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Central Auditory Management Project Holly Dircks & Tiffany Colon Auditory Diagnostics II
Case History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Audiogram Results
Results Continued… ,[object Object]
CAPD  Test Battery
Children’s Auditory Performance Scale  C.H.A.P.S.
Dichotic Digits Test ,[object Object],[object Object],[object Object]
Staggered Spondaic Words ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Frequency & Duration Pattern Tests ,[object Object],*Bellis, 2003 (pg. 253) for age 9;0 to 9;11
Low-Pass Filtered Speech *Bornstein et al. 1994 (pg. 263) ,[object Object],[object Object]
Auditory Continuous Performance Test *Keith, 1994 (pg. 30) ,[object Object]
Summary of the Results
Strengths & Weaknesses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Within Normal Below Normal
Additional Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Professionals in a Multidisciplinary Approach
Role of the Audiologist ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of the Neurologist ,[object Object],[object Object],[object Object],[object Object],[object Object]
Role of the Developmental Pediatrician ,[object Object],Chermak (2002)
Role of the SLP/Au.D. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of the SLP/Au.D. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chermak (2010)
Role of the SLP/Au.D. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],English et al. (2003)
Role of the Teacher ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References (Cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object]

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APD Presentation

Editor's Notes

  1. Has difficulties both at home and in school.
  2. CHAPS is a survey performed by the Teacher/Educator. Goes from +1 (less difficulty) to -5 (cannot function at all) He was borderline at “Ideal” (quiet room, no distractions, eye contact) = Normal Worse at MEM – Auditory Memory Sequencing (recalling spoken info.) Teacher reported he did poorly in verbally based subjects and didn’t seem to understand auditory information.
  3. Assess ability to integrate or separate out different auditory stimuli presented simultaneously to both ears. Provide information regarding neuromaturity of CANS.
  4. Patients with lesions to aud reception centers on right or left side exhibit scores in mod. range in ear contra to damaged hemisphere. Ear Effect: Right Ear = 6; Left Ear = 21. Significant. No Sig. Order Effect
  5. Frequency Pattern Test is valuable for detecting central auditory processing deficits in children with learning disabilities (Musiek, 1994). Tests of auditory pattern recognition provide info about the perception of suprasegmental cues in speech.
  6. WRS by px w/ temporal lobe lesions are poorer in the ear contralateral to the lesion. Monaural low redundancy speech tests assess ability to understand degraded speech (speech in noise). Inconsistent with Findings!!
  7. Tests selective attention (correct responses to stimuli) and sustained attention (maintain throughout testing).
  8. ABR – Assess auditory pathways and brainstem functions. Should have been done first!! RGDT – Temporal deficits documented by poor performance on FPT, DPT, and RGDT Since he’s poor in the FPT, and normal in DPT – it would be helpful to include a 3 rd test (RGDT)
  9. Right Temporal Lobe: Primary Auditory Cortex (Brodmann areas 41 and 42) Semantics in Speech & Vision Long-Term Memory (Hippocampus) Comprehension & Naming Right Parietal Lobe: Integrating Sensory Info. From different parts of body Multisensory Left Side Neglect
  10. Chermak (2002) – Many behaviors of ADHD and CAPD overlap. Created a Chart for Behavioral Observations of ADHD vs. CAPD. Rate of Information Processing, Poor Memory, & Difficulty Discriminating Speech = Unique to APD.
  11. Preferential Seating: 24% decrease in children’s WRS as speaker-listener distance doubles from 6-12 feet (Crandell, 1993).