Transcript Problems Affecting Listening

BÉRARD AUDITORY INTEGRATION
TRAINING
New perspectives from the
international scene provide insight
into functional outcomes
Terrie Silverman, M.S.
T. Silverman Training & Consultation
Sally Brockett, M.S.
Director, IDEA Training Center
Agenda
• Seeking the Root Cause
• Hearing, Listening, Processing
• Problems Affecting Hearing
• Problems Affecting Listening
• Addressing the Problems
• Results from Around the World
• Resources
Does This Sound Familiar?
• Covers ears/fingers in ears
• Hears sounds before others
• Resists brushing teeth, hair cuts
• Has delays in language development
• Poor phonics and reading comprehension
• Easily distracted by background noise
• Can not follow verbal directions
• Has a short attention span
• Poor handwriting, spelling
Hierarchy of Development
Cognitive Skills
Perceptual Skills
Fine Motor
Coordination
Writing
Spelling
Reading
Arithmetic
Organization
Attention
Visual Perception
Speech & Language
Eye-Hand Coordination
Controlled Oculomotor
Imagination
Visualization
Self-Esteem
Capacity for abstract
thought and reasoning
Speech & Language
Concentration
Auditory Perception
Gross Motor
Coordination
Bilateral Integration
Balance
Motor Planning
Visual-Motor Integration
Lateralization
Body Percept
Innate Reflexes
Tactile Comfort
Sucking
Muscle Tone
Eye Movements
Gravitational Security
Oral Motor
Basic Sensory
Channels
Auditory
Tactile
Vestibular
Visual
Kinesthetic
Proprioceptive
Physiological
Reactions
Nutrient Deficiencies
Immune System
Malfunction
Chemical Sensitivities
Inflammation
Allergies
Structure
I know he hears, so why
doesn’t he answer?
 Hearing is an unconscious
transmission of sound to the brain
 Listening is active focusing or tuning into sound
 Processing is the ability to
interpret or attach meaning
to the auditory stimulus
Poor Transmission of Sounds
Ear wax – may block transmission
in the outer ear canal
Ear infection/fluid – may block
transmission in the middle
ear
Negative Eustachian tube pressure - decreases
quality of sound transmission
Ear Check - Middle Ear Monitor
• Indicates the likelihood of middle ear fluid
• Assists parents in determining when to seek
medical attention
• For home and school
Potential Causes of Problems
Medications
Exposure to excessive noise
Imbalances in biochemistry:
toxins, deficiencies
Illnesses that affect the auditory system
Head trauma: falls, whiplash
10
10
0
0
10
10
20
20
30
30
40
40
50
50
60
60
Right Ear
Left Ear
3000
750
500
3000
750
500
Audio Test
Audio Tests (ADHD)
10
20
20
30
30
40
40
50
50
60
60
Right Ear
Left Ear
3000
750
500
After AIT
3000
10
3000
0
750
0
750
10
500
10
500
3000
750
500
Before AIT
10
10
0
0
10
10
20
20
30
30
40
40
50
50
60
60
10
10
0
0
10
10
20
20
30
30
40
40
50
50
60
60
10
10
0
0
10
10
20
20
30
30
40
40
50
50
60
60
3000
3000
750
500
750
500
After AIT
Left Ear
3000
Right Ear
750
500
3000
500
Before AIT
750
Audio Tests (Autism)
Hearing Quality / Learning Ability Study
Maria Vega, Sp. Ed., Spain
Age - Years
6 – 11
12 - 16
16 - 18
Number of Students
60
50
48
Typical
30
36
29
Learning Difficulties
30
14
19
93.1 %
92.9 %
94.7 %
Predicted By Listening Test
Problems Affecting Listening
 Hypersensitivity: hearing with more intensity.
Causes distractibility, distortions
 Delayed Response Time: Slow processing of
signals. May miss parts of words, hears
bits and pieces.
