Exam 1 (Assessment Part 2) Flashcards
what are the monaural tests
gaps in noise test
pitch pattern sequence test
duration pattern sequence test
nu-6 words - 45% compression
time compressed sentence test
auditec: low pass filtered NU-6 750 Hz
synthetic sentence identification ICM & CCM
what are the auditory processes
dichotic processes
temporal processes
binaural interaction
monaural low redundancy speech/auditory closure proceses
what tests can you do to check dichotic processes
dichotic digits
competing sentences
SSI-CCM
SSW
what can you do to test temoral processes
gaps in noise
random gap detection
duration pattern test
pitch pattern test
what can you do to test binaural interaction
auditory fusion
masking level difference
what can you do to test monaural low redundancy speech/auditory closure proceses
NU6 filtered words
time comrpessed sentences
SSI-ICM
SIN tests
what are common concerns for PTs with dichotic processing issues
issues with speech in noise
they have issues following conversations in noisy places
cannot keep up when multiple people are talking
might miss what teacher says with background noise in classroom
difficulty following rapid speech or instructions
they miss most of what they’re saying when someone talks quickly
often need repetition of instructions especially with groups
classroom concerns
miss what teacher says with background noise
miss what people say if they speak fast
need instructions repeated especially in group settings
what are indicators for testing with dichotic processing concerns
Reports of difficulty with binaural integration or separation:
(e.g., “I can’t focus on one voice if another voice is present.”)
Complaints of unilateral or uneven hearing despite normal audiometric results.
what are common concerns for PTs with temporal processing issues
difficulty understanding fast speech
they need people to slow down for them to understand
they struggle when people talk quickly
issues following rhythms or patterns
music is off beat to them
they cannot follow clap games or rhythmic activities
trouble processing rapidly changing sounds
they miss parts of words or confuse similar sounding words
difficulties hearing in noise
fast conversations in noisy environments are impossible for them to follow
miss steps when instructions are provided, ask for repetitions, trip over similar words, difficulty hearing subtle differences in sounds
what are classroom concerns for temporal processing
miss steps if instructions are given quickly
if they do not write instructions down they will miss parts
cannot read out loud they get stuck on similar sounds
what are classroom concerns for dichotic processing
miss what teacher says with background noise
miss what people say if they speak fast
need instructions repeated especially in group settings
indicators for testing temporal processing concerns
Difficulty perceiving gaps between sounds:
(e.g., “I can’t tell when one word ends, and another begins.”)
Challenges understanding pitch or timing-dependent cues:
(e.g., “I miss sarcasm or questions because I don’t hear the tone changes.”)
what are common concerns for PTs with auditory binaural interaction concerns
issues localizing sounds
cannot tell where sounds are coming from
if someone calls their name they do not know where to look
issues hearing in noise
hard to pick out a voice in a noisy room
issues with spatial awareness
sounds seem like they come from the same place
cannot tell if something is in front of behind them
imbalance between ears
feels like one ear is louder than the other
what are indicators for testing auditory binaural interaction
Difficulty understanding in dichotic listening situations:
(e.g., “I can’t focus on what one ear is hearing while ignoring the other.”)
Struggles with auditory fusion or temporal disparity cues:
(e.g., “It feels like sounds aren’t syncing up between my ears.”)
what are common concerns for PTs with Auditory Monoaural Low Redundancy Speech/Auditory Closure Processes issues
issues with distorted or muffled speech
cannot understand people when they speak soft or mumble
difficulties hearing on the phone
issues in noise
cannot make out what people are saying & lose track of conversations if person speaks soft
issues with accents or rapid speech
may need repeditions for them to understand
issues with reverberant spaces
miss a lot of what is said in echo rooms
like churches, gyms, etc.
classroom concerns for Auditory Monoaural Low Redundancy Speech/Auditory Closure Processes issues
issues following lecture if they cannot see their face
may miss instructions or not hear clear in group meetings
indicators for testing for Auditory Monoaural Low Redundancy Speech/Auditory Closure Processes issues
Difficulty with incomplete or low-redundancy speech:
(e.g., “I can’t guess what someone said if I only hear part of it.”)
