Sunday, April 28, 2013

The Impacts of Technology on Hearing and Speech


New technology is changing career fields in different ways.  For example, journalism has shifted from a career that centered on purely written works like newspapers and magazines to a career that now focuses on digital works like blogs and online news sites.  Journalists need to keep up with the latest technology and still retain past methods.  This is also the case in hearing and speech.  The American Speech- Language- Hearing Association (ASHA) certifies speech pathologists and audiologists.  Because of the emerging technology, hearing and speech is a field that is continuously changing.  Speech therapists and audiologists are required to understand how to use the latest technology for therapy and diagnosis.  For speech language pathology, the rise of technology means figuring out how to incorporate different methods in therapy sessions, while for audiology the rise of technology means figuring out what solution is better for the patients.  

A speech language pathologist provides treatment for patients, from babies to elderly, who have swallowing problems, language problems, or speech problems.

Speech pathologists evaluate patients and provide them with therapy based on the diagnosis.  For example, a speech pathologist teaches a patient how to annunciate words and communicate properly.
Author and speech language pathologist Joan Green is the founder of Innovative Speech Therapy, a therapy that combines speech and technology. 
Joan Green’s goal in Innovative Speech Therapy is to incorporate technology and computers into patient treatment.  T.W.I.S.T, Technology With Innovative Speech Therapy, is Green’s therapy program that provides assistance for a variety of ages and a variety of speech deficiencies.  Some of the technological treatments include speech recognition apps that record the patient’s voice, apps that write down words when the patient talks, apps that help the patient learn grammar and spelling, apps that serve as digital flashcards, and apps that help with auditory ability.  In fact, the iPad has currently become a popular tool in speech therapy; a tool that provides over one hundred apps to help patients improve speech.  The benefit of Innovative Speech Therapy is immense.  The technology is an at home resource for improving speech.  Parents of a child with speech problems can learn to use the technology and help their child develop at an early age even when the child is not in the speech language pathologist’s office.  However, this begs the question of whether or not technology can actually replace a human therapist.  Clinical supervisor and audiologist for the department of hearing and speech sciences at the University of Maryland, Dr. Paula Schauer, comments that the two go hand in hand.  Patients can use new technologies under the watchful eye of the therapist.  Dr. Schauer explains:


As Dr. Schauer clarifies, the technology itself is not the key factor.  Rather, it is important to mix both methods.

An audiologist diagnoses and evaluates patients with hearing problems and balance problems. 

Audiologists test patients to determine the severity of hearing loss and recommend solutions, or aural rehabilitation, to patients. Audiologists are also required to keep in tune with the latest technological trends.  There are many technologies emerging to help the deaf or hearing-impaired community.  Dr. Schauer discusses a few new technologies that are available to the public:


Two essential technologies that are changing audiology are hearing aids and cochlear implants.  Hearing aids are composed of microphones, amplifiers, and speakers and date back to the Industrial Revolution.  While the first hearing aids were fairly large, expensive, and far from perfect, hearing aids now are smaller, adjustable, and superior.  Not only are there improvements with hearing aids, but there are also improvements with other hearing technologies like cochlear implants.  Cochlear implants are surgically inserted into the mastoid bone in order to stimulate the auditory nerve in the ear.  The purpose of the hearing aid is to intensify the sound while the purpose of the cochlear implant is to replace the damaged hair cells in the ear.  Audiologists need to be informed of the risks, benefits, and procedures involved in hearing aids and implants so they can properly convey the information to their patients.  Each hearing aid or implant needs to be tailored to the individual and each new technology needs to be explained thoroughly.

However, not everyone agrees that new technology is beneficial for speech language pathology and audiology.

Because of technological improvements in audiology like cochlear implants we now have new ways to help deaf people hear. To most this would seem like a positive advancement but it has sparked heated debate between the deaf community and the hearing community.  The deaf community views cochlear implants as a threat to their deaf culture, a culture of sign language, values, and unity.  The cochlear implants are comparable to missionaries trying to convert the deaf culture into hearing culture.  Academy Award documentary Sound and Fury (2000) illustrates the tension between the two communities.  According to the deaf community, deafness is not a disability and there is no reason to change it.  When a child’s hearing improves, the child will sympathize more with the hearing world and forget their true origins.  Is there legitimate reason for the deaf community to worry?  Dr. Schauer comments:


The hesitant nature that some people feel towards technology can also be seen in regards to speech pathology.  When asked if they would rather receive speech therapy from an iPad app or a human therapist, two random people on the street chose human therapists:



These two interviewees claim that technology is not as personable as a human therapist, and they would prefer to see a real therapist instead. 

Technology has altered the methods of treatment and diagnosis for speech therapists and audiologists but it has not replaced them.

The fact that people chose human therapists over technology shows that people still value human-to-human interaction.  However, this does not mean that technology itself cannot be used as a tool to learn.  Student Lily Wilf asserts this fact:

Lily Wilf answers that she believes people can still receive therapy from an app.  Technology is around to provide patients with the best opportunities possible, and despite contrary beliefs, technology is not around to ruin any lives or cultures.  True therapists and audiologists are required to learn additional material, but this is a sacrifice that most professionals would be willing to make whole-heartedly if it guaranteed better therapy results.  Some people fear technology just because they have a fear of the unknown.  Therapists have been around for so long without technology and the direction therapy will go if technology usage picks up too much steam can be daunting.  In a few years there is no saying what new technologies will emerge and what the career field will look like.  Speech language pathology and audiology may seem completely different than what it was in the past.  We must welcome this change with open arms and learn the smoothest ways to blend technology and human treatment; for once we accomplish this task, revolutionary results can be acquired.  

Saturday, April 13, 2013

iPad App? #3





iPad App or Speech Therapist? #2