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评估有听力困难儿童的听觉处理能力:一项初步研究。

Assessing Auditory Processing in Children with Listening Difficulties: A Pilot Study.

作者信息

Omidvar Shaghayegh, Duquette-Laplante Fauve, Bursch Caryn, Jutras Benoît, Koravand Amineh

机构信息

Audiology and Speech Pathology Program, School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1H 8L, Canada.

School of Speech-Language Pathology and Audiology, Université de Montréal, Montreal, QC H3C 3J7, Canada.

出版信息

J Clin Med. 2023 Jan 23;12(3):897. doi: 10.3390/jcm12030897.

Abstract

BACKGROUND

Auditory processing disorders (APD) may be one of the problems experienced by children with listening difficulties (LiD). The combination of auditory behavioural and electrophysiological tests could help to provide a better understanding of the abilities/disabilities of children with LiD. The current study aimed to quantify the auditory processing abilities and function in children with LiD.

METHODS

Twenty children, ten with LiD (age = 8.46; SD = 1.39) and ten typically developing (TD) (age = 9.45; SD = 1.57) participated in this study. All children were evaluated with auditory processing tests as well as with attention and phonemic synthesis tasks. Electrophysiological measures were also conducted with click and speech auditory brainstem responses (ABR).

RESULTS

Children with LiD performed significantly worse than TD children for most behavioural tasks, indicating shortcomings in functional auditory processing. Moreover, the click-ABR wave I amplitude was smaller, and the speech-ABR waves D and E latencies were longer for the LiD children compared to the results of TD children. No significant difference was found when evaluating neural correlates between groups.

CONCLUSIONS

Combining behavioural testing with click-ABR and speech-ABR can highlight functional and neurophysiological deficiencies in children with learning and listening issues, especially at the brainstem level.

摘要

背景

听觉处理障碍(APD)可能是听力困难(LiD)儿童所面临的问题之一。听觉行为测试和电生理测试相结合,有助于更好地了解LiD儿童的能力/缺陷。本研究旨在量化LiD儿童的听觉处理能力和功能。

方法

20名儿童参与了本研究,其中10名LiD儿童(年龄=8.46;标准差=1.39),10名发育正常(TD)儿童(年龄=9.45;标准差=1.57)。所有儿童均接受了听觉处理测试以及注意力和音素合成任务评估。还进行了电生理测量,包括短声和言语听觉脑干反应(ABR)。

结果

在大多数行为任务中,LiD儿童的表现明显比TD儿童差,表明其功能性听觉处理存在缺陷。此外,与TD儿童相比,LiD儿童的短声ABR波I波幅较小,言语ABR波D和E潜伏期较长。在评估两组之间的神经相关性时,未发现显著差异。

结论

将行为测试与短声ABR和言语ABR相结合,可以突出学习和听力有问题儿童的功能和神经生理缺陷,尤其是在脑干水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6be6/9917704/6864d41dc483/jcm-12-00897-g001.jpg

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