How does perception process hearing information

Auditory perception

Auditory processing and perception disorders are described as central hearing disorders in which the transmission and processing of hearing and speech information in the brain causes difficulties. The peripheral hearing is inconspicuous. AVWST occur in isolation or in combination with e.g. language development disorders, reading, writing, learning disabilities and attention disorders with and without hyperactivity. The frequency of this disorder is determined in scientific studies by Chermak and Musiek (1997) indicated with 2-3%.




Symptoms include:

  • Delayed or no response to speech
  • Listen carefully to problems
  • Difficulty assessing the direction and distance of sounds
  • Difficult understanding of language under background noise
  • Shortened hearing span: children often ask questions and do not fully understand what they hear
  • Pronunciation difficulties: unclear speaking, omitting and swapping syllables, sounds and word endings
  • Difficulty distinguishing similar sounding sounds
  • Difficulty making out the sounds and sequences of sounds in a word
  • Difficulty adding fragments of words or sentences that have been heard to meaningful auditory information
  • Difficulty reading, writing and understanding texts


In our practice, diagnostics include a medical consultation and physical examination as well as an extensive series of pediatric audiological examinations. If necessary, we supplement an in-depth psychological test of hearing perception, receptive and expressive linguistic abilities, concentration and attention guidance, as well as cognitive performance by our certified psychologist and speech therapist.

Detailed advice on support and therapy is a matter of course.

The pediatric audiological examination procedures include:

  • ENT assessment with examination of the peripheral hearing ability
  • Review of otoacoustic emissions
  • Number sequence memory ZFG
  • Mottier test
  • Auditory span with sentences
  • Speech discrimination in background noise
  • Hanover's sound discrimination test HLDT
  • double ear number test in background noise BZT
  • Tests for dichotic hearing processing with sounds and words (Uttenweiler, Feldmann)
  • Tests with time-compressed speech
  • Auditory field scaling
  • i.a.