PDF herunterladen
Semin Hear 2016; 37(01): 074-083
DOI: 10.1055/s-0035-1570328
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Maturation of the Central Auditory Nervous System in Children with Auditory Processing Disorder

Dani Tomlin
1   Department of Audiology and Speech Pathology, the University of Melbourne, Parkville, Australia
,
Gary Rance
1   Department of Audiology and Speech Pathology, the University of Melbourne, Parkville, Australia
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
04. Februar 2016 (online)

   Lizenzen und Reprints

Abstract

Neurodevelopmental delay has been proposed as the underlying cause of the majority of cases of auditory processing disorder (APD). The current study employs the cortical auditory evoked potential (CAEP) to assess if maturational differences of the central auditory nervous system (CANS) can be identified between children who do and do not meet the diagnostic criterion for APD. The P1-N1 complex of the CAEP has previously been used for tracking development of the CANS in children with hearing impairment. Twenty-seven children (7 to 12 years old) who failed an APD behavioral test battery were age-matched (within 3 months) to children who had passed the same battery. CAEP responses to 500-Hz tone burst stimuli were recorded and analyzed for latency and amplitude measures. The P1-N1 complex of the CAEP, which has previously been used for tracking development of the CANS in children with hearing impairment, showed significant group differences. The children diagnosed with APD showed significantly increased latency (∼10 milliseconds) and significantly reduced amplitude (∼10 μV) of the early components of the CAEP compared with children with normal auditory processing. No significant differences were seen in the later P2 wave. The normal developmental course is for a decrease in latency and increase in amplitude as a function of age. The results of this study are, therefore, consistent with an immaturity of the CANS as an underlying cause of APD in children.

Keywords

Cortical auditory evoked potential - central auditory nervous system development - auditory processing disorder
 

