Semin Hear 2015; 36(04): 199-215
DOI: 10.1055/s-0035-1564458
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Auditory Training for Central Auditory Processing Disorder

Jeffrey Weihing
1   Division of Communicative Disorders, University of Louisville, Louisville, Kentucky
,
Gail D. Chermak
2   Department of Speech and Hearing Sciences, Washington State University Spokane, Spokane, Washington
,
Frank E. Musiek
3   Speech, Language and Hearing Sciences, the University of Arizona, Tucson, Arizona
› Author Affiliations
Further Information

Publication History

Publication Date:
26 October 2015 (online)

Abstract

Auditory training (AT) is an important component of rehabilitation for patients with central auditory processing disorder (CAPD). The present article identifies and describes aspects of AT as they relate to applications in this population. A description of the types of auditory processes along with information on relevant AT protocols that can be used to address these specific deficits is included. Characteristics and principles of effective AT procedures also are detailed in light of research that reflects on their value. Finally, research investigating AT in populations who show CAPD or present with auditory complaints is reported. Although efficacy data in this area are still emerging, current findings support the use of AT for treatment of auditory difficulties.

 
  • References

  • 1 Musiek F, Gollegly K, Baran J. Myelination of the corpus callosum and auditory processing problems. Semin Hear 1984; 5: 231-240
  • 2 Boscariol M, Garcia VL, Guimarães CA , et al. Auditory processing disorder in perisylvian syndrome. Brain Dev 2010; 32 (4) 299-304
  • 3 Boscariol M, Guimarães CA, Hage SR , et al. Auditory processing disorder in patients with language-learning impairment and correlation with malformation of cortical development. Brain Dev 2011; 33 (10) 824-831
  • 4 Musiek FE, Chermak GD, Weihing J, Zappulla M, Nagle S. Diagnostic accuracy of established central auditory processing test batteries in patients with documented brain lesions. J Am Acad Audiol 2011; 22 (6) 342-358
  • 5 Gates GA. Central presbycusis: an emerging view. Otolaryngol Head Neck Surg 2012; 147 (1) 1-2
  • 6 American Academy of Audiology. Diagnosis, treatment and management of children and adults with central auditory processing disorder. Available at: http://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%208-2010.pdf_539952af956c79.73897613.pdf . September 14, 2015
  • 7 Chermak G, Musiek F. Central Auditory Processing Disorders: New Perspectives. San Diego, CA: Singular Publishing Group; 1997
  • 8 Chermak G, Musiek F. Psychophysical and behavioral peripheral and central auditory tests. In: Celesia G, Hickok G, , eds. Handbook of Clinical Neurology: The Human Auditory System: Fundamental Organization and Clinical Disorders. Amsterdam, The Netherlands: Elsevier; 2015
  • 9 Musiek FE. Assessment of central auditory dysfunction: the dichotic digit test revisited. Ear Hear 1983; 4 (2) 79-83
  • 10 Willeford J, Burleigh J. Sentence procedures in central testing. In: Handbook of Clinical Audiology; Philadelphia, PA: Lippincott Williams & Wilkins; 1994
  • 11 Musiek FE, Pinheiro ML. Frequency patterns in cochlear, brainstem, and cerebral lesions. Audiology 1987; 26 (2) 79-88
  • 12 Musiek FE, Shinn JB, Jirsa R, Bamiou DE, Baran JA, Zaida E. GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear Hear 2005; 26 (6) 608-618
  • 13 Willeford J. Differential diagnosis of central auditory dysfunction. In: Bradford L, , ed. Audiology: An Audio Journal for Continuing Education. New York, NY: Grune and Stratton; 1976
  • 14 Emanuel DC, Ficca KN, Korczak P. Survey of the diagnosis and management of auditory processing disorder. Am J Audiol 2011; 20 (1) 48-60
