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Effect of age on Gaps-In-Noise test in pediatric population
Naema M Ismaail1, Amany A Shalaby2, Ola A Ibraheem3
1Audio-vestibular Medicine Unit, Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine (Girls), University of AL-Azhar, Cairo, Egypt.
Insights
Auditory temporal resolution, assessed using the Gaps-In-Noise test, is fully developed by age 5. School-age children demonstrate adult-like performance, validating the test for clinical use.
Area of Science:
- Auditory neuroscience
- Developmental audiology
- Speech and hearing science
Background:
- Central auditory processing, crucial for speech comprehension, matures throughout childhood.
- Auditory temporal resolution, the ability to detect brief changes in sound, is a key component of central auditory processing.
- The Gaps-In-Noise (GIN) test is a widely used tool to assess auditory temporal resolution.
Purpose of the Study:
- To investigate the impact of central maturation on auditory temporal resolution in school-aged children.
- To establish normative data for the Gaps-In-Noise test in children aged 6-16 years.
- To determine the age at which auditory temporal resolution, as measured by the GIN test, reaches adult-like levels.
Main Methods:
- The study included 180 children aged 6-16 years with normal hearing and cognitive abilities.
- Participants were divided into four age subgroups for comparative analysis.
- Standard audiological evaluations and central auditory processing screening were conducted, followed by the Gaps-In-Noise test.
Main Results:
- No significant age-related differences were found in Gaps-In-Noise test performance among the four age subgroups.
- Children's approximate gap detection thresholds were comparable to established adult norms.
- The results showed consistency across different ears, genders, test lists, and retest conditions.
Conclusions:
- Central auditory maturation of temporal resolution is complete by age 5 years.
- The Gaps-In-Noise test yields adult-like normative data in school-aged children.
- The GIN test's stability and reliability support its clinical utility for assessing and monitoring temporal resolution deficits.
Objectives:
The main objective was to examine the effect of central maturation on the auditory temporal resolution in a group of school-age children using Gaps-In-Noise test.
Methods:
The study involved 180 children (6-16 years) with normal hearing, average intelligence and language skills, and adequate scholastic achievement. Subjects were divided into four age subgroups. Investigations involved basic audiological evaluation, screening test battery for central auditory processing, and finally Gaps-In-Noise test.
Results:
Comparison of the four age subgroups revealed non-significant age effect on the Gaps-In-Noise test. The approximate gap detection threshold of children was comparable to that of adults. Equivalent data were obtained as a function of the ear, gender, list, and retest.
Conclusion:
Central auditory maturation of the temporal resolution and hence the Gaps-In-Noise test has been established by age 5 years. Consequently, assessment of Gaps-In-Noise test in school-age children provided adult-like normative data. The stability of outcomes across different factors highlights the clinical validity of Gaps-In-Noise test in the assessment of temporal resolution deficit and follow-up after remediation.
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