 Uncoordinated Hearing: each ear hears
differently. Causes confusion,
misunderstanding
Problems Affecting Listening
 Selectivity: difficulty hearing pitch relationships,
and understanding tone of voice/emotions.
May not sing on tune.
 Laterality: lack of dominant ear to process all
frequencies. Causes delay in processing
sounds, problems with sequencing,
spelling.
How Auditory Problems Affect Learning
• Sounds Cause Distractibility, Irritability, Stress
• Difficulty with Processing Reduces Attention Span
• Difficulty with Processing Reduces Memory
• Timing Delays Distort the Message
• Distortion of Speech Sounds Affects Phonics
Addressing the Problems
Berard Auditory Integration Training
Requires listening to modulated music for
10 hrs. to stimulate reorganization of
auditory system
Neural Plasticity: allows the brain to reorganize
when given novel stimulation with intensity and
repetition. Creates new neural
connections for a more efficient
system
Bérard Protocol
• 30 minutes each session
• 2 times per day w/ at least 3 hours in between
• 3 years of age and older
• Headphones
• Limited Distractions
• Provided directly (on-site)
by the Berard practitioner
Bérard Protocol
Berard AIT Equipment is evaluated and
proven effective.
Currently two devices are accepted:
• Earducator
• Audiokinetron
Berard
Auditory Stimulation
Visual System
Auditory System
Vestibular System
Observed Benefits
Auditory Integration
Visual Motor Integration
Attention Modulation
Visual Spatial Orientation
Memory
Motor Planning
Sensory Integration
Motor Coordination
Affective behavior
Oral-Motor
Academic Learning
Results from Around the World
Berard protocol is easily replicable
Practitioners in 27 countries obtain similar
results when following the protocol and
using Berard AIT devices
Sensory Dysfunction (Decrease)
Sensory Integration Checklist
Median Change (%)
100
80
79% Improvement
60
40
20
0
0
IDEA Training Center
2
4
Months
6
8
Sample Size = 14
Short Sensory Profile (SSP)
Change During 6 Months Post AIT
N = 54
Pre AIT
Post AIT
1 Mo.
6 Mo.
Typical Performance
< 10%
> 30%
> 40%
Probable Difference
< 20%
> 30%
~ 20%
Definite Difference
> 70%
> 30%
> 30%
Attention Deficit Disorders Evaluation Scale
Percentile - Median
Gain of 24
Percentile
Points
60
50
40
30
20
0
2
Months After AIT
6
4
N = 48
Test for Auditory Processing Disorders
for Children (SCAN-C)
Percentile Scores
Pre Post-AIT
Filtered Words
50
84
Figure Ground
37
75
Competing Words
84
84
Competing Sentences
50
63
Composite Total Score
55
86
SCAN-A: Test for Auditory Processing
Disorders in Adolescents and Adults
Results for 38 Year Old Male
Percentile
90
80
70
60
50
40
30
20
10
0
IDEA Training Center
April 2006
Filtered
Words
Figure
Ground
Competing
Words
Pre-AIT
Competing
Sentences
6 Mos. Post AIT
Total
Test
PHELPS Kindergarten Readiness Scale
Pre/Post AIT Results
5 year old boy
Percentile Rank
Pre AIT
Post AIT
Verbal Processing
Perceptual Processing
Auditory Processing
Total Readiness Score
25
75
9
50
<1
91
3
77
Test of Problem Solving
Age Equivalent Scores
Before AIT
Chronological Age:
After AIT
7 yr.
8 yr.
9 yr.
Explaining Inferences
4.4
5.1
9.7
Determining Causes
5.10
5.10
Negative Why Questions
6.5
6.11
8.10
Determining Solutions
5.11
6.5
9.10
Avoiding Problems
6.6
6.6
9.9
11.1
COLORING - 5 Year Old
Before AIT
After 6 days of AIT
Handwriting - 7 year old
Before AIT
After 6 Days of AIT
Handwriting
Before AIT
6 Months After AIT
Doaa El Hadary, M.D., Egypt
Autism Treatment Effectiveness Checklist (ATEC)
4 Year Old Boy
Areas
Pre-AIT
Post-AIT (1 yr.)
