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J Am Acad Audiol 2019; 30(01): 006-015
DOI: 10.3766/jaaa.16132
Articles
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pitch and Duration Pattern Sequence Tests in 7- to 11-Year-Old Children: Results Depend on Response Mode

Sheila Andreoli Balen
*   Department of Speech, Language and Hearing, Federal University, Rio Grande do Norte, Brazil
,
David R. Moore
†   Communication Sciences Research Center, Cincinnati Children's Hospital Medical Center, and Department of Otolaryngology, University of Cincinnati College of Medicine, Cincinnati, OH 45229
,
Koichi Sameshima
‡   Department of Radiology and Oncology, School of Medicine, University of São Paulo, São Paulo, Brazil
› Author Affiliations
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Publication History

Publication Date:
26 May 2020 (online)

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Abstract

Background:

Pitch pattern sequence (PPS) and duration pattern sequence (DPS) tests are frequently used in the assessment of auditory processing disorder. Current recommendations suggest alternate, interchangeable modes for responding to stimuli.

Purpose:

The objective of the study is to evaluate the influence of response mode (i.e., humming, pointing, and labeling) and age on PPS and DPS performance of 7- to 11-year-old children.

Research Design:

Laboratory-based testing of school children. Cross-sectional comparison of age, with repeated measures of age, test, ear, and response mode.

Study Sample:

From 452 children recruited, 228 right-handed children (109 girls) aged 7 years to 11 years 11 months (mean age 9 years 4 months) completed at least one test (PPS: 211, DPS: 198), and 181 children completed both tests. Audiology inclusion criteria include normal hearing thresholds (≤15 dB HL at octave frequencies 250–8000 Hz); word recognition in quiet ≥92%; tympanogram peak compensated static acoustic compliance 0.4–1.6 mmhos; and tympanometric peak pressure −100 to +50 daPa, all in both ears. Other inclusion criteria were Portuguese as first language; right handed; no musical training; no related, known, or observed phonological, learning, neurologic, psychiatric, or behavioral disorder; otologic history; and delayed neuropsychomotor or language development.

Data Collection and Analysis:

PPS: 30 trials per ear and response condition of three consecutive 500 msec duration intermixed high (1430 Hz) or low (880 Hz) frequency tones presented monaurally at 50 dB HL. The first response condition was humming followed by labeling (naming: high or low). DPS: As per PPS except 1000 Hz tones of intermixed 500 (long) and 250 msec (short) duration. First response was pointing (at a symbolic object) followed by labeling. Trends across age and between tests were assessed using repeated measures generalized linear mixed models. Correlation coefficients were calculated to assess relations among test scores. The two-sided significance level was 0.05.

Results:

Older children performed better than younger children in all tasks. Humming the tone pattern (PPS humming) produced generally better performance than either articulating the attributes of the tones (labeling) or pointing to objects representing tone duration. PPS humming produced ceiling performance for many children of all ages. For both labeling tasks and DPS pointing, performance was better on the PPS than on the DPS, for stimulation of the right than the left ear, and in boys than girls. Individual performance on the two tasks was highly correlated.

Conclusions:

Response mode does matter in the PPS and DPS. Results from humming should not be combined with or be a substitute for results obtained from a labeling response. Tasks that rely on labeling a tonal stimulus should be avoided in testing hearing in children or other special populations.

Key Words

auditory processing disorder - children - duration pattern test - pitch pattern test
 

