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HEAR&NOW SPRING 2012

Welcome to the Spring issue of Hear & Now! The term “Invisible Hearing Aid” has recently received a lot of media attention. Many IIC (invisible in canal) solutions are successful at providing discreetness but often, this is at the cost of performance. In this issue of Hear & Now we introduce you to the first IIC solution that delivers both discretion and performance and allows you to just get on with life. We also take a closer look at the common problem of tinnitus. For many it is no more than an irritant, however, for some, it can have a significant impact. In this issue we discuss it’s prevalence, causes, management and more. We hope you find this issue informative and enjoyable.

Adam Shulberg, Senior Audiologist and MD, Cubex Ltd

NEW invisible hearing solution DELIVERS IMMEDIATE BENEFITS. Discover invisible Designed to keep your hearing loss out of sight.... ....and out of mind A new hearing instrument may make it easier for people with a strong preference for an invisible hearing solution to take the first step toward better hearing. Custom-made for existing hearing aid wearers and first time users, Intigai is an “out of sight…and out of mind” hearing solution that hides comfortably in the ear canal and enables users to experience the benefits of better hearing right away. Many people typically wait 7 to 10 years to seek help for hearing loss. Meeting their expectations for obvious benefits quickly is key to achieving acceptance and long-term wear of amplification. The new hearing instrument’s highly desirable invisible benefit provides added incentive for people who also want a hearing instrument that is invisible to them and the people around them. “We know that for many people with hearing loss, the decision to seek professional help can take a great deal of time and consideration,” explains Clinical Audiologist, Miss Orla Kealy Bsc RHAD. “Once the decision to move ahead is made, however, people expect hearing solutions that will enable them to experience improved speech understanding and all day comfort right away. With Intigai those benefits are quickly noticeable to users, their families and friends but the hearing instrument itself remains comfortably out of sight… and out of mind.”

Oticon Intigai fits far enough in your ear that it is completely unnoticeable to everyone around you.


Intigai hides discreetly inside your ear and frees you to lead an active life without showing the world you are wearing a hearing solution. There are no switches or buttons to control and it is designed to adapt automatically as sounds and places change, so that you can stay effortlessly active and confident all day, every day. Because Intigai is fitted inside your ear, it has no impact on using headphones or telephones, how you do your hair or even wearing glasses. Removing it at night is simplified by the attachment of a thin transparent string.

Premium Sound Quality in a tiny package means a smooth transition to better hearing Housed in Intigai‘s tiny shell are a number of premium audiological features also found in the original Intiga, a family of hearing solutions that has been proven in an international clinical study to deliver immediate benefits and immediate acceptance for existing users and people new to hearing instruments. (Behrens et al., 2011) Invisible-in-the-ear Intigai’s high-speed sound processing provides access to vital speech cues to improve speech intelligibility and reduce listening effort.

“Intigai ‘s flexible design features increases our ability to provide more of our patients with a comfortable, custom fit,” says Orla. “The custom fit also means that the hearing instrument is protected and stays in place during physical activity.” i

Intiga is an ideal solution for most people with mild to moderately severe hearing loss. However, in order to achieve optimal comfort and fitting, Intigai requires a thorough exam of your ear and hearing to determine your suitability. For clients who may not be candidates for the custom fit Intigai, there are a variety of small, sleek hearing solutions that fit discreetly behind the ear and are comfortable to wear throughout the day. Many, like the original Intiga, come with wireless connectivity that enables the hearing device to act as a wireless, hands-free headset for mobile phones and other entertainment devices. Kochkin S. MarkeTrak IV. What is the viable market for hearing aids? Hearing Journal, 50 (1997):31-38. Behrens, T., Schulte, M., Kreisman, B. & Weile, J. (2011). Meeting the First-Time User Challenge. The Hearing Review. 2011; 18(13): 18-29.

Find out if you are a candidate for Intigai. Call 0207 935 5511 NOW to arrange your FREE Intigai consultation with a Cubex Audiologist.