% Change
Speech/Communication
26
10
62
Sociability
35
11
69
Sensory/Cognitive
29
18
38
Health/Physical/
Behavior
54
22
59
144
61
58
Total Scores
Isamar Gonzalez, M.S. Audiologist: Puerto Rico
Aberrant Behavior Checklist
5 Year Old Boy
Areas
Pre-AIT
Post-AIT (2 mo.)
% Change
Irritability
27
11
59
Lethargy
14
6
57
8
1
87
30
17
43
3
2
63
Stereotypy
Hyperactivity
Inappropriate Speech
Isamar Gonzalez, M.S., Audiologist: Puerto Rico
Autism Treatment Effectiveness Checklist (ATEC)
5 Year Old Boy
Areas
Pre-AIT
Post-AIT (2 mo)
% Change
Speech/Communication
16
6
62
Sociability
14
15
-7
7
4
43
Health/Physical/
Behavior
25
13
48
Total Scores
62
38
39
Sensory/Cognitive
Berard’s Method Center, Antalya, Turkey
Lars Persson, Berard AIT Practitioner
Date of Study: 2005 – 2006
Number of Subjects: 52
Age Range: 8 – 18 yrs.
Functioning Level: normal, or with minor attention/
concentration difficulty, placement in regular
education program.
Data: Baseline rating form, repeated at 6 months
post-AIT
Items
% change
1. Evaluate your ability to maintain focus
on a task of your choice
15
2. Evaluate your ability to maintain focus
on a task choosen by your teacher
92
3. Evaluate your state of alert
getting started on a task
61
4. Evaluate your motivation performing tasks/
solving problems
42
5. Evaluate your working memory
64
6. Evaluate your long term memory
37
Items
7. Evaluate your stress level at tests/exams
(reversed scale)
% Change
180
8. Evaluate your self confidence
51
9. Evaluate your determination, will power
and endurance
71
10. Evaluate anxieties, fears, feelings of
insecurity (reversed scale)
76
11. Evaluate your sleeping situation
81
12 Evaluate your distractability by back ground
sounds when performing tasks (reversed scale)
108
Total improvement, mean value on 12 variables:
73%
Summary of 28 AIT Studies
Autism
13
2
1
ADHD
4
0
0
CAPD
2
0
1
Mixed Populations
2
0
1
Animals (chicks)
2
0
0
Visit berardaitwebsite.com/sait
for details
Resources
AIT for You – Terrie Silverman, M.S. Speech Pathology,
Board of Directors for Berard AIT International
Society, Member of Autism Society of America,
Developmental Delay Resources.
www.aitforyou.com
IDEA Training Center – Sally Brockett, M.S. Berard AIT
Instructor/Practitioner, Special Ed Consultant,
Founder and President of Berard AIT International
Society, Member of Autism Society of America,
Developmental Delay Resources
www.IdeaTrainingCenter.com
Resources
• Dr. Guy Bérard
• Hearing Equals Behavior
• Books by Annabel Stehli:
• Sound of a Miracle
• Dancing in the Rain
• Sound of Falling Snow
Resources
Official Berard AIT Website
www.berardaitwebsite.com
International List of Berard AIT Practitioners
www.berardaitwebsite.com/PracList.htm
Berard AIT International Society
www.berardaitwebsite.com/BAITIS.htm
Dr. Guy Berard: www.drguyberard.com
Official Website for the Earducator
www.earducator.com
Autism Research Institute
www.autism.com
Resources
EarCheck Middle Ear Monitor Information
www.earcheck.com
Ototoxicity Information
hearinglosshelp.com/articles/ototoxicupheaval.htm
hearinglosshelp.com/articles/ototoxicaudiology.htm
Documented Results
Berard AIT efficiently produces
positive functional outcomes
Berard AIT Improves Quality of Life!