Responses of 122 children were obtained on two measures of central auditory processing to establish normative data. Children aged 6.5 through 12.5 years were tested for humming and tapping responses to the Pitch Pattern Sequence Test (PPST) and the two- and four-digit Dichotic Digit Tests (DDT). Children between ages 6.5 and 9.5 years showed progressively better scores on the tapping response of the PPST and on the four-digit DDT. Children above 9.5 years of age demonstrated adult-like responses on both tests. No differences were demonstrated in performance of children aged 6.5 through 12.5 years on the two-digit DDT or on the humming response of the PPST.

The Auditory Continuous Performance Test (ACPT) was evaluated on one group of subjects who had been diagnosed as having attention deficit-hyperactivity disorder (ADHD) and another group for whom ADHD had been ruled out. Although the specificity of the ACPT was acceptably high for a screening test, the sensitivity was very low. The conclusions drawn from these results are limited because of small sample size (n = 23). However, until reports based on large study samples are forthcoming, the use of the ACPT as a screening test for ADHD appears questionable.

Clinical Questions: What top-down and bottom-up interventions across the psychology, audiology, educational, and speech language pathology domains are most effective for children and adolescents with Central Auditory Processing Disorder (CAPD)? What considerations for planning research and intervention might be offered to a classroom teacher to further support students diagnosed with CAPD, especially in relation to the Multi-Tiered System of Supports (MTSS), formerly known as Response to Intervention (RTI)? Method: Inter-Disciplinary Literature Review Study Sources: PsycInfo, Linguistics and Language Behavior Abstracts, ProQuest, International Journal of Audiology, American-Speech-Language Hearing Association, Journal of Neurotherapy, Medline-Esbcohost, ERIC Ebscohost, Professional Development Collection Education, and What Works Clearinghouse Number of Included Studies: 16 Age Range: 2-13 years Primary Results: 1) Phonological awareness training was the primary reading educational construct found among the included interventions in this literature review. 2) Most CAPD studies employed a combination of both bottom-up and top-down treatments in intervention. This finding may possibly indicate that in order for a CAPD intervention to be even more beneficial to the student, both bottom-up and top-down treatments should be considered and incorporated in relation to the student's individualized needs. Conclusions: Results confirmed very little research and few intervention implications on CAPD students within the educational research discipline, including special education. Search results primarily included methods to improve listening in the classroom environment, but did not specifically mention intervention in relation to CAPD and its implications. Results also confirmed that a multi-disciplinary effort is needed to provide clinical decision and effective intervention for the CAPD population.

No description available.

Introdução: Existem muitas controvérsias sobre a dislexia. Uma delas é justamente saber se a dificuldade está no processamento auditivo de forma geral ou especificamente para a percepção de diferenças temporais de sons de fala e se a dificuldade é específica para mudanças rápidas temporais ou abrangem uma gama mais ampla de processamento auditivo. Objetivos: Os objetivos desse estudo foram comparar o desempenho de crianças com dislexia (Grupo Estudo) e com desenvolvimento típico (Grupo Controle) em testes comportamentais de Processamento Auditivo (Central) e comparar o desempenho do Grupo Estudo e do Grupo Controle em teste de Potenciais Evocados Auditivos de Longa Latência. Métodos: Participaram desse estudo 22 indivíduos disléxicos e 16 sem queixas ou alterações de leitura e escrita. Todos os indivíduos foram submetidos à avaliação de Processamento Auditivo (Central) comportamental e eletrofisiológica. Resultados: Para os testes comportamentais, houve diferença estatisticamente significante para o Teste Padrão de Frequência, e verificamos diferença estatisticamente significante somente para a Orelha Esquerda entre os resultados dos grupos Estudo e Controle para o Teste Dicótico de Dígitos, sendo que o Grupo Estudo apresentou um pior desempenho. Para os Potenciais Evocados Auditivos de Longa Latência encontramos diferença para os valores de Latência de N2 entre os grupos Estudo e Controle, sendo que o Grupo Estudo apresentou maiores valores de latência. Esse achado foi estatisticamente significante somente para Orelha Direita. Conclusões: Podemos sugerir que os disléxicos apresentam alteração de processamento auditivo temporal e não podemos afirmar que não há comprometimento de outras habilidades / Introduction: There are several controversies about dyslexia. One of them is knowing whether the difficulty is in the general auditory processing or specifically in the perception of temporal differences of speech sounds, and whether the difficulty is specifically for rapid temporal changes or involves a broader range of auditory processing. Aims: The aims of this study were to compare the performance of children with dyslexia (Study Group) and of children with typical development (Control Group) in behavioral tests of (Central) Auditory Processing, and to compare the performance of Study Group and Control Group in Long Latency Auditory Evoked Potentials. Methods: 22 individuals with dyslexia and 16 individuals with no reading and writing complaints or disorders took part in the study. All individuals underwent behavioral and electrophysiological assessment of (Central) Auditory Processing. Results: Concerning the behavioral tests results in both groups, there was a significant statistical difference for the Frequency Pattern Test and for the Left ear in the Dichotic Digit test, with a worse performance observed in the Study Group. Considering the Long Latency Auditory Evoked Potentials, there was a difference for the N2 latency values between the Study Group and the Control Group, with greater latency values in the Study Group. This finding was statistically significant only for the Right ear. Conclusions: We may suggest that individuals with dyslexia present temporal auditory processing disorder, however we cannot affirm absence of disorders in other skills