Struggles with auditory closure:
(e.g., “I can’t fill in missing sounds or words in a sentence.”)
what does GIN stand for
gaps in noise test
author and ages of GIN
Musiek 2005
Ages 7yrs to adults
what does GIN assess
Assesses temporal processing/resolution
monaural
applicable for ESL
not linguistically loaded
what is the GIN test
Ability to detect changes in intervals of silene (gaps) embedded in a continuous auditory signal
sensitivity and specificity for GIN
Poor sensitivity → 67%
Good specificity → 94%
PPST ages & author
Musiek & Pinheiro 1987
Ages 7yrs to adults
DPT author and ages
Musiek, Baran & Pinheiro 1990
Ages >9-10 yrs to adults
Difficult test for younger children
what is PPST
pitch pattern sequence test
what is DPT
duration pattern sequence test
what does GIN test assess
assesses temporal processing/resolutional
tests the ability to detect changes in intervals of silence (gaps) embedded in a continuous auditory signal
monaural
applicable for ESL because it is not linguistically loaded
what does PPST assess
Assesses auditory temporal resolution → temporal sequencing & pattern perception
Site of lesion → cerebral hemispheres & corpus callosum
Cerebral hemispheric disorders, corpus collosum dysfunction & neuromaturation issues
Also sensitive for learning and language disabilities (dyslexia) but normal intelligence due to neuromaturation
monaural
what does DPT assess
Tests duration discrimination, temporal ordering, and linguistic labeling
Site of lesion
Cortical lesions or interhemispheric transfer of auditory information disruption
DPT & PPST each assess two different temporal processes
Need to do both assessments when possible
how to score total GIN score
it is in %
Total correct number minus false positives ÷ (60 X 100) (one ear)
Total correct number minus false positives ÷ (120 X 100) (two ears)
what is the total score cut off for percent correct in GIN
< 52% (8 to 11 yrs.) (> 52% is normal)
Total score norms not currently reported for 7 y.o.
< 54% (12 yrs. to adults) (> 54% is normal)
how to score GIN using gap threshold
Shortest gap duration that is perceived
At least 4 of the 6 gaps are correctly identified
Performance (correct identification) for longer gap durations is NOT WORSE than the 4 gaps already identified
The gap threshold is a more sensitive measure than percent correct scores
true
what is normal for gap threshold in GIN
6 gaps for each gap in msec (2 to 20 msec)
Normal = < 4 to 6 ms
Concern = > 8 ms
there are 4 important considerations to keep in mind when developing a test battery
Test sensitivity and specificity
Tests with low sensitivity/specificity are not useful diagnostic indicators of CAPD
Test reliability
Tests should have test-retest consistency and age-appropriate norms
Results should be consistent from year to year if there is no change
Ease of administration
tests requiring extensive training, time & client practice are not appropriate for most clinical settings
Population characteristics
Age appropriate
Location appropriate
Is this test able to be used in a quiet room or can you test in a booth or in a school setting etc.