  • REFERENCES

  • American Academy of Audiology (AAA). (2010) Clinical practice guidelines: diagnosis, treatment and management of children and adults with central auditory processing disorder. https://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%208-2010.pdf_539952af956c79.73897613.pdf . Accessed November 6, 2017.
  • Alain C, Woods DL. 1997; Attention modulates auditory pattern memory as indexed by event-related brain potentials. Psychophysiology 34 (05) 534-546
    CrossrefPubMedGoogle Scholar
  • Amitay S, Irwin A, Hawkey DJ, Cowan JA, Moore DR. 2006; A comparison of adaptive procedures for rapid and reliable threshold assessment and training in naive listeners. J Acoust Soc Am 119 (03) 1616-1625
    CrossrefPubMedGoogle Scholar
  • American Speech-Language-Hearing Association (ASHA) 2005. (Central) Auditory Processing Disorders: The Role of the Audiologist. Rockville, MD: American Speech-Language-Hearing Association;
    Google Scholar
  • Bregman AS. 1990. Auditory Scene Analysis: The Perceptual Organization of Sound. Cambridge, MA: The MIT Press;
    Google Scholar
  • Cameron S, Dillon H. 2007; Development of the Listening in Spatialized Noise-Sentences Test (LISN-S). Ear Hear 28 (02) 196-211
    CrossrefPubMedGoogle Scholar
  • Cameron S, Glyde H, Dillon H, Whitfield J, Seymour J. 2016; The Dichotic Digits difference Test (DDdT): development, normative data, and test-retest reliability studies part 1. J Am Acad Audiol 27 (06) 458-469
    Article in Thieme ConnectPubMedGoogle Scholar
  • Chermak GD, Bamiou D-E, Vivian Iliadou V, Musiek FE. 2017; Practical guidelines to minimise language and cognitive confounds in the diagnosis of CAPD: a brief tutorial. Int J Audiol 56 (07) 499-506
    CrossrefPubMedGoogle Scholar
  • Dillon H, Cameron S, Tomlin D, Glyde H. 2014; Comments on “Factors influencing tests of auditory processing: a perspective on current issues and relevant concerns” by Tony Cacace and Dennis McFarland. J Am Acad Audiol 25 (07) 699-703
    Article in Thieme ConnectPubMedGoogle Scholar
  • Emanuel DC, Ficca KN, Korczak P. 2011; Survey of the diagnosis and management of auditory processing disorder. Am J Audiol 20 (01) 48-60
    CrossrefPubMedGoogle Scholar
  • Ferguson MA, Hall RL, Riley A, Moore DR. 2011; Communication, listening, cognitive and speech perception skills in children with auditory processing disorder (APD) or Specific Language Impairment (SLI). J Speech Lang Hear Res 54 (01) 211-227
    CrossrefPubMedGoogle Scholar
  • Grube M, Kumar S, Cooper FE, Turton S, Griffiths TD. 2012; Auditory sequence analysis and phonological skill. Proc Biol Sci 279 (1746) 4496-4504
    CrossrefPubMedGoogle Scholar
  • Huyck JJ, Wright BA. 2011; Late maturation of auditory perceptual learning. Dev Sci 14 (03) 614-621
    CrossrefPubMedGoogle Scholar
  • Kraus N, Chandrasekaran B. 2010; Music training for the development of auditory skills. Nat Rev Neurosci 11 (08) 599-605
    CrossrefPubMedGoogle Scholar
  • McDermott EE, Smart JL, Boiano JA, Bragg LE, Colon TN, Hanson EM, Emanuel DC, Kelly AS. 2016; Assessing auditory processing abilities in typically developing school-aged children. J Am Acad Audiol 27 (02) 72-84
    Article in Thieme ConnectPubMedGoogle Scholar
  • Moore DR. 2012; Listening difficulties in children: bottom-up and top-down contributions. J Commun Disord 45 (06) 411-418
    CrossrefPubMedGoogle Scholar
  • Moore DR, Cowan JA, Riley A, Edmondson-Jones AM, Ferguson MA. 2011; Development of auditory processing in 6- to 11-yr-old children. Ear Hear 32 (03) 269-285
    PubMedGoogle Scholar
