The classic, direct symptoms of CAPD involve difficulty recognizing speech in the presence of background noise or other competing signals, and difficulty recognizing rapidly presented speech. Current research has been directed at determining the likely, abnormal neural activity that may underlie deviations in auditory perception, as well as methods and strategies for remediation of these conditions.ĬAPD is a condition found in children and adults that typically presents with normal hearing. There are a number of relay points along the pathway that contribute to the complex neural activities of decoding, analysis along frequency, intensity and time domains, distribution, and interpretation of the incoming auditory signal. After sound is decoded in the cochlea or inner ear, it travels via the VIIIth cranial nerve to the brainstem and ultimately to higher areas of the brain. CAPD is an umbrella term that covers a variety of difficulties in processing auditory input due to the interactions of the auditory periphery and the CANS. This information helps us provide a thorough evaluation of the difficulties and ensure that recommendations made are tailored to the patient’s needs.Central Auditory Processing Disorder (CAPD)ĬAPD, a distinct and defined diagnosis (ICD-10CM Code: H93.25), refers to deficits in the processing of information in the central auditory nervous system (CANS). In order to ensure we have the information needed to provide a clear diagnosis, we require APD assessment forms to be completed prior to the assessment. The report will be sent out within 2 weeks of the final APD assessment appointment. Parents and significant others will be able to follow the test as they will be provided with the target responses (Up to 1 hour)Īt the final appointment the remaining tests are completed, and the audiologist will go through the assessment results and discuss recommendations (Up to 1 hour) Some of the tests carried out may be done with headphones, and some may be live voice. The audiologist will then begin the test battery. (Up to 30 minutes)Īt the second appointment the audiologist will go through the case history and have a discussion with the patient about their listening concerns. If a hearing assessment has been completed in the last 6 months and a report is provided, this appointment may not be needed. Should an individual have a hearing loss or middle ear issues, we will not be able to follow on with the APD assessments as we will need to manage the hearing loss/ear health issues. This allows us to proceed with the APD test battery. The initial appointment is a full diagnostic hearing assessment. These abilities are then compared to results from children or adults of the same age who do not have APD in order to evaluate whether the skills are age appropriate.Īt SASHC, our APD test battery is performed over 3 sessions. My child sometimes appears fidgety/not with it/day dreamyĪudiologists are the recognised allied health professional for assessment and diagnosis of APD.Īll APD assessments begin with an initial hearing test along with a test of middle ear function in order to ensure that hearing is normal.Ī series of ‘listening games’ is then performed using state of the art equipment in a fully sound proof booth to determine auditory processing abilities.My child does not appear to listen from the start.My child often hesitates before answering a question. My child has difficulty sounding out words.My child requires instructions to be shortened.My child complains of sounds being too loud.My child gets confused and needs instructions to be repeated.My child fatigues easily in and after school.If your child presents with 2 or more of the risk factors below, they may be struggling with APD. Up to 7% of children have Auditory Processing Disorder (APD). This is often more challenging when there is background noise, for example, in a classroom. This condition is thought to be due to an inability to process speech sounds accurately.Ĭhildren and adults with APD have difficulty recognising differences between sounds in words, even when the sounds are loud and clear enough to be heard. Auditory Processing Disorder (APD) or Central Auditory Processing Disorder (CAPD) occurs when an individual has normal hearing but struggles to listen.
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