This week I saw an adult female experiencing some problems with processing auditory information. To establish normal hearing, otoscopy, tympanometry, acoustic reflexes, reflex decay, puretone audiometry, speech audiometry, and OAEs were performed. All tests in the evaluation revealed normal hearing.
To test for auditory processing disorder, the SCAN-A, AFT-R, and SSW were performed. Once the tests were scored, it was found that the patient did have problems with processing. The most apparent difficulty was in gap detection which makes the patient miss parts or all of fast-paced speech.
Although auditory processing disorders are frustrating, the patient was relieved to receive some kind of help. Temporal processing rehabilitation programs, Earobics and Fast ForWord, were recommended. Also, she was given a list of suggestions on how to make her listening environment better for her problems. Apparently, there are not too many research studies on APD with adults. The article that I found discusses processing problems as people age including gap detection.
http://web.ebscohost.com.www.libproxy.wvu.edu/ehost/pdf?vid=36&hid=9&sid=98e7a827-a2e6-4c46-b52b-d87289609f67%40SRCSM2
Martin, J.S. & Jerger, J.F. (2005). Some effects of aging on central auditory processing. Journal of Rehabilitation Research and Development, 42, 25-44.
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Katie,
This woman was absolutely a dream client! I hope that she comes back to our clinic, possible as a follow-up after the Earobics or Fast ForWord program. The article was also very interesting, I never really thought about the problems beginning in adulthood. I guess I just figured they would be secondary to something else as we age. Thanks for the article!
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