  • 15 Wilson RH, Zizz CA, Sperry JL. Masking-level difference for spondaic words in 2000-msec bursts of broadband noise. J Am Acad Audiol 1994; 5 (4) 236-242
  • 16 Cameron S, Dillon H, Newall P. Development and evaluation of the listening in spatialized noise test. Ear Hear 2006; 27 (1) 30-42
  • 17 Musiek FE, Baran JA, Schochat E. Selected management approaches to central auditory processing disorders. Scand Audiol Suppl 1999; 51: 63-76
  • 18 Thibodeau L. Computer-based auditory training (CBAT) for central auditory processing disorder. In: Chermak G, Musiek F, , eds. Handbook of Central Auditory Processing Disorder Volume 2: Comprehensive Intervention. San Diego, CA: Plural Publishing; 2014
  • 19 Musiek F, Chermak G, Weihing J. Auditory Training. In: Chermak G, Musiek F, , eds. Handbook of Central Auditory Processing Disorder Volume 2: Comprehensive Intervention. San Diego, CA: Plural Publishing; 2014
  • 20 Loo JH, Bamiou DE, Campbell N, Luxon LM. Computer-based auditory training (CBAT): benefits for children with language- and reading-related learning difficulties. Dev Med Child Neurol 2010; 52 (8) 708-717
  • 21 Russo NM, Nicol TG, Zecker SG, Hayes EA, Kraus N. Auditory training improves neural timing in the human brainstem. Behav Brain Res 2005; 156 (1) 95-103
  • 22 Warrier CM, Johnson KL, Hayes EA, Nicol T, Kraus N. Learning impaired children exhibit timing deficits and training-related improvements in auditory cortical responses to speech in noise. Exp Brain Res 2004; 157 (4) 431-441
  • 23 Tallal P, Miller SL, Bedi G , et al. Language comprehension in language-learning impaired children improved with acoustically modified speech. Science 1996; 271 (5245) 81-84
  • 24 Merzenich MM, Jenkins WM, Johnston P, Schreiner C, Miller SL, Tallal P. Temporal processing deficits of language-learning impaired children ameliorated by training. Science 1996; 271 (5245) 77-81
  • 25 Musiek F, Schochat E. Auditory training and central auditory processing disorders: a case study. Semin Hear 1998; 19: 357-365
  • 26 Musiek F, Weihing J, Lau C. Dichotic interaural intensity difference (DIID) training: a review of existing research and future directions. J Acad Reh 2008; 41: 51-65
  • 27 Chermak G, Weihing J, Musiek F. Sound Auditory Training for Central Auditory Processing Disorder. Paper present at: AudiologyNow Conference; 2015 ; San Antonio, TX
  • 28 Weihing J, Musiek F. Dichotic interaural intensity difference (DIID) training. In: Chermak G, Musiek F, , eds. Handbook of Central Auditory Processing Disorder Volume 2: Comprehensive Intervention. San Diego, CA: Plural Publishing; 2014
  • 29 Cameron S, Dillon H. Development and evaluation of the LiSN & learn auditory training software for deficit-specific remediation of binaural processing deficits in children: preliminary findings. J Am Acad Audiol 2011; 22 (10) 678-696
  • 30 American Speech-Language-Hearing Association. (Central) auditory processing disorders—technical report. Available at: http://www.asha.org/policy/TR2005-00043/ . Accessed September 14, 2015
  • 31 Molloy K, Moore DR, Sohoglu E, Amitay S. Less is more: latent learning is maximized by shorter training sessions in auditory perceptual learning. PLoS ONE 2012; 7 (5) e36929
  • 32 Amitay S, Hawkey DJ, Moore DR. Auditory frequency discrimination learning is affected by stimulus variability. Percept Psychophys 2005; 67 (4) 691-698
  • 33 Hawkey DJ, Amitay S, Moore DR. Early and rapid perceptual learning. Nat Neurosci 2004; 7 (10) 1055-1056
  • 34 Tremblay K, Kraus N, McGee T. The time course of auditory perceptual learning: neurophysiological changes during speech-sound training. Neuroreport 1998; 9 (16) 3557-3560
