Abstract：
BACKGROUND: (Central) auditory processing disorders, (C)APDs are clinically identified using behavioral tests. However, changes in attention and motivation may easily affect true identification. Although auditory electrophysiological tests, such as Auditory Brainstem Responses (ABR), are independent of most confounding cognitive factors, there is no consensus that click and/or speech-evoked ABR can be used to identify children with or at-risk of (C)APDs due to heterogeneity among studies.
OBJECTIVE: This study aimed to review the possibility of using ABR evoked by click and/or speech stimuli to identify children with or at risk of (C)APDs.
METHODS: The online databases of PubMed, Web of Science, Medline, Embase, and CINAHL were explored using combined keywords for all English and French articles published until April 2021. Additional gray literature was also included such as conference abstracts, dissertations, and editorials in ProQuest Dissertations.
RESULTS: Thirteen papers met the eligibility criteria and were included in the scoping review. Fourteen papers were cross-sectional and two were interventional studies. Eleven papers used click stimuli to assess children with/at risk of (C)APDs, and speech stimuli were utilized in the remaining studies. Despite the diversity of the results, especially in click ABR assessments, most studies indicated increases in the wave latencies and/or decreases in the wave amplitudes of click ABR in children with/at risk of (C)APDs. The results of speech ABR assessments were more consistent, as prolongation of the transient components of speech ABR was observed in these children, while sustained components remained almost unchanged.
CONCLUSIONS: Although both click and speech-evoked ABRs could be used to assess children with (C)APDs, it appears that speech-evoked ABR assessments yield more reliable findings. These findings, however, should be interpreted with caution given the heterogeneity among studies. Well-designed studies on children with confirmed (C)APDs using standard diagnostic and assessment protocols are recommended.
OBJECTIVE: This study aimed to review the possibility of using ABR evoked by click and/or speech stimuli to identify children with or at risk of (C)APDs.
METHODS: The online databases of PubMed, Web of Science, Medline, Embase, and CINAHL were explored using combined keywords for all English and French articles published until April 2021. Additional gray literature was also included such as conference abstracts, dissertations, and editorials in ProQuest Dissertations.
RESULTS: Thirteen papers met the eligibility criteria and were included in the scoping review. Fourteen papers were cross-sectional and two were interventional studies. Eleven papers used click stimuli to assess children with/at risk of (C)APDs, and speech stimuli were utilized in the remaining studies. Despite the diversity of the results, especially in click ABR assessments, most studies indicated increases in the wave latencies and/or decreases in the wave amplitudes of click ABR in children with/at risk of (C)APDs. The results of speech ABR assessments were more consistent, as prolongation of the transient components of speech ABR was observed in these children, while sustained components remained almost unchanged.
CONCLUSIONS: Although both click and speech-evoked ABRs could be used to assess children with (C)APDs, it appears that speech-evoked ABR assessments yield more reliable findings. These findings, however, should be interpreted with caution given the heterogeneity among studies. Well-designed studies on children with confirmed (C)APDs using standard diagnostic and assessment protocols are recommended.
摘要：
背景：（中枢）听觉处理障碍，(C)APD使用行为测试进行临床鉴定。然而,注意力和动机的变化很容易影响真正的认同。虽然听觉电生理测试，如听觉脑干反应（ABR），独立于大多数混杂的认知因素，由于研究间的异质性,点击和/或言语诱发ABR可用于识别患有(C)APDs或处于(C)APDs风险的儿童尚无共识.
目的：本研究旨在评估使用点击和/或言语刺激引起的ABR来识别患有或处于（C）APD风险的儿童的可能性。
方法：PubMed的在线数据库，WebofScience,Medline,Embase,对于2021年4月之前发表的所有英语和法语文章，都使用组合关键词来探索和CINAHL。还包括其他灰色文献，例如会议摘要，论文,以及ProQuest学位论文中的社论。
结果：13篇论文符合资格标准，被纳入范围审查。14篇论文是横断面研究，2篇是介入性研究。11篇论文使用点击刺激来评估患有/处于（C）APD风险的儿童，和言语刺激在其余研究中使用。尽管结果多种多样,尤其是在点击ABR评估中，大多数研究表明,在患有/处于(C)APD风险的儿童中,点击ABR的波潜伏期增加和/或波幅降低.言语ABR评估的结果更一致，在这些儿童中观察到言语ABR的瞬时成分延长，而持续的成分几乎没有变化。
结论：尽管点击和语音诱发的ABR均可用于评估患有（C）APD的儿童，语音诱发ABR评估结果似乎更可靠.这些发现,然而,考虑到研究之间的异质性，应谨慎解释。建议使用标准诊断和评估方案对确诊（C）APD的儿童进行精心设计的研究。
目的：本研究旨在评估使用点击和/或言语刺激引起的ABR来识别患有或处于（C）APD风险的儿童的可能性。
方法：PubMed的在线数据库，WebofScience,Medline,Embase,对于2021年4月之前发表的所有英语和法语文章，都使用组合关键词来探索和CINAHL。还包括其他灰色文献，例如会议摘要，论文,以及ProQuest学位论文中的社论。
结果：13篇论文符合资格标准，被纳入范围审查。14篇论文是横断面研究，2篇是介入性研究。11篇论文使用点击刺激来评估患有/处于（C）APD风险的儿童，和言语刺激在其余研究中使用。尽管结果多种多样,尤其是在点击ABR评估中，大多数研究表明,在患有/处于(C)APD风险的儿童中,点击ABR的波潜伏期增加和/或波幅降低.言语ABR评估的结果更一致，在这些儿童中观察到言语ABR的瞬时成分延长，而持续的成分几乎没有变化。
结论：尽管点击和语音诱发的ABR均可用于评估患有（C）APD的儿童，语音诱发ABR评估结果似乎更可靠.这些发现,然而,考虑到研究之间的异质性，应谨慎解释。建议使用标准诊断和评估方案对确诊（C）APD的儿童进行精心设计的研究。
