![]() ![]() 1 Furthermore, children suspected of suffering from CAPD are often reported as being intolerant to loud noise, are frequently distracted by background noise and have difficulty following instructions. Among children, behavioral characteristics associated with CAPD include difficulty comprehending speech in competing or reverberant environments, frequent requests for repetition of information, misunderstanding messages, inconsistent or inappropriate responses, delays in response to oral communication, difficulty following complex auditory directions, difficulty with sound localization, inattentiveness and distractibility and literacy difficulties. CAPD in children is characterized by listening and/or processing difficulties, usually with no other medical conditions such as stroke, traumatic brain injury or temporal lobe tumors. Central auditory processing disorder (CAPD) is a deficit in the processing of auditory-presented information despite usually normal pure-tone hearing thresholds.ĬAPD is a topical area frequently discussed in reference to children and less frequently discussed in relation to adults, particularly in regard to assessment, diagnosis, treatment and management. 1 Accordingly, deficits in any of these functions lead to inadequate processing of auditory information. Aural rehabilitation should be considered for adults newly diagnosed with central auditory processing disorder.Ĭentral auditory processes (CAP) are the auditory mechanisms responsible for sound localization and lateralization, auditory discrimination, auditory pattern recognition, temporal aspects of audition (including temporal resolution, temporal masking, temporal integration and temporal ordering) and auditory performance with competing or degraded acoustic signals. Medical and other allied health professionals should consider the possibility of presentation of central auditory processing disorder in adulthood and make appropriate referrals for central auditory processing testing to facilitate diagnosis and appropriate intervention. They reported that their newly learned skills improved their work abilities and social participation leading to positive outcomes. ![]() Post-program participants perceived better ability to listen and process information even in adverse listening conditions. Following diagnosis of central auditory processing disorder, participants undertook an individualized short-term aural rehabilitation program as dictated by their needs and preferences. ![]() Participants were self-referred, never having been assessed previously for central auditory processing disorder, yet had perceived heightened difficulty with processing information having conversations (particularly in noisy work or social environments) and remembering information, resulting in a range of psychosocial responses. Participants were evaluated by a dually qualified audiologist-speech pathologist on a battery of peripheral hearing tests (including pure-tone threshold audiometry, immittance measures and speech tests), central auditory processing assessments (including monaural low redundancy, dichotic listening and temporal processing tests) and evaluation of short-term auditory memory skills. Both participants completed a case history questionnaire and were then interviewed with results being documented in their file. This retrospective study was a case file audit of two adults (a male, aged 37 years and a female, aged 44 years) who presented at a multidisciplinary (audiology and speech pathology) clinic for a hearing and central auditory processing evaluation. This study aimed to document the diagnostic and management procedure for adults presenting at a multidisciplinary clinic due to concerns regarding their listening and central auditory processing skills. Vast literature exists detailing the identification and management of central auditory processing disorder in children: however, less information is available regarding central auditory processing disorder in the adult population. ![]()
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