背景:中枢听觉处理障碍(CAPD)可以显着影响儿童的日常功能,确定是否需要康复程序的第一步是正确的诊断。文献中已经发表了不同的诊断指南,在各个中心,CAPD心理声学测试的标准值已在内部使用。本文提供的材料基于1000多名儿童,是迄今为止出版的最大的收藏。这项研究的目的是为评估6至12岁儿童CAPD的测试提供规范值,按上次生日的年龄划分。
方法:我们测试了1037名6至12岁的小学和幼儿园儿童。纳入的标准是正常的听力图,智力正常,没有发展问题,在听觉处理方面没有困难。为了评估听觉处理,所有儿童都在感官检查平台上进行了三项测试:频率模式测试(FPT),持续时间模式测试(DPT),和二叉数字测试(DDT)。
结果:来自1,037名儿童的结果使我们能够确定FPT的标准值,DPT,和滴滴涕在七个不同的年龄组(6至12岁)。我们开发了一种新方法,基于基于分位数的规范,确定每个组中的标准值。三类-平均,低于平均水平,和高于平均水平-允许比以前使用的更广泛但更现实的解释。我们将我们的结果与公布的标准进行比较。
结论:我们的研究是迄今为止发布的最大的CAPD测试规范数据库,为每个孩子的年龄设定一个标准。我们使用了感官检查平台,一个通用的工具,统一CAPD分类标准。我们的研究可以作为开发诊断CAPD的波兰模型的基础。
BACKGROUND: Central auditory processing disorders (CAPD) can significantly affect the daily functioning of a child, and the first step in determining whether rehabilitation procedures are required is a proper diagnosis. Different guidelines for making diagnoses have been published in the literature, and in various centers normative values for psychoacoustic tests of CAPD have been used internally. The material presented in this paper is based on more than 1000 children and is the largest collection so far published. The aim of this study is to present normative values for tests assessing CAPD in children aged 6 to 12 years, divided by age at last birthday.
METHODS: We tested 1037 children aged 6 to 12 years who were attending primary schools and kindergartens. The criteria for inclusion were a normal audiogram, intellectually normal, no developmental problems, and no difficulties in auditory processing. To evaluate auditory processing all children were given three tests on the Senses Examination Platform: the Frequency Pattern Test (FPT), Duration Pattern Test (DPT), and Dichotic Digit Test (DDT).
RESULTS: The results from 1,037 children allowed us to determine normative values for FPT, DPT, and DDT in seven different age groups (6 through to 12 years). We developed a newapproach, based on quantile-based norms, to determine normative values in each group. Three categories - average, below-average, and above-average - allow for a broader but more realistic interpretation than those used previously. We compare our results with published standards.
CONCLUSIONS: Our study is the largest normative database published to date for CAPD testing, setting a standard for each child by age in years. We used the Senses Examination Platform, a universal tool, to unify standards for the classification of CAPD. Our study can serve as a basis for the development of a Polish model for the diagnosis of CAPD.