Home auditory training for children with impairment hearing due to cleft lip and palate

Abstract

Purpose: to verify the impact of home auditory training performed by parents for 30 days and the contribution to a better performance of the central auditory processing in children with auditory disorders resulting from cleft lip and palate. Methods: case studies were carried out with three children above seven years of age, presented with operated cleft lip and palate. Tests to assess peripheral hearing, behavioral and electrophysiological tests for central hearing assessment and Sustained Attention Auditory Ability ones, before and after the auditory training, were performed. Those responsible for the children answered a questionnaire which verified the auditory and attention behaviors altered by the impairment of the auditory processing. Results: improvement was seen in the majority of the behavioral tests of the auditory processing disorders, and in those which did not show variation after the training, the performance was maintained. Improvement was observed in the sustained attention as well as in the monitoring of all children of the study, post training. Improvement of the auditory behavior and also the decrease of latencies and the increase of amplitude of Na and Pa waves, after the training, were found. Conclusion: there was an enhancement in the performance of the central auditory processing of all children with operated cleft lip and palate, following auditory stimulation.

A utilização de testes comportamentais na avaliação do processamento auditivo central em crianças - revisão integrativa da literatura

“…A avaliação foi constituída dos seguintes procedimentos: anamnese, avaliação audiológica básica, avaliação comportamental do TPAC e avaliação eletrofisiológica. TPD, LS, TMSV, TDD, TMSNV, TFR, TDDH, GIN E27: Treinamento auditivo domiciliar para crianças com alterações auditivas decorrentes da fissura labiopalatina 38 Verificar o impacto do treino auditivo realizado em domicílio pelos pais, durante 30 dias, e a contribuição para um melhor desempenho do PAC em crianças com alterações auditivas decorrentes da fissura labiopalatina. Estudo de caso: Foram realizados avaliação audiológica básica, testes comportamentais e eletrofisiológicos em três crianças acima de sete anos.…”

“…Segundo Berticelli 29 , para avaliar as habilidades auditivas adequadamente, é importante considerar a história clínica dos sujeitos e selecionar uma bateria de testes que avalie as dificuldades auditivas apresentadas pelo indivíduo. Em vários estudos revisados, os autores avaliaram o PAC em sujeitos com diferentes diagnósticos clínicos, fazendo uso de diversas baterias de testagem 16,19,27,30,31,38 . Por exemplo, Pires 13 apontou que esses testes são frequentemente utilizados para avaliar o PAC em populações com alguma dificuldade ou diagnóstico de alteração na linguagem oral e escrita e que, normalmente, esses indivíduos apresentam desempenho inferior nos testes quando comparados com crianças típicas.…”

Behavioral tests used to assess central auditory processing in children - an integrative literature review

“…DPT, RGDT, SLT, SMTV, SMTNV, DDT S25: Relationship between auditory evoked potentials and middle latency auditory processing disorder: cases study 36 To analyze middle-latency auditory evoked potentials in two patients with auditory processing disorder and relate objective and behavioral measures. 38 To verify the impact of auditory training at home conducted by the parents for 30 days and its contribution to better CAP performance in children with auditory changes due to cleft lip and palate.…”

“…According to Berticelli 29 , adequate auditory skill assessments must consider the patients' clinical history and select a test battery that assesses their auditory difficulties. The authors of various reviewed studies assessed CAP in participants with different clinical diagnoses using various test batteries 16,19,27,30,31,38 . For instance, Pires 13 pointed out that these tests are often used to assess CAP in populations with some difficulty or diagnosed change in oral and written language, who normally perform worse in tests than typical children.…”