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Pediatric Assessment

Hearing Assessments

If you have concerns, you shouldn’t wait to have your child’s hearing tested. With newborn hearing screening, most children are being diagnosed with hearing loss almost immediately. However, newborn hearing screening does not rule out late-onset, fluctuating or progressive hearing loss. If a hearing loss isn’t properly identified, a child may experience a number of different problems such as academic failure, speech and language delays, cognitive delays, behavioral problems or social isolation. Our audiologist with pediatric training has over 10 years of clinical experience in a top pediatric hospital. Your child’s hearing will be assessed using developmentally appropriate testing techniques. Special attention will be made to determine what acoustic modifications are needed, if any, both at school and at home. Managing children with hearing loss takes special training and expertise. Auburn and Mountain Hearing Centre understand that “family centered care” and a “team” approach works best. We also offer speech in noise testing, FM system evaluation, CAPD (Central Auditory Processing Disorder) testing.

If you have any concerns, you shouldn’t wait to have your child’s hearing assessed.

With newborn hearing screening programs in Ontario, most children are being diagnosed with hearing loss almost immediately. However, newborn hearing screening does not rule out late-onset, fluctuating or progressive hearing loss. If a hearing loss isn’t properly identified, a child may experience a number of different problems such as academic failure, speech and language delays, cognitive delays, behavioral problems or social isolation. Your child’s hearing will be assessed using developmentally appropriate testing techniques using state of the art equipment. Special attention will be made to determine what acoustic modifications are needed, if any, both at school and at home. Managing children with hearing loss takes special training and expertise. Auburn and Mountain Hearing Centre understand that “family centered care” and a “team” approach works best.

Auburn and Mountain Centre – Pediatric Services

  • Hearing Screening for Infants (birth to 8 months)
  • Hearing Aid Evaluations; Prescriptions; and Follow Up
  • Diagnostic Hearing Assessments for Babies and Toddlers (8 months to 4 years)
  • Diagnostic Hearing Assessments for School Aged Children (4-18 years)
  • Central Auditory Processing Assessments (5 years to adult)
  • FM System Evaluations and School District Consultations
  • Middle Ear Function (Tympanometry)
  • Evoked Otoacoustic Emission Screenings
  • Video Otoscopy

Central Processing Disorders

Central Auditory processing disorder (CAPD) is a complex problem affecting about 5% of school-aged children. These kids can’t process the information they hear in the same way as others because their ears and brain don’t fully coordinate. Something adversely affects the way the brain recognizes and interprets sounds, most notably the sounds composing speech.

Kids with CAPD often do not recognize subtle differences between sounds in words, even when the sounds are loud and clear enough to be heard. These kinds of problems usually occur in background noise, which is a natural listening environment. So kids with CAPD have the basic difficulty of understanding any speech signal presented under less than optimal conditions.

Detecting CAPD

Kids with CAPD are thought to hear normally because they can usually detect pure tones that are delivered one by one in a very quiet environment (such as a sound-treated room). Those who can normally detect sounds and recognize speech in ideal listening conditions are not considered to have hearing difficulties.

However, the ability to detect the presence of sounds is only one part of the processing that occurs in the auditory system. So, most kids with CAPD do not have a loss of hearing sensitivity, but have a hearing problem in the sense that they do not process auditory information normally.

If the auditory deficits aren’t identified and managed early, many of these kids will have speech and language delays, behavioural problems and/or academic problems.

Symptoms of CAPD can range from mild to severe and can take many different forms. If you think your child might have a problem processing sounds, consider these questions:

  • Is your child easily distracted or unusually bothered by loud or sudden noises?
  • Are noisy environments upsetting to your child?
  • Does your child’s behavior and performance improve in quieter settings?
  • Does your child have difficulty following directions, whether simple or complicated?
  • Does your child have reading, spelling, writing, or other speech-language difficulties?
  • Is abstract information difficult for your child to comprehend?
  • Are verbal (word) math problems difficult for your child?
  • Is your child disorganized and forgetful?
  • Are conversations hard for your child to follow?

CAPD is an often misunderstood problem because many of the behaviors noted above also can appear in other conditions like learning disabilities, attention deficit hyperactivity disorder (ADHD), and even depression. Although CAPD is often confused with ADHD, it is possible to have both. It is also possible to have CAPD and specific language impairment or learning disabilities.

Reference: Auditory Processing Disorder. (2007). Retrieved July 22, 2008, from KidsHealth. Web Site:
http://kidshealth.org/parent/medical/ears/central_auditory.html

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Hamilton

16B-550 Fennell Ave. E
Hamilton, Ontario, L8V 4S9
Phone: (289) 768-6167

723 Rymal Rd. West, Unit 500
Hamilton, Ontario, L9B 2W1
Phone: (289) 768-8971

Waterloo

570 University Ave. East,
Suite 905
Waterloo, Ontario, N2K 4P2
Phone: (888) 907-1436

Cambridge

350 Conestoga Blvd Unit B3
Cambridge, Ontario, N1R 7L7
Phone: (888) 737-9976

Kitchener

520 University Ave. West,
Unit 104
Kitchener, Ontario, N2T 2Z6
Phone: (888) 979-7196