Introdução: Existem muitas controvérsias sobre a dislexia. Uma delas é justamente saber se a dificuldade está no processamento auditivo de forma geral ou especificamente para a percepção de diferenças temporais de sons de fala e se a dificuldade é específica para mudanças rápidas temporais ou abrangem uma gama mais ampla de processamento auditivo. Objetivos: Os objetivos desse estudo foram comparar o desempenho de crianças com dislexia (Grupo Estudo) e com desenvolvimento típico (Grupo Controle) em testes comportamentais de Processamento Auditivo (Central) e comparar o desempenho do Grupo Estudo e do Grupo Controle em teste de Potenciais Evocados Auditivos de Longa Latência. Métodos: Participaram desse estudo 22 indivíduos disléxicos e 16 sem queixas ou alterações de leitura e escrita. Todos os indivíduos foram submetidos à avaliação de Processamento Auditivo (Central) comportamental e eletrofisiológica. Resultados: Para os testes comportamentais, houve diferença estatisticamente significante para o Teste Padrão de Frequência, e verificamos diferença estatisticamente significante somente para a Orelha Esquerda entre os resultados dos grupos Estudo e Controle para o Teste Dicótico de Dígitos, sendo que o Grupo Estudo apresentou um pior desempenho. Para os Potenciais Evocados Auditivos de Longa Latência encontramos diferença para os valores de Latência de N2 entre os grupos Estudo e Controle, sendo que o Grupo Estudo apresentou maiores valores de latência. Esse achado foi estatisticamente significante somente para Orelha Direita. Conclusões: Podemos sugerir que os disléxicos apresentam alteração de processamento auditivo temporal e não podemos afirmar que não há comprometimento de outras habilidades / Introduction: There are several controversies about dyslexia. One of them is knowing whether the difficulty is in the general auditory processing or specifically in the perception of temporal differences of speech sounds, and whether the difficulty is specifically for rapid temporal changes or involves a broader range of auditory processing. Aims: The aims of this study were to compare the performance of children with dyslexia (Study Group) and of children with typical development (Control Group) in behavioral tests of (Central) Auditory Processing, and to compare the performance of Study Group and Control Group in Long Latency Auditory Evoked Potentials. Methods: 22 individuals with dyslexia and 16 individuals with no reading and writing complaints or disorders took part in the study. All individuals underwent behavioral and electrophysiological assessment of (Central) Auditory Processing. Results: Concerning the behavioral tests results in both groups, there was a significant statistical difference for the Frequency Pattern Test and for the Left ear in the Dichotic Digit test, with a worse performance observed in the Study Group. Considering the Long Latency Auditory Evoked Potentials, there was a difference for the N2 latency values between the Study Group and the Control Group, with greater latency values in the Study Group. This finding was statistically significant only for the Right ear. Conclusions: We may suggest that individuals with dyslexia present temporal auditory processing disorder, however we cannot affirm absence of disorders in other skills

