BÉRARD AUDITORY INTEGRATION TRAINING

transcript

New perspectives from the international scene provide insight

into functional outcomes

Terrie Silverman, M.S.

T. Silverman Training & Consultation

Sally Brockett, M.S.

Director, IDEA Training Center

• Seeking the Root Cause

• Hearing, Listening, Processing

• Problems Affecting Hearing

• Problems Affecting Listening

• Addressing the Problems

• Results from Around the World

• Resources

Agenda

Does This Sound Familiar?

• Covers ears/fingers in ears

•Hears sounds before others

•Resists brushing teeth, hair cuts

•Has delays in language development

•Poor phonics and reading comprehension

•Easily distracted by background noise

•Can not follow verbal directions

•Has a short attention span

•Poor handwriting, spelling

Hierarchy of Development Cognitive Skills Writing Imagination

Spelling Visualization Reading Self-Esteem Arithmetic Capacity for abstract

thought and reasoningPerceptual Skills Organization Speech & Language

Attention Concentration Visual Perception Auditory Perception

Fine Motor Speech & Language Coordination Eye-Hand Coordination

Controlled Oculomotor

Gross Motor Bilateral Integration Visual-Motor Integration Coordination Balance Lateralization

Motor Planning Body Percept

Innate Reflexes Tactile Comfort Eye Movements Sucking Gravitational Security Muscle Tone Oral Motor

Basic Sensory Auditory Visual Channels Tactile Kinesthetic Vestibular Proprioceptive

Physiological Nutrient Deficiencies Inflammation Reactions Immune System Allergies

Malfunction Structure Chemical Sensitivities

I know he hears, so why doesn’t he answer?

Hearing is an unconscious transmission of sound to the brain

Listening is active focusing or tuning into sound

Processing is the ability to interpret or attach meaning to the auditory stimulus

Poor Transmission of Sounds

Ear wax – may block transmission in the outer ear canal

Ear infection/fluid – may block transmission in the middle ear

Negative Eustachian tube pressure - decreases quality of sound transmission

Ear Check - Middle Ear Monitor

• Indicates the likelihood of middle ear fluid

• Assists parents in determining when to seek medical attention

• For home and school

Potential Causes of Problems

Medications

Exposure to excessive noise

Imbalances in biochemistry: toxins, deficiencies

Illnesses that affect the auditory system

Head trauma: falls, whiplash

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Right Ear Left Ear

Audio Test

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Before AIT

Right Ear Left Ear

Audio Tests (ADHD)

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After AIT

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Before AIT

After AITRight Ear Left Ear

Audio Tests (Autism)

Hearing Quality / Learning Ability Study

Maria Vega, Sp. Ed., Spain

Age - Years

Number of Students

Typical

Learning Difficulties

Predicted By Listening Test

6 – 11

93.1 %

12 - 16 16 - 18

92.9 %

94.7 %

Problems Affecting Listening

Hypersensitivity: hearing with more intensity. Causes distractibility, distortions

Uncoordinated Hearing: each ear hears differently. Causes confusion, misunderstanding

Delayed Response Time: Slow processing of signals. May miss parts of words, hears

bits and pieces.

Problems Affecting Listening

Selectivity: difficulty hearing pitch relationships, and understanding tone of voice/emotions. May not sing on tune.

Laterality: lack of dominant ear to process all frequencies. Causes delay in processing sounds, problems with sequencing,

spelling.

How Auditory Problems Affect Learning

• Sounds Cause Distractibility, Irritability, Stress

• Difficulty with Processing Reduces Attention Span

• Difficulty with Processing Reduces Memory

• Timing Delays Distort the Message

• Distortion of Speech Sounds Affects Phonics

Addressing the Problems

Berard Auditory Integration TrainingRequires listening to modulated music for 10 hrs. to stimulate reorganization of

auditory system

Neural Plasticity: allows the brain to reorganize when given novel stimulation with intensity and repetition. Creates new neural connections for a more efficient system

Bérard Protocol

• 30 minutes each session

• 2 times per day w/ at least 3 hours in between

• 3 years of age and older

• Headphones

• Limited Distractions

• Provided directly (on-site) by the Berard practitioner

Bérard Protocol

Berard AIT Equipment is evaluated and proven effective.

Currently two devices are accepted:

• Earducator

• Audiokinetron

Auditory Stimulation

Visual System Auditory System Vestibular System

Observed Benefits

Auditory Integration Visual Motor Integration Attention Modulation Visual Spatial Orientation Memory Motor Planning Sensory Integration Motor Coordination Affective behavior Oral-Motor Academic Learning

Berard

Results from Around the World

Berard protocol is easily replicable

Practitioners in 27 countries obtain similar results when following the protocol and using Berard AIT devices

Sensory Integration Checklist

0 2 4 6 8

Median Change (%)

Months

79% Improvement

Sample Size = 14IDEA Training Center

Sensory Dysfunction (Decrease)

Short Sensory Profile (SSP) Change During 6 Months Post AIT

N = 54

Pre AIT Post AIT 1 Mo. 6 Mo.

