**Conflict of interest**

training and accompanied by improved speech intelligibility in noise and short-term memory [28]. As shown by our study, improvement of neuronal functioning can be proven by the

Neuronal changes depend on the activity of training and amount of stimulation, and the sooner the stimulation begins after the detection of impaired intelligibility, the best results can

One of the basic principles of the auditory training must be concordance between the used material and age and linguistic skills of a patient. If the materials and tasks exceed the cognitive and linguistic skills of a patient, he/she will have no interest in the training, and there will be no progress. In contrast, material for adult training should not be childish and too simplistic. Motivation is also one of decisive factors in the training success. To increase the motivation, patients should understand the principles and the theory of action of the auditory training.

The use of a various tasks, the variation of a stimulus in the auditory training helps to maintain a patient's attention, increases motivation and makes the training more efficient. The complexity of tasks during the training can vary automatically: as soon as a patient reaches the predetermined level, the task becomes more difficult. Careful monitoring of a patient's progress is important. For each patient, an individual profile of functional deficit, which reflects the processing of information in the central auditory pathways, cognitive and language skills, should be developed, and an emphasis on training deficit skills should be done while planning the rehabilitation.

At the moment, the presbycusis is irreversible; therefore, the prevention of age-related hearing loss must be paid attention to. First of all, it is necessary to educate the population about harmful factors affecting hearing throughout the life, such as ototoxic drugs, noise exposure, vibrations, and others. Audiological care in case of SNHL should be aimed at the enhancement of nonspecific resistance of excitable structures of the auditory analyzer to general pathological damaging factors—tissue hypoxia, oxidative stress, and extinction of the action of

Due to the fact that with age-related hearing loss, it is impossible to obtain gains in tonal hearing, and special emphasis is done on means of improving the auditory attention (the functions of the central auditory pathways), which allows to compensate for the lack of auditory acuity and enhance the efficacy of the hearing aid. If CAPD causing poor speech intelligibility is

Constantly growing number of aged and senile people, increasing demands to the quality of life in modern conditions, as well as enhancing of audiological examination opportunities

results of behavioral tests, which were also noted by a number of foreign authors [77].

be expected, however, to start training is never too late [65].

**6. Possibilities of the presbycusis prophylaxis**

endogenous neurotrophic factors [30, 83].

detected, the auditory training is appropriate.

**7. Conclusion**

76 Gerontology

There are no conflicts of interests.
