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自闭症谱系障碍中的听觉训练:一例报告。

Auditory training in autism spectrum disorder: a case report.

作者信息

Ferreira Laís, D'Agostini Ayra Renata, Pichini Fernanda Dos Santos, Pazini Eduarda, Rechia Inaê Costa, Biaggio Eliara Pinto Vieira

机构信息

Departamento de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil.

出版信息

Codas. 2019 Sep 2;31(4):e20180212. doi: 10.1590/2317-1782/20192018212.

DOI:10.1590/2317-1782/20192018212
PMID:31483042
Abstract

This study aimed to measure the effects of a Computer-based Auditory Training Program (CBATP) on an adolescent diagnosed with Autism Spectrum Disorder (ASD) and Central Auditory Processing Disorder (CAPD). This is the case report of a male, 14-year-old adolescent diagnosed with ASD. The individual was submitted to basic audiological evaluation, central auditory processing assessment and hearing electrophysiology (EP), pre- and post-therapeutic intervention. Central auditory processing (CAP) was assessed by means of the following instruments: Time-compressed Speech Test (TCST), Random Gap Detection Test (RGDT), Staggered Spondaic Word Test (SSWT), Frequency (Pitch) Pattern Sequence Test (FPST), and Duration Pattern Test (DPT). The P300 component of the Event-related Potential (ERP) was used in the hearing EP. Pre-intervention assessment of CAP showed changes in the auditory skills of closure, figure-ground and temporal ordering, but normal temporal resolution ability. Post-intervention evaluation of CAP showed improvement in all previously mentioned auditory skills, except for the figure-ground ability, which remained unchanged. Regarding the findings of the hearing EP, a decrease in the latency of the P300 component was observed pre- and post-intervention. This study demonstrated that the use of a CBATP resulted in improvement in the hearing abilities assessed in an adolescent diagnosed with ASD.

摘要

本研究旨在衡量基于计算机的听觉训练计划(CBATP)对一名被诊断患有自闭症谱系障碍(ASD)和中枢听觉处理障碍(CAPD)的青少年的影响。这是一份关于一名14岁被诊断患有ASD的男性青少年的病例报告。该个体在治疗干预前后接受了基本听力学评估、中枢听觉处理评估和听觉电生理学(EP)检查。通过以下仪器评估中枢听觉处理(CAP):时间压缩言语测试(TCST)、随机间隙检测测试(RGDT)、交错扬扬格词测试(SSWT)、频率(音高)模式序列测试(FPST)和时长模式测试(DPT)。听觉EP中使用了事件相关电位(ERP)的P300成分。干预前的CAP评估显示,在听觉技能的闭合、图形背景和时间排序方面存在变化,但时间分辨率能力正常。干预后的CAP评估显示,除图形背景能力保持不变外,上述所有听觉技能均有改善。关于听觉EP的结果,干预前后观察到P300成分的潜伏期缩短。本研究表明,使用CBATP可改善一名被诊断患有ASD的青少年的听力能力。

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