Typical Performance < 10% > 30% > 40%

Probable Difference < 20% > 30% ~ 20%

Definite Difference > 70% > 30% > 30%

Attention Deficit Disorders Evaluation Scale

Percentile - Median

Months After AIT

Gain of 24 Percentile Points

0 2 4 6N = 48

Percentile Scores Pre Post-AIT

Filtered Words 50 84

Figure Ground 37 75

Competing Words 84 84

Competing Sentences 50 63

Composite Total Score 55 86

Test for Auditory Processing Disorders for Children (SCAN-C)

SCAN-A: Test for Auditory Processing Disorders in Adolescents and Adults

Results for 38 Year Old Male

IDEA Training Center April 2006

Percentile

Filtered Words

Figure Ground

Competing Words

Competing Sentences

Total Test

Pre-AIT 6 Mos. Post AIT

PHELPS Kindergarten Readiness Scale Pre/Post AIT Results

5 year old boy

Percentile Rank Pre AIT Post AIT

Verbal Processing 25 75

Perceptual Processing 9 50

Auditory Processing < 1 91

Total Readiness Score 3 77

Test of Problem Solving

Before AIT After AIT

Explaining Inferences 4.4 5.1 9.7

Determining Causes 5.10 5.10 11.1

Negative Why Questions 6.5 6.11 8.10

Determining Solutions 5.11 6.5 9.10

Avoiding Problems 6.6 6.6 9.9

Chronological Age: 7 yr. 8 yr. 9 yr.

Age Equivalent Scores

COLORING - 5 Year Old

After 6 days of AIT

Before AIT

Handwriting - 7 year old

After 6 Days of AITBefore AIT

HandwritingBefore AIT

6 Months After AIT

Doaa El Hadary, M.D., Egypt

Autism Treatment Effectiveness Checklist (ATEC)

4 Year Old Boy

Areas Pre-AIT Post-AIT (1 yr.) % Change

Speech/Communication 26 10 62

Sociability 35 11 69

Sensory/Cognitive 29 18 38

Health/Physical/ 54 22 59 Behavior

Total Scores 144 61 58

Isamar Gonzalez, M.S. Audiologist: Puerto Rico

Aberrant Behavior Checklist

Areas Pre-AIT Post-AIT (2 mo.) % Change

Irritability 27 11 59

Lethargy 14 6 57

Stereotypy 8 1 87

Hyperactivity 30 17 43

Inappropriate Speech 3 2 63

5 Year Old Boy

Isamar Gonzalez, M.S., Audiologist: Puerto Rico

Autism Treatment Effectiveness Checklist (ATEC)

5 Year Old Boy

Areas Pre-AIT Post-AIT (2 mo) % Change

Speech/Communication 16 6 62

Sociability 14 15 -7

Sensory/Cognitive 7 4 43

Health/Physical/ 25 13 48 Behavior

Total Scores 62 38 39

Berard’s Method Center, Antalya, TurkeyLars Persson, Berard AIT Practitioner

Date of Study: 2005 – 2006

Number of Subjects: 52 Age Range: 8 – 18 yrs.

Functioning Level: normal, or with minor attention/ concentration difficulty, placement in regular

education program.

Data: Baseline rating form, repeated at 6 months post-AIT

Items % change 1. Evaluate your ability to maintain focus on a task of your choice 15

2. Evaluate your ability to maintain focus on a task choosen by your teacher 92

3. Evaluate your state of alert getting started on a task 61

4. Evaluate your motivation performing tasks/ solving problems 42

5. Evaluate your working memory 64

6. Evaluate your long term memory 37

7. Evaluate your stress level at tests/exams (reversed scale) 180

8. Evaluate your self confidence 51

9. Evaluate your determination, will power and endurance 71

10. Evaluate anxieties, fears, feelings of insecurity (reversed scale) 76

11. Evaluate your sleeping situation 81

12 Evaluate your distractability by back ground sounds when performing tasks (reversed scale) 108

Total improvement, mean value on 12 variables: 73%

Items % Change

Summary of 28 AIT Studies

Population

Positive

Ambiguous

Questionable

Visit berardaitwebsite.com/sait for details

Autism 13 2 1 ADHD 4 0 0

CAPD 2 0 1

Mixed Populations 2 0 1

Animals (chicks) 2 0 0

AIT for You – Terrie Silverman, M.S. Speech Pathology, Board of Directors for Berard AIT International Society, Member of Autism Society of America, Developmental Delay Resources.

www.aitforyou.com

IDEA Training Center – Sally Brockett, M.S. Berard AIT Instructor/Practitioner, Special Ed Consultant, Founder and President of Berard AIT International Society, Member of Autism Society of America, Developmental Delay Resources

www.IdeaTrainingCenter.com

Resources

• Dr. Guy Bérard• Hearing Equals Behavior

• Books by Annabel Stehli:• Sound of a Miracle• Dancing in the Rain• Sound of Falling Snow

ResourcesOfficial Berard AIT Website

www.berardaitwebsite.com

International List of Berard AIT Practitioners www.berardaitwebsite.com/PracList.htm

Berard AIT International Societywww.berardaitwebsite.com/BAITIS.htm

Dr. Guy Berard: www.drguyberard.com

Official Website for the Earducatorwww.earducator.com

Autism Research Institutewww.autism.com

Resources

hearinglosshelp.com/articles/ototoxicaudiology.htm

hearinglosshelp.com/articles/ototoxicupheaval.htm

Ototoxicity Information

EarCheck Middle Ear Monitor Information

www.earcheck.com

Berard AIT efficiently producespositive functional outcomes

Documented Results

Berard AIT Improves Quality of Life!

BÉRARD AUDITORY INTEGRATION TRAINING

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