device.","publication":"Cochlear implants international","publication_with_fallback":"Cochlear implants international","downloadable_attachments":[{"id":95704139,"asset_id":92787551,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704139/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704139/1754762814y.000000009220221213-1-17mp6pz-libre.pdf?1670940695=\u0026response-content-disposition=attachment%3B+filename%3DComparison_of_eSRTs_and_comfort_levels_i.pdf\u0026Expires=1739837953\u0026Signature=PP0DBhevExOG5FK~rht~SgU8O0GibG~v-2E~xd7B4VJb--Jh9m7ipJ~-ARCTp7CvMlIHM~Y4lQ3Tq6f7CiwpxsYdK~lWJcaF86UP3ssiL4XXMoCHPXDx1uu0rfK9cbBFC617U2KR2akFWFUjZONkLVICL7cEM1CeFvu8S816KLuxrZM3qspgG71knK-~ndCinZUsAcJHBJCNlUPxHcl7tCLKcVVQQC8YAeVQYJ3hA7fsUzr6BUiMDYDmFqtk5L4F-bbx6yxjn5VguaowXPEdbW5l7YEaLWCNyrMjdVtTf-4Nm6YL0mWtLjSKyHlpvUslir3cgIyjl4Lq~vX4uI7fFA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704139/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704139/mini_magick20221215-1-1sg7l1v.png?1671136622"}],"downloadable_attachments_with_full_thumbnails":[{"id":95704139,"asset_id":92787551,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704139/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704139/1754762814y.000000009220221213-1-17mp6pz-libre.pdf?1670940695=\u0026response-content-disposition=attachment%3B+filename%3DComparison_of_eSRTs_and_comfort_levels_i.pdf\u0026Expires=1739837953\u0026Signature=PP0DBhevExOG5FK~rht~SgU8O0GibG~v-2E~xd7B4VJb--Jh9m7ipJ~-ARCTp7CvMlIHM~Y4lQ3Tq6f7CiwpxsYdK~lWJcaF86UP3ssiL4XXMoCHPXDx1uu0rfK9cbBFC617U2KR2akFWFUjZONkLVICL7cEM1CeFvu8S816KLuxrZM3qspgG71knK-~ndCinZUsAcJHBJCNlUPxHcl7tCLKcVVQQC8YAeVQYJ3hA7fsUzr6BUiMDYDmFqtk5L4F-bbx6yxjn5VguaowXPEdbW5l7YEaLWCNyrMjdVtTf-4Nm6YL0mWtLjSKyHlpvUslir3cgIyjl4Lq~vX4uI7fFA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704139/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704139/mini_magick20221215-1-1sg7l1v.png?1671136622"}],"has_pdf":true,"has_fulltext":true,"page_count":5,"ordered_authors":[{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois 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u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787552" data-work_id="92787552" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787552/Effectiveness_of_Frequency_Lowering_Hearing_Aids_and_Electric_Acoustic_Stimulation_Cochlear_Implant_for_Treating_People_with_a_Severe_To_Profound_High_Frequency_Hearing_Loss">Effectiveness of Frequency-Lowering Hearing Aids and Electric Acoustic Stimulation Cochlear Implant for Treating People with a Severe-To-Profound High-Frequency Hearing Loss</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Objectives: The objective of this research project was to compare the effectiveness of frequency-transposition, frequency-compression hearing aids and the electric acoustic stimulation (EAS) cochlear implant to improve speech recognition... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787552" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Objectives: The objective of this research project was to compare the effectiveness of frequency-transposition, frequency-compression hearing aids and the electric acoustic stimulation (EAS) cochlear implant to improve speech recognition in participants with a sensorineural severe-to-profound high-frequency hearing loss (HFHL). Design: Ten adults with a severe-to-profound HFHL were recruited. They were all tested with frequency-compression and frequency-transposition hearing aids following an ABAC single-subject design; four-week baselines were completed with their own hearing aids, followed by eight-week trials with each device. One participant also received an EAS implant after hearing aid trials. Follow-up time ranged from 16 to 32 weeks. Speech recognition was measured each week using sentence and monosyllable lists, in quiet and in noise. The subjective benefit with each technology was assessed with standardized questionnaires. Complementary data about the EAS implant effectiveness were also extracted from our database of EAS users. Results: Frequency-lowering (FL) hearing aids improved speech recognition in five participants when compared to conventional hearing aids. Others experienced either no gain or some degradation in speech recognition when using a FL algorithm. Most participants reported better speech perception in everyday listening situations with FL hearing aids. Still, the participant who received an EAS implant obtained a greater improvement in speech recognition and reported a better benefit with this technology. Data collected from our database of EAS patients validated that the EAS participant was representative of our EAS users' population. Conclusion: The EAS implant appears as the first indication for treating people with a severe-to-profound HFHL; it is also the costliest and most invasive alternative. Thus, and considering the significant benefit some participants obtained with FL hearing aids, trials using these technologies should be considered on an individual basis prior to implantation.