BÉRARD AUDITORY INTEGRATION TRAINING

1. BÉRARD AUDITORY INTEGRATION TRAINING New perspectives from the international scene provide insight into functional outcomes Terrie Silverman, M.S. T. Silverman Training & Consultation Sally Brockett, M.S. Director, IDEA Training Center

2. Agenda • Seeking the Root Cause • Hearing, Listening, Processing • Problems Affecting Hearing • Problems Affecting Listening • Addressing the Problems • Results from Around the World • Resources

3. Does This Sound Familiar? • Covers ears/fingers in ears • Hears sounds before others • Resists brushing teeth, hair cuts • Has delays in language development • Poor phonics and reading comprehension • Easily distracted by background noise • Can not follow verbal directions • Has a short attention span • Poor handwriting, spelling

4. Hierarchy of Development Cognitive SkillsWriting Imagination Spelling Visualization Reading Self-Esteem Arithmetic Capacity for abstract thought and reasoning Perceptual SkillsOrganization Speech & Language Attention Concentration Visual Perception Auditory Perception Fine MotorSpeech & Language CoordinationEye-Hand Coordination Controlled Oculomotor Gross MotorBilateral Integration Visual-Motor Integration CoordinationBalance Lateralization Motor Planning Body Percept Innate ReflexesTactile Comfort Eye Movements Sucking Gravitational Security Muscle Tone Oral Motor Basic SensoryAuditory Visual ChannelsTactile Kinesthetic Vestibular Proprioceptive Physiological Nutrient Deficiencies Inflammation ReactionsImmune System Allergies Malfunction Structure Chemical Sensitivities

5. I know he hears, so why doesn’t he answer? • Hearing is an unconscious transmission of sound to the brain • Listening is active focusing or tuning into sound • Processing is the ability to interpret or attach meaning to the auditory stimulus

6. Poor Transmission of Sounds Ear wax – may block transmission in the outer ear canal Ear infection/fluid – may block transmission in the middle ear Negative Eustachian tube pressure - decreases quality of sound transmission

7. Ear Check - Middle Ear Monitor • Indicates the likelihood of middle ear fluid • Assists parents in determining when to seek medical attention • For home and school

8. Potential Causes of Problems Medications Exposure to excessive noise Imbalances in biochemistry: toxins, deficiencies Illnesses that affect the auditory system Head trauma: falls, whiplash

9. 2000 2000 8000 8000 3000 3000 6000 6000 1000 4000 4000 1000 1500 1500 750 250 250 750 500 500 125 125 10 10 0 0 10 10 20 20 30 30 40 40 50 50 60 60 Audio Test Right Ear Left Ear

10. 2000 2000 2000 2000 8000 8000 8000 3000 3000 3000 8000 3000 6000 6000 6000 1000 4000 4000 4000 6000 1000 1000 1500 4000 1000 1500 1500 1500 750 250 250 250 250 750 750 750 500 500 500 500 125 125 125 125 10 10 10 10 0 0 0 0 10 10 10 10 20 20 20 20 30 30 30 30 40 40 40 40 50 50 50 50 60 60 60 60 After AIT Audio Tests (ADHD) Before AIT Right Ear Left Ear

11. 2000 2000 2000 2000 8000 8000 8000 3000 3000 3000 8000 3000 6000 6000 6000 4000 4000 4000 6000 1000 1000 1000 4000 1000 1500 1500 1500 1500 750 250 250 250 250 750 750 750 500 500 500 500 125 125 125 125 10 10 10 10 0 0 0 0 10 10 10 10 20 20 20 20 30 30 30 30 40 40 40 40 50 50 50 50 60 60 60 60 Audio Tests (Autism) Before AIT Right Ear Left Ear After AIT

12. Hearing Quality / Learning Ability Study Maria Vega, Sp. Ed., Spain Age - Years 6 – 11 12 - 16 16 - 18 60 50 48 Number of Students 30 36 Typical 29 30 14 19 Learning Difficulties 93.1 % 92.9 % 94.7 % Predicted By Listening Test