  • References

  • 1 Riccio CA, Hynd GW, Cohen MJ, Hall J, Molt L. Comorbidity of central auditory processing disorder and attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1994; 33 (6) 849-857
    CrossrefPubMedGoogle Scholar
  • 2 Bellis T. Assessment and Management of Central Auditory Processing Disorders in the Educational Setting from Science to Practice, 2nd ed. New York, NY: Delmar Learning, Thompson Learning; 2003
    Google Scholar
  • 3 Geffner D, Ross-Swain D. Auditory Processing Disorders: A Handbook for Management and Treatment for Speech-language Pathologists. San Diego: Plural Publishing; 2007
    Google Scholar
  • 4 Rosen S, Cohen M, Vanniasegaram I. Auditory and cognitive abilities of children suspected of auditory processing disorder (APD). Int J Pediatr Otorhinolaryngol 2010; 74 (6) 594-600
    CrossrefPubMedGoogle Scholar
  • 5 Dawes P, Bishop DV, Sirimanna T, Bamiou DE. Profile and aetiology of children diagnosed with auditory processing disorder (APD). Int J Pediatr Otorhinolaryngol 2008; 72 (4) 483-489
    CrossrefPubMedGoogle Scholar
  • 6 Cook JR, Mausbach T, Burd L , et al. A preliminary study of the relationship between central auditory processing disorder and attention deficit disorder. J Psychiatry Neurosci 1993; 18 (3) 130-137
    PubMedGoogle Scholar
  • 7 Ferguson MA, Hall RL, Riley A, Moore DR. Communication, listening, cognitive and speech perception skills in children with auditory processing disorder (APD) or Specific Language Impairment (SLI). J Speech Lang Hear Res 2011; 54 (1) 211-227
    CrossrefPubMedGoogle Scholar
  • 8 Moore DR, Cowan JA, Riley A, Edmondson-Jones AM, Ferguson MA. Development of auditory processing in 6- to 11-yr-old children. Ear Hear 2011; 32 (3) 269-285
    PubMedGoogle Scholar
  • 9 Sutcliffe PA, Bishop DV, Houghton S, Taylor M. Effect of attentional state on frequency discrimination: a comparison of children with ADHD on and off medication. J Speech Lang Hear Res 2006; 49 (5) 1072-1084
    CrossrefPubMedGoogle Scholar
  • 10 Ferguson MA, Moore DR. Auditory processing performance and nonsensory factors in children with specific language impairment or auditory processing disorder. Semin Hear 2014; 35 (1) 1-14
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 11 Gyldenkærne P, Dillon H, Sharma M, Purdy SC. Attend to this: the relationship between auditory processing disorders and attention deficits. J Am Acad Audiol 2014; 25 (7) 676-687 , quiz 706–707
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 12 Wilson WJ, Jackson A, Pender A , et al. The CHAPS, SIFTER, and TAPS-R as predictors of (C)AP skills and (C)APD. J Speech Lang Hear Res 2011; 54 (1) 278-291
    CrossrefPubMedGoogle Scholar
  • 13 Musiek FE, Gollegly KM, Ross MK. Profiles of types of central auditory processing disorders in children with learning disabilities. Comm Disord Q 1985; 9 (1) 43-63
    PubMedGoogle Scholar
  • 14 British Society of Audiology. Position Statement on Auditory Processing Disorder (APD). 2011; http://www.thebsa.org.uk/resources/apd-position-statement/ . Accessed December 16, 2015
    PubMedGoogle Scholar
  • 15 Baran J, Musiek F. Behavioural assessment of the central auditory nervous system. In: Musiek F, Rintelmann W, , eds. Contemporary Perspectives in Hearing Assessment. Boston, MA: Allyn and Bacon; 1999: 375-414
    Google Scholar
  • 16 Bellis T. Assessment and Management of Central Auditory Processing Disorders in the Educational Setting. From Science to Practice. San Diego, CA: Singular Publishing Group; 1996
    Google Scholar
  • 17 Kelly AS. Normative data for behavioural tests of auditory processing for New Zealand school children aged 7–12 years. Aust N Z J Audiol 2007; 29 (1) 60-64
    CrossrefPubMedGoogle Scholar
  • 18 Singer J, Hurley RM, Preece JP. Effectiveness of central auditory processing tests with children. Am J Audiol 1998; 7 (2) 73-84
    CrossrefPubMedGoogle Scholar
  • 19 Musiek FE. Frequency (pitch) and duration pattern tests. J Am Acad Audiol 1994; 5 (4) 265-268
    PubMedGoogle Scholar
  • 20 Tomlin D, Dillon H, Kelly AS. Allowing for asymmetric distributions when comparing auditory processing test percentage scores with normative data. J Am Acad Audiol 2014; 25 (6) 541-548
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 21 Eggermont JJ, Ponton CW. Auditory-evoked potential studies of cortical maturation in normal hearing and implanted children: correlations with changes in structure and speech perception. Acta Otolaryngol 2003; 123 (2) 249-252
    CrossrefPubMedGoogle Scholar
  • 22 Ponton CW, Eggermont JJ, Kwong B, Don M. Maturation of human central auditory system activity: evidence from multi-channel evoked potentials. Clin Neurophysiol 2000; 111 (2) 220-236
    CrossrefPubMedGoogle Scholar
  • 23 Hallett T, Proctor A. Maturation of the central nervous system as related to communication and cognitive development. Infants Young Child 1996; 8 (4) 1-15
    PubMedGoogle Scholar
  • 24 Sharma A, Kraus N, McGee TJ, Nicol TG. Developmental changes in P1 and N1 central auditory responses elicited by consonant-vowel syllables. Electroencephalogr Clin Neurophysiol 1997; 104 (6) 540-545
    CrossrefPubMedGoogle Scholar
  • 25 Wunderlich JL, Cone-Wesson BK, Shepherd R. Maturation of the cortical auditory evoked potential in infants and young children. Hear Res 2006; 212 (1–2) 185-202
