CAPD Midterm Flashcards
what are the test battery considerations for (C)APD
sensitivity and specificity, test reliability, ease of administration, population characteristics
The target word for the ACPT is _____ and the number of test items in each trial is _____ that must be reapeated ____ times.
dog, 96, 6
right ear advantage is considered normal until?
11-12 years
name 2 tests that assess temporal ordering
duration pattern test, pitch pattern sequence test
name 2 tests that assess temporal resolution
gaps in noise test, random gap detection
LiSN-S was developed in?
Australia
what condition provides the best MLD
MoSπ
what frequency is used to provide the best MLD
500 Hz
what are symptom-specific considerations?
test battery should be decided based on the referring complaint and information available to the audiologist
what are patient specific considerations?
can the patient do the test - do they have cognitive probs, developmental probs, concussion, TBI
what do dichotic processing tests assess?
binaural integration or binaural separation. they are sensitive to lesions of the corpus callosum and cerebral cortex
if you struggle with dichotic processing you will have trouble with speech in noise & following rapid speech and instructions
what concerns do dichotic processing problems create in the classroom
the background noise will cause the child to miss what the teacher says & they will need instructions repeatd especially in group settings
For a (C)APD test battery, what central processes should be assessed aka the 4 categories of auditory processing
dichotic processes, temporal processes, binaural interaction and monaural low redundancy speech/auditory closure processes
what do temporal processes and pattern tests assess?
the ability to perceive a pattern and temporal function abilities. they are sensitive to a compromised right hemisphere
temporal processing issues result in
trouble with rapid speech, rhythms and patterns, hearing in noise, need repetions, miss instructions
what concerns do temporal processing problems create in the classroom
missing instructions, can not read outloud, trouble with similar sounds
what do binaural interaction/fusion tests assess ?
the interaction between two ears
what will you see if someone struggles with binaural interaction
localizing problems, hearing in noise, spatial awareness
what do monaural low redundancy speech/auditory closure tests assess ?
they involve modifying the signal and are not sensitive to brainstem lesions
what tests assess monaural low redundancy speech/auditory closure ?
filtered words, time compressed sentences, SSI ICM, speech in noise
what problems will you see in someone who struggles with monaural low redundancy speech/auditory closure
problems with muffled speech, trouble on phone, probs with rapid speech and accents, probs in reverberany spaces, may miss instructions
recommendations for a (C)APD evaluation
case history, questionares, pure tones, soeech, electrophysiologic measures, psychoeducational evaluation, how they are doing in school, how they are socially, and work history is an adult
(C)APD screening questionnaires
CHAPS, SIFTER and fishers auditory problem checklist
tell me about the children’s auditory performance scale (CHAPS)
author = smoski, brunt, tanhill
tests listening behavior in diverse listening situations (6 different conditions). we want to compare the childs ability to their peers. used by parents and teachers.
what are the ages for the CHAPS
7 years and up
tell me about the screening instrument for targeting educational risk (SIFTER)
author = anderson
completed by the childs teacher. 15 questions, 3 of each questions in the following categories - academics, attention, class participation, and social behavior. used to compare child to peers and can be tracked to compare the childs performance over time.
what are the ages for the SIFTER
1st to 5th grade
tell me about fishers auditory problem checklist
author = fisher
gives us info about the childs listening abilties in a classroom. completed by the teacher. they place a check next to the observed behaviors, items not selected are used to dermine a percentage. we refer if the child gets less than 72%
what behaviors does fishers auditory probelms checklist observe
failure to attent to instructions. need to repeat instructions, easilt distracted by auditory stimuli, trouble processing in a competing acoustic environement. it also asks about attention & memory problems.
according to wilson et al, what was the relationship that was found between the screeners and behavioral tests
found the screeners did a poor job of predicting the patients diagnostic test result. screeners should be used to find concerns in a child but not to determine if a diagnostic test is needed.
(C)APD behavioral tests
PSI, ACPT and the SCAN-3C
tell me about the pediatric speech intelligibility test (PSI)
jerger & jerger
assesses auditory figure ground (aka the ability to hear in noise) & auditory closure (ability to fill in the blanks).
sensitive to CAPD. sensitive to lower brainsetm deficits.
what are the ages for the PSI
3-6 years
format 1 = 3-4 years
format 2 = 5-6 years
tell me about the auditory continuous performance test (ACPT)
author = keith
binaural test
ADHD screening exam
identify dog among other monosyllabic words
tests selective attention & sustained attention
what are the ages for the ACPT
6-12 years
tell me about the SCAN-3C
author = keith
identifies APD in kids in areas of temporal processing, listening in noise, dichotic listening, & listneing to degraded speech
what are the ages for the SCAN-3C
5-13 years except for gap detection bc that is 8-13
need to have normal hearing and have passed tymps indicating no ME probs
what SCREENING tests are given as part of the SCAN-3C
gap detection, auditory figure ground +8 dB, competing words free recall
what DIAGNOSTIC tests are given as part of the SCAN-3C
auditory figure ground +8 dB, filtered words, competing words directed ear, competing sentences
what SUPPLEMENTARY tests are given as part of the SCAN-3C
competing words free recall, auditory figure ground 0dB, auditory figure ground +12 dB, time compressed signal
tell me about the gap detection test
age 8-13
measures ability to detect brief silent gaps of variable durations between 2 tones
if a child fails gap detection, we should evaluate them for ?
