Keywords
Electrophysiology
Auditory processing
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To measure the effect of the Computer-Based Auditory Training (CBT) protocol on the behavioral auditory skills of Central Auditory Processing and on the parents' perception of auditory behavior in a child diagnosed with Central Auditory Processing Disorder (CAPD), in addition to investigating the use of Frequency Following Response (FFR) as a biomarker of therapeutic evolution. Case details: Case study of a seven-year-old female child, with pure tone hearing thresholds within normal limits, diagnosed with CAPD and without previously diagnosed neurological alterations. Research procedures: general anamnesis, visual inspection of the external auditory canal, pure tone audiometry, speech audiometry, acoustic immittance measurements, brief behavioral assessment of central auditory processing, application of the Auditory Processing Domains Questionnaire (APDQ) and recording and analysis of the FFR. The child received the intervention through CAT. It was possible to measure the effect of the intervention on behavioral auditory skills, as well as on the neural coding of speech, with a decrease in latencies and an increase in the amplitude of some FFR components. Final considerations: CAT improved performance in auditory skills of the CAP, without impacting parental perception, and the FFR showed promise as a biomarker.
References
ALVAREZ A, SANCHEZ ML, GUEDES MC. Escuta ativa: avaliação e treinamento auditivo neurocognitivo. CTS Informática, 2010. Disponível em: https://www.ctsinformatica.com.br/fonoaudiologia/audioproc-auditivo/escuta-ativa-avaliacao-e-treinamento-auditivo-neurocognitivo. Acessado em: 31 ago. 2025.
AMERICAN ACADEMY OF AUDIOLOGY. Clinical practice guidelines: diagnosis, treatment and management of children and adults with central auditory processing disorder. 2010. Disponível em: https://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%2082010.pdf_539952af956c79.73897613.pdf. Acessado em: 10 mar. 2025.
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION. Speech sound disorders – articulation and phonology. 2008. Disponível em: https://www.asha.org/practice-portal/clinical-topics/articulation-and-phonology/. Acessado em: 15 mar. 2025.
ACADEMIA BRASILEIRA DE AUDIOLOGIA. Encontro Internacional de Audiologia, 31º. Fórum: diagnóstico audiológico. Recomendações e valores de referência para o protocolo de avaliação do PAC: comportamental e eletrofisiológica. São Paulo; 2016. Disponível em: https://audiologiabrasil.org.br/31eia/pdf/forum_f.pdf. Acessado em: 15 mar. 2025.
BALEN SA, et al. Resolução temporal de crianças: comparação entre audição normal, perda auditiva condutiva e distúrbio do processamento auditivo. Rev Bras Otorrinolaringol, 2009; 75(1): 123–129.
BOAZ ÂM, BIAGGIO EPV. Desempenho no treinamento auditivo computadorizado. Audiol Commun Res, 2019; 24: e1942.
COFFEY E, et al. Oscillatory entrainment of the frequency-following response in auditory cortical and subcortical structures. J Neurosci, 2021; 41(18): 4073-4087.
CONSELHO FEDERAL DE FONOAUDIOLOGIA. Guia de orientação: avaliação e intervenção no processamento auditivo central. 2020. Disponível em: https://www.fonoaudiologia.org.br/comunicacao/guia-de-orientacao-avaliacao-e-intervencao-no-processamento-auditivo-central/. Acessado em: 2 mar. 2025.
DIAS KZ, et al. The auditory processing domains questionnaire (APDQ): Brazilian–Portuguese version. Braz J Otorhinolaryngol, 2022; 88(6): 823-840.
FERREIRA L, PINTO JD, TEMP DA, BROMAN EN, SKARZYNSKI PH, SKARZYNSKA MB, et al. O efeito do desenvolvimento infantil nos componentes da resposta de seguimento de frequência. PLoS ONE, 2022; 17(9): e0260739.
HENSHAW H, FERGUSON MA. Eficácia do treinamento auditivo individual baseado em computador para pessoas com perda auditiva: uma revisão sistemática das evidências. PLoS One, 2013; 8(5): e62836.
JENG FC, et al. Early maturation of frequency-following responses to voice pitch in infants with normal hearing. Percept Mot Skills, 2010; 111(3): 765-784.
KRAUS N, NICOL T. The cognitive auditory system: the role of learning in shaping the biology of the auditory system. In: FAY R, POPPER A, eds. Perspectives on auditory research. Heidelberg: Springer-Verlag, 2014; p. 299–319.
KRAUS N, SLATER J. Music and language: relations and disconnections. Handb Clin Neurol, 2015; 129: 207-222.
KRIZMAN J, KRAUS N. Analyzing the FFR: a tutorial for decoding the richness of auditory function. Hear Res, 2019; 382: 107779.
MELO, ÂD., COSTA, MJ., GARCIA, MV., FILHA, VAVDS., BIAGGIO, EPV. O uso de software no treinamento auditivo em crianças: revisão teórica. Revista CEFAC, 2015, 17(6), 2025-2032.
MELO Â, MEZZOMO CL, GARCIA MV, BIAGGIO EPV. Efeitos do treinamento auditivo computadorizado em crianças com transtorno do processamento auditivo e sistema fonológico típico e atípico. Audiol Commun Res, 2016; 21: e1683.
SANFINS MD, BORGES LR, UBIALI T, COLELLA-SANTOS MF. Speech auditory brainstem response (speech ABR) in the differential diagnosis of scholastic difficulties. Braz J Otorhinolaryngol, 2017; 83: 112-116.
SONG J, NICOL T, KRAUS N. Test-retest reliability of the speech-evoked auditory brainstem response. Clin Neurophysiol, 2011; 122(2): 346-355.
VALIM, CD, KESKE-SOARES, M, BIAGGIO, EPV. Efeito do treinamento auditivo nas habilidades auditivas e de fala em crianças com transtornos dos sons da fala. CoDAS Sociedade Brasileira de Fonoaudiologia. 2025, 37, 2, e20240008.
WEIHING J, CHERMAK GD, MUSIEK FE. Auditory training for central auditory processing disorder. Semin Hear, 2015; 36(4): 199-215.