Auditory Integration Training

Cheri Moore’s Findings Resulted in Improved Responses to AIT and Vision Therapy

Cheri Moore’s desire to improve clients’ emotional response during auditory integration training resulted in the discovery of a high rate of co-existing visual processing difficulties with sound intolerance, with or without a hearing loss.  After some clients experienced increased visual processing difficulties during AIT, like chronic double vision, Cheri Moore collaborated with optometrists specializing in vision therapy to track client’s progress.  Auditory-visual protocols have resulted in improved responses to auditory integration training and vision therapy.

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It has been my privilege to successfully co-treat patients with Cheri Moore over the last few years. I have found her to be extremely knowledgeable about vestibular and auditory processing systems. In addition to her background in special education, she has broad experience working with specialists in addressing a wide variety of diagnosis. This positions her so well to apply her therapy appropriately. Furthermore, I have personally witnessed her tenacity in going well beyond the expected in working with her clients to ensure complete resolution of their difficulties.

Dr. Neil W. Margolis, O.D., F.A.A.O., F.C.O.V.D.

Auditory Integration Training (AIT) was Developed by Dr. Guy Berard

Dr. Guy Berard, a practicing otolaryngologist (Ear, Nose, and Throat or ENT physician) in Annecy, France.  Dr. Berard originally invented AIT to remediate disorders of the auditory system, such as hearing loss or hearing distortion (hyper-acute or asymmetrical hearing). The Moore Auditory Integration Training Method is the result of Cheri Moore’s desire to meet Dr. Berard’s challenge to build upon his work and enhance client’s ability to respond and maintain the benefits of auditory integration training.

Auditory Integration Training Improves Tolerance to Sounds and Brain Wave Activity

Sokhadze, E.M., Casanova, M.F., Tasman, A., and Brockett, S. (2016). Electrophysiological and behavioral outcomes of Berard auditory integration training (AIT) in children with autism spectrum disorder. Applied Psychophysiology and Biofeedback, DOI 10.1007/s10484-016-9343-z  (summary found at https://www.autism.com/ait  

Researchers found:

  • Evoked potentials tracking auditory neural pathway activity
    • Stronger auditory responses
  • Decreased behaviors in participants
    • Less hyperactivity
    • Less irritable
    • Fewer repetitive actions

Findings supported earlier research by Edelson and Rimland. 1990’s – 3 Double Blind Studies with children diagnosed with autism and sound sensitivities found:

  • Decreased negative behaviors
  • Improved tolerance to sounds
  • Stronger P-3 Brain wave activity (auditory processing)

1) Edelson, S.M., Arin, D., Bauman, M.B., Lukas, S.E., Rudy, J.H., Sholar, M., and Rimland, B. (1999). Focus on Autism and Other Developmental Disabilities, 14, 73-81.

2) Rimland, B., and Edelson, S.M. (1996). Auditory integration training: A pilot study. Journal of Autism and Developmental Disorders, 25, 61-70.

3) Rimland, B., and Edelson, S.M. (1994). The effects of auditory integration training in autism. American Journal of Speech-Language Pathology, 5, 16-24.

Research Significantly Supports Improved Visual Processing Skills After Vision Therapy

Randomized, Blind Study (221 children 9-17 yrs.) Convergence Insufficiency 12 week Intervention Program Convergence Insufficiency Score (lower number means improvements) % of participant’s meeting goals for near vision convergence skills
Office-based therapy with home exercises 15.1 73%
Office-based non-therapeutic
activities with in-home activities
(placebo group)
21.9 35%
Home-based computer therapy with therapeutic exercises 21.2 33%
Home-based therapeutic exercises 24.7 43%

A greater percentage of children (73%) who received an in-office vision therapy program with in-home eye-exercises made significantly more progress resulting in significantly lower convergence difficulties (15.1) when compared to a much lower percentage of participants (35%, 33%, 43%) making some progress who received vision therapy only at home or in-office, non-therapeutic visual activities with in-home visual activities.

Evidence-based Results for Vision Therapy from 9 research sites. (2008). Randomized clinical trial of treatments for symptomatic convergence insufficiency in children. Arch Ophthalmol; 126 (10):1336-1349. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779032/

According to the American Optometric Association, relying on vision screenings that only test for how well one sees, 20/20 vision, fails to provide accurate information concerning visual difficulties 63% to 73% of the time.  
“The American Optometric Association (AOA) recommends that all children have a comprehensive eye exam (eye alignment, eyesight, eye health) by an eye doctor (optometrist) as opposed to a vision screening, before beginning first grade.“

“Undiagnosed and untreated vision disorders increase the potential for misdiagnosis of special needs and Attention Deficit Hyperactivity Disorder (ADHD), placing unnecessary stress on families and classrooms.” (https://www.aoa.org/patients-and-public/resources-for-teachers)

FDA Statement On AIT

"Auditory Integration Training remediates impairments in auditory discrimination (sound sensitivity and auditory distortion) associated with Autism, Learning Disabilities, and related disorders - ADD, ADHD, CAPD (Central Auditory Processing Deficits), SPD (Sensory Processing Disorder), Dyslexia."

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