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787552" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="380c724449f062741e5f879862399ca1" rel="nofollow" data-download="{"attachment_id":95704134,"asset_id":92787552,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704134/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787552 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787552"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787552, container: ".js-paper-rank-work_92787552", }); });</script></li><li class="js-percentile-work_92787552 InlineList-item InlineList-item--bordered hidden u-tcGrayDark"><span class="percentile-widget hidden"><span class="u-mr2x percentile-widget" style="display: none">•</span><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 92787552; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-percentile-work_92787552"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></li><li class="js-view-count-work_92787552 InlineList-item InlineList-item--bordered hidden"><div><span><span class="js-view-count view-count u-mr2x" data-work-id="92787552"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 92787552; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=92787552]").text(description); $(".js-view-count-work_92787552").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787552").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787552"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">6</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="4139" rel="nofollow" href="https://www.academia.edu/Documents/in/Audiology">Audiology</a>, <script data-card-contents-for-ri="4139" type="text/json">{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5391" rel="nofollow" href="https://www.academia.edu/Documents/in/Speech_perception">Speech perception</a>, <script data-card-contents-for-ri="5391" type="text/json">{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a>, <script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="76622" rel="nofollow" href="https://www.academia.edu/Documents/in/Cochlear_Implant">Cochlear Implant</a><script data-card-contents-for-ri="76622" type="text/json">{"id":76622,"name":"Cochlear Implant","url":"https://www.academia.edu/Documents/in/Cochlear_Implant","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787552]'), work: {"id":92787552,"title":"Effectiveness of Frequency-Lowering Hearing Aids and Electric Acoustic Stimulation Cochlear Implant for Treating People with a Severe-To-Profound High-Frequency Hearing Loss","created_at":"2022-12-13T05:32:44.581-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787552/Effectiveness_of_Frequency_Lowering_Hearing_Aids_and_Electric_Acoustic_Stimulation_Cochlear_Implant_for_Treating_People_with_a_Severe_To_Profound_High_Frequency_Hearing_Loss","slug":"Effectiveness_of_Frequency_Lowering_Hearing_Aids_and_Electric_Acoustic_Stimulation_Cochlear_Implant_for_Treating_People_with_a_Severe_To_Profound_High_Frequency_Hearing_Loss","dom_id":"work_92787552","summary":"Objectives: The objective of this research project was to compare the effectiveness of frequency-transposition, frequency-compression hearing aids and the electric acoustic stimulation (EAS) cochlear implant to improve speech recognition in participants with a sensorineural severe-to-profound high-frequency hearing loss (HFHL). Design: Ten adults with a severe-to-profound HFHL were recruited. They were all tested with frequency-compression and frequency-transposition hearing aids following an ABAC single-subject design; four-week baselines were completed with their own hearing aids, followed by eight-week trials with each device. One participant also received an EAS implant after hearing aid trials. Follow-up time ranged from 16 to 32 weeks. Speech recognition was measured each week using sentence and monosyllable lists, in quiet and in noise. The subjective benefit with each technology was assessed with standardized questionnaires. Complementary data about the EAS implant effectiveness were also extracted from our database of EAS users. Results: Frequency-lowering (FL) hearing aids improved speech recognition in five participants when compared to conventional hearing aids. Others experienced either no gain or some degradation in speech recognition when using a FL algorithm. Most participants reported better speech perception in everyday listening situations with FL hearing aids. Still, the participant who received an EAS implant obtained a greater improvement in speech recognition and reported a better benefit with this technology. Data collected from our database of EAS patients validated that the EAS participant was representative of our EAS users' population. Conclusion: The EAS implant appears as the first indication for treating people with a severe-to-profound HFHL; it is also the costliest and most invasive alternative. Thus, and considering the significant benefit some participants obtained with FL hearing aids, trials using these technologies should be considered on an individual basis prior to implantation.","publication":"Journal of Otolaryngology-ENT Research","publication_with_fallback":"Journal of Otolaryngology-ENT Research","downloadable_attachments":[{"id":95704134,"asset_id":92787552,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704134/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704134/JOENTR-06-00162-libre.pdf?1670940717=\u0026response-content-disposition=attachment%3B+filename%3DEffectiveness_of_Frequency_Lowering_Hear.pdf\u0026Expires=1739837953\u0026Signature=E1VOv3peCo4zrSiTiwCzdvEu8fzuBrhpfNOzTpkAYXYJX259oHPSJ05F1SoSqwT0iUHN7aDWzkWdda9aikDNiqn8mm1kFMFJihNmjEk0XqnL-sDa4r0n6H1aidHXD~LgOAwD5jiIEXjxLBgrDc5i5vnSbB4-NF2GnhEkxJ6ycWWfkoSwO3EsHJ1SfibpBWajqkR5D7IaFucEJmhOhmR5mEnge6cLJr5vDp62Xx~0GPhzfuZu8xBNHPQq1yiChhk~eBJzaIyKp6nXQGWkSKYq9nj66P~J~-n0XcrMWqrXh5Pcvj8Sraz3-f1iGbAtUyG-IFEe2xdRagrcoAtvqC7uuQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704134/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704134/mini_magick20221216-1-17kq4sc.png?1671155893"}],"downloadable_attachments_with_full_thumbnails":[{"id":95704134,"asset_id":92787552,"asset_type":"Work","always_allow_download":false,"scribd_thumbnail_url":"https://attachments.academia-assets.com/95704134/thumbnails/1.jpg","download_url":"https://d1wqtxts1xzle7.cloudfront.net/95704134/JOENTR-06-00162-libre.pdf?1670940717=\u0026response-content-disposition=attachment%3B+filename%3DEffectiveness_of_Frequency_Lowering_Hear.pdf\u0026Expires=1739837953\u0026Signature=E1VOv3peCo4zrSiTiwCzdvEu8fzuBrhpfNOzTpkAYXYJX259oHPSJ05F1SoSqwT0iUHN7aDWzkWdda9aikDNiqn8mm1kFMFJihNmjEk0XqnL-sDa4r0n6H1aidHXD~LgOAwD5jiIEXjxLBgrDc5i5vnSbB4-NF2GnhEkxJ6ycWWfkoSwO3EsHJ1SfibpBWajqkR5D7IaFucEJmhOhmR5mEnge6cLJr5vDp62Xx~0GPhzfuZu8xBNHPQq1yiChhk~eBJzaIyKp6nXQGWkSKYq9nj66P~J~-n0XcrMWqrXh5Pcvj8Sraz3-f1iGbAtUyG-IFEe2xdRagrcoAtvqC7uuQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA","download_file_url":"https://www.academia.edu/attachments/95704134/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&","full_thumbnail_url":"https://0.academia-photos.com/attachment_thumbnails/95704134/mini_magick20221216-1-17kq4sc.png?1671155893"}],"has_pdf":true,"has_fulltext":true,"page_count":13,"ordered_authors":[{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}],"research_interests":[{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true},{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true},{"id":76622,"name":"Cochlear Implant","url":"https://www.academia.edu/Documents/in/Cochlear_Implant","nofollow":true},{"id":180673,"name":"Hearing Loss","url":"https://www.academia.edu/Documents/in/Hearing_Loss"},{"id":1267518,"name":"Hearing Aid","url":"https://www.academia.edu/Documents/in/Hearing_Aid"}],"publication_year":2017,"publication_year_with_fallback":2017,"paper_rank":null,"all_time_views":8,"active_discussion":{}}, }) } })();</script></ul></li></ul></div></div><div class="u-borderBottom1 u-borderColorGrayLighter"><div class="clearfix u-pv7x u-mb0x js-work-card work_92787554" data-work_id="92787554" itemscope="itemscope" itemtype="https://schema.org/ScholarlyArticle"><div class="header"><div class="title u-fontSerif u-fs22 u-lineHeight1_3"><a class="u-tcGrayDarkest js-work-link" href="https://www.academia.edu/92787554/Contemporary_Speech_and_Oral_Language_Care_for_Deaf_and_Hard_of_Hearing_Children_Using_Hearing_Devices">Contemporary Speech and Oral Language Care for Deaf and Hard-of-Hearing Children Using Hearing Devices</a></div></div><div class="u-pb4x u-mt3x"><div class="summary u-fs14 u-fw300 u-lineHeight1_5 u-tcGrayDarkest"><div class="summarized">Contemporary speech and language interventions are not limited to disabilities but embrace the pragmatics of communication behaviors from the perspective of functional social participation. Accordingly, current speech and language... