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The auditory-visual integration test: intersensory or temporal-spatial?

Forty-two children, twenty-one boys and twenty-one girls, were tested at the beginning and end of grade one using Birch's auditory-visual integration test (AVIT) and a parallel visual-visual integration test (VVIT). Reading tests were administered at the end of grade one. No significant differences between the means of the two integration tests were observed at the beginning of the year. A differential development of the AVIT and the VVIT resulted in a significant difference between the means at the end of the year when a common variance of 58% was observed between the two tests. At the conclusion of the school year each function correlated significantly with reading (decoding), with the correlation between AVIT and reading being significantly larger than the correlation between VVIT and reading. Implications for the optometric treatment of children with learning disabilities are discussed.

Auditory Perceptual Disorders↗

[The auditory, somatosensory and visual evoked potentials in the oto-neurologic diagnosis (author's transl)].

The theory of a signal averaging system for noninvasive electro-diagnosis and the measurements of auditory, somatosensory and visual evoked responses have been explained. This diagnosis as a powerful new tool has been demonstrated in different patients with cerebellopontine angle tumor, hydrocephalus, brain stem vascular disease, encephalomyelitis and for determining the hearing threshold in infants.

Aged↗

Prism adaptation improves chronic visual and haptic neglect: a single case study.

Visuomotor adaptation to rightward displacing optical prisms is known to induce temporary improvements in the symptoms of left visual neglect. We report a 74 year-old woman with severe and chronic neglect of nine months duration, who underwent three weekly sessions of prism adaptation. Substantial improvements were obtained on tests of visual neglect (cancellation, copying and bisection). Improvement was also observed on a spatial judgement task, with no explicit visual component, in which CS was required to locate the centre of a haptically explored circle. These observations confirm that brief periods of prism exposure can benefit even chronic neglect disorders. Moreover, the improvement observed on the haptic task supports the belief that this procedure can influence higher levels of spatial representation.

Aged↗

Subcortical auditory agnosia.

A case of generalized auditory agnosia without aphasia secondary to cardiogenic cerebral embolism is reported. The infarcts in this patient were localized within the bitemporal subcortices as confirmed by computerized axial tomography and magnetic resonance imaging. The findings suggested that interruption of both auditory radiations by bilateral subcortical lesions may play an important role in the occurrence of "cerebral auditory disorders."

Aged↗

The development and reliability of the Mental Health Research Institute Unusual Perceptions Schedule (MUPS): an instrument to record auditory hallucinatory experience.

The Mental Health Research Institute Unusual Perceptions Schedule (MUPS) is a comprehensive instrument developed to record subjects' experiences of auditory hallucinations as completely as possible. The Schedule comprises a semi-structured interview and documents the physical characteristics of auditory hallucinations such as their onset and course, number, volume, tone, location, as well as other phenomena associated with them such as delusions. In addition, other aspects of hallucinations, such as coping strategies, contributing factors and subjects' personal views and reactions are also explored. In a sample of 100 subjects drawn primarily from the in-patient wards at Royal Park Hospital the MUPS was found to be an acceptable instrument to subjects in the field. Interrater reliability assessed in a subsample of 30 subjects was found to be high at the level of the individual items. Whether used in whole or part, the MUPS provides a reliable and acceptable method of assessing patients' experience of auditory hallucinations.

Adaptation, Psychological↗

The effects of chronic hypoxemia on central auditory processing in patients with chronic obstructive pulmonary disease.

This study was designed to discover if chronic hypoxemia produced measurable deficits in subjects' ability to process complex auditory stimuli. In Part I, a group of normal middle-aged subjects and a group of middle-aged subjects with hypoxemia secondary to chronic obstructive pulmonary disease (COPD) were compared with respect to their performance on a central auditory test battery. (The test battery included the Staggered Spondaic Word, Synthetic Sentence Identification with Ipsilateral Competing Message, Synthetic Sentence Identification with Contralateral Competing Message, Memory for Unrelated Words, Memory for Sentences, and a Competing Sentence-Binaural Separation Test). The COPD group's scores were significantly poorer than the normal group's on two of the six tests. The pattern of test scores suggested that chronic hypoxemia produced its principle deficiency at the brain stem level. Part II of this study examined the specific relationships between pulmonary function, arterial blood gas levels, and central auditory performance in this same group of COPD subjects. Statistical analyses revealed that subjects with better pulmonary function and higher arterial blood oxygen levels had better performance on tests of central auditory function.

Aged↗

The clinical assessment of obscure auditory dysfunction--1. Auditory and psychological factors.

We define obscure auditory dysfunction (OAD) as the clinical presentation of reported difficulty understanding speech in the presence of noise accompanied by clinically "normal" hearing thresholds, and no other obvious cause. The term deliberately avoids particular pathophysiological connotations. A detailed characterization of such patients was undertaken as the basis for future diagnosis and management of OAD by clinicians. Twenty patients were compared with 20 pairs of controls (matched for age, sex, educational level, and noise exposure) on tests of auditory, linguistic, and psychological function. Patients showed a genuine performance deficit on a speech-in-noise task, due in part to minor auditory dysfunction and poor linguistic ability. Their high level of self-rated disability and handicap cannot, however, be entirely explained by this genuine deficit. An anxious personality and a history of otological symptoms typified the patient group; either or both have presumably contributed to patients' seeking of medical or audiological advice. OAD is thus a multifactorial syndrome with contributions from auditory, psychological, and linguistic factors. The variance in (and correlation between) performance levels on two sentence-in-noise tests, present only within the patient group, indicates that these patients are not a homogenous group.

