Science and Innovations in MedicineScience and Innovations in Medicine2500-13882618-754XFSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation4375910.35693/2500-1388-2020-5-1-40-43Research ArticleReview of integrated solutions for rehabilitation of sensorineural hearing loss in adultsVladimirovaTatyana Yu.PhD, Associate Professor, Head of the Otorhinolaryngology Department and Clinic named after academician I.B. Soldatov.vladimirovalor@yandex.ruKurenkovAleksandr V.teaching assistant of the Otorhinolaryngology Department named after academician I.B. Soldatov.-AizenshtadtLyubov V.postgraduate student of the Otorhinolaryngology Department named after academician I.B. Soldatov-GalievaKristina R.resident of the Otorhinolaryngology Department named after academician I.B. Soldatov.-Samara State Medical University1503202051404308092020Copyright © 2020, Vladimirova T.Y., Kurenkov A.V., Aizenshtadt L.V., Galieva K.R.2020Objectives - to analyse the complex solutions for rehabilitation of sensorineural hearing loss in adults and elderly people. Material and methods. We reviewed 27 articles on the problem, published in the recent 5 years, presented in the international databases PubMed, Scopus and E-library. Conclusion. The rehabilitation procedure for chronic SNHL is quite clearly regulated and defined at the state level only for the person with hearing disabilities. While determining the needs of the disabled person in rehabilitation, the recommended rehabilitation approaches are described. However, in the normative documents, there is no clearly defined rehabilitation algorithm, taking into account the patient's individual characteristics. A high index of multimorbidity in adults with SNHL, including anxiety-depressive disorders and cognitive deficit, determines the need for inclusion of the auditory training in the rehabilitation process. The use of various options for auditory training along with electro-acoustic correction of hearing or cochlear implantation is an essential component of an individual rehabilitation program.hearing losschronic sensorineural hearing lossrehabilitationauditory trainingadultsснижение слухахроническая сенсоневральная тугоухостьреабилитацияслуховые тренировкивзрослые[World Health Organization (2012) WHO global estimates on prevalence of hearing loss. Google Scholar. Accessed November 25, 2019.][Nkyekyer J, Meyer D, Pipingas A, Reed N. The cognitive and psychosocial effects of auditory training and hearing aids in adults with hearing loss. Clinical Interventions in Aging. 2019;14:123-135. doi:10.2147/cia.s183905][Humes L, Rogers S, Main A, Kinney D. The Acoustic Environments in Which Older Adults Wear Their Hearing Aids: Insights From Datalogging Sound Environment Classification. American Journal of Audiology. 2018;27(4):594-603. doi: 10.1044/2018_aja-18-0061][Chen J, Wang Y, Yoho SE, et al. Large-scale training to increase speech intelligibility for hearing-impaired listeners in novel noises. The Journal of the Acoustical Society of America. 2016;139(5):2604- 2612. doi:10.1121/1.4948445][Nkyekyer J, Meyer D, Blamey PJ, et al. Investigating the Impact of Hearing Aid Use and Auditory Training on Cognition, Depressive Symptoms, and Social Interaction in Adults With Hearing Loss: Protocol for a Crossover Trial. JMIR Research Protocols. 2018;7(3):85. doi:10.2196/resprot.8936][Hughes ME, Nkyekyer J, Innes-Brown H, et al. Hearing Aid Use in Older Adults With Postlingual Sensorineural Hearing Loss: Protocol for a Prospective Cohort Study. JMIR Research Protocols. 2018;7(10):174. doi:10.2196/resprot.9916][Morais AA, Rocha-Muniz CN, Schochat E. Efficacy of Auditory Training in Elderly Subjects. Frontiers in Aging Neuroscience. 2015;7. doi:10.3389/fnagi.2015.00078][Tye-Murray N, Spehar B, Barcroft J, Sommers M. Auditory Training for Adults Who Have Hearing Loss: A Comparison of Spaced Versus Massed Practice Schedules. Journal ofSpeech Language and Hearing Research. 2017;60(8):2337. doi:10.1044/2017Jslhr-h-16-0154][Moradi S, Wahlin A, Hallgren M, et al. The Efficacy of Shortterm Gated Audiovisual Speech Training for Improving Auditory Sentence Identification in Noise in Elderly Hearing Aid Users. Frontiers in Psychology. 2017;8. doi:10.3389/fpsyg.2017.00368][Castiglione A, Benatti A, Velardita C, et al. Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults. Audiology and Neurotology. 2016;21(1), 21-28. doi:10.1159/000448350][Schumann A, Hast A, Hoppe U. Speech Performance and Training Effects in the Cochlear Implant Elderly. Audiology and Neurotology. 2014;19(1),45-48. doi:10.1159/000371611][Yu J, Jeon H, Song C, Han W. Speech perception enhancement in elderly hearing aid users using an auditory training program for mobile devices. Geriatrics & Gerontology International. 2015;17(1):61-68. doi:10.1111/ggi.12678][Malmberg M, Sundewall Thoren E, Oberg M, et al. Experiences of an Internet-based aural rehabilitation (IAR) program for hearing aid users: a qualitative study. International Journal of Audiology. 2018;1 -7. doi:10.1080/14992027.2018.1453171][Ihler F, Blum J, Steinmetz G, et al. Development of a home-based auditory training to improve speech recognition on the telephone for patients with cochlear implants: A randomised trial. Clinical Otolaryngology. 2017;42(6):1303-1310. doi:10.1111/coa.12871][Васильева Е.Н., Тюрина И.А., Кондакова Е.Г. Совершенствование комплексного подхода в реабилитации пациентов после кохлеарной имплантации. Медицинская наука и образование Урала. 2019;2(98):75-78][Королева И.В., Кузовков В.Е., Янов Ю.К. Организация послеоперационной реабилитации глухих пациентов после кохлеарной и стволомозговой имплантации. РМЖ. 2017;23:1684- 1686]