Difficulty understanding speech in noisy environments is usually the first and biggest challenge that hearing loss creates and may still be a problem even with the use of hearing aids. Many people do not realize that listening in noise can also be a problem as we grow older even if sound detection is still at normal hearing levels. Unfortunately, changes in the pathways to the brain and in the brain itself make listening in noise more difficult with aging. Aural rehabilitation involves two parts:
Helping you to develop skills and strategies to deal with situations when hearing is inadequate
Listening therapy--some interesting studies have shown that listening in noise can actually be improved through brain and listening exercises. (http://aja.pubs.asha.org/article.aspx?articleid=1795707) We provide this therapy, which does involve practice and exercises at home.