| 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. |
Upon completion of this session, the participant
will be able to:
1. understand testing and diagnostic terms used in an audiology report for central |
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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 TestII. Low Redundancy Monaural Speech Tests
2. Competing Sentences Test
3. Dichotic Sentence Identification
4. Dichotic Digits
5. Synthetic Sentence Identification
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 SpeechIII. 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 TestIV. 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 PerceptionV. Speech-In-Noise Tests
2. Binaural Fusion Test
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
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Auditory Decoding Deficits
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| 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 |
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| 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 |
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| Competing Sentences-
both ears Dichotic Speech task- both ears Staggered Spondaic Word Test-both ears |
receptive language deficits
pragmatic skills
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CELF-III
The Word Test Test of Word Knowledge
Test of Pragmatic Skills The Language Processing
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vocabulary building-
cohesive devices, multiple meanings, figurative language narrative discourse
metacognitive strategies
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| Rapidly Alternating Speech
Pitch Pattern
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narrative formulation
expository formulation problem solving syntax articulation expressive language |
CELF-III-Word Association
narrative sample
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metacognitive strategies-
problem solving narrative discourse expository discourse expressive syntax |
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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.
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