Presentation Submitted
ASHA Convention, 1999
 
 CAPD: SPEECH AND LANGUAGE PLANNING
FROM THE AUDIOLOGICAL REPORT
Jean M. Harrison, Ed.D.
Southern Illinois University-Edwardsville

Abstract
 
This session will provide practical information for  planning speech and language follow-up from an audiological diagnosis of CAPD. The session will familiarize the participants with audiological  terminology related to CAPD and suggestions for speech and language assessment and management. Additional information can be found at www.siue.edu/~jeharri beginning October 1, 1999.
 
Learner Outcomes
 
Upon completion of this session, the participant will be able to: 
1. understand testing and diagnostic terms used in an audiology report for central 
    auditory processing disorders,  

2. associate terminology associated with a popular model of central auditory 
    processing disorders (Bellis, 1996; Ferre, 1997) 

3. identify possible speech and language follow-up based on an audiological 
    diagnosis of central auditory processing deficit

  
 
Handout #1
Auditory Tests
 
Click a button below to download the handout
Microsoft Word
Microsoft Works
 
 

These Tests may be used to identify difficulties with central auditory processes:
 
I.    Dichotic Listening Tests

Involve the presentation of stimuli to both ears simultaneously. Information presented to one ear is different from the stimuli presented in the other ear

These tests assess binaural integration or binaural separation. Binaural Separation refers to the ability to process one message while ignoring another at the same time. Binaural Integration refers to the ability to process information presented to both ears at the same time when the information presented in each ear is different. An important skills to classroom success and everyday functioning - the ability to tune-in to the important auditory signals.  Difficulty may be indicated if the individual is having difficulty attending/hearing in noisy environments.

 1. Staggered Spondaic Word Test
 2. Competing Sentences Test
 3. Dichotic Sentence Identification
 4. Dichotic Digits
 5. Synthetic Sentence Identification
II.     Low Redundancy Monaural Speech Tests

Involve filtering, distortion of the acoustic signal

These tests assess auditory closure. Auditory closure refers to an individuals ability to fill in the missing or distorted information and be able to recognize the whole message. Knowledge of the topic, familiarity of vocabulary, and familiarity of syntax  can  affect auditory closure skills. Auditory closure may also be compromised by noisy environments and difficulties in sound blending and phoneme discrimination.

 1. Low-Pass Filter Speech
III.     Temporal Processing Tests

Involve discrimination of a sequence of auditory stimuli or temporal order

These tests assess temporal patterning. Temporal patterning refers the ability to perceive pitch patterns,  sequence, remember, and  discriminate auditorily. Temporal patterning contributes to an individuals ability to understand and to use the prosodic features of our language.  Problems in temporal pattering may express themselves in misinterpretation of an oral message and difficulties in extracting key words from a message.

 1. Pitch Pattern Sequence Test
IV.     Binaural Interaction Tests

Involve separate information being presented either sequentially or partially in each ear. These tests assess binaural interaction, auditory discrimination, and auditory closure

 1. Rapidly Alternating Speech Perception
 2. Binaural Fusion Test
V.     Speech-In-Noise Tests

Speech-noise-tests reduce the speech signal by adding background noise to the Signal. These tests are used in combination with other tests

 1. Synthetic Sentence Identification Test

 
Handout #2
Language Needs from the Audiological Report
 
Click a button below to download the handout 
Microsoft Word
Microsoft Works
 
 
 

Auditory Decoding Deficits
 
Audiological Results
decreased 
performance: 
 Language Deficits
Language Assessment
 Language Management 
Low Pass Filtered 
Speech 
Speech - in Noise 
Monaural Low 
Redundancy 
right ear scores-poor 
 
phoneme integration 
phoneme discrim 
reading/writing 
vocabulary 
receptive language- 
morph and syntax
CELF-III/Word Association 
Lindamood Auditory 
Conceptualization Test 
The Word Test  
The Language Processing 
Test 
written  sample 
Test of Phonological 
   Awareness  
The Phonological  
   Awareness Profile 
vocabulary building 
key word extraction 
closure activities 
metalinguistic training- 
phonemic awareness 
metacognitive training 
use semantic organizers 
syntax & morphology
 
