RELATIONSHIP BETWEEN ASSESSMENT AND LEARNING OUTCOMES

The assessment tasks have been designed to enable students to demonstrate critical thinking skills and problem-solving skills in the management of more complex audiological cases and to understand the broad concepts underlying noise-induced hearing loss and the relevant legislation and its application in industry.

Please check the timetable provided for the scheduling of lectures and the two practica for this unit. 

Non-organic / Psychogenic Hearing Loss: 

Required reading material:

Gelfand SA. (2009). Essentials of Audiology. Nonorganic hearing loss (chapter 14), pages 405-425.

Tinnitus: 

Reading material: 

Tunkel, D. E., Bauer, C. A., Sun, G. H., Rosenfeld, R. M., Chandrasekhar, S. S., Cunningham, E. R., ... & Henry, J. A. (2014). Clinical practice guideline tinnitus. Otolaryngology-Head and Neck Surgery, 151(2 suppl), S1-S40.

Auditory Neuropathy Spectrum Disorder:  

Reading material:

Starr A, Picton T, Sininger Y, Hood LJ, Berlin CI. (1996). Auditory Neuropathy. Brain; 119: 741 - 753.

Walker, E., McCreery, R., Spratford, M., & Roush, P. (2016). Children with Auditory Neuropathy Spectrum Disorder fitted with hearing aids applying the American Academy of Audiology Pediatric Amplification Guideline: Current Practice and Outcomes. Journal of the American Academy of Audiology, 27(3), 204-218. 

Auditory Processing: Development, Maturation and function of the auditory processing system and its dysfunction:

Required reading material: 

Musiek FE and Baran JA (2006). The Auditory System: Anatomy, Physiology, and Clinical Correlates. Chapters 7-10

Auditory Processing Disorders & Management:

Required reading material: 

American Speech-Language-Hearing Association (1996). Central auditory processing: Current status of research and implications for clinical practice. Taskforce on Central Auditory Processing Consensus Development. American Journal of Audiology, 5, 41-54. 

American Speech-Language-Hearing Association. (2005). (Central) Auditory Processing Disorders – The role of the audiologist [Position Statement]. Available online from www.asha.org/policy

Recommended reading material: 

Baran, J.A. (2007). Test Battery Considerations. In Musiek, F.E. & Chermak, G.D. (Eds.), Handbook of (central) auditory processing disorder: Auditory neuroscience and diagnosis (Vol I). San Diego: Plural Publishing. Year 2 Handbook 2016 5

Bellis, T.J. (1996). Assessment and management of central auditory processing disorders in the educational setting: From science to practice. San Diego: Singular Pub. 

Chermak, G.D., & Musiek, F.E. (1997). Central auditory processing disorders: New perspectives. San Diego: Singular Pub. 

Cherry, R. (1992). Screening and evaluation of central auditory processing disorders in young children. In Katz, J., Stecker, N., & Henderson, D. (Eds.), Central auditory processing: A transdisciplinary view. St. Louis: Mosby Year Book. 

Jerger, J., & Musiek, F. (2000). Report of the Consensus Conference on the Diagnosis of Auditory Processing Disorders in School-Aged Children. Journal of the American Academy of Audiology, 11(9), 467-474. 

Hall III, J.W., & Johnston, K.N. (2007). Electroacoustic and electrophysiologic auditory measures in the assessment of (central) APD. In Musiek, F.E. & Chermak, G.D. (Eds.), Handbook of (central) auditory processing disorder: Auditory neuroscience and diagnosis (Vol I). San Diego: Plural Publishing. 

Hayes, E.A., Warrier, C.M., Nicol, T.G., Zecker, S.G., & Kraus, N. (2003). Neural plasticity following auditory training in children with learning problems. Clinical Neurophysiology, 114, 673-684; 

Keith, R.W. (2007). Diagnosing (central) auditory processing disorders in children. In Roeser, R.J., Valante, M., & Hosford-Dunn, H. (Eds.), Audiology Diagnosis (2nd ed.). New York: Thieme. 

Keith, R.W., & Anderson, J. (2007). Dichotic listening tests. In Musiek, F.E. & Chermak, G.D. (Eds.), Handbook of (central) auditory processing disorder: Auditory neuroscience and diagnosis (Vol I). San Diego: Plural Publishing. 

Kraus, N., McGee, T., Ferre, J., Hoeppner, J-A., Carrell, T., Sharma, A., & Nicol, T. (1993). Mismatch negativity in the neurophysiologic/ behavioural evaluation of auditory processing deficits: A case study. Ear & Hearing, 14 (4), 223-34. 

Martin, F.N., & Clark, J.G. (2009). Introduction to Audiology (10th ed). Boston: Pearson. Musiek, F.E. (1983). Assessment of central auditory dysfunction: The Dichotic Digits Test revisited. Ear & Hearing, 4, 79-83. 

Musiek, F.E. (1994). Frequency (pitch) and duration pattern tests. Journal of the American Academy of Audiology, 5, 265-268. 

