Clearing the barriers to better hearing

More hearing performance thanks to Assistive Listening Devices

 
Assistive Listening Devices (ALDs) can dramatically improve communication in difficult listening situations

Thanks to modern hearing instrument technology, people with hearing loss are now able to hear and understand clearly in many everyday situations.  Nevertheless, Assistive Listening Devices (ALDs) can provide additional benefits to many hearing impaired individuals.

When can Assistive Listening Devices be beneficial?

Generally speaking, you should consider using an ALD if situational barriers to communication prevent you from understanding others.  The following three factors have a negative impact on the quality of the signal received by your hearing instruments:

  • Noisy backgrounds, e.g. at public events, in restaurants, while driving
  • Distance from the person speaking, e.g. conferences or guided tours
  • Places with a high level of reverberation, e.g. large halls

Many of the things we enjoy most in life take place in environments where even people with good hearing often have difficulty understanding : social and business occasions, lectures, cars, public transport, sporting events, religious ceremonies, or listening to guided tours.

How ALDs work...

A microphone is placed close to the sound source you wish to hear : e.g. your conversation partner in the car, the speaker at a university lecture, the TV set, etc.  The speech signal is transmitted directly to your hearing instruments.

 

...and how you connect them to your hearing instruments

To connect an ALD, your hearing instrument must have an audio input facility.  This is a built-in connection which enables the signal to be transmitted directly into your hearing instrument without being picked up first by its microphone.  Audio-input is commonly available only in Behind-the-ear (BTE) intruments.

The audio shoe is attached to the hearing instrument, where it serves as a bridge between the hearing instrument and the ALD. Most ALDs are connected to the audio shoe by a cable.  There are also some which have a radio connectionto the audio shoe, and require no cable.

 

Different types of ALDs at a glance
1.  Wireless communication systems

Essentially, wireless communication systems consist of two components : a microphone with a transmitter and a receiver connected to a hearing instrument.  The speaker's voice is conveyed as a radio signal - i.e. without a cable connection from the transmitter to the receiver.  These systems are extremely convenient to use, have a long range and are suitable for indoor and outdoor use.

Microphone/transmitter units
Type A : The microphone and transmitter are worn by the person you wish to hear.  The microphone is connected to the transmitter via a cable.  This unit is particularly suitable for lectures, school and guided tours.
Type B : The transmitter and microphone are housed in a single unit.  This device can be held by the hearing instrument user, who directs it towards the person he/she is listening to.
Receivers and hearing instrument connection
Type A : The receiver is worn by the hearing instrument user and is connected to the hearing instrument with a cable. 
This system, where the speaker wears the transmitter and the hearing instrument user the receiver, is ideal for lectures, semianars, conferences, noisy work environments, etc.
Type B : In this tiny, ultralight system, the receiver is built into the audio shoe, eliminating the cable between receiver and hearing instrument.
There are unlimited uses for this system : social and business occasions, noisy working environments, classrooms and lecture halls, churches, guided tours, sporting events, radio and TV broadcasts, private and public transport, at the theater, concerts...

 

2.  Communication systems with cable connections
Hand-held microphone : The fact that it can be pointed easily in the desired direction makes the hand-held microphone ideal for direct communication
between speaker and listener.  It is particularly helpful in restaurants, vehicles, discussions, etc.
Conference microphone : The conference microphone is useful for participating in group conversations.  It can be positioned on the table and
directed towards the person speaking or other specific sound sources.
External telephone coil : Like the coil built into the hearing instrument itself, the external telephone coil functions as an inductive pick-up system.
It provides additional amplification for telephone calls or in public buildings equipped with loop systems (churches, theaters, lecture and concert halls, etc.), if the hearing instrument's built-in coil has insufficient boost.
Telephone coupler : A telephone coupler boosts the signal from any telephone and consists of an acoustic microphone with its own volume
control, independent of the hearing instrument.  Telephone couplers can be used also with radios and televisions, tape recorders and CD players.
TV/stereo-volume control : The volume control is connected directly to your television or stereo set and your hearing intruments.  It enables optimum
transmission and adjustment of the volume independently of the TV or stereo system.

 





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