  • 35 Anderson S, White-Schwoch T, Choi HJ, Kraus N. Partial maintenance of auditory-based cognitive training benefits in older adults. Neuropsychologia 2014; 62: 286-296
  • 36 Sampayo-Vargas S, Cope C, He Z, Byrne G. The effectiveness of adaptive difficulty adjustments on students' motivation and learning in an educational computer game. Comput Educ 2013; 69: 452-462
  • 37 Chermak G, Musiek F. Auditory training: principles and approaches for remediating and managing auditory processing disorders. Semin Hear 2002; 23: 297-308
  • 38 Erber N. Auditory Training. Washington DC: Graham Bell Association for the Deaf; 1982
  • 39 Linkenhoker BA, Knudsen EI. Incremental training increases the plasticity of the auditory space map in adult barn owls. Nature 2002; 419 (6904) 293-296
  • 40 Amitay S, Irwin A, Moore DR. Discrimination learning induced by training with identical stimuli. Nat Neurosci 2006; 9 (11) 1446-1448
  • 41 Roth DA, Refael-Taub R, Sharvit R, Kishon-Rabin L. Can learning a frequency discrimination task occur without discrimination?. J Basic Clin Physiol Pharmacol 2006; 17 (3) 159-171
  • 42 Edeline JM, Pham P, Weinberger NM. Rapid development of learning-induced receptive field plasticity in the auditory cortex. Behav Neurosci 1993; 107 (4) 539-551
  • 43 Reagan C. Handbook of Auditory Perceptual Training. Springfield, IL: Charles C Thomas; 1973
  • 44 Danzl MM, Etter NM, Andreatta RD, Kitzman PH. Facilitating neurorehabilitation through principles of engagement. J Allied Health 2012; 41 (1) 35-41
  • 45 Amitay S, Halliday L, Taylor J, Sohoglu E, Moore DR. Motivation and intelligence drive auditory perceptual learning. PLoS ONE 2010; 5 (3) e9816
  • 46 Kendall SB. Preference for intermittent reinforcement. J Exp Anal Behav 1974; 21 (3) 463-473
  • 47 Tomporowski PD, Tinsley VF. Effects of memory demand and motivation on sustained attention in young and older adults. Am J Psychol 1996; 109 (2) 187-204
  • 48 Alain C, Campeanu S, Tremblay K. Changes in sensory evoked responses coincide with rapid improvement in speech identification performance. J Cogn Neurosci 2010; 22 (2) 392-403
  • 49 Halliday LF, Moore DR, Taylor JL, Amitay S. Dimension-specific attention directs learning and listening on auditory training tasks. Atten Percept Psychophys 2011; 73 (5) 1329-1335
  • 50 Delhommeau K, Micheyl C, Jouvent R, Collet L. Transfer of learning across durations and ears in auditory frequency discrimination. Percept Psychophys 2002; 64 (3) 426-436
  • 51 Delhommeau K, Micheyl C, Jouvent R. Generalization of frequency discrimination learning across frequencies and ears: implications for underlying neural mechanisms in humans. J Assoc Res Otolaryngol 2005; 6 (2) 171-179
  • 52 Kujala T, Karma K, Ceponiene R , et al. Plastic neural changes and reading improvement caused by audiovisual training in reading-impaired children. Proc Natl Acad Sci U S A 2001; 98 (18) 10509-10514
  • 53 Moore DR, Rosenberg JF, Coleman JS. Discrimination training of phonemic contrasts enhances phonological processing in mainstream school children. Brain Lang 2005; 94 (1) 72-85
  • 54 Millward KE, Hall RL, Ferguson MA, Moore DR. Training speech-in-noise perception in mainstream school children. Int J Pediatr Otorhinolaryngol 2011; 75 (11) 1408-1417
  • 55 Halliday LF, Taylor JL, Millward KE, Moore DR. Lack of generalization of auditory learning in typically developing children. J Speech Lang Hear Res 2012; 55 (1) 168-181
  • 56 Ortiz JA, Wright BA. Differential rates of consolidation of conceptual and stimulus learning following training on an auditory skill. Exp Brain Res 2010; 201 (3) 441-451
  • 57 Wright BA, Fitzgerald MB. Different patterns of human discrimination learning for two interaural cues to sound-source location. Proc Natl Acad Sci U S A 2001; 98 (21) 12307-12312
