Auditory-evoked response morphology in profoundly-involved multi-handicapped children: comparisons with normal infants and children.

The developmental and difference/defect theories have been used to explain auditory development in some multi-handicapped children. If developmental factors influence auditory response behaviors, it might be predicted that evoked potentials measured from the central auditory nervous system would reflect similar developmental influences in multi-handicapped children. The purpose of this study was to compare auditory-evoked-potential waveform morphology between profoundly-involved multi-handicapped children and normal infants and children. Auditory brainstem response (ABR) and middle-latency response (MLR) morphology were examined from waveform descriptions, wave detection, latency, amplitude, and spectral energy measures. The majority of handicapped subjects exhibited response morphology unlike that of normal children or infants. ABR/MLR morphology for handicapped children was characterized by depressed responses and substantial waveform variability. The results of this study tended to support the difference/defect theory.