This study aims to investigate whether lip reading rehabilitation improves viseme recognition in individuals with hearing impairments who use hearing aids.

Inclusion Criteria:

• Patient aged 18 or older
• Affiliated with a social security system
• Moderate to severe bilateral post-lingual hearing loss, fitted with hearing aids for more than 6 months
• Wearing hearing aids for a minimum of 8 hours/day on average over the past month
• Intelligibility in quiet > 80% correct responses at 60 dB (Lafon cochlear list)
• Difficulty in noisy environments rated > 6 on a 0-10 EVA scale
• French language comprehension level of at least B1 CEFR (Common European Framework of Reference for Languages)
• Willing to participate in speech therapy rehabilitation at a rate of 2 sessions per week

Exclusion Criteria:

• Patient who has already undergone speech therapy rehabilitation as part of their hearing loss treatment
• Diagnosis of neurodegenerative disease or history of brain injury (traumatic brain injury, stroke, tumor, meningitis, etc.)
• Uncorrected vision or visual impairment affecting lip reading (e.g. AMD, glaucoma, unoperated cataract, etc.)
• Presence of severe tinnitus (score > 56) on the Tinnitus Handicap Inventory (THI) questionnaire
• Significant cognitive impairment (CODEX C or D) or Montreal Cognitive Assessment (MOCA) score < 23

The study population consists of hearing-impaired individuals with hearing aids