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중추청각처리장애의 진단을 위한 청각학적 평가

Audiologic Evaluation of Central Auditory Processing Disorders

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초록

Central auditory processing disorder (CAPD) is caused by difficulties in processing auditory information in the central auditory nervous system although the peripheral auditory system is normal. As CAPD can affect listening, understanding, language development and learning, it can be a serious problem for school-aged children. Therefore, a comprehensive assessment and diagnostic procedures are needed for understanding the nature of the presenting difficulties of each individuals suspected of having CAPD. Screening and diagnostic assessments for CAPD were reviewed. Screening tests included a questionnaire, checklists and behavioral tests relating to auditory dysfunctions. Diagnostic assessments included a case history, peripheral assessments, behavioral and electrophysiologic tests. The behavioral CAPD battery could include at least five test areas; temporal processing tests, dichotic tests, monaural low-redundancy tests, binaural interaction tests, and auditory discrimination tests. Although interest in the diagnosis, treatment, and management of CAPD has been growing in various fields, CAPD is not properly identified and treated in Korea due to lack of behavioral testing tools. In order to develop a comprehensive assessment battery for CAPD patients in korea, parameters and age norms of each test should be determined.

Abstract

Central auditory processing disorder (CAPD) is caused by difficulties in processing auditory information in the central auditory nervous system although the peripheral auditory system is normal. As CAPD can affect listening, understanding, language development and learning, it can be a serious problem for school-aged children. Therefore, a comprehensive assessment and diagnostic procedures are needed for understanding the nature of the presenting difficulties of each individuals suspected of having CAPD. Screening and diagnostic assessments for CAPD were reviewed. Screening tests included a questionnaire, checklists and behavioral tests relating to auditory dysfunctions. Diagnostic assessments included a case history, peripheral assessments, behavioral and electrophysiologic tests. The behavioral CAPD battery could include at least five test areas; temporal processing tests, dichotic tests, monaural low-redundancy tests, binaural interaction tests, and auditory discrimination tests. Although interest in the diagnosis, treatment, and management of CAPD has been growing in various fields, CAPD is not properly identified and treated in Korea due to lack of behavioral testing tools. In order to develop a comprehensive assessment battery for CAPD patients in korea, parameters and age norms of each test should be determined.

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