  • 58 Chermak GD, Silva ME, Nye J, Hasbrouck J, Musiek FE. An update on professional education and clinical practices in central auditory processing. J Am Acad Audiol 2007; 18 (5) 428-452 , quiz 455
  • 59 McArthur GM, Ellis D, Atkinson CM, Coltheart M. Auditory processing deficits in children with reading and language impairments: can they (and should they) be treated?. Cognition 2008; 107 (3) 946-977
  • 60 Sharma M, Purdy SC, Kelly AS. A randomized control trial of interventions in school-aged children with auditory processing disorders. Int J Audiol 2012; 51 (7) 506-518
  • 61 Krishnamurti S, Forrester J, Rutledge C, Holmes GW. A case study of the changes in the speech-evoked auditory brainstem response associated with auditory training in children with auditory processing disorders. Int J Pediatr Otorhinolaryngol 2013; 77 (4) 594-604
  • 62 Keith RW. Development and standardization of SCAN-C test for auditory processing disorders in children. J Am Acad Audiol 2000; 11 (8) 438-445
  • 63 Katz J, Medol E. The use of phonemic synthesis in speech therapy. Menorah Med J 1971; 3: 10-13
  • 64 Martin N, Brownell R. Test of Auditory Processing Skills. Novato CA: Academic Therapy; 2005
  • 65 Brown L, Sherbenou R, Johnsen S. Test of Nonverbal Intelligence: A Language-Free Measure of Cognitive Ability. Austin, TX: Pro-ed; 1990
  • 66 Semel E, Wiig E, Secord W. CELF 3, Clinical Evaluation of Language Fundamentals: Observational Rating Scales. San Antonio, TX: Psychological Corporation; 1996
  • 67 Wong PC, Skoe E, Russo NM, Dees T, Kraus N. Musical experience shapes human brainstem encoding of linguistic pitch patterns. Nat Neurosci 2007; 10 (4) 420-422
  • 68 Moncrieff DW, Wertz D. Auditory rehabilitation for interaural asymmetry: preliminary evidence of improved dichotic listening performance following intensive training. Int J Audiol 2008; 47 (2) 84-97
  • 69 Lakshminarayanan K, Tallal P. Generalization of non-linguistic auditory perceptual training to syllable discrimination. Restor Neurol Neurosci 2007; 25 (3-4) 263-272
  • 70 Weihing J, Shinn J, Preminger J, Khandani A, Musiek F. Dichotic interaural intensity difference (DIID) training in older adults. Paper presented at: ASHA Conference; Orlando FL; 2014
  • 71 Glyde H, Cameron S, Dillon H, Hickson L. Remediation of spatial processing deficits in hearing-impaired children and adults. J Am Acad Audiol 2014; 25 (6) 549-561
  • 72 Wilson RH. Development and use of auditory compact discs in auditory evaluation. J Rehabil Res Dev 1993; 30 (3) 342-351
  • 73 Musiek FE, Baran JA, Pinheiro ML. Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. Audiology 1990; 29 (6) 304-313
  • 74 Putter-Katz H, Adi-Bensaid L, Feldman I, Hildesheimer M. Effects of speech in noise and dichotic listening intervention programs on central auditory processing disorders. J Basic Clin Physiol Pharmacol 2008; 19 (3–4) 301-316
  • 75 Alonso R, Schochat E. The efficacy of formal auditory training in children with (central) auditory processing disorder: behavioral and electrophysiological evaluation. Braz J Otorhinolaryngol 2009; 75 (5) 726-732
  • 76 Schochat E, Musiek FE, Alonso R, Ogata J. Effect of auditory training on the middle latency response in children with (central) auditory processing disorder. Braz J Med Biol Res 2010; 43 (8) 777-785
  • 77 Musiek FE, Baran JA. Audiological correlates to a rupture of a pontine arteriovenous malformation. J Am Acad Audiol 2004; 15 (2) 161-171
  • 78 Musiek FE, Charette L, Morse D, Baran JA. Central deafness associated with a midbrain lesion. J Am Acad Audiol 2004; 15 (2) 133-151 , quiz 172–173
  • 79 Musiek FE, Baran JA, Shinn J. Assessment and remediation of an auditory processing disorder associated with head trauma. J Am Acad Audiol 2004; 15 (2) 117-132