Report of the Consensus Conference on the Diagnosis of Auditory Processing Disorders in School-Aged Children.
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Biomedical subjects
Publications and source records attributed to F Musiek.
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This article describes three management approaches that can be used with children with auditory processing difficulties and learning disabilities. These approaches were selected because they can be applied in a variety of settings by a variety of professionals, as well as interested parents. The vocabulary building procedure is one that potentially can increase the ability to learn new words but also can provide training on contextual derivation of information, which is key to auditory closure processes. This procedure also helps increase language base, which can also enhance closure abilities. Auditory memory enhancement is a simple technique that involves many complex brain processes. This procedure reduces detailed information to a more gestalt representation and also integrates the motor and spatial processes of the brain. This, in turn, more fully uses working memory and helps in formulization and recall of important concepts of the sensory input. Finally, several informal auditory training techniques are discussed that can be readily employed in the school or home setting. These auditory training techniques are those that are most relevant to the kinds of deficits most often observed in our clinic.
Duplex perception is the simultaneous perception of a speech syllable and of a nonspeech "chirp," and occurs when a single formant transition and the remainder (the "base") of a synthetic syllable are presented to different ears. The current study found a slight but nonsignificant advantage for correct labeling of the fused syllable when the chirp was presented to the left ear. This advantage was amplified in the performance of a "split-brain" subject. A subject with a left pontine lesion performed at chance level when the chirp was presented to her left ear. These findings suggest that some, if not complete, ipsilateral suppression does occur in the dichotic fusion procedure, and that identification of the fused syllable is maximal when the left hemisphere fully processes the linguistic characteristics of the base (through contralateral presentation), and at least minimally processes the frequency transition information of the chirp (through ipsilateral presentation).
A comparison of the ability of aphasic and normal subjects to recognize three element auditory patterns of duration was made under the following conditions: monaural right, monaural left; split left leading and split right leading: dichotic. There were eight possible combinations of elements for each condition. In all conditions the normal group clearly outperformed the aphasic subjects with practically no overlap in their performances. Implications of using nonlinguistic stimuli for testing aphasic individuals, assessing progress, and training in pattern recognition is discussed.