Hearing loss and auditory processing issues are two distinct conditions affecting children’s ability to understand and interpret sounds in their environment. While they may share some similarities, such as difficulty with speech and language development, they require different approaches to diagnosis, intervention, and management.

Hearing Loss vs. Auditory Processing Disorder

Hearing loss refers to a reduced ability to hear sounds and can range from mild to profound. This can be caused by various factors, including:

• Genetics
• Conditions that occur in utero 
• Infections
• Exposure to loud noises
• Structural abnormalities in the ear

Children with hearing loss may have difficulty detecting soft sounds, understanding speech, and localising where sounds are coming from.

On the other hand, auditory processing disorder (APD) involves difficulty processing and interpreting auditory information in parts of the auditory system in or after the ear, despite having normal hearing sensitivity. Children with APD may struggle with tasks such as following directions, understanding speech in noisy environments, and discriminating between similar sounds.

Challenges and Implications

Both hearing loss and APD can impact a child’s language development, academic performance, social interactions, and overall quality of life. Without appropriate intervention, these challenges can persist into adulthood and affect various aspects of functioning.

Diagnosis

Diagnosing hearing loss typically involves a comprehensive diagnostic hearing test, which includes tests to assess hearing sensitivity and the type and degree of hearing loss. In contrast, diagnosing APD is more complex. Audiologists use a test battery that isolates certain skills, such as being able to separate or join sounds, being able to identify rhythm and pitch sequences, being able to associate sounds with their meanings, and being able to fill in missing information when sound is incomplete or distorted, to mention a few. 

Early Intervention and Management:

Early intervention is crucial for children with hearing loss or APD to maximise their potential for speech and language development. For children with hearing loss, intervention may include hearing aids, cochlear implants, auditory-verbal therapy, or sign language instruction, depending on the degree and type of hearing loss.

For children with APD, intervention focuses on improving auditory processing skills and compensating for deficits. This may involve auditory training exercises and auditory processing therapy with an audiologist, environmental modifications to reduce background noise, and strategies to improve listening comprehension and academic performance. Sometimes, help may extend to speech-language therapy or occupational therapy to help with skills that have been impacted by the underlying auditory processing challenges. 

Whether It’s Hearing Loss or APD, We Can Help

While hearing loss and auditory processing disorders present unique challenges, early detection, diagnosis, and intervention are key to minimising the impact on children’s development and functioning. At NB Hearing and Balance, our team of professional audiologists can help children with hearing-related difficulties thrive and reach their full potential by implementing appropriate support and management strategies for parents, educators, and other healthcare professionals.

Contact any of our Cape Town offices, conveniently located in Sea Point, Durbanville, Hout Bay, Wynberg, and Noordhoek (Fish Hoek area) on 021 203 4327.