Comprehensive CAPD Intervention Approaches

Comprehensive CAPD Intervention Approaches.

Due to the heterogeneous nature of CAPD, there exists the need of a multidisciplinary approach towards its clinical assessment, differential diagnosis and specific intervention. The three possible comprehensive approaches incorporating the bottom up and top down approaches which can be
concurrently used in the treatment of CAPD includes: environmental modification, compensatory strategies and direct skill training. The application of appropriate therapeutic approaches addressing specifically each of the auditory deficits of CAPD as may be necessary, facilitates
proper listening, learning, language and metacognitive skills.

It is crucial to understand that clinical intervention should begin immediately following appropriate diagnosis and identification of specific auditory deficits for CAPD in adults and children. Intensive training to mediate cortical reorganisation and findings based on neural
plasticity in CAPD patients help generalize and reduce functional deficits to support learning and the development of language and metacognitive skills as an important consideration. Individualized intervention of CAPD is of prime importance and must take into account the
comprehensive approaches for clinical intervention such as: environmental modification, central resource training and tailored auditory training. As a whole, a multidisciplinary approach to
clinical intervention is required to perform complete treatment based on the overall functional
requirements and complaints of patients diagnosed with CAPD including adults and children.

Although, the higher order cognitive-communicative and or language related functional skills such as phonological awareness, attention to and memory for auditory synthesis, comprehension and intervention remains unaffected. Due to the heterogeneous nature of CAPD, there exists the need to implement a multidisciplinary approach towards the assessment, differential diagnosis and specific intervention for the condition.

Otolaryngol Open J. 2017; SE(1): S24-S28. doi:10.17140/OTLOJ-SE-1-106