Minutes

NDIA Hearing Focus Group - Journal Club

Held Friday 28 July 2023 via Teams, 10:00 am – 11:00am (WST)

Attended: San redacted Person | Peta s47F - person Note Taker| Jane 47F - Perso Apologies Leeanne 47F - Personal Jean 47F - Person

Articles Read and Discussed

• Kaipuzha R.R., Pulimoottil D.T Bakshi S.S & Surianarayanan G(2021).Amblyaudia:A common diagnosis or exclusion? Saudi J Otorhinolaryngology Head Neck Surgery ,23{4},p-133.
• Moncrieff D Keith W Abramson M Swann A.(2017) Evidence binaural integration benefits following ARRA training for children adolescents diagnosed with Amblyaudia.International journal Audiology56{8} p–580 to — Journal club attendees discussed the articles as follows: Both reported that amblyaudia is an abnormally large asymmetry between two ears on a dichotic listening task in persons normal hearing both ears. It suggested this evidence of auditory processing disorder APD caused by previous period symmetrical hearing loss which has now resolved Both suggest not unexpected event incident temporary fluctuating hearing loss children middle ear conditions very high up preschoolers affected by middle ear infections fluid build upper respiratory tract infection authors report when child suffers temporary asymmetrical hearing loss developmental period may trigger maladaptive plasticity brain resulting long term amblyaudia after return normal This process occurs developing brain must map itself using timing volume cues develop ability localize sounds pick signal background noise one ear having hearing loss disrupts dominant compensate liken visual system lazy eye Without treatment person will demonstrate difficulties attention reading speech comprehension Authors recommend use dichotomous tests screen condition form reducing input dominate during dichotomy tasks or short-term intervention programs such as ARIA (Auditory Rehabilitation Interaurial Asymmetry can be effective. Kaipuzha et al 21 report severity criterion based interaural symmetry follow: - borderline mild moderate moderately severe and redacted s

As above,

the authors report that Amblyaudia can be alleviated through intervention. Treatment is always reduction sound stronger ear during dichotic listening tasks strengthen weaker similar patching stronger eye Lazy effect followed gradual increase volume once improved until both ears performing same reported short term use auditory program ARIA stress must before fitting remote microphone systems Without step likely make worse providing even greater input to strongear Moncrieff et al (2017) examined effectiveness ARIA in children adolescents aged between diagnosed with varying degrees standardized APD dichotic tests all enrolled training across clinical sites All had normal hearing between The AHRIA runs weeks subjects dominance using dichotictesting tested pre post again months post results study showed provided improvement for at end greatest asymmetry beginning ARIATraining also no decline follow up testing after completion word suggesting ongoing cases Journal Club members following Both articles good overview Amblyaudia background research related evidence presented suggests beneficial overcoming complex condition requires effective thorough testing suitably qualified and trained Audiologists treatment application FM system way as practice many may cause more harm than good Overall participants felt studies very useful further on this topic would welcome END