Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Kajetany, Warsaw, Poland; Heart Failure and Cardiac Rehabilitation Department, Faculty of Medicine, Medical University of Warsaw, 03-242 Warsaw, Poland; Institute of Sensory Organs, 05-830 Kajetany, Warsaw, Poland.
Department of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, 05-830 Kajetany, Warsaw, Poland.
J Commun Disord. 2024 May-Jun;109:106426. doi: 10.1016/j.jcomdis.2024.106426. Epub 2024 Apr 12.
Central auditory processing disorders (CAPD) can significantly affect the daily functioning of a child, and the first step in determining whether rehabilitation procedures are required is a proper diagnosis. Different guidelines for making diagnoses have been published in the literature, and in various centers normative values for psychoacoustic tests of CAPD have been used internally. The material presented in this paper is based on more than 1000 children and is the largest collection so far published. The aim of this study is to present normative values for tests assessing CAPD in children aged 6 to 12 years, divided by age at last birthday.
We tested 1037 children aged 6 to 12 years who were attending primary schools and kindergartens. The criteria for inclusion were a normal audiogram, intellectually normal, no developmental problems, and no difficulties in auditory processing. To evaluate auditory processing all children were given three tests on the Senses Examination Platform: the Frequency Pattern Test (FPT), Duration Pattern Test (DPT), and Dichotic Digit Test (DDT).
The results from 1,037 children allowed us to determine normative values for FPT, DPT, and DDT in seven different age groups (6 through to 12 years). We developed a newapproach, based on quantile-based norms, to determine normative values in each group. Three categories - average, below-average, and above-average - allow for a broader but more realistic interpretation than those used previously. We compare our results with published standards.
Our study is the largest normative database published to date for CAPD testing, setting a standard for each child by age in years. We used the Senses Examination Platform, a universal tool, to unify standards for the classification of CAPD. Our study can serve as a basis for the development of a Polish model for the diagnosis of CAPD.
中枢听觉处理障碍 (CAPD) 会显著影响儿童的日常生活功能，而确定是否需要康复治疗的第一步是进行正确的诊断。文献中已经发表了不同的诊断指南，并且在各个中心内部使用了 CAPD 心理声学测试的正常值。本文所呈现的材料基于 1000 多名儿童，是迄今为止发表的最大规模的数据集。本研究的目的是为 6 至 12 岁儿童的 CAPD 测试提供正常值，按最近生日年龄分组。
我们测试了 1037 名 6 至 12 岁的儿童，他们正在上小学和幼儿园。纳入标准是正常听力图、智力正常、无发育问题、无听觉处理困难。为了评估听觉处理能力，所有儿童都在 Senses 考试平台上接受了三项测试：频率模式测试 (FPT)、时长模式测试 (DPT) 和双音节数字测试 (DDT)。
1037 名儿童的结果使我们能够确定七个不同年龄组 (6 至 12 岁) 的 FPT、DPT 和 DDT 的正常值。我们采用了一种新的方法，基于分位数的标准，在每个组中确定正常值。三个类别 - 平均、低于平均和高于平均 - 比以前使用的标准提供了更广泛但更现实的解释。我们将我们的结果与已发表的标准进行了比较。
我们的研究是迄今为止发表的 CAPD 测试最大的正常值数据库，按年龄为每个儿童设定了标准。我们使用了 Senses 考试平台，这是一种通用工具，为 CAPD 的分类统一了标准。我们的研究可以为开发波兰 CAPD 诊断模型提供基础。
