Click Ordering Lateralization Test: Applicability and feasibility of a new paradigm for assessing sound lateralization behavior.

Int J Pediatr Otorhinolaryngol

Department of Physical Therapy, Speech-Language Pathology and Occupational Therapy, Medical School, University of São Paulo, São Paulo, 05360-160, Brazil.

Published: January 2025

AI Article Synopsis

  • The study examined a new method for testing how well children can tell the direction of sounds.
  • The Click Ordering Lateralization Test involved two tracks with 54 trials each, where kids identified the side they first heard noise bursts separated by different time intervals.
  • Results showed that the method is reliable, with no significant differences between tracks, and it is suitable for assessing sound lateralization in children aged 8 to 14.

Article Abstract

Objective: the present study aimed to investigate the applicability and feasibility of a new paradigm for assessing sound lateralization behavior.

Design: The Click Ordering Lateralization Test comprises two tracks (tracks 1 and 2), with 54 trials each. Each trial consists of one of nine intervals ranging from 0 to 230 ms between two noise bursts, whereby subjects must indicate on which side they first heard the noise. The COLT procedure was applied to 30 normal-hearing children (between 8 and 14 years old).

Results: the results indicated that an interaural time difference (ITD) of 0 ms functions as a control item, and after an ITD of 170 ms, the lateralization threshold reaches a ceiling effect. Different analysis methods were investigated in this study, with the total percentage score and a lateralization threshold of 5 hits deemed the most reliable methods. No differences were observed between test tracks and performance across the tracks was shown to be reliable and equivalent.

Conclusions: there are few procedures available to assess sound laterization in a clinical setting. This study presents the COLT as an easy-to-apply, reliable test for use in children aged between 8 and 14 years old.

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http://dx.doi.org/10.1016/j.ijporl.2025.112215DOI Listing

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  • Results showed that the method is reliable, with no significant differences between tracks, and it is suitable for assessing sound lateralization in children aged 8 to 14.
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