Cultural and linguistic diversity (CLD) appropriate
what does the acronym for the screening questionnaire chaps stand for
children’s auditory performance scale
psi was developed by
jerger & jerger
SCAN 3 C was developed by
keith
target word for the auditory continuous performance test (ACPT) is _____ and number of test items in each trail is ____ that must be repeated _____ times
dog
96
6 times
age range for the SCAN 3 C
5-12.11yrs
which of the screening tests on scan 3 c cannot be administered for children younger than 8 yrs
gap detection
right ear advantage (REA) is considered normal till what age
11-12yrs
gaps in noise (GIN) test was developed by
musiek
two tests that assess temporal ordering or sequencing
duration pattern sequence test (DPT)
pitch pattern sequence test (PPST)
two tests that assess temporal resolution
gaps in noise
random gap detection
one monaural low redundancy test used for children 6 yrs or younger
pediatric speech intelligibility (PSI)
SCAN 3 C AFG tests
scan 3 c competing words and competing sentence tests
one monaural low redundancy test used for older children and adults
synthetic speech identificattion (SSI) test
time compressed speech
filtered speech test
staggered spondaic words (SSW) test categorizes capd into four subtypes. what are they
decoding type
Tolerance fading memory type
Integration type
Organization type
who developed staggered spondaic words (SSW) test
Katz
which is a binaural test
SSI ICM
GIN
random gap detection test
DPT
random gap detection test
LiSN-S was developed by ______ on which continent?
cameron and dillon
australia (NAL)
LiSN-S diagnoses a ____. children with this disorder can benefit from ___ in the classroom
spatial processing disorder
fm system
which condition is the best for MLD
MoSpie
which frequency is used in clinical testing to provide largest MLD
500 Hz or <500 Hz?
GIN meaning
gaps in noise test
author and ages of GIN
musiek
ages 7- adults
describe GIN
assessestemporal processing/resolution
Ability to detect changes in intervals of silene (gaps) embedded in a continuous auditory signal
Monaural
Applicable for ESL
Not linguistically loaded
authors and ages of PPST
ages 7-adults
musiek & Pinheiro
PPST stands for
pitch pattern sequence test
describe PPST
Assesses auditory temporal resolution → temporal sequencing & pattern perception
Site of lesion → cerebral hemispheres & corpus callosum
Cerebral hemispheric disorders, corpus collosum dysfunction & neuromaturation issues
Also sensitive for learning and language disabilities (dyslexia) but normal intelligence due to neuromaturation
Linguistically loaded
Not linguistically loaded if responses are hummed - up to 12 years old
Poor sensitivity → 67%
Good specificity → 94%
gin test
Moderate to high sensitivity for verbal tasks → 83%
PPST
what does a failure of PPST indicative of
dyslexia
learning disability
authors and age of DPT
musiek, baran & pinheiro
ages >9-10yrs to adults
what does DPT stand for
duration pattern sequence test
describe DPT
Tests duration discrimination, temporal ordering, and linguistic labeling
Site of lesion
Cortical lesions or interhemispheric transfer of auditory information disruption
Monaural
DPT & PPST each assess the same temporal processes
false
they assess two different ones
need to do both assessments when possible
ages & author of NU-6 words: 45% compression
keith
ages 7-adults
what does NU-6 Words: 45% Compression
assess
assesses cortical auditory processing abilities
temporal characteristics are altered without affecting frequency characteristics
*mehta fels this shouldn’t be used for CAPD but should be used to determine if certain HA types or features would be beneficial
monaural
time compressed sentence
ages ??
keith
monaural
Auditec: Low pass filtered NU-6: 750 Hz
ages??
monaural
bellis
what does SSI ICM stand for
Synthetic Sentence Identification-Ispilateral Competing Message Test
ages & author for SSI ICM
jerger & jerger (same as PSI)
ages 8 to adults
what does Synthetic Sentence Identification-Ispilateral Competing Message Test assess
Auditory recognition, memory and figure ground
Lower brainstem lesions
describe SSI ICM
Monaural
Low redundancy
Linguistically loaded
Relies on visual cues
May be a limitation for those with visual problems or children with reading or developmental delays
Synthetic sentences are presented to the target ear and the competing message (davy crockett) presented to the same ear at different message to competition ratios (MCRs)
what are MCRs presented at for SSI ICM
issues in noise
tests to use
SSI ICM or CCM
which tests assess binaural integration at the brainstem level
MLD
maybe SSI-ICM too?
3 ways to make low redundancies
frequency - filters (high-pass is more typical)
time - TCS, speed everything up
intensity - SIN
