In our previous blog post, we discussed BrainHearing™ — the term we at Oticon Medical use when referring to how the vital elements of hearing (processing and comprehension) occur in the brain. We also reviewed the evidence showing how our Ponto™ system supports sound processing that enables wearers to learn faster[1], remember more[2], and experience less listening effort[3]. In this post we’re going to delve deeper into how our bone-anchored hearing system (BAHS) helps wearers, especially children, learn faster and why that is important to their development.
The study and its results summed up
To review, Professor Andrea Pittman studied 17 preteen children, 16 of whom have conductive hearing loss and one with single-sided deafness (SSD) The children wore two Ponto Power at a time: one optimally fitted on a softband and one on an abutment. The children had to learn six new words and Dr. Pittman counted the number of repetitions it took to do so. The children performed the learning task twice (with different words), where only one sound processor was activated at a time in a randomized, single-blind manner (i.e., the subjects didn’t know which sound processor was active).
While the kids required approximately 166 trials to learn the words when wearing their Pontos affixed by softbands, they only needed 60 trials when wearing the devices attached to abutments — a 2.5 times increase in learning speed.

Faster learning supports better education and social development
When it comes to education and social development, language acquisition plays a significant role. To learn how to speak, read, and write on pace with their hearing peers, hard-of-hearing children need the best available assistance to improve their hearing ability as early in their lives as possible.
Babies and toddlers initially acquire language by hearing their parents speak. Their linguistic comprehension increases exponentially as they grow and interact more with other adults and peers especially once they start school. During the critical school age years, kids who cannot hear clearly often struggle to increase their vocabulary because it is hard to process and understand spoken language[4].
Consider this: even children with perfect hearing have difficulty paying attention in school. They often are expected to absorb lessons while straining to hear over background chatter, sitting far away from the teacher, and poor classroom acoustics. Now imagine trying to learn despite all this and having a significant hearing loss. It’s no surprise hard-of-hearing children[5] often return home from school feeling frustrated, exhausted, and overwhelmed.
Difficulty to learn at the same rate as others can also lead to youngsters falling behind or even in being held back a grade[6]. For kids who may already feel isolated by their hearing loss, this further separation from same-age peers can significantly impede their social development.
With all this in mind, it’s no surprise that many of these children develop a negative attitude toward school. Many doubt their own learning capabilities and struggle to fit in socially. But it doesn’t have to be that way.
Helping kids with hearing loss succeed

By utilizing a Ponto as early in life as possible, your child can experience the regular stimulation of incoming sound needed to help the brain as much as possible. When worn implanted on an abutment, this powerful BAHS may help keep children learning at a rate closer to that of their natural hearing peers.
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children, 16 of whom had conductive hearing loss and one with single-sided deafness (SSD). She initially tested the children with the Ponto Power fitted on softbands. Prof. Pittman had the children listen to and learn six new made-up words and assessed the number of repetitions required before each child learned the words. Then she repeated the test, only this time with the Ponto Power affixed to the children’s abutments. The results were significant — it took the children approximately 166 trials to learn the words when sounds were transmitted through the skin via the softband yet only 60 trials when sounds were transmitted directly through the attached devices. That’s an impressive 2.5 times increase in learning speed! 
Denmark to assess how Ponto aids in improving memory. Participants in the study included 16 adults in their late fifties with conductive or mixed hearing loss. Again, the subjects were first tested wearing their Pontos on softbands only. Their assigned task was to recall seven words after listening to sentences including each word individually. The results showed the subjects remembered the words at a rate of approximately 46 percent. However, when they wore their Pontos on their abutments and were tested again, that number rose to a significant 52 percent. This means wearers experienced a 13 percent relative improvement in ability to recall with direct sound transmission vs. skin transmission — likely because fewer mental resources were needed to process the signal, and so more can be devoted to memory. 
headquarters in Denmark. Participants consisted of 21 adults in their late 50s with conductive or mixed hearing loss. They were tested using three different processors with different maximum outputs: Ponto Pro, Ponto 3, and Ponto 3 SuperPower. Participants were tasked with listening to and repeating sentences heard through background noise, while an eye-tracking camera monitored their pupil dilation, an established measurement of listening effort wherein the pupil dilates in direct relation to the amount of listening effort expended. Our researchers compared the performance of the subjects using each device and noted a sizeable decrease in listening effort and retention with use of the Ponto 3 SuperPower as indicated by reduced pupil dilation as compared to the Ponto Pro and the regular Ponto 3. This supports the idea that higher power hearing systems allows wearers to comprehend speech with significantly less effort.