Made available in DSpace on 2016-03-15T19:40:38Z (GMT). No. of bitstreams: 1 Andrea Ladeira.pdf: 1035915 bytes, checksum: f76efbda2284ef8ff5e885e13e4e3d1c (MD5) Previous issue date: 2009-01-22 / Fundo Mackenzie de Pesquisa / The Central Auditory Processing Disorders are the deficiency of one or more hearing processes and mechanisms or the deficiency of major dysfunctions. Considering that new therapeutic and/or diagnostic approaches should be investigated, recent studies have shown that non invasive cerebral stimulation tools are efficient in the modulation of brain activity in a safe and painless way. One of these techniques is the Transcranial Direct Current Stimulation (TDCs). TDCs studies have shown that this technique is able to modulate cortical excitability on visual and motor areas and it is also capable to interfere in task performance involving cognitive functions on pre-frontal cortex such as operational memory and decision making. The aim of this study was the investigation of the possible effects of TDCs on primary auditory cortex, on temporal resolution tasks, using RGDT (Random Gap Detection Test). Eleven healthy volunteers received anodal, cathodal bilateral or sham ETCC in alternate days (i=2mA) and RGDT test was carried out before and during stimulation. It has been observed a significant effect for the frequencies of 4000Hz, Averages of Frequencies and Clicks, with an increase in the capacity of temporal discrimination in anodal stimulation and reduction in cathodal stimulation conditions. This is the first study showing that the ETCC of low intensity is capable of modulating the activity of primary auditory cortex resulting in positive or negative impact in the performance in task of temporal resolution according to the applied polarity (anodal or cathodal, respectively). Not only is the impact of these results in the demonstration of the TDCs as an important tool of investigation in cognitive neuroscience, but also in its use as an intervention tool. New studies will be necessary to investigate the impact of the TDCs in patients with alterations of the central auditory processing. / Os transtornos do Processamento Auditivo Central são caracterizados pela deficiência de um ou mais processos e mecanismos da audição ou são deficiências originadas de disfunções maiores. Considerando que novas abordagens terapêuticas e/ou diagnósticas devem ser investigadas, estudos recentes têm demonstrado que ferramentas de estimulação cerebral não invasivas são eficazes em modular a atividade cerebral de forma indolor e segura. Uma dessas técnicas é a Estimulação Transcraniana por Corrente Contínua (ETCC). Estudos realizados com ETCC têm demonstrado que esta técnica modula a excitabilidade cortical de áreas motoras e visuais e, além disso, é capaz de interferir no desempenho de tarefas que envolvam funções cognitivas como memória operacional e tomada de decisão quando aplicada em córtex pré-frontal. Este estudo teve como objetivo investigar os possíveis efeitos da ETCC em área cortical auditiva primária, em avaliação de tarefas de resolução temporal auditiva, utilizando o teste Random Gap Detection Test (RGDT). 11(onze) voluntários saudáveis receberam em dias alternados ETCC bilateral anódica, catódica ou placebo (i=2mA) e realizaram o teste RGDT antes e durante a estimulação. Observou-se um efeito significativo para as freqüências de 4000Hz, Médias de Freqüências e Clicks, com aumento na capacidade de discriminação temporal em condição de estimulação anódica e redução em estimulação catódica. Este é o primeiro estudo mostrando que a ETCC de baixa intensidade é capaz de modular a atividade do córtex auditivo primário resultando em impacto positivo ou negativo no desempenho em tarefa de resolução temporal em função da polaridade aplicada (ânodo ou cátodo, respectivamente). O impacto desses resultados reside na demonstração de que a ETCC é uma importante ferramenta de investigação em neurociência cognitiva, mas que também pode ter desdobramentos como ferramenta de intervenção. Novos estudos serão necessários para investigar o impacto da ETCC em pacientes com alterações de processamento auditivo central.

Please read the abstract in the section 00front of this document / Thesis (DPhil (Communication Pathology))--University of Pretoria, 2006. / Speech-Language Pathology and Audiology / DPhil / Unrestricted

