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Click Ordering Lateralization Test: Applicability and feasibility of a new paradigm for assessing sound
Elizabeth Della Colette1, Carlos Alberto Leite Filho1, Camila Maia Rabelo1
1Department of Physical Therapy, Speech-Language Pathology and Occupational Therapy, Medical School, University of São Paulo, São Paulo, 05360-160, Brazil.
International Journal of Pediatric Otorhinolaryngology
|January 7, 2025
Summary
The Click Ordering Lateralization Test (COLT) offers a new, reliable method for assessing sound lateralization in children. This test is easy to administer and effective for evaluating auditory behavior in young individuals.
Area of Science:
- Auditory Neuroscience
- Psychoacoustics
- Pediatric Audiology
Background:
- Assessing sound lateralization is crucial for understanding auditory processing.
- Limited clinical tools exist for evaluating sound lateralization in children.
Purpose of the Study:
- To evaluate the applicability and feasibility of a novel paradigm for sound lateralization assessment.
- To introduce and validate the Click Ordering Lateralization Test (COLT) for pediatric use.
Main Methods:
- The Click Ordering Lateralization Test (COLT) involves 54 trials per track, with participants identifying the initial noise burst side.
- Interaural time differences (ITDs) from 0 to 230 ms were used.
- The COLT was administered to 30 normal-hearing children aged 8–14 years.
Main Results:
- An interaural time difference (ITD) of 0 ms served as a control, while a 170 ms ITD showed a ceiling effect.
- The total percentage score and a lateralization threshold of 5 hits were identified as the most reliable analysis methods.
- Performance was consistent and reliable across both test tracks.
Conclusions:
- The Click Ordering Lateralization Test (COLT) is a practical and reliable tool for assessing sound lateralization in children aged 8–14.
- The COLT addresses the need for more clinical procedures to evaluate auditory behavior in pediatric populations.