Adolescent↗

Auditory neglect.

Auditory neglect was investigated in normal controls and in patients with a recent unilateral hemispheric lesion, by requiring them to detect the interruptions that occurred in one ear in a sound delivered through earphones either mono-aurally or binaurally. Control patients accurately detected interruptions. One left brain damaged (LBD) patient missed only once in the ipsilateral ear while seven of the 30 right brain damaged (RBD) patients missed more than one signal in the monoaural test and nine patients did the same in the binaural test. Omissions were always more marked in the left ear and in the binaural test with a significant ear by test interaction. The lesion of these patients was in the parietal lobe (five patients) and the thalamus (four patients). The relation of auditory neglect to auditory extinction was investigated and found to be equivocal, in that there were seven RBD patients who showed extinction, but not neglect and, more importantly, two patients who exhibited the opposite pattern, thus challenging the view that extinction is a minor form of neglect. Also visual and auditory neglect were not consistently correlated, the former being present in nine RBD patients without auditory neglect and the latter in two RBD patients without visual neglect. The finding that in some RBD patients with auditory neglect omissions also occurred, though with less frequency, in the right ear, points to a right hemisphere participation in the deployment of attention not only to the contralateral, but also to the ipsilateral space.

Auditory Perceptual Disorders↗

The sensory basis of reading problems.

Learning to read is much more difficult than learning to speak. Most children teach themselves to speak with little or no difficulty. Yet a few years later when they come to learn to read they have to be taught how to do it; they do not pick up reading by themselves. This is because we speak in words and syllables, but we write in phonemes. Syllables do not naturally break down into the sounds of letters and letter units (i.e., phonemes) because these do not correspond to physiologically distinct articulatory gestures (Liberman, Shankweiler, & Studdert-Kennedy, 1967). Alphabetic writing was only invented when people realized that syllables could be artificially divided into smaller acoustically distinguishable phonemes that could be represented by a small number of letters. But these distinctions are arbitrary cultural artifacts, and their mastery was originally confined to a select social class. And until about 100 years ago it did not matter much if the majority of people could not read; the acquisition of reading probably had no serious disadvantages. Reading requires the integration of at least two kinds of analysis (Castles & Coltheart, 1993; Ellis, 1984; Manis, Seidenberg, Doi, McBride-Chang, & Petersen, 1996; Morton, 1969; Seidenburg, 1993). First, the visual form of words, the shape of letters, their order in words, and common spelling patterns, which is termed their orthography, has to be processed visually. Their orthography yields the meaning of familiar words very rapidly without needing to sound them out. But for unfamiliar words, and all words are fairly unfamiliar to the beginning reader, the letters have to be translated into the speech sounds (i.e., phonemes) that they stand for, and then those sounds have to be melded together in inner speech to yield the word and its meaning. Reading exclusively by the phonological route is more time consuming than if words can be accessed directly without requiring phonological mediation.

Auditory Pathways↗

Auditory perpetual dysfunction in patients with CCI, with implications for therapy.

Injury to the head, as from impact, can result in damaged function of the auditory receptive (peripheral) or perceptual (central) system, or both. The altered function may be clearly apparent, as in a loss of hearing, or may be exposed only through specially devised tests. At the Loewenstein Rehabilitation Hospital tests were designed or adapted to evaluate processing in the auditory periphery, the brain stem and the cortex. With speech as the the stimulus the tasks explore binaural interaction, cerebral hemisphere dominance and suppression, and cognitive efficiency in understanding degraded speech messages. Other stimuli, such as pure tones and musical patterns are employed to reveal dysfunction on various levels of the system. This report concentrates on tests which require the cerebral hemispheres to listen competitively. Results are given for earphone listening and for two new types of selective listening tasks in the sound field (loudspeaker) mode.

Adult↗

Effects of stimulus-onset asynchrony on the dichotic performance of children with auditory-processing disorders.

Dichotic stop-consonant-vowel identification was investigated in two experiments using two groups of learning-disabled children demonstrating clinical manifestations of auditory-processing disorders, and two groups of matched, control subjects. Two-item, forced-choice paradigms were used in both experiments. Overall (total) dichotic performance for the two learning-disabled groups was significantly lower than that of the control subjects in all dichotic conditions. This lower performance was attributable to the number of trials in which both stimulus items were correctly identified. Analysis of trials in which only one response was correct showed no differences between the groups in terms of magnitude or direction of ear-advantage (right). In conditions where stimulus onsets were separated by 30, 90, and 150 msec, analysis of one-correct trials demonstrated more accurate identification of the temporally lagging stimulus for all subjects. However, as the onset-time separation increased, the control group's identification of leading and lagging items approached equality. The learning-disabled group, on the other hand, showed little increase in identification of temporally leading items even when stimuli were separated by 150 msec. These data suggest learning-disabled children with auditory-processing disorders may have a reduced temporal efficiency in processing rapidly varying acoustic patterns associated with stop-consonants that is observable when speech perceptual mechanisms are stressed through dichotic competition.

Auditory Perceptual Disorders↗