13. Problems Affecting Listening • Hypersensitivity: hearing with more intensity. Causes distractibility, distortions • Delayed Response Time: Slow processing of signals. May miss parts of words, hears bits and pieces. • Uncoordinated Hearing: each ear hears differently. Causes confusion, misunderstanding

14. Problems Affecting Listening • Selectivity: difficulty hearing pitch relationships, and understanding tone of voice/emotions. May not sing on tune. • Laterality: lack of dominant ear to process all frequencies. Causes delay in processing sounds, problems with sequencing, spelling.

15. How Auditory Problems Affect Learning • Sounds Cause Distractibility, Irritability, Stress • Difficulty with Processing Reduces Attention Span • Difficulty with Processing Reduces Memory • Timing Delays Distort the Message • Distortion of Speech Sounds Affects Phonics

16. Addressing the Problems Berard Auditory Integration Training Requires listening to modulated music for 10 hrs. to stimulate reorganization of auditory system Neural Plasticity: allows the brain to reorganize when given novel stimulation with intensity and repetition. Creates new neural connections for a more efficient system

17. Bérard Protocol • 30 minutes each session • 2 times per day w/ at least 3 hours in between • 3 years of age and older • Headphones • Limited Distractions • Provided directly (on-site) by the Berard practitioner

18. Bérard Protocol Berard AIT Equipment is evaluated and proven effective. Currently two devices are accepted: • Earducator • Audiokinetron

19. Observed Benefits Auditory Integration Visual Motor Integration Attention Modulation Visual Spatial Orientation Memory Motor Planning Sensory Integration Motor Coordination Affective behavior Oral-Motor Academic Learning Berard Auditory Stimulation Visual System Auditory System Vestibular System

20. Results from Around the World Berard protocol is easily replicable Practitioners in 27 countries obtain similar results when following the protocol and using Berard AIT devices Berard AIT

21. Sensory Integration Checklist Sensory Dysfunction (Decrease) Median Change (%) 79% Improvement Months Sample Size = 14 IDEA Training Center

22. Short Sensory Profile (SSP) Change During 6 Months Post AIT N = 54 Pre AITPost AIT1 Mo.6 Mo. Typical Performance < 10% > 30% > 40% Probable Difference < 20% > 30% ~ 20% Definite Difference > 70% > 30% > 30%

23. Attention Deficit Disorders Evaluation Scale Percentile - Median Gain of 24 Percentile Points 60 50 40 30 20 0 2 6 4 Months After AIT N = 48

24. Test for Auditory Processing Disorders for Children (SCAN-C) Percentile Scores Pre Post-AIT Filtered Words 50 84 Figure Ground 37 75 Competing Words 84 84 Competing Sentences 50 63 Composite Total Score 55 86

25. SCAN-A: Test for Auditory Processing Disorders in Adolescents and Adults Results for 38 Year Old Male Percentile Competing Words Competing Sentences Total Test Figure Ground Filtered Words IDEA Training Center April 2006 Pre-AIT 6 Mos. Post AIT

26. PHELPS Kindergarten Readiness Scale Pre/Post AIT Results 5 year old boy Percentile Rank Pre AIT Post AIT Verbal Processing 25 75 Perceptual Processing 9 50 Auditory Processing < 1 91 Total Readiness Score 3 77

27. Test of Problem Solving Age Equivalent Scores Before AIT After AIT Chronological Age: 7 yr. 8 yr. 9 yr. Explaining Inferences 4.4 5.1 9.7 Determining Causes 5.10 5.10 11.1 Negative Why Questions 6.5 6.11 8.10 Determining Solutions 5.11 6.5 9.10 Avoiding Problems 6.6 6.6 9.9