Coping with Tinnitus Counselling *Once medical evaluation has ruled out a treatable or serious disorder, education and reassurance can be extremely valuable and impact positively for many sufferers. A combination of couselling (informational and adjustment) and sound enrichment to help reduce the stress associated with tinnitus is used. For many individuals, tinnitus is more of an irritant than a problem. Research has shown that counselling (informational and adjustment) in combination with sound stimulation to help reduce the stress associated with tinnitus can be very useful in managing the negative impact of distressing tinnitus. “It is important for people who experience troublesome tinnitus to be aware of the support available,” says Orla Kealy, Audiologist at Cubex. “The team at Cubex recognises the need for supporting people who experience distressing tinnitus and hyperacusis. Our programme uses a range of management options which are tailored to meet the patient’s personal needs.” “Determining how the tinnitus affects a patient’s daily life is the first step in any management programme,” adds Orla. “It helps us establish the degree and nature of intervention. Counselling therapy aims to equip patients with the tools and knowledge to manage negative reactions to tinnitus. This may include CognitiveBehavioral Therapy, education and Tinnitus Retraining Therapy. Most methods of tinnitus management also incorporate relaxation therapy and the use of sound in some manner to reduce the negative effects of tinnitus.”

Stress Management Perhaps the most exacerbating factor for tinnitus is stress. Tinnitus affects the brain in more than one way. It triggers the auditory system but it also affects the emotional control centre. When this occurs, stress hormones are released. As a result, the individual with tinnitus grows increasingly stressed due to the tinnitus. The greater the stress levels, the more significant the perception of tinnitus becomes. As stress is one of the highest exacerbating factors involved with tinnitus, stress reduction is a vital element in effective tinnitus management. *Widex Tinnitus Guidelines

Physiological Effects of Music Many studies have explored the effect of music on emotions. Measuring a person’s physiological indices often gives an indication as to the effectiveness of music (or whatever intervention) has on the person. Music is known to change a range of physiological responses: • Heart rate • Blood pressure • Respiration rate • Muscle tension • Skin temperature and conductance • Release of hormones Knowing this about music makes it possible to choose music that tends to relax people. Studies have shown that slow music with no fast changes in rhythm or pitch can make people relax, but it is also a matter of preferences. Zen in Tinnitus Management

Did You Know? *Approximately 15% of the world population has tinnitus

*Data from Oregon Tinnitus Clinic

What is Tinnitus? *Tinnitus is a common symptom suffered to some extent by 15-20% of the general population and 70-85% of people with hearing impairment. It is a perception of sounds that are generated by the nervous system of the ear and brain. It is often perceived and described as ringing, humming, whistling or buzzing noises which can be constant or periodic and vary in loudness. Whilst it is generally accepted that tinnitus involves some kind of neural activity which the brain interprets as sound, the etiology of tinnitus remains uncertain. Regardless of the cause, there is a high correlation between hearing loss and tinnitus.

Inspired by the relaxing effect of certain types of music, Widex have developed the Zen programs. Zen is a unique program available in some Widex hearing aids. The Widex Zen programme, is a harmonic sound program that is capable of producing soothing tones and chimes and broadband noise. The programme can be used to provide sound stimulation in various forms of tinnitus therapy, as well as in less formal settings, where tinnitus sufferers simply activate the program whenever they feel that it is needed and helpful. The soothing tones and chimes of the Widex Zen program are based on fractal technology (Hevner, 1933, Hevner, 1936, Bella et al., 2001). Based on what is known as fractal technology, Zen plays random, chime-like tones that can be used for relaxation and for making tinnitus less noticeable. If you would like to know more about tinnitus or Zen Tones, call us now for a free information DVD or cd: When suffering from tinnitus (DVD) Dr Robert Sweetow, University of California, San Francisco, has been working with tinnitus for 30 years. In this video, he explains what tinnitus is and what can be done about it.