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787554" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">Contemporary speech and language interventions are not limited to disabilities but embrace the pragmatics of communication behaviors from the perspective of functional social participation. Accordingly, current speech and language therapies for deaf and hard-of-hearing children include a broad spectrum of approaches and techniques. This paper explores contemporary approaches and techniques for speech and oral language interventions for deaf and hard-of-hearing children using hearing devices, evidence of efficacy and how they are implemented in diverse clinical practices.</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787554" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="52f41ad01e058bc0f531403e66f8b5e8" rel="nofollow" data-download="{"attachment_id":95704076,"asset_id":92787554,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704076/download_file?st=MTczOTgzNDM1Myw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787554 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787554"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787554, container: ".js-paper-rank-work_92787554", }); 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Numerous tests are proposed to guide these interventions and assess their benefits. Optimally, these tests... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787555" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">First project: Improvement in auditory perception is a major objective of therapeutic interventions for the hearing impaired. Numerous tests are proposed to guide these interventions and assess their benefits. Optimally, these tests should explore complex abilities such as those encountered by hearing impaired people in daily life. The AzBio was developed to (1) provide an unbiased evaluation of individuals with extensive exposure to traditional sentence materials, (2) allow for evaluation of performance in a large number of conditions, (3) create lists of sentences with similar levels of difficulty for within-subject comparisons, and (4) provide an estimate of performance that was consistent with the patient’s perception of their performance in everyday listening environments (Spahr et al., 2012). Since its introduction, the AzBio has largely been diffused among English speaking cochlear implant teams, especially because of the high complexity of the material that prevents the ceil...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787555" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="c342eab608f4cb2d9cc3d88968641b91" rel="nofollow" data-download="{"attachment_id":95704079,"asset_id":92787555,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704079/download_file?st=MTczOTgzNDM1NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787555 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787555"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787555, container: ".js-paper-rank-work_92787555", }); 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This raises the issue of the extent... <a class="more_link u-tcGrayDark u-linkUnstyled" data-container=".work_92787556" data-show=".complete" data-hide=".summarized" data-more-link-behavior="true" href="#">more</a></div><div class="complete hidden">In recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. This raises the issue of the extent to which the signal presented through the cochlear implant may influence how listeners process information in the acoustically stimulated ear. This multicenter retrospective study examined pre- to postoperative changes in speech perception in the nonimplanted ear, the implanted ear, and both together. Results in the latter two conditions showed the expected increases, but speech perception in the nonimplanted ear showed a modest yet meaningful decrease that could not be completely explained by changes in unaided thresholds, hearing aid malfunction, or several other demographic variables. Decreases in speech perception in the nonimplanted ear were more likely in individuals who had better levels of speech perception in the implanted ear, and in thos...