Activity Limitation and Participation Restriction in Adults with Auditory Neuropathy Spectrum Disorder
Journal Title: Harsukh Educational Charitable Society International Journal of Community Health and Medical Research - Year 2017, Vol 3, Issue 2
Abstract
Background: Auditory Neuropathy Spectrum Disorder (ANSD) isa hearing disorder which may be Abstract characterized by normal or near normal hearing, or hearing loss ranging between mild to severe; but always associated with pronounced difficulty in speech recognition. This difficulty in speech recognition can affect communication in all situations, subsequently causing activity limitation and participation restriction in the affected individual. The current study aims to study the extent of activity limitation and participation restriction in adults with ANSD using a clinician developed tool. Material and Methods: Data was obtained from a sample of 23 adults with bilateral ANSD ranging in age between 18 and 52 years. The hearing status of the participants ranged from normal hearing sensitivity to severe hearing loss.A tool was developed based on ICF framework, including body functions, activities and participation and environmental factors. It consists of 83 statements spanning ten domains. Each statement was rated using a 5-point scale i.e. always, often, sometimes, seldom and never to indicate the frequency with which the participant experienced that phenomenon. Results: Every adult whoparticipatedinthestudyfacedactivitylimitationandparticipation restriction in all domains.However severe difficulty was faced in domain s of sensory functions and pain, learning,communicationanddomesticlife. Moderate problem was experienced in domains of mental functions, general tasks and demands,interpersonalrelationsandinteractions,major life areas, community and social life and supports and relationships.Conclusions: Results imply considerable activity limitation and participation restriction in adults with ANSD. Such information can help the clinician to address specific problems during intervention; especially considering that patients with ANSD do not get adequate benefit from amplification devices.
Authors and Affiliations
Anuja Sonawane, Aparna Nandurkar
Keywords
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