Preliminary Evaluation of a Computerized Auditory Training Program to Enhance Binaural Listening Skills in Children with Specific Learning Disabilities
Iranian Journal of Child Neurology,
Vol. 19 No. 2 (2025),
11 March 2025
,
Page 119-129
https://doi.org/10.22037/ijcn.v19i2.46670
Abstract
Objectives
Binaural processing deficits are commonly observed in children with specific learning disabilities (SLD). These deficits can significantly hinder learning, specifically in noisy environments, making rehabilitating binaural processing crucial. This study aimed to implement an auditory training program based on binaural interaction tasks at the brainstem level in children with learning disabilities who exhibit binaural processing issues and to assess its effectiveness.
Materials & Methods
A sample of fourteen children diagnosed with SLD was randomly divided into intervention (n=7) and control groups (n=7). The intervention group participated in a 12-week auditory training program based on binaural interaction. The training exercises were designed with modifications to a test battery classified as assessments of binaural interaction at the brainstem level. Pre- and post-intervention assessments included masking level difference and Persian auditory recognition of words-in-noise tests.
Results
The Wilcoxon signed-rank test showed a statistically significant change in the masking level difference and Persian auditory recognition of words-in-noise results from pre- to post-intervention within the intervention group. Additionally, a nonparametric analysis of covariance indicated a significant difference in post-intervention outcomes between the two groups, with both assessments showing a meaningful effect from the rehabilitation (p < 0.05).
Conclusion
This study’s findings suggest that computerized auditory training focused on binaural interactions may effectively address binaural processing challenges in children with SLD. Further research is recommended to confirm these initial findings and explore the benefits of binaural auditory training for social communication in this population.
- Specific Learning disabilities, Brainstem, Auditory processing, Training
How to Cite
References
References:
Tannock RJIDA. DSM-5 Changes in diagnostic criteria for specific learning disabilities (SLD): What are the implications. Dyslexia IDA. https://dyslexiaida. org/dsm-5-changes-in-diagnostic-criteria-for-specific-learningdisabilities-sld1-what-are-the-implications. 2015.
Ahmadi Z, Jarollahi F, Ahadi M, Hosseini F, Khamisabadi S. Screening of auditory processing disorder in children with learning disabilities using the Persian version of the auditory processing domains questionnaire. Aud Vest Res. 2020; 29(3):156-64. doi:10.18502/avr.v29i3.3848
Banai K, Kraus N. Neurobiology of (central) auditory processing disorder and language-based learning disability. In: Musiek FE, Chermak GD, editors. Handbook of central auditory processing disorder. Auditory neuroscience and diagnosis. San Diego: Plural Publishing; 2007 ;1:89-116.
Moallemi M, Rahbar N, Ahadi M, Maarefvand M. The Effects of a Home Personal Computer-based Auditory TrainingProgram on the Binaural Listening Skills of Children With SpecificLearning Disability: A Protocol for a Randomized Clinical Trial. Function and Disability Journal. 2023; 6:E255.1. http://dx.doi.org/10.32598/fdj.6.255.1
Musiek F E,Chermak G D, Handbook of central auditory processing disorder, volume I: Auditory neuroscience and diagnosis. 2nd ed. San Diego: Plural Publishing; 2013.
Ashrafi M, Rezaei Sakha M. Development of a Binaural Masking Level Differences Test Application Using Tonal and Speech Stimuli in Persian and Assessing Its Test-Retest Reliability in Normal-Hearing Young People. Aud Vestib Res. 2022;31(4):311-318.doi: 10.18502/avr.v31i4.10736 .
Śpiewak P, Markowski J, Śpiewak B. Binaural Masking Levels Difference in children with Language-based Learning Disability correspond to speech in noise comprehensiveness. Otorynolaryngol. 2012 ;1;11(2).
Putter-Katz H, Feldman I, Hildesheimer M. Binaural masking level difference in skilled reading children and children with dyslexia. J Basic Clin Physiol Pharmacol. 2011 Sep 5;22(3):59-63. doi: 10.1515/jbcpp.2011.012.
Ferenczy M, Pottas L, Soer M. Speech perception in noise in children with learning difficulties: A scoping review. Int J Pediatr Otorhinolaryngol. 2022 May;156:111101. doi: 10.1016/j.ijporl.2022.111101.
Roush J, Tait CA. Binaural fusion, masking level differences, and auditory brain stem responses in children with language-learning disabilities. Ear Hear. 1984;5(1):37-41. doi: 10.1097/00003446 198401000-00008.
