auditory disability characterised by difficulty in hearing speech in the presence of background noise in conjunction with the finding of normal hearing test results

.It is an example of auditory processing disorder (APD) or auditory disability with normal hearing (ADN).

Hi Rabee

Thanks for answering the question, but that isn't really what I was asking

I know what the condition is and its definition

I am asking about the most effective management strategy for patients with this condition.

Do you have a management strategy answer, for effective rehabilitation of the patient concerned.

Thanks

Chris

I,m sorry.

????????

Hai Chris, 

As we know individuals with King–Kopetzky syndrome has similar features as childrens with CAPD. So similar management program can work well. Fitting of FM devices or hearing aid can also a part of management. 

I agree somewhat with Himanshu, but I want to add that in my view many cases of CAPD is caused by slow or lacking maturation of the auditory system. This means that training is a very important part of the management. Older patients that develop problems with age is more likely to have undetected cochlear damage, and in that case training is less useful. I'm not saying that it won't help but I would focus more on other strategies like behavioural or environmental modifications. Or as mentioned FM devices or hearing aids.

Thanks Christian Brandt

Hello all, KKS (King Kopetzky syndrome) is the condition of complains and dificulties understanding speech in background noise but has normal hearing thresholds on pure tone audiometry. KKS is a relatively comon condition and recognized as a clinically unique group in the audiological or ENT clinics (about 1–10%). The absence of any abnormal audiometric findings to explainn their hearing difficulties leaves the clinicians or audiologists with a diagnostic dilemma and presents difficulties in dealing with the patients.

Consequently, not long time ago they have often simply been reasured or even been recognized as non-organic hearing loss or psychological or neurotic. With developments in audiological technology and in hearing physiology, comprehensive test protocols have been developed to identify the possible patogenesis underlying patients with KKS. 

Thanks, Sebastian Gimenez MD

Hi Chris,

In my practice, I would propose a therapy programme for listening to speech in different noise settings, similar to that of HA or CI users.

Starting with detection of vocalic vowel sounds (different frequency range from the noise source), then combination of vowels and voiced consonants, recognition of closed-set words/phrases.

Lip-reading skills (LRS) are a must in such a case. Once the patient has improved his/her onset LRS level, I use Speech-tracking exercices with and then without lip-reading. for the next step,

I complicate the noise source, from "easy" settings to more "complicated and intricate" ones. Then, increase the distance between the listener and the source of speech. I do some dichotic exercises as well.

Sometimes, relaxation sessions help in noise and stress management.

The aim of all these is to rehabiliate the brain to focus differently and be able to follow a stimulus as needed..

This approach seem to work for most of my patients. But like colleagues working in this field, there will always be that small challenging population which baffles our clinical practice.

I hope this helps in your search.

All the best,

Geraldine