A young adult female came in with complaints of having trouble at work and in classes with understanding speech. She did not believe that she had a hearing loss but was unsure the reason for the difficulties.
Hearing evaluation of tymps, otoscopy, audiometry, speech recognition, and word discrimination was administered. All results were within normal limits and in fact, discrim scores were 100% bilaterally.
For the auditory processing evaluation, the SCAN-A, SSW, and AFT-R were administered. The patient was very attentive and showed great effort to stay on task. The results for the SCAN and SSW were within normal limits. However, a temporal processing disorder was evident after presenting the AFT-R. Her mean ipi was greater than the second standard deviation based on her age.
The good news is that temporal processing disorders can be fixed with programs such as Fast ForWord. The bad news is that the patient has made it through the whole semester without assistance from the school. Hopefully, with correct diagnosis, the patient will get proper management skills to become a successful student.
The article that I found discusses the difference of temporal processing between young (18-40) and old adults (65-76) and also hearing and hearing impaired individuals. The results were consistent with what I expected. The young group had better thresholds and greater percentage correct. Also, the subjects with normal hearing did better than the hearing impaired subjects. These results are an additional piece of evidence for a good prognosis with the present patient. She is considered a young adult with normal hearing. Here is the article:
http://web.ebscohost.com.www.libproxy.wvu.edu/ehost/detail?vid=1&hid=101&sid=a0c1956f-addb-4a50-a895-10009397fcef%40sessionmgr106
Profile of auditory temporal processing in older listeners. By: Gordon-Salant S, Fitzgibbons PJ, Journal of Speech, Language & Hearing Research, 10924388, April 1, 1999, Vol. 42, Issue 2
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