temporal processing disorders
tell me about auditory figure ground +8 (AFG+8)
age 5-13
tests the abilty to process speech in the presence of background noise when the signal is 8 dB better
if a child fails auditory figure ground +8, we should evaluate them for ?
speech in noise problems
tell me about competing words free recall (CWFR)
age 5-13 MONAURAL
tests the abilty to process competing signals by playing 2 words at the same time
assess auditory maturation/developemental delays
tell me about competing words directed ear (CWDE)
age 5-13 DICHOTIC
tests the abilty to process competing signals by playing 2 words at the same time
assess maturation of auditory system
tell me about filtered words
5-13 MONAURAL
repeat words that are heard but have been altered, this assesses auditory closure skills
tell me about competing sentences (CS)
age 5-13 DICHOTIC
tests the abilty to process competing signals by playing 2 unrelated sentences at the same time
tell me about auditory figure ground +12 (AFG+12)
age 5-13
tests the abilty to process speech in the presence of background noise when the signal is 12 dB better
tell me about auditory figure ground +0 (AFG+0)
age 5-13 MONAURAL
tests the abilty to process speech in the presence of background noise when the signal is the same dB as the noise
tell me about time compressed sentences (TCS)
age 5-13 MONAURAL
tests the ability to process degraded speech by presenting sentences time compressed by 60%
behavioral monaural tests for (C)APD
GIN, PPST, & DPST
tell me about gaps in noise test (GIN)
author = musiek
assess temporal processing/resolution
MONAURAL
ability to detect gaps embedded in a continous signal
what is the age for GIN test
7 years to adult
tell me about pitch pattern sequence test (PPST)
author = musiek & pinheiro
MONAURAL
assesses temporal ordering
identify pitch of presented tone
site of lesion is cerebral hemispheres and corpus callosum.
failing the PPST is indicative of dyslexia & learning disability.
what are the ages for the PPST
7 years to adult
tell me about duration pattern sequence test (DPST)
author = musiek, baran, pinheiro
MONAURAL
identify if tones presented were long or short
assesses temporal ordering
what are the ages for the DPST
9 and up
low redundancy speech test for (C)APD
time compressed sentence test & SSI ICM/CCM
tell me about time compressed sentence test
MONAURAL
patient repeates back fast sentences
assesses speech processing deficits at the cortical level
what are the ages for time compressed sentence test
7 and up
tell me about synthetic sentence identification (SSI-ICM/CCM)
the patient identifies which sentence on the sheet they heard while another sentence is being played in the same (ICM) or different ear (CCM)
what is SSI ICM
ipsilateral competing message test
Sentences are presented to the the target ear and the competing message is presented to the same ear
assesses auditory recognition, figure ground, and lower brainstem lesions
what is CCM
contralateral competing message test
Sentences are presented to the the target ear and the competing message is presented to the opposite ear
assesses binaural seperation and temporal lobe deficits
what are the ages for the SSI
8 years and up
behavioral binaural tests for (C)APD
SSW, dichotic digits, RGDT, BMLD, MLD, LiSN-S
tell me about staggered spondaic words test (SSW)
author = katz
frequently administered but not well supported
1 word is adminstered to each ear at the same time and the patient needs to repeat both
assesses decoding type, tolerance fading memory, intergration type, and organization type
what are the ages for the SSW
5-70 years
tell me about dichotic digits
author = musiek
numbers/digits are adminstered to both ears at the same time and the patient needs to repeat all 4 regarless of order
assesses binaural integration at the hemispheric level
what is the age for the dichotic digits
7 years to adult
what tests assess dichotic processes
dichotic digits, competing sentences, SSI CCM, SSW
tell me about random gap detection test (RGDT)
author = keith
BINAURAL
patient tells you if they heard 1 or 2 sounds with varying gap lengths
assess temporal sequencing and temporal integrity at the cortical level
anything over 20ms is considered an indication of a temporal processing problem
what is the age for RGDT
5-12 years old
what tests assess temporal processes
gaps in noise, RGDT, duration pattern test, pitch pattern test
tell me about binaural masking level difference (MLD or BMLD)
masking level difference or binaural masking level difference
test under headphones
assesses binaural interaction at the brainstem level
monotic - signal & noise 1 side, hard
dichotic - signal and masker different sides, easy
diotic - masker and signal on both sides
dichotic (M0Sπ) : masker and signal on both sides however the signal is out of phase so the signal pops out of the masker
what tests assess binaural interaction
auditory fusion and MLD
what is the age for MLD
5 years to adult
what are the norms for the MLD short and recorded tests
short is 10 dB or better
recordedis 14 dB or better
tell me about LiSN-S
developed by cameron & dillon
australia (NAL)
ability to separate signal from competing speech
assess spatial processing disorder
diagnoses spatial processing disorder
what is the age for the LiSN-S
6.2 - 30.3 years
what is one major pattern that helps with the diagnosis of (C)APD
unilateral deficits - specifically left ear unilateral
deficits point to CAPD
what tests are monaural?
gaps in noise test, PPST , DPST , nu-6 words , time compressed sentence test, SSI ICM