    CrossrefPubMedGoogle Scholar
  • 26 Dorman MF, Sharma A, Gilley P, Martin K, Roland P. Central auditory development: evidence from CAEP measurements in children fit with cochlear implants. J Commun Disord 2007; 40 (4) 284-294
    CrossrefPubMedGoogle Scholar
  • 27 Nash A, Sharma A, Martin K, Biever A. Clinical applications of the P1 cortical auditory evoked potential (CAEP) biomarker. Paper presented at: A Sound Foundation through Early Amplification: Proceedings of a Fourth International Conference; 6th December, 2007; Chicago, IL
    PubMedGoogle Scholar
  • 28 Sharma A, Dorman MF, Spahr AJ. Rapid development of cortical auditory evoked potentials after early cochlear implantation. Neuroreport 2002; 13 (10) 1365-1368
    CrossrefPubMedGoogle Scholar
  • 29 Sharma A, Gilley PM, Dorman MF, Baldwin R. Deprivation-induced cortical reorganization in children with cochlear implants. Int J Audiol 2007; 46 (9) 494-499
    CrossrefPubMedGoogle Scholar
  • 30 Sharma A, Glick H, Campbell J, Biever A. Central auditory development in children with hearing impairment: clinical relevance of the P1 CAEP biomarker in children with multiple disabilities. Hearing Balance Commun. 2013; 11 (3) 110-120
    PubMedGoogle Scholar
  • 31 Sharma A, Martin K, Roland P , et al. P1 latency as a biomarker for central auditory development in children with hearing impairment. J Am Acad Audiol 2005; 16 (8) 564-573
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 32 Sharma M, Purdy SC, Kelly AS. The contribution of speech-evoked cortical auditory evoked potentials to the diagnosis and measurement of intervention outcomes in children with auditory processing disorder. Semin Hear 2014; 35 (1) 51-64
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 33 Purdy SC, Kelly AS, Davies MG. Auditory brainstem response, middle latency response, and late cortical evoked potentials in children with learning disabilities. J Am Acad Audiol 2002; 13 (7) 367-382
    PubMedGoogle Scholar
  • 34 Tomlin D, Dillon H, Sharma M, Rance G. The impact of auditory processing and cognitive abilities in children. Ear Hear 2015; 36 (5) 527-542
    PubMedGoogle Scholar
  • 35 Noffsinger D, Wilson RH, Musiek FE. Department of Veterans Affairs compact disc recording for auditory perceptual assessment: background and introduction. J Am Acad Audiol 1994; 5 (4) 231-235
    PubMedGoogle Scholar
  • 36 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
    CrossrefPubMedGoogle Scholar
  • 37 Aithal V, Yonovitz A, Aithal S. Tonal masking level differences in aboriginal children: implications for binaural interaction, auditory processing disorders and education. Aust N Z J Audiol 2006; 28 (1) 31-40
    CrossrefPubMedGoogle Scholar
  • 38 Cameron S, Dillon H. Development of the Listening in Spatialized Noise-Sentences Test (LISN-S). Ear Hear 2007; 28 (2) 196-211
    CrossrefPubMedGoogle Scholar
  • 39 Sharma M, Purdy SC, Kelly AS. Comorbidity of auditory processing, language, and reading disorders. J Speech Lang Hear Res 2009; 52 (3) 706-722
    CrossrefPubMedGoogle Scholar
  • 40 American Academy of Audiology, Clinical Practice Guidelines: Diagnosis treatment and management of children and adults with central auditory processing disorder. 2010; Available at: http://audiology-web.s3.amazonaws.com/migrated/CAPD Guidelines 8-2010.pdf_539952af956c79.73897613.pdf . Last accessed December 2015
    PubMedGoogle Scholar
  • 41 Brown L, Sherbenou R, Johnsen KJ. Test of Non-Verbal Intelligence. 4th ed. Austin, TX: Pro-Ed; 2010
    Google Scholar
  • 42 Semel E, Wiig E, Secord W. Clinical Evaluation of Language Fundamentals. Fourth Edition (CELF-4). San Antonio, TX: The Psychological Corporation; 2003
    Google Scholar
  • 43 Gilley PM, Sharma A, Dorman M, Martin K. Abnormalities in central auditory maturation in children with language-based learning problems. Clin Neurophysiol 2006; 117 (9) 1949-1956
    CrossrefPubMedGoogle Scholar
  • 44 Thatcher RW. Maturation of the human frontal lobes: physiological evidence for staging. Dev Neuropsychol 1991; 7 (3) 397-419
    CrossrefPubMedGoogle Scholar
  • 45 Thatcher RW. Cyclic cortical reorganization during early childhood. Brain Cogn 1992; 20 (1) 24-50
    CrossrefPubMedGoogle Scholar
  • 46 Hudspeth WJ, Pribram KH. Stages of brain and cognitive maturation. J Educ Psychol 1990; 82 (4) 881-888
    CrossrefPubMedGoogle Scholar
  • 47 Brocki KC, Bohlin G. Executive functions in children aged 6 to 13: a dimensional and developmental study. Dev Neuropsychol 2004; 26 (2) 571-593
    CrossrefPubMedGoogle Scholar
  • 48 Towse JN, Hitch GJ, Hutton U. A reevaluation of working memory capacity in children. J Mem Lang 1998; 39 (2) 195-217
    CrossrefPubMedGoogle Scholar
  • 49 Gale A, Lynn R. A developmental study of attention. Br J Educ Psychol 1972; 42 (3) 260-266
    CrossrefPubMedGoogle Scholar
  • 50 Musiek FE, Baran JA. Central auditory assessment: thirty years of challenge and change. Ear Hear 1987; 8 (4, Suppl) 22S-35S
    CrossrefPubMedGoogle Scholar
  • 51 Musiek F, Chermak G, Weihing J. Auditory training. In: Chermak GD, Musiek FE, , eds. Handbook of (Central) Auditory Processing Disorder: Comprehensive Intervention. San Diego, CA: Plural Publishing; 2007: 77-106
    Google Scholar