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Auditory Processing Disorders

Auditory Processing Disorders. Definition. Observed defciency in one or more of the following behaviors: Sound localization Auditory disrcrimination Temoral aspects of audition, including Temporal resolution Temporal masking Temporal intergration Temporal ordering

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Auditory Processing Disorders

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  1. Auditory Processing Disorders

  2. Definition • Observed defciency in one or more of the following behaviors: • Sound localization • Auditory disrcrimination • Temoral aspects of audition, including • Temporal resolution • Temporal masking • Temporal intergration • Temporal ordering • Auditory performance decrements with competing acoustic signals • Auditory performance decrements with degraded acoustic signals.

  3. What this really means… • Difficulty localizing sound • Speech discrimination (e.g., /∫ vs. s/ ) • Difficulty with any aspects of sound duration. • Difficulty with competing speech or other sounds. • Difficulty with degraded speech signals

  4. Symptoms • Appear not to hear, or hear but don’t understand. Sometimes they understand without difficulty. • Difficulty with academic performance even though intelligence is normal and hearing normal. • Does significantly better in one to one settings.

  5. Symptoms continued • May have difficulty with social pragmatics. Difficulty with sarcasm & jokes. May not interact appropriately with others. • High correlation with language delays/disorders • High correlation with ADD (with and w/out hyperactivity).

  6. Assessment • Observation • Teacher, Parent, or others familiar with APD symptoms. • Screening • Test for Auditory Processing Disorders (SCAN-C and SCAN-A)

  7. Assessment • Diagnostic (Normally performed by an audiologist) • Monaural Low-Redundancy Speech Tests • Compressed Speech • Filtered Speech • Speech in Noise

  8. Assessment • Diagnostic (cont) • Dichotic Speech Tests • Staggered Spondaic Words • Dichotic Digits • Dichotic Words & Sentences

  9. Assessment • Diagnostic (cont) • Binaural Integration • Binaural Fusion • Rapidly Alternating Speech Perception

  10. Team Approach • Audiologist • SLP • Psychologist • Educator • Health professionals • Social Services • Parents

  11. Remediation • Classroom modifications and individualized instruction. • ALDs • Speech-Language services • Language and phonological treatment • Fast-forward and Earobics

  12. Summary

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