Personal amplification for school-age children with auditory processing disorders.

@article{Kuk2008PersonalAF,
  title={Personal amplification for school-age children with auditory processing disorders.},
  author={Francis K. Kuk and Amy Jackson and Denise Keenan and Chi-chuen Lau},
  journal={Journal of the American Academy of Audiology},
  year={2008},
  volume={19 6},
  pages={
          465-80
        }
}
BACKGROUND Children with auditory processing disorders (APD) are described to have a signal-to-noise ratio (SNR) difficulty. Frequency-modulated (FM) systems have been reported to improve this situation. Yet the use of personal amplification that may be more portable has not been attempted. PURPOSE To determine whether personal amplification would result in improvement in speech-in-noise performances (attentiveness and speech recognition) and daily functioning in children with diagnosed APD… 

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References

SHOWING 1-10 OF 24 REFERENCES
Children's speech recognition in noise using omni-directional and dual-microphone hearing aid technology.
TLDR
Under the specific test conditions used in this investigation, dual-microphone hearing aid technology provided a significant listening advantage in background competition over conventional omni-directional microphones for children with mild to severe cochlear hearing loss for both word and sentence test materials.
Use of a digital hearing aid with directional microphones in school-aged children.
TLDR
The results showed improved speech recognition in noise with the digital directional hearing aid at all presentation levels, compared to results from other studies on the use of directional microphones in hearing aids.
Comparisons of speech recognition in noise by mildly-to-moderately hearing-impaired children using hearing aids and FM systems.
  • D. Hawkins
  • Physics
    The Journal of speech and hearing disorders
  • 1984
TLDR
The benefit offered by the FM system decreased as the environmental S/N increased but remained significant even at +15 dB, and significant improvement also was found with the use of directional as compared to omnidirectional microphones, both in the hearing aids and FM teacher microphone.
The effect of a hearing aid noise reduction algorithm on the acquisition of novel speech contrasts
TLDR
Overall, DNR does not appear to enhance or impair the acquisition of novel speech contrasts by adult listeners, and was not noted for both groups between the first and second testing sessions.
Improving hearing aid performance in noise: Challenges and strategies
TLDR
Achieving this entails not only improving speech understanding in noise, but also increasing ease of listening and comfort and reducing listening strain and potential risk of additional hearing loss from excessive noise exposure.
Sound quality measures for speech in noise through a commercial hearing aid implementing digital noise reduction.
TLDR
The results suggest that at least one implementation of DNR processing is capable of providing improved sound quality, for speech in noise, in the absence of improved speech recognition.
Classroom Acoustics and Personal FM Technology in Management of Auditory Processing Disorder
TLDR
Audiologists are challenged to contribute to the research base by collecting data to support the use of personal frequency modulated systems as an efficacious management strategy.
Factors ensuring consistent audibility in pediatric hearing aid fitting.
TLDR
The factors that could affect the audibility of the speech signals to children range from a precise determination of the child's hearing loss to an accurate specification of gain in the chosen hearing aids.
Central auditory processing disorders
TLDR
This work has investigated sound processing by the unconscious brain; such investigations may provide a ‘window’ into residual brain function and prognosis in disorders such as tinnitus.
Challenges and Recent Developments in Hearing Aids: Part I. Speech Understanding in Noise, Microphone Technologies and Noise Reduction Algorithms
TLDR
This review discusses the challenges in hearing aid design and fitting and the recent developments in advanced signal processing technologies to meet these challenges and discusses the basic concepts and the building blocks of digital signal processing algorithms.
...
...