Made available in DSpace on 2016-04-27T18:12:35Z (GMT). No. of bitstreams: 1 Fernanda Camargo Geribola.pdf: 1547941 bytes, checksum: 063b4de26b3cbb4c88109ec3946d7674 (MD5) Previous issue date: 2008-04-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Objective: to investigate sound localization, motor-acoustic organization and auditory discrimination performance in 7 to 11 year-old children and to describe results according to gender and to answers of teachers and parents to a questionnaire. Method: 60 children were evaluated: 30 2nd or 3rd grade students and 30 4th or 5th grade. The distribution of the students according to age was: 26,7% were 7, 21,7% were 8, 15% were 9, 35% were 10 and 1,6% were 11 years old. They were submitted to visual inspection of external acoustic meatus, pure tone audiometry, timpanometry (as an inclusion criteria). The study had three phases: screening questionnaire answered by parents, learning difficulties questionnaire answered by teachers and sound localization, motor-acoustic organization and auditory discrimination performance. Results: there was no statistically significant difference between level of scholarship and tests performance; teachers answers for the learning difficulties questionnaire and tests performance. Students who performed poorly in the tests were oral respirators, presented more ear ache and throat infection episodes, frequently asked repetition of what was said, loud speakers and had familiar history of hearing loss, according to the comparison of parents answers to a questionnaire and tests performance. Conclusions: 1. it was not possible to establish a relationship between age and tests performance; 2. learning difficulties questions for the teachers did not allow detecting students who needed auditory processing evaluation; 3. the questionnaire answered by parents allowed identifying students at risk for poor performance in the applied auditory abilities tests / Objetivo: O objetivo deste trabalho foi investigar o desempenho de crianças entre 7 e 11 anos para os testes de localização da fonte sonora, organização acústico motor e discriminação auditiva, descrevendo os resultados do desempenho das crianças nos diferentes testes em função do sexo e das respostas dos pais ao questionário. Método: Foram avaliadas 60 crianças, sendo 30 matriculadas na 2 ªou 3 ª e 30 na 4 ª ou 5 ª série, distribuídas segundo a faixa etária em : 7 anos (26,7%), 8 anos (21,7%), 9 anos (15%), 10 anos (35%) e 11 anos (1.6%). As crianças foram submetidas a inspeção visual do meato acústico externo, audiometria tonal liminar, timpanometria (como critério de inclusão). A coleta foi realizada em três fases: questionário de triagem auditiva com os pais, questionário com os professores sobre a presença de dificuldade de aprendizagem e desempenho das crianças nos testes: Teste de Localização da Fonte Sonora, de Teste de Organização Acústico-Motora e Teste de Discriminação Auditiva com as crianças. Resultados: a análise da relação entre nível de escolaridade e desempenho nos testes de não mostrou diferença estatisticamente significante. Para a questão desempenho das crianças nos diferentes testes segundo a resposta do professor para a questão ter ou não queixa de dificuldade de aprendizagem, os resultados não foram estatisticamente significantes. A análise descritiva em valores de porcentagem do desempenho das crianças nos testes aplicados em relação com às respostas dos pais ao questionário aplicado e a análise por agrupamento, mostraram que as crianças que não apresentaram desempenho adequado eram as que os pais informaram que: eram respiradores bucais, tiveram muitos episódios de dor de ouvido e infecção de garganta , falam muito Hãm e o quê; fala muito alto e devagar e que tem antecedentes familiares de perda auditiva. Conclusões: os dados obtidos nessa pesquisa permitem concluir: 1. que não foi possível estabelecer relação entre faixa etária e desempenho nos testes; 2. que a pergunta sobre dificuldade de aprendizagem feita ao professor não permite detectar crianças que necessitariam de avaliação diagnóstica de transtorno de processamento auditivo; 3. que o questionário aplicado aos pais permitiu identificar os riscos para bom desempenho nos testes de habilidades auditivas aplicados