Majak J., Senderski A., Wiskirska-Woznica B., Sliwinska-Kowalska M.: Auditory processing disorders in children – diagnosis and management; Pol Otorhino Rev 2023; 12 (2): 9–19. doi: 10.5604/01.3001.0053.7127
Loo JH, Bamiou DE, Campbell N, Luxon LM. Computer-based auditory training (CBAT): Benefits for children with language- and reading-related learning difficulties. Dev Med Child Neurol. 2010;
(8):708-17. doi:10.1111/j.1469-8749.2010.03654.x.
Bamiou DE, Campbell N, Sirimanna T. Management of auditory processing disorders. Audiological Medicine. 2006 Jan 1;4(1):46-56. doi: 10.1080/16513860600630498.
Weihing J, Chermak GD, Musiek FE. Auditory Training for Central Auditory Processing Disorder. Semin Hear. 2015 Nov;36(4):199-215. doi: 10.1055/s-0035-1564458.
Mahdavi ME, Rezaeian M, Zarrinkoob H, Rezaeian M, Akbarzadeh A. Effect of a Dichotic Interaural Time Difference Program on Dichotic Listening Deficit of Children with Learning Difficulty. J Am Acad Audiol. 2021 May;32(5):295-302. doi: 10.1055/s-0041-1728753.
Tzounopoulos T, Kraus N. Learning to encode timing: mechanisms of plasticity in the auditory brainstem. Neuron. 2009 May 28;62(4):463-9. doi: 10.1016/j.neuron.2009.05.002.
Krizman J, Tierney A, Fitzroy AB, Skoe E, Amar J, Kraus N. Continued maturation of auditory brainstem function during adolescence: A longitudinal approach. Clin Neurophysiol. 2015 Dec;126(12):2348-55. doi: 10.1016/j.clinph.2015.01.026.
Leite Filho CA, de Oliveira Viana M, Branco-Barreiro FCA, Frota SMMC. A Study on the Reference Values and Cutoff Criteria of Masking Level Difference for Children Aged 7-12 Years. J Clin Med. 2022; 7;11(18):5282. doi: 10.3390/jcm11185282.
Mahdavi ME, Pourbakht A, Parand A, Jalaie S, Rezaeian M, Moradiju E. Auditory recognition of words and digits in multitalker babble in learning-disabled children with dichotic listening deficit. Iran Red Crescent Med J. 2017 ;1;19(4):e42817. doi: 10.5812/ircmj.42817.
Moradiju E, Mahdavi ME, Zarrinkoob H, Tabatabaee SM. [Relative and absolute test re-test reliability of several Persian auditory processing tests for dichotic listening and recognition of speech-innoise in normal children aged 6-12 years (Persian)]. Sci J Rehabil Med. 2017; 6(4):160-7. doi:10.22037/JRM.2017.110584.1389.
Burnham MN. Normal masking level difference parameters for use in the clinical evaluation of auditory processing disorders [MSc thesis]. Provo: Brigham Young University; 2010.
Zakaria MN. Auditory localization in subjects with central auditory processing disorders: University of Western Australia; 2007.
Lotfi Y, Moosavi A, Abdollahi FZ, Bakhshi E, Sadjedi H. Effects of an Auditory Lateralization Training in Children Suspected to Central Auditory Processing Disorder. J Audiol Otol. 2016 Sep;20(2):102-8. doi: 10.7874/jao.2016.20.2.102.
Anderson S, Kraus N. Objective neural indices of speech-in-noise perception. Trends Amplif. 2010 Jun;14(2):73-83. doi: 10.1177/1084713810380227.
Cameron S, Glyde H, Dillon H. Efficacy of the LiSN & Learn auditory training software: randomized blinded controlled study. Audiol Res. 2012 Sep 18;2(1):e15. doi:10.4081/audiores.2012.e15.
Sales CB, Resende LM, Amaral CF. Auditory rehabilitation in adults: results of a training program. Revista CEFAC. 2019 Nov 28;21:e10318. doi: 10.1590/1982-0216/201921510318.
Stroiek S, Quevedo LS, Kieling CH, Battezini AC. Auditory training in auditory processing disorders: a case study. Rev CEFAC. 2015; 17 (2): 604-14.
Graydon K, Van Dun B, Tomlin D, Dowell R, Rance G. Remediation of spatial processing disorder (SPD). Int J Audiol. 2018 May;57(5):376-384. doi: 10.1080/14992027.2018.1431403.
Fowler CG. Electrophysiological Evidence for the Sources of the Masking Level Difference. J Speech Lang Hear Res. 2017 Aug 16;60(8):2364-2374. doi: 10.1044/2017_JSLHR-H-16-0251.
Russo NM, Nicol TG, Zecker SG, Hayes EA, Kraus N. Auditory training improves neural timing in the human brainstem. Behav Brain Res. 2005 Jan 6;156(1):95-103. doi: 10.1016/j.bbr.2004.05.012.
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