Musiek, F.E. (1999). Central auditory tests. Scand Audiol, 28 (Suppl 51), 33-46. 

Musiek, F.E., Baran, J.A., & Schochat, E. (1999). Selected management approaches to central auditory processing disorders. Scand Audiol 28 (Suppl 51), p.63-76. 

Musiek, F.E., Shinn, J.B., Jirsa, R., Bamiou, D-E., Baran, J.A., & Zaidan, E. (2005). GIN (Gaps-In-Noise) test performance in subjects with confirmed central auditory nervous system involvement. Ear & Hearing, 26, 608-618. 

Musiek, F.E., Chermak, G.D., & Weihing, J.(2007). Auditory training. In Musiek, F.E. & Chermak, G.D. (Eds.), Handbook of (central) auditory processing disorder: Comprehensive Intervention (Vol II). San Diego: Plural Publishing. 

Shinn, J.B. (2007).Temporal processing and temporal patterning tests. In Musiek, F.E. & Chermak, G.D. (Eds.), Handbook of (central) auditory processing disorder: Auditory neuroscience and diagnosis (Vol I). San Diego: Plural Publishing. 

Tonal and speech materials for auditory perceptual assessment (1992). Long Beach, CA: Research and Development Service, Veterans’ Administration Central Office.

Vanniasegaram, I., Cohen, M., & Rosen, S. (2004). Evaluation of selected auditory tests in school-age children suspected of auditory processing disorders. Ear & Hearing, 25 (6), p.586-597. Year 2 Handbook 2016 6 

Wilson, R.H., Moncrieff, D.W., Townsend, E.A., & Pillion, A.L. (2003). Development of a 500-Hz masking level difference protocol for clinical use. Journal of the American Academy of Audiology, 14 (1), p.1-8.

Classic site-of-lesion tests of auditory function as the foundation of diagnostic audiology:

Required reading material: 

Gelfand SA. (2009). Essentials of Audiology. Behavioural tests for Audiological diagnosis (chapter 10), pages 302-331. 

Recommended reading material: 

Buus S, Florentine M, Redden RB. (1982). The SISI test: a review. Part II. Audiology. 21(5):365-85. 

Hall, J.W. III. (1991). Classic site-of-lesion tests: Foundation of diagnostic audiology. In WF Rintelmann (Ed.) In: Hearing Assessment (2nd ed., pp. 653-678). 

Harbert F, Young IM. (1968). Clinical application of Bekesy audiometry. Laryngoscope. 78(4):487-97. 

Roeser, R.J., Valente, M., Hosford-Dunn, H. 2000 Audiology: Diagnosis. Theime

Fluctuating Hearing Loss: 

Reading material:

Brookhouser PE, Worthington DW, Kelly WJ. (1994). Fluctuating and/or progressive sensorineural hearing loss in children. Laryngoscope. 104(8 Pt 1):958-64. 

Kornel, S. (1998). Sensitivity and Specificity of Transtympanic Electrocochleography in Meniere's Disease. Acta Oto-Laryngologica, 118 (2), 150 – 156. 

Soderman, A.H., Bagger-Sjoback, D., Bergenius, J., Langius, A. (2002). Factors Influencing Quality of Life in Patients with Meniere's Disease, Identified by a Multidimensional Approach. Otology & Neurotology. 23(6):941-948. 

Van de Heyning, P. H., Wuyts, F., Boudewyns, A. (2005). Surgical treatment of Meniere's disease. Current Opinion in Neurology. 18(1):23-28, February 2005.

Additional Texts and/or Materials:

Axelsson, A., Borchgrevink, H.M., Hamernik, R.P., Hellstrom, P., Henderson, D., Salvi, R.J. (1996).

Scientific Basis of Noise Induced Hearing Loss. New York: Thieme Medical Publishers. RF293.5 .S26/1996

Bellis, T.J. (1996). Assessment and Management of Central Auditory Processing Disorders in the Educational Settings. From Science to Practice. San Diego, USA: Singular Publishing Group. RC394.W63 .B45/1996

Chermak, G.D. & Musiek, F.E. (1997). Central Auditory Processing Disorders: New Perspectives. San Diego, USA: Singular Publishing Group. RC394.W63 .C48/1997

Dancer, A.L. (1992). Noise Induced Hearing Loss. St. Louis, USA: Mosby-Year Book. RF293.5 .N65/1992

Estabrooks, W (Ed). (1994). Auditory Verbal Therapy: for Parents and Professionals. Washington, D.C.: Alexander Graham Bell Association for the Deaf. HV2471 .A83

Hazell, J.W.P. (1987). Tinnitus. New York, USA: Churchill Livingstone. RF293.8 .T554/1987

Katz, J., Stecker, N.A., Henderson, D. (Eds). (1992). Central Auditory Processing: A Transdisciplinary View. St. Louis, USA: Mosby Year Book. RC394.W63 .C46/1992

