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Auditory Processing Disorders

Auditory Processing Disorders

JAAA Latest Fast Track Articles—August 20, 2019

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The Bench-to-Bedside Approach for Central Auditory Processing Disorder

Academy Editor-in-Chief Erin Schafer, PhD, spoke with Drs. Musiek and Chermak about the diagnosis and treatment of CAPD as well as the Third Global Conference on Central Auditory Processing Disorder: Synergies Between Lab and Clinic, at AAA 2019, March 30, in Columbus, Ohio.

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The Cuban Medical Crisis

From late 2016 through August 2017, U.S. government personnel serving on diplomatic assignment in Havana, Cuba, reported neurological symptoms associated with exposure to “auditory and sensory phenomena.”  The report of a “sonic attack” was pervasive in the media, despite such a weapon being physically unlikely.  A recent communication published in the Journal of the American Medical Association (JAMA) provides an overview of findings from 21 individuals exposed to the “auditory and sensory phenomena” including tests of cognitive function, mood, balance, hearing, and vision.

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The ABCs of CAPD at ARC: An Interview with Frank Musiek, PhD

Academy Associate Editor Sumit Dhar spoke with Dr. Musiek about CAPD and this year's Academy Research Conference

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The Sensory-Neural Tango

So how does the central auditory nervous system react when the periphery stops working. The simplistic view of the distant past would suggest that the neural centers between the ears and the brain are nothing but way stations through which information is passed without much additional processing. Over the years we have learned that these way stations perform important steps of feature extraction, temporal coding, and integration of information between ears.

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Questioning APD in 2015

DeBonis (2015) reviewed the literature with regard to central auditory processing disorders (CAPD) in children to assess “whether the degree of uncertainty surrounding CAPD warrants a change in current protocols….” Relevant search terms and topics were evaluated through contemporary electronic search tools and published peer-reviewed texts.

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Auditory Processing and Cognitive Abilities in Children

Tomlin et al (2015) examined links between auditory processing (AP) test results, cognitive tests (sustained attention, auditory working memory, non-verbal intelligence), and functional listening deficits. The authors note that “AP is the link between sound detection and the extraction of meaning” from the sound.

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Invisible Hearing Loss

Opinion Editorial by Douglas L. Beck, AuD

A relatively new term in audiology is invisible hearing loss. Of course, it's not new or surprising to hearing care professionals (HCPs) that hearing loss is "invisible." That is, the person with hearing loss looks exactly like the person without hearing loss (unlike a person with a broken arm or leg, or a person in need of a wheel chair, or a person wearing glasses….).

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How Young to Test APD?

Lucker (2015) reports that nothing in the guidelines from the national associations state that children under age seven cannot be assessed for auditory processing.

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APD as a Clinical Entity?

Vermiglio (2014) reports auditory processing disorder (APD) remains highly controversial, in part fueled by “multiple ambiguous descriptions of” of APD. Indeed, he reports referring to APD as a clinical entity is questionable with consideration of Sydenham and Guttentag’s (S&G) work in nosography  (i.e., the systematic description of diseases). That is, to be a clinical entity, S&G state the clinical entity must have an unambiguous definition, must represent a homogenous group with a perceived limitation and the clinical entity must facilitate a diagnosis and intervention.

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