Integration Deficit
 
Audiological Results
decreased 
performance: 
 Language Deficits
Language Assessment
Language Management 
Left ear deficit on  
Staggered Spondaic Words 
Pitch Pattern  
Sequence Test  
Left ear deficit on  
Competing Sentences 
Dichotic speech tasks
reading comp/spelling/ 
writing 
nonverbal pragmatics 
vocabulary
CELF-III 
written sample 
The Word Test 
The Language 
Processing Test 
Test of Problem Solving 
Test of Pragmatic Skills 
Test of Pragmatic Language 
Classroom Communication 
Skills Inventory 
key word extraction 
nonverbal language 
abstract/figurative language 
prosody training 
word meanings 
metacognitive 
strategies -problem solving
 
Associative Deficit
 
Audiological Results
decreased 
performance: 
 Language Deficits
Language Assessment
 Language Management 
Competing Sentences-  
both ears 
Dichotic Speech task- 
both ears 
Staggered Spondaic 
Word Test-both ears  
 
receptive language deficits 
 

pragmatic skills 
vocabulary 
narrative and 
expository formulation

CELF-III 
The Word Test 

Test of Word Knowledge 
narrative sample 
expository sample 
Test of Pragmatic Language 

Test of Pragmatic Skills 

The Language Processing 
      Test

vocabulary building- 
cohesive devices, 
multiple meanings, 
figurative language 

narrative discourse 
expository discourse 
 

metacognitive strategies  
metapragmatics-  
classroom pragmatics 

        
Out-Put Organizational Deficit
 
Audiological Results
decreased 
performance: 
 Language Deficits
Language Assessment
 Language Management 
Rapidly Alternating Speech  

Pitch Pattern 
Sequence Test 
Staggered Spondaic 
Word Test 
Competing Sentences

narrative formulation 
expository formulation 
problem solving 
syntax 
articulation 
expressive language
CELF-III-Word Association 

narrative sample  
expository sample 
Test of Problem Solving 
Language Processing  
Test - Attributes/Multiple 
Meaning

metacognitive strategies- 
problem solving 
narrative discourse 
expository discourse 
expressive syntax
      
     
     


 
References
 
Click a button below to download the references
Microsoft Word
Microsoft Works
 
 Bellis, T. (1996). Central auditory processing disorders in the educational setting: San Diego:  Singular Publishing Group.

Bellis, T. & Ferre, J. M. (1996). Assessment and management of CAPD in children. Educational  Audiological Monograph, 4, 23-27.

Chermack, G. D., & Musiek, F. E. (1992). Managing central auditory processing disorders in  children and youth. American Journal of Audiology, 1 (3), 61-65.

Chermack, G.D., & Musiek, F.E. (1997). Central auditory processing disorders: New   perspectives. San Diego: Singular Publishing Group.

Cline, J.A. (1988). auditory processing deficits: Assessment and remediation by the elementary  school speech-language pathologist. Seminars in Speech and Language, 9, 367-381.

Ferre, J. M.(1997). Processing powers: A guide to CAPD assessment and management. San  Antonio, TX: Communication Skill Builders.

Gillet, P. (1993). Auditory processes. Novato, CA: Academic therapy Publications, Inc.

Jerger, J., Johnson, K., Jerger, S., Coker, N., Pirozzolo, R., & Gray, L. (1991). Central  auditory processing disorder: A case study. Journal of American Academy of Audiology,  2, 36-54.

Ludlow, C. L., Cadahy, E. A., Bassich, C., & Brown, C.L. (1983). Auditory processing skills  of hyperactive, language-impaired and reading disabled boys. In E. Z. Lasky & J. Katz  (Eds.) Central auditory processing disorders: Problems of speech, language, and learning  (pp. 163-184). Baltimore: University Park Press.

Masters, M. G., Stecker, N. A., Katz, J. (1998). Central auditory processing disorders: Mostly  management. Boston: Allyn & Bacon.

Sloan, C. (1991). Treating auditory processing difficulties in children. San Diego: Singular  Publishing Group, Inc.
 

       


 
ASHA Home Page

Home Page
 
 
 

 
URL: http://www.siue.edu/~jeharri/ASHA.html
Published by: Dr. Jean Harrison
Created By:  Faculty Technology Center <shuffst@siue.edu>
Last Update:  May 4, 1999 by jeharri@siue.edu