  • Moore DR, Ferguson MA, Edmondson-Jones AM, Ratib S, Riley A. 2010; Nature of auditory processing disorder in children. Pediatrics 126 (02) e382-e390
    CrossrefPubMedGoogle Scholar
  • Moore DR, Sieswerda SL, Grainger MM, Bowling A, Smith N, Perdew A, Eichert S, Alston S, Hilbert LW, Summers L, Lin L, Hunter LL. 2017 Referral and diagnosis of developmental auditory processing disorder (APD) in a large, United States, hospital-based audiology service. Journal of the American Academy of Audiology. DOI: 10.3766/jaaa.16130
    Article in Thieme ConnectPubMedGoogle Scholar
  • Musiek FE. 1994; Frequency (pitch) and duration pattern tests. J Am Acad Audiol 5 (04) 265-268
    PubMedGoogle Scholar
  • Musiek FE. 2002; The frequency pattern test: a guide. Hear J 55: 58
    Google Scholar
  • Musiek FE, Baran JA, Pinheiro ML. 1990; Duration pattern recognition in normal subjects and patients with cerebral and cochlear lesions. Audiology 29: 304-313
    CrossrefPubMedGoogle Scholar
  • Musiek FE, Baran JA, Pinheiro ML. 1994. Neuroaudiology: Case Studies. San Diego, CA: Plural Publishing Group;
    Google Scholar
  • Musiek FE, Chermak GD, Weihing J, Zappulla M, Nagle S. 2011; Diagnostic accuracy of established central auditory processing test batteries in patients with documented brain lesions. J Am Acad Audiol 22 (06) 342-358
    Article in Thieme ConnectPubMedGoogle Scholar
  • Musiek FE, Pinheiro ML. 1987; Frequency patterns in cochlear, brainstem, and cerebral lesions. Audiology 26 (06) 79-88
    CrossrefPubMedGoogle Scholar
  • Russo ICAP, Santos TMM. 2011. A Prática da Audiologia Clínica. Sao Paulo, Brazil: Cortez;
    Google Scholar
  • Sanes DH, Woolley SM. 2011; A behavioral framework to guide research on central auditory development and plasticity. Neuron 72 (06) 912-929
    CrossrefPubMedGoogle Scholar
  • Shinn JB. 2003; Temporal processing: the basics. Hear J 56 (07) 52
    CrossrefGoogle Scholar
  • Skoe E, Krizman J, Spitzer E, Kraus N. 2015; Prior experience biases subcortical sensitivity to sound patterns. J Cogn Neurosci 27: 124-140
    CrossrefPubMedGoogle Scholar
  • Tomlin D, Dillon H, Kelly AS. 2014; Allowing for asymmetric distributions when comparing auditory processing test percentage scores with normative data. J Am Acad Audiol 25 (06) 541-548
    Article in Thieme ConnectPubMedGoogle Scholar
  • Tomlin D, Dillon H, Sharma M, Rance G. 2015; The impact of auditory processing and cognitive abilities in children. Ear hear 36 (05) 527-542
    PubMedGoogle Scholar
  • Walker KM, Hall SE, Klein RM, Phillips DP. 2006; Development of perceptual correlates of reading performance. Brain Res 1124 (01) 126-141
    CrossrefPubMedGoogle Scholar
  • Weihing J, Guenette L, Chermak G, Brown M, Ceruti J, Fitzgerald K, Geissler K, Gonzalez J, Brenneman L, Musiek F. 2015; Characteristics of pediatric performance on a test battery commonly used in the diagnosis of central auditory processing disorder. J Am Acad Audiol 26 (07) 652-669
    Article in Thieme ConnectPubMedGoogle Scholar
  • Werner LA. 2007; Issues in human auditory development. J Commun Disord 40 (04) 275-283
    CrossrefPubMedGoogle Scholar
  • Willeford JA. 1985. Assessment of central auditory disorders in children. In: Pinheiro ML, Musiek FE. Assessment of Central Auditory Dysfunction: Foundations and Clinical Correlates. Baltimore, MD: Williams & Wilkins;
    Google Scholar
  • Zhang Y, Kuhl PK, Imada T, Kotani M, Tohkura Y. 2005; Effects of language experience: neural commitment to language-specific auditory patterns. Neuroimage 26: 703-720
    CrossrefPubMedGoogle Scholar