Other Tinnitus exacerbating factors include: • Caffeine

Problems associated with tinnitus include: • Depression

• alcohol

• Frustration

• Nicotine

• Stress

Zen Tones (CD)

• Sodium

• Anxiety

• High cholesterol, hyperlipidemia, hyper and hypothryroidism

• Problems with sleep

• Noise exposure

• Poor concentration

Inspired by the relaxing effect of certain types of music, Widex developed Zen tones. This CD gives you a chance to explore and listen to the different Zen Tones currently available.

• Stress

• Social withdrawal

*www.hear-it.org • National centre for health statistics • Widex Tinnitus Guidelines

Negative emotion is often attached to the tinnitus. Feelings of fear and anxiety associated with tinnitus can impact significantly on a person’s life. Professional counselling is necessary in this case.

Don’t let tinnitus take over your life. Call us NOW on 0207 935 5511 to arrange an appointment. Our highly skilled and experienced Audiologists specialise in the management of tinnitus using a range of options that are personalised to your needs.

CUBEXHEAR&NOW Spring 2012

CUBEXHEAR&NOW Spring 2012

Intigai is designed to blend invisibly into your lifestyle


CUBEXHEAR&NOW Spring 2012

Ancient theories & treatments of Tinnitus • Egyptians: infused oil, frankincense, tree sap, herbs, and soil via a reed stalk inserted in the external ear. • Mesopotamians: chanted to get rid of whispering or singing in ears. • Early Greco-Romans: 1st suggested treatment of tinnitus based on cause. For example, if related to a cold, ear should be cleaned and the breath held until some humor froths out from it. • Hippocrates and Aristotle: first to mention masking. • Romans: associated tinnitus with depressive and seizure disorders. • Middle Ages: poured objects into ear, i.e. a loaf of very hot bread, divided in half, and placed in each ear. • Renaissance: introduced surgery for tinnitus. The thought was that wind was entrapped in the ear. • 19th century: Itard “Most tinnitus is associated with hearing loss”. Described objective versus subjective tinnitus. • 20th century: Various sources emphasized attention for contextual and emotional aspects that have become an important focus in modern management of tinnitus.

Cubex Audiologist Profile - Orla Kealy BSc RHAD Miss Orla Kealy graduated from DeMontfort University with a BSc Honours in Audiology and is currently studying for her Masters in Advanced Clinical Audiology in Bristol University. She has a great passion for Audiology and a strong desire to empower people to live the lives they want with the hearing they have. Before joining Cubex, Orla spent time in the NHS working in many clinical settings with adults, paediatrics and complex needs patients. In 2009, she joined the British Academy of Audiology, where she currently represents Audiologists throughout the UK, ensuring that the profession is represented at a national and international level. Orla is committed to ensuring that the training needs of future audiologists in the UK are continuously met. She has also participated in research projects with the National Biomedical Research Unit in Hearing. I have used private consultants, I have used Specsavers and I have never earlier found anyone that understood my complicated use of computers from Apple and Phonak - until I met Cubex and you. You understood my concerns and you took the time to talk it through with Phonak - and you took the time to test out alternatives until it all worked. It all now works as intended from Phonak - and it has never done that all the way before. Again, thank you ever so much. I will use Cubex and you for all my hearing needs in the future. With kind regards, TJ Helle I wanted to let you know that I have been very pleased with the attention I have received from Orla. She is very professional and efficient and has excellent knowledge of all the various aids and technical matters. Really a valuable addition to the Cubex team. Regards, DP

Competition winner Cubex would like to congratulate Dr Diamond on winning the Festive Cheer Day luxury tea hamper. We hope that the myriad of varieties and flavours, create a sense of surprise and delight for you all times of the day and year.

25 New Cavendish Street London W1G 8LP T 020 7935 5511 F 020 7935 5565 E customerservice@cubex.co.uk www.cubex.co.uk


Hear & Now Spring