Assessment and Remediation of an Auditory Processing Disorder Associated with Head Trauma

Musiek, Frank E.; Baran, Jane A.; Shinn, Jennifer B.

doi:10.3766/jaaa.15.2.3

Cited by 66 publications

(59 citation statements)

References 30 publications

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“…Thus, it is possible to affirm that, in this case, the ACAT was effective in rehabilitating the central auditory alterations found in this patient who suffered TBI, supporting a study 30 that showed improvement in the symptoms, the behavioral and electrophysiological evaluations of the AP, post auditory training, in a patient who suffered a mild TBI.…”

Section: Discussionmentioning

confidence: 49%

Treinamento auditivo acusticamente controlado em um indivíduo adulto após traumatismo cranioencefálico

2017

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Electrophysiological and behavioral assessment of auditory processing has been an important tool for the diagnosis and therapeutic monitoring in individuals after traumatic brain injury. In this case report, the patient underwent electrophysiological and behavioral assessment of auditory processing pre and post acoustically controlled auditory training (ACAT) and six months after the intervention. The ACAT was organized in eight sessions, focusing on the training of auditory abilities of temporal ordering, auditory closure and figure-ground. Post evaluation ACAT showed better results considering the processes of encoding, organization, and non-verbal. Electrophysiological evaluation showed improved morphology and shorter latencies in auditory brainstem response and higher amplitude of long latency auditory evoked potential (P300). During the reassessment six months after of the ACAT, stability and improved behavioral and electrophysiological evaluation were observed. Acoustically controlled auditory training proved to be effective in developing and refining different auditory abilities as demonstrated in electrophysiological and behavioral assessments of the central auditory processing and the benefits were stable long term. Keywords: Hearing; Neuronal Plasticity; Rehabilitation; Brain Injuries RESUMO A avaliação eletrofisiológica e comportamental do processamento auditivo tem sido uma importante ferramenta para o diagnóstico e monitoramento terapêutico de indivíduos pós traumatismo cranioencefálico. No presente relato de caso o paciente foi submetido à avaliação eletrofisiológica e comportamental do processamento auditivo pré e pós treinamento auditivo acusticamente controlado (TAAC) e seis meses após a intervenção. O TAAC foi organizado em oito sessões, enfocando o treinamento das habilidades auditivas de ordenação temporal, fechamento auditivo e figura-fundo. Na avaliação pós TAAC foi observada melhora quanto aos processos gnósicos de codificação, organização e não verbal. Em relação à avaliação eletrofisiológica houve melhora na morfologia e na latência das ondas do potencial evocado auditivo de tronco encefálico e na amplitude do componente potencial evocado auditivo de longa latência (P300). Na reavaliação após 6 meses do TACC foi verificada estabilidade e melhora da avaliação comportamental e eletrofisiológica. O treinamento auditivo acusticamente controlado mostrou-se eficaz ao desenvolver e refinar diferentes habilidades auditivas como demonstrado na avaliação eletrofisiológica e comportamental do processamento auditivo e os benefícios mostraram-se estáveis no longo prazo.

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Section: Discussionmentioning

confidence: 49%

Treinamento auditivo acusticamente controlado em um indivíduo adulto após traumatismo cranioencefálico

2017

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“…As stated earlier, research has shown that there appears to be a pattern of abnormal auditory evoked potentials in individuals who have sustained TBI and WI as well as individuals with APD [9,11,22]. As with some behavioral test there have also been studies that have found asymmetric evoked potential results in individuals with a history of TBI, WI, and APD [7,22,23].…”

Section: Introductionmentioning

confidence: 93%

“…Specifically, there may be an underlying secondary diagnosis of APD. For these participants (and others with similar histories), formal auditory training may be helpful [7,31].…”

Section: Discussionmentioning

confidence: 99%

“…A definitive cause or location of the auditory deficit in the brain for those who present with APD is not known. There is, however, a significant amount of research available which suggests that there may be a connection between APD and head injuries, such as traumatic brain injury (TBI) [2][3][4][5][6][7][8][9]. Whiplash injury (WI) has also been associated with the impairment of auditory processing [10].…”

Section: Introductionmentioning

confidence: 99%

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Auditory Processing Deficits Following Sport-Related or Motor Vehicle Accident Injuries

Atcherson¹,

Steele²

2016

Brain Disord Ther

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This brief clinical study was designed to investigate further the possible link between traumatic brain injury (TBI) and/or whiplash injury (WI) with acquired auditory processing disorder (APD). Other studies have shown long standing effects of TBI and WI, and a study by Turgeon et al., examined the link between sport-induced concussion and APD. Four participants ages 18 to 30 years of age who self-reported a history of sport-related or motor vehicle accident head injuries participated in the following procedures: case history, behavioral testing, electrophysiological testing including auditory brainstem responses (ABR) and middle latency responses (MLR), and self-report questionnaires of post head and/or whiplash injury symptoms. The results of the testing were individually analyzed to see if results were consistent with a diagnosis of APD, or some evidence of a non-sensory deficit to the auditory system. The overall results of this study were also compared with the results of Turgeon et al., study. The results of the study shows that electrophysiological testing may be outside of normal limits even when behavioral testing does not support an APD diagnosis. Furthermore, the degree of reported symptoms and difficulties in the participants' case history does not always carry over to the behavioral and electrophysiological testing results.

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“…A recent study showed that HIV infection or its treatment could be a possible cause of difficulty in perceiving sounds with relatively normal audiometry [8] . A case report in 2004 reported a patient who sustained a significant head injury and was complaining of difficulties in listening, paying attention, and communicating [9] . This patient seems to have had a form of acquired APD.…”

Section: Current Proposed Classification Of Apdmentioning

confidence: 99%

Auditory Processing Disorder (APD): Progress in Diagnostics So Far. A Mini-Review on Imaging Techniques

Micallef

2016

Int Adv Otol

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Auditory processing disorder (APD) is a disorder that affects the perception of sound, both verbal and non-verbal. Patients who are generally diagnosed with APD present with abnormal hearing but have normal audiograms. There is no gold standard investigation for APD and no standardized criteria for diagnosis. Because of its disabling effect and the overlap that exists with other neurodevelopmental disorders, there is an urgent need to develop tools and criteria for appropriate diagnosis. There is a current significant focus in research on imaging techniques that can possibly be used in the future for the appropriate diagnosis of APD. Over the years, several imaging techniques have contributed significantly to defining this disorder. To date, no studies have reported the routine use of imaging for the diagnosis of APD.

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Assessment and Remediation of an Auditory Processing Disorder Associated with Head Trauma

Cited by 66 publications

References 30 publications

Treinamento auditivo acusticamente controlado em um indivíduo adulto após traumatismo cranioencefálico

Treinamento auditivo acusticamente controlado em um indivíduo adulto após traumatismo cranioencefálico

Auditory Processing Deficits Following Sport-Related or Motor Vehicle Accident Injuries

Auditory Processing Disorder (APD): Progress in Diagnostics So Far. A Mini-Review on Imaging Techniques

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