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AUDIOLOGY > Auditory Processing Disorder > Flashcards

Auditory Processing Disorder Flashcards

1
Q

What does Auditory Processing mean?

A

The auditory system mechanisms and functions responsible for behavioral phenomena

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2
Q

For Auditory Processing, what are the behavioral phenomena our auditory system is responsible for?

A
  1. Sound localization
  2. Auditory discrimination
  3. Auditory pattern recognition
  4. Temporal aspects of audition
  5. Auditory performance decrements with competing signals
  6. Auditory performance decrements with degraded acoustic signals
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3
Q

How does ASHA define Auditory Processing Disorder?

A

An observed deficiency in one or more of the six behavioral phenomena

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4
Q

What are the two ways someone get have APD?

A
  1. Directly associated to the dysfunction of processes and mechanisms dedicated to audition
  2. May stem from general dysfunction (attention deficit or neural timing deficit)
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5
Q

What’s the problem with evaluating auditory processing?

A

Auditory processing and higher-order cognitive processing skills overlaps and it’s difficult to separate the components

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6
Q

How are most behavioral APD test done?

A

They rely on speech stimuli

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7
Q

What issue do we run into with APD being language dependent?

A

It’s impossible to determine if we’re processing the patient’s auditory or language disabilities

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8
Q

What are the controversies around APD?

A

a. Does it truly exist

b. Are we testing for it in the most valid way?

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9
Q

As an audiologist, how should we evaluate auditory processing?

A
  1. Audiologist should use test battery
  2. Behavioral tests
  3. Physiologic Tests
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10
Q

For APD, which test should you start with?

A

Behavioral Auditory Processing Battery

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11
Q

What consists of Behavioral Auditory Processing Battery?

A
  1. Pure-tone Audiometry
  2. Speech Tests (SRT)
  3. Non-speech tests
  4. Most test uses speech stimuli
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12
Q

Which test do we ideally want to use?

A

Physiologic Tests

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13
Q

What are they type of Speech Tests for Behavioral Auditory Processing?

A
  1. Speech in Noise
  2. Filtered Speech
  3. Time-Compressed Speech
  4. Phonemic Synthesis
  5. Competing Speech
  6. Auditory Continuous Performance Test
  7. Dichotic Digits Test
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14
Q

What are Non-speech tests for Behavioral Auditory Processing Tests?

A
  1. Gap detection

2. Pitch pattern

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15
Q

While assessing our patients, what should we also look for?

A

Observing them doing a test:

  1. Fidgeting
  2. Distraction
  3. Rehearsal
  4. Perseveration
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16
Q

What tests falls within Physiological Auditory Processing Battery

A
  1. Tympanometry
  2. Acoustic reflexes
  3. OAEs
  4. AEPs
17
Q

What is the oddball paradigm?

A

You listen to a pure-tone or word signal over and over again and your brain picks up on the oddball pure-tone or word. This paradigm only responds to the auditory component and not language or attention. So when you hear the oddball, we should get a big and quick increase in electrical activity. But those with APD, their spike could be nonexistent, smaller, or slower in electrical activity in response to the oddball given

18
Q

What are things we have to consider for AP test?

A
  1. Know which population is used for normative data
  2. The CANS continues to develop until about age 9
  3. Most tests have norms from about age 7
19
Q

After we do a test battery, what occurs next?

A

Categorizing APD

20
Q

What’s the purpose of categorizing APD?

A

It helps determine where to focus management (intervention) efforts

21
Q

What are the common categories used from the Buffalo Model?

A
  1. Decoding
  2. Tolerance Fading Memory
  3. Integration
  4. Organization
22
Q

If you’re in the decoding category, you’d have problems with….

A
  1. Receptive language
  2. Phonics
  3. Reading word accuracy
  4. Articulation
  5. Following auditory directions
23
Q

For those that are in the decoding category, what do you focus on?

A

Phonemic understanding and improving speech signal

24
Q

If you’re in the tolerance fading memory category, you’d have problems with….

A
  1. Reading comprehension
  2. Short-term memory
  3. Expressive language
  4. Auditory figure ground (speech in noise)
25
Q

For those that are in the tolerance fading memory category, what do you focus on?

A

Speech in noise training, memory, compensatory strategies & memory training

26
Q

If you’re in the integration category, you’d have problems with….

A
  1. Reading and spelling
  2. Phonics
  3. Auditory-visual integration
  4. Speech-in-noise
  5. Short term memory
  6. Slow responder
27
Q

For those that are in the integration category, what do you focus on?

A

Phonemic understanding, improving speech signal, speech-in-noise training, memory training

28
Q

If you’re in the organization category, you’d have problems with….

A
  1. Sequencing and organizing information
  2. Following multi-step directions
  3. Organizing own thoughts
29
Q

For those that are in the organization category, what do you focus on?

A

Compensatory strategies, organizational training/tools

30
Q

Who does care fall to once you’ve been categorized with APD?

A

Typically SLP/educational audiologist/classroom teacher

31
Q

What are the three main categories for management APD?

A
  1. Environmental modifications
  2. Rehabilitation/training
  3. Compensatory strategies
32
Q

For environmental modifications, what needs to be done?

A
  1. Learning environment needs redundancy
  2. Improve SNR
  3. Repetition
  4. Visual cues
  5. Checks for understanding
  6. Gaining attention prior to speaking
33
Q

For environmental modifications, what are ways to decrease ambient noise?

A
  1. More soft surfaces
  2. Acoustic Panels
  3. Bulletin Boards
  4. Adding curtains
34
Q

For environmental modifications, what are ways to increase signal?

A
  1. FM System

2. Preferential Classroom Seating

35
Q

What are some compensatory strategies?

A
  1. Teach children to become active listeners
  2. Own your disorder/disability
  3. Ask for clarification
  4. Mnemonic devices
  5. Pre-teaching/learning
  6. Scripts/songs
  7. Organizational Systems

AUDIOLOGY (17 decks)

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