Sunday, January 12, 2014

What Audiometers Are Used For

By Marissa Velazquez


In order to assess hearing loss, audiometers are used to determine the type and degree of the loss. This machine also shows the tolerance or discomfort to speech stimuli and offers information in the abilities of word recognition. The information from testing can help to determine correct hearing aids or other devices needed for patients with significant losses.

The testing room that is used with an audiometer is split into two, one is a sound-proof room for the patient and the other is where the audiologist sits. In the evaluation room are speakers, earphones, CD's, tape recorders, and the audiometer. Using earphones, various tests are sent through one or both of them to measure levels of speech that can be understood. Some testing is done using a bone-conductor vibrator.

Some techniques used are testing speech awareness thresholds to get the lowest level at which speech can be heard at least 50 percent of the time. Spondaic words are used as they have equal emphasis on each syllable, are easily understood, and contain information in each syllable that allow reasonable accurate guesses. It is a great test for younger patients, those who speak another language, or those who have neurological damage.

The speech recognition threshold test measures the lowest point at which language can be understood at least 50 percent of the time using spondaic words. The softest level of hearing and repeating is measured and it shows pure-tone thresholds. Appropriate gain is measured for proper hearing aid selection and settings.

Suprathreshold word-recognition testing estimates the ability to understand and repeat conversational single-syllable words, it is also called word or speech discrimination testing. The words used are phonetically balanced, they are presented by a live person, a CD, or a tape. The patient repeats the words to the audiologist and each correct word is give a 2 percent score. When 80 percent or better is achieved the test is stopped, if lower than this it is continued. This test is also performed with patients wearing their hearing aids to check improvement.

Testing young children is a bit more difficult and different methods need to be used to get the data required to correct their hearing losses. With limited language skills, picture cards of spondaic words are used. Children will be asked if they understand the pictures prior to testing. These are used for children in kindergarten and first grades.

A popular test for children is one where they identify cards by pointing to them. Word intelligibility testing consists of 25 pages of colored pictures that represent something named by a monosyllabic word. This test is used for children with hearing impairment and can be used for children ages 4 and older. The Northwestern University speech testing was developed for children 3 and older. Pediatric speech intelligibility testing uses both sentences and monosyllabic words where children point to the appropriate picture, this test is for children ages 3 and older.

There are other tests used for children such as the Bamford-Kowal-Bench speech in noise testing, phonetically balanced kindergarten testing, and the pediatric speech intelligibility tests. Early testing can insure little loss in academic achievement and social development. Finding a good audiologist will ensure the best results and accurate testing. Audiometers provide this critical information.




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