Henry, J.L. (2001). The Psychological Management of Chronic Tinnitus: A Cognitive Behavioural Approach Allyn & Bacon. RF293.8 .H46/2001

McPherson, D. (1996). Late Potentials of the Auditory System San Diego, USA: Singular Publishing Group. RF294.5.E87 .M39/1996

Prasher, D. & Luxon, L. (Eds). (1998). Biological effects of Noise. London: Whurr. RF293.5 .B56

Shulman, A. (1997). Tinnitus: Diagnosis and Treatment. San Diego, USA: Singular Publishing. RF293.8 .S539/1997

Tyler, R. (Ed) (2000). Tinnitus Handbook. United Kingdom: Singular. RF293.8 .T565/2000

Vernon, J & Moller, A. (1995). Mechanisms of Tinnitus. Boston: Allyn & Bacon. RF293.8 .M43/1995 

Unit Web Page:

The web page for this unit can be found at: http://www.ling.mq.edu.au/postgraduate/units/caud816/index.htm

1. Unit Overview (RB): Introduction to the diagnosis and management of the complex disorders. Review of patient-centred & person-centred care, the International Classification of Functioning & Disability, and discussion of critical thinking and teambased skills needed to diagnose and manage complex cases in healthcare. 

2. Non-organic / Psychogenic Hearing Loss (PN): Diagnosis of non-functional hearing loss and its management in the audiological setting. 

3. Cortical Auditory Evoked Potentials (CAEPs) (MS): Discussion of obligatory and discriminatory cortical potentials: CAEPs, P300 and Mismatch-Negativity (MMN) potentials, the measurement technique used and their clinical application. 

4. Tinnitus (CM): Epidemiology of tinnitus, known causes and possible physiological mechanisms, discussion of the neurophysiological model of tinnitus and the systems and processes involved in clinically-significant tinnitus (i.e. the development of a conditioned reflex). Management options and the measurement of outcomes using questionnaires Year 2 Handbook 2016 4 will be covered (Tinnitus Reaction Questionnaire, TRQ, and the Tinnitus Handicap Inventory, THI). 

5. Auditory Neuropathy Spectrum Disorder (CM) (Online): ANSD, when first identified as a new auditory disorder, called the outcomes of ABR into question as a “paradox”. Now, considerably more is known about ANSD, its multiple sites-of-lesion and options for management. Nonetheless it continues to be a challenging problem and these challenges are highlighted within this lecture. 

6. Auditory Processing: Development, Maturation and function of the auditory processing system and its dysfunction (MS): Introduction to the development and maturation of the central auditory system, including a discussion of the effect of a peripheral lesion or environmental influences on the development of the cortex. Overview of the anatomy of the auditory pathway from the cochlea to the cortex and the associated areas and the proposed function of each. Discussion of the concepts of information processing and parallel processing in the auditory system and the physiological mechanisms underlying: feature extraction; horizontal and vertical sound localisation, efferent reflex arcs of the auditory system (focussing on the acoustic reflex and the lateral and medial olivocochlear systems), integration of auditory and visual information and linguistic processing in the auditory cortex. Discussion of the key stages in the processing of spoken language and the mechanisms which could underlie an auditory processing disorder in adults. Discussion of the need for speech tests to evaluate / diagnose an auditory processing disorder, and an overview of the different types of tests used to diagnose a lesion of the auditory pathway and the specificity of these tests. 

7 & 8. Auditory Processing Disorders & Management (MS): Discussion of the tests that are currently in practice. The management strategies that are recommended and the reasoning and premise behind the theory. The lecture will present some of the research that has been undertaken to assess the efficacy of the management strategies. 

9. Vestibular Rehabilitation (YFS): Introduction to the history of vestibular rehabilitation and examples of exercises and questionnaires for unilateral and bilateral vestibular loss.

10. Sudden Hearing Loss (JN): Sudden sensorineural hearing loss requires a teamwork approach between multiple health professionals including an audiologist, ENT, and possibly psychologists. This lecture discusses the potential cause, importance of immediate medical action, outcomes and audiological management of sudden hearing loss. 

11. Classic site-of-lesion tests of auditory function as the foundation of diagnostic audiology (MS): Discussion of the classic site-of-lesion tests of audiometric tests used to assess auditory recruitment, adaptation & temporal processing. 

12. Hidden Hearing Loss (DM): Discussion of the causes and clinical implications of “hidden hearing loss”.

13. Fluctuating Hearing Loss & Unilateral Hearing Loss (JN) (Online): Discussion of the audiological diagnosis and characteristics of Meniere’s Syndrome and perilymphatic fistula and the effects of fluctuating hearing loss (as well as fluctuating symptoms of vertigo, tinnitus and aural fullness) on quality of life. Consideration of the different perspectives of medical and audiological management of Meniere’s syndrome and the need for a comprehensive approach to diagnosis and management. 

The management for unilateral hearing loss is as important as is diagnosis. Currently there is some literature on the range of difficulties the loss can cause and the potential management strategies.

14. Exam Review (RB)