</div></div></div><ul class="InlineList u-ph0x u-fs13"><li class="InlineList-item logged_in_only"><div class="share_on_academia_work_button"><a class="academia_share Button Button--inverseBlue Button--sm js-bookmark-button" data-academia-share="Work/92787556" data-share-source="work_strip" data-spinner="small_white_hide_contents"><i class="fa fa-plus"></i><span class="work-strip-link-text u-ml1x" data-content="button_text">Bookmark</span></a></div></li><li class="InlineList-item"><div class="download"><a id="a0f68c49a28b098df147feec766bea94" rel="nofollow" data-download="{"attachment_id":95704081,"asset_id":92787556,"asset_type":"Work","always_allow_download":false,"track":null,"button_location":"work_strip","source":null,"hide_modal":null}" class="Button Button--sm Button--inverseGreen js-download-button prompt_button doc_download" href="https://www.academia.edu/attachments/95704081/download_file?st=MTczOTgzNDM1NCw4LjIyMi4yMDguMTQ2&s=work_strip"><i class="fa fa-arrow-circle-o-down fa-lg"></i><span class="u-textUppercase u-ml1x" data-content="button_text">Download</span></a></div></li><li class="InlineList-item"><ul class="InlineList InlineList--bordered u-ph0x"><li class="InlineList-item InlineList-item--bordered"><span class="InlineList-item-text">by <span itemscope="itemscope" itemprop="author" itemtype="https://schema.org/Person"><a class="u-tcGrayDark u-fw700" data-has-card-for-user="37648044" href="https://ulaval.academia.edu/FrancoisBergeron">Francois Bergeron</a><script data-card-contents-for-user="37648044" type="text/json">{"id":37648044,"first_name":"Francois","last_name":"Bergeron","domain_name":"ulaval","page_name":"FrancoisBergeron","display_name":"Francois Bergeron","profile_url":"https://ulaval.academia.edu/FrancoisBergeron","photo":"/images/s65_no_pic.png"}</script></span></span></li><li class="js-paper-rank-work_92787556 InlineList-item InlineList-item--bordered hidden"><span class="js-paper-rank-view hidden u-tcGrayDark" data-paper-rank-work-id="92787556"><i class="u-m1x fa fa-bar-chart"></i><strong class="js-paper-rank"></strong></span><script>$(function() { new Works.PaperRankView({ workId: 92787556, container: ".js-paper-rank-work_92787556", }); 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$(".js-view-count[data-work-id=92787556]").text(description); $(".js-view-count-work_92787556").attr('title', description).tooltip(); }); });</script></span><script>$(function() { $(".js-view-count-work_92787556").removeClass('hidden') })</script></div></li><li class="InlineList-item u-positionRelative" style="max-width: 250px"><div class="u-positionAbsolute" data-has-card-for-ri-list="92787556"><i class="fa fa-tag InlineList-item-icon u-positionRelative"></i>  <a class="InlineList-item-text u-positionRelative">7</a>  </div><span class="InlineList-item-text u-textTruncate u-pl9x"><a class="InlineList-item-text" data-has-card-for-ri="867" rel="nofollow" href="https://www.academia.edu/Documents/in/Perception">Perception</a>, <script data-card-contents-for-ri="867" type="text/json">{"id":867,"name":"Perception","url":"https://www.academia.edu/Documents/in/Perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="4139" rel="nofollow" href="https://www.academia.edu/Documents/in/Audiology">Audiology</a>, <script data-card-contents-for-ri="4139" type="text/json">{"id":4139,"name":"Audiology","url":"https://www.academia.edu/Documents/in/Audiology","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="5391" rel="nofollow" href="https://www.academia.edu/Documents/in/Speech_perception">Speech perception</a>, <script data-card-contents-for-ri="5391" type="text/json">{"id":5391,"name":"Speech perception","url":"https://www.academia.edu/Documents/in/Speech_perception","nofollow":true}</script><a class="InlineList-item-text" data-has-card-for-ri="26327" rel="nofollow" href="https://www.academia.edu/Documents/in/Medicine">Medicine</a><script data-card-contents-for-ri="26327" type="text/json">{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine","nofollow":true}</script></span></li><script>(function(){ if (true) { new Aedu.ResearchInterestListCard({ el: $('*[data-has-card-for-ri-list=92787556]'), work: {"id":92787556,"title":"Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study","created_at":"2022-12-13T05:32:45.283-08:00","owner_id":37648044,"url":"https://www.academia.edu/92787556/Speech_Perception_Changes_in_the_Acoustically_Aided_Nonimplanted_Ear_after_Cochlear_Implantation_A_Multicenter_Study","slug":"Speech_Perception_Changes_in_the_Acoustically_Aided_Nonimplanted_Ear_after_Cochlear_Implantation_A_Multicenter_Study","dom_id":"work_92787556","summary":"In recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. 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