Abstract To be able to acquire, produce, and comprehend language, precise central auditory processing (CAP), neural processes utilized for managing auditory input, is essential. However, the auditory environments are not always optimal for CAP because noise levels in children’s daily environments can be surprisingly high. In young children, CAP and its developmental trajectory as well as the influence of noise on it have scarcely been investigated. Event-related potentials (ERPs) offer promising means to study different stages of CAP in small children. Sound processing, preattentive auditory discrimination, and attention shifting processes can be addressed with obligatory responses, mismatch negativity (MMN), and novelty P3 of ERPs, respectively. In this thesis the developmental trajectory of CAP from 2 to 4 years of age as well as noise-induced changes on it, were investigated. In addition, the feasibility of the multi-feature paradigm with syllable stimuli and novel sounds in children was evaluated. To this end, obligatory responses (P1, N2, and N4) and MMNs for consonant, frequency, intensity, vowel, and vowel duration changes, as well as novelty P3 responses, were recorded in a silent condition and with babble noise using the multi-feature paradigm. The participants were voluntary, typically developing children. Significant P1, N2, N4, and MMN responses were elicited at both ages. Also a significant novelty P3, studied at the age of 2 years, was found. From 2 to 4 years, the P1 and N2 latencies shortened. The amplitudes of N2, N4, and MMNs increased and the increment was the largest at frontal electrode locations. During noise, P1 decreased, N2 increased, and the latency of N4 diminished as well as MMNs degraded. The noise-induced changes were largely similar at both ages. In conclusion, the multi-feature paradigm with five syllable deviant types and novel sounds was found to be an appropriate measure of CAP in toddlers. The changes in ERP morphology from 2 to 4 years of age suggest maturational changes in CAP. Noise degraded sound encoding, representation forming, and auditory discrimination. The children were similarly vulnerable to hampering effects of noise at both ages. Thus, noise might potentially harmfully influence language processing and thereby its acquisition in childhood. / Tiivistelmä Kielen omaksumiselle, tuottamiselle sekä ymmärtämiselle on tärkeää tarkka keskushermostollinen kuulotiedon käsittely eli ne hermostolliset prosessit, joita käytetään kuullun aineksen käsittelyyn. Kuunteluympäristöt eivät kuitenkaan aina ole optimaalisia kuulotiedon käsittelylle, sillä melutasot lasten elinympäristöissä voivat olla hyvinkin korkeita. Pienten lasten kuulotiedon käsittelyä, sen kehittymistä ja melun vaikutusta siihen on tutkittu vähän. Kuuloherätevasteet ovat toimiva tapa tarkastella pienten lasten kuulotiedon käsittelyä eri näkökulmista. Äänen käsittelyä, esitietoista kuuloerottelua ja tarkkaavuuden siirtymistä voidaan tarkastella obligatoristen vasteiden, poikkeavuusnegatiivisuuden ja novelty P3 -vasteiden avulla. Tässä väitöskirjassa tarkastellaan kuulotiedon käsittelyn kehittymistä kahden vuoden iästä neljän vuoden ikään sekä melun vaikutusta siihen. Lisäksi arvioidaan tavuärsykkeitä ja poikkeavia ääniä sisältävän monipiirreparadigman soveltuvuutta lapsitutkimuksiin. Tutkimuksissa rekisteröitiin monipiirreparadigman avulla obligatorisia vasteita (P1, N2 ja N4); konsonantin, taajuuden, intensiteetin, vokaalin ja vokaalin keston muutokselle syntyneitä MMN-vasteita sekä novelty P3 -vasteita hiljaisuudessa ja taustamelussa. Tutkimuksen osallistujat olivat vapaaehtoisia tyypillisesti kehittyviä lapsia. Molemmilla tutkimuskerroilla P1, N2, N4 ja MMN poikkesivat merkitsevästi nollatasosta samoin kuin kaksivuotiailta tutkittu novelty P3. Kahden vuoden iästä neljään vuoteen P1- ja N2-vasteiden latenssi lyheni sekä N2, N4 ja MMN vahvistuivat, muutoksen ollessa suurinta frontaalisilla elektrodeilla. Melun aikana P1 heikkeni, N2 vahvistui ja N4-vasteen latenssi lyhentyi. Lisäksi MMN-vaste heikkeni. Melun aiheuttamat muutokset olivat samankaltaisia sekä kahden että neljän vuoden iässä. Johtopäätöksenä voidaan todeta viittä eri tavuärsyketyyppiä ja yllättäviä ääniä sisältävän monipiirreparadigman olevan toimiva menetelmä taaperoiden kuulotiedon käsittelyn tutkimiseen. Kahden ja neljän ikävuoden välillä tapahtuvat muutokset vasteissa kuvastavat kehityksellisiä muutoksia kuulotiedon käsittelyssä. Melu heikentää äänitiedon peruskäsittelyä, edustumien muodostumista ja esitietoista kuuloerottelua. Lapset olivat lähes yhtä alttiita melun vaikutuksille sekä kahden että neljän vuoden iässä. Melu voi siis haitata kielen prosessointia ja sen omaksumista.