Auditory processing disorder (APD): definition, diagnosis, neural basis, and intervention.

Auditory processing disorder (APD) is a label that has become increasingly popular in recent years to describe a variable set of symptoms that have in common a difficulty listening to sounds in the absence of an audiometric deficit. The label has been applied to a variety of populations, notably chi...

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Publicado en:Audiological Medicine Vol. 4; no. 1; pp. 4 - 12
Autor principal: Moore DR
Formato: tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2006
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      pub: Taylor & Francis Ltd
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        2009179333
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        atl: Auditory processing disorder (APD): definition, diagnosis, neural basis, and intervention.
      aug:
        au: Moore DR
        affil: MRC Institute of Hearing Research, University Park, Nottingham, UK; davem@ihr.mrc.ac.uk
      sug:
        subj:
          Auditory Perceptual Disorders Diagnosis
          Auditory Perceptual Disorders Therapy
          Auditory Perceptual Disorders Physiopathology
          Child
          Cognitive Therapy
          Rehabilitation of Persons with Hearing Loss
          Child: 6-12 years
      ab: Auditory processing disorder (APD) is a label that has become increasingly popular in recent years to describe a variable set of symptoms that have in common a difficulty listening to sounds in the absence of an audiometric deficit. The label has been applied to a variety of populations, notably children who may have learning problems, older people who may have sensitivity problems, and patients of all ages with frank brain lesions. This paper focuses on children without known lesions and attempts to develop a diagnostic framework, within the recent definitions of APD proposed by British and US audiological societies. Key to this approach is the notion that APD is primarily a difficulty in processing non-speech sounds. Existing diagnostic practice is too variable to underpin meaningful research, so a population-based approach to identifying outlying performers is advocated. An outstanding diagnostic challenge is the level of perceptual complexity, in terms of stimulus and task/test, at which the difficulty resides. While APD is commonly called 'C(entral)APD', it does not map simply onto the function of the traditional central auditory system. This is itself undergoing a transformation as we understand more about dynamic processing in the cochlea, the role of descending (efferent) pathways in cochlear and brain processing, and the role of forebrain structures outside the posterior temporal lobe in hearing and listening. The management of childhood APD has been mainly achieved through modifications to the acoustic environment and sound delivery to the ears, and through auditory and speech training. Recent advances in sensory learning research have led to recommendations that include the use of specific training stimuli (e.g. phonemes), adaptive training algorithms that keep the listener alert, on-task and challenged, and the deployment of motivating computer games that a child is happy to play over multiple training sessions.
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    language: English
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