28. COLORING - 5 Year Old Before AIT After 6 days of AIT

29. Handwriting - 7 year old Before AIT After 6 Days of AIT

30. 6 Months After AIT Handwriting Before AIT

31. Doaa El Hadary, M.D., Egypt Autism Treatment Effectiveness Checklist (ATEC) 4 Year Old Boy Areas Pre-AIT Post-AIT (1 yr.) % Change Speech/Communication 26 10 62 Sociability 35 11 69 Sensory/Cognitive 29 18 38 Health/Physical/ 54 22 59 Behavior Total Scores 144 61 58

32. Isamar Gonzalez, M.S. Audiologist: Puerto Rico Aberrant Behavior Checklist 5 Year Old Boy Areas Pre-AIT Post-AIT (2 mo.) % Change Irritability 27 11 59 Lethargy 14 6 57 Stereotypy 8 1 87 Hyperactivity 30 17 43 Inappropriate Speech 3 2 63

33. Isamar Gonzalez, M.S., Audiologist: Puerto Rico Autism Treatment Effectiveness Checklist (ATEC) 5 Year Old Boy Areas Pre-AIT Post-AIT (2 mo) % Change Speech/Communication 16 6 62 Sociability 14 15 -7 Sensory/Cognitive 7 4 43 Health/Physical/ 25 13 48 Behavior Total Scores 62 38 39

34. Berard’s Method Center, Antalya, Turkey Lars Persson, Berard AIT Practitioner Date of Study: 2005 – 2006 Number of Subjects: 52 Age Range: 8 – 18 yrs. Functioning Level: normal, or with minor attention/ concentration difficulty, placement in regular education program. Data: Baseline rating form, repeated at 6 months post-AIT

35. Items% change 1. Evaluate your ability to maintain focus     on a task of your choice                                      15 2. Evaluate your ability to maintain focus     on a task choosen by your teacher                       92 3. Evaluate your state of alert     getting started on a task                                        61 4. Evaluate your motivation performing tasks/     solving problems                                                  42 5. Evaluate your working memory               64 6. Evaluate your long term memory              37

36. 7. Evaluate your stress level at tests/exams   (reversed scale)                                                 180 8. Evaluate your self confidence                         51 9. Evaluate your determination, will power     and endurance                                                      71 10. Evaluate anxieties, fears, feelings of insecurity (reversed scale)                                             76 11. Evaluate your sleeping situation                     81 12  Evaluate your distractability by back ground sounds when performing tasks (reversed scale) 108    Total improvement, mean value on 12 variables: 73% Items% Change

37. Summary of 28 AIT Studies Questionable Ambiguous Population Positive Autism 13 2 1 ADHD 4 0 0 CAPD 2 0 1 Mixed Populations 2 0 1 Animals (chicks) 2 0 0 Visit berardaitwebsite.com/sait for details

38. Resources AIT for You – Terrie Silverman, M.S. Speech Pathology, Board of Directors for Berard AIT International Society, Member of Autism Society of America, Developmental Delay Resources. www.aitforyou.com IDEA Training Center – Sally Brockett, M.S. Berard AIT Instructor/Practitioner, Special Ed Consultant, Founder and President of Berard AIT International Society, Member of Autism Society of America, Developmental Delay Resources www.IdeaTrainingCenter.com

39. Resources • Dr. Guy Bérard • Hearing Equals Behavior • Books by Annabel Stehli: • Sound of a Miracle • Dancing in the Rain • Sound of Falling Snow

40. Resources Official Berard AIT Website www.berardaitwebsite.com International List of Berard AIT Practitioners www.berardaitwebsite.com/PracList.htm Berard AIT International Society www.berardaitwebsite.com/BAITIS.htm Dr. Guy Berard: www.drguyberard.com Official Website for the Earducator www.earducator.com Autism Research Institute www.autism.com

41. Resources EarCheck Middle Ear Monitor Information www.earcheck.com Ototoxicity Information hearinglosshelp.com/articles/ototoxicupheaval.htm hearinglosshelp.com/articles/ototoxicaudiology.htm

42. Documented Results Berard AIT efficiently produces positive functional outcomes

43. Berard AIT Improves Quality of Life!