We are continually made aware of life disruptions that occur in individuals with auditory challenges. Good auditory input is critical for overall function. This process of prioritizing auditory information prevents all sounds from running together in a “listening chaos.” At the Able Kids Foundation, we believe, and continue to observe throughout our studies, that the auditory system is perhaps the most important sensory system because it provides an avenue for communication. The mature, efficient CANS assigns priority to certain sounds and words that are useful to us, while simultaneously suppressing unwanted auditory stimuli. The central auditory nervous system (CANS) is a maturing system and typically reaches adult level function around ten to eleven years of age. We observe several behaviors common in individuals with CAPD. Environments such as classrooms, the work place, and social situations are often very difficult for these individuals because of confusing verbal stimuli.Ĭentral auditory processing disorder may occur as an isolated dysfunction or it can also occur along with other disorders such as autism, ADD/ADHD, sensory integration dysfunction, learning disabilities, speech and language deficits, visual processing difficulties, traumatic brain injury, or other neurological conditions. The Foundation also evaluates many gifted and twice exceptional students and adults. Relationships, emotional status, and overall well-being can also suffer. When an individual has difficulty processing auditory information efficiently, it can impact ones’ ability to concentrate thus affecting academic performance and quality of work. Although hearing loss is commonly recognized, a significant and often misunderstood auditory challenge is a central auditory processing disorder (CAPD). Aural rehabilitation should be considered for adults newly diagnosed with central auditory processing disorder.Ĭentral auditory processing disorder assessment aural rehabilitation management young adult.Children and adults seen at the Able Kids Foundation perform well on traditional hearing tests, but are unable to efficiently process or understand speech when placed in environments with even minimal noises. 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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