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.
Testing is done in a 2-room area, one is set up with the equipment and is sound-proof and the other is for the audiologist who is performing the testing. The equipment room has earphones, the audiometer, speakers, tape recorders, and CD's. The patient wears the earphones to participate in the testing, instruction is sent through one or both of them. A bone-conductor vibrator is also sometimes used. Loudspeakers are also used to present material into the sound field.
Speech awareness thresholds are tested to find the lowest point at which speech can be recognized half of the time. Words that have equal emphasis on each syllable are used, they are known as spondaic words and contain information in each syllable and are easy to understand so that there can be a chance of a reasonable guess. This type of test is good for young patients, those who have suffered neurological damage, and those who speak another language.
Speech recognition threshold measures the lowest level at which speech can be recognized at least half of the time. Spondaic words are used for this test as well. It determines the softest level that words can be heard and repeated and it validates pure-tone thresholds. It measures appropriate gain during hearing aid selection.
To estimate the ability of understanding and repeating conversation of single syllable words, the suprathreshold word-recognition test is used. This test is also referred to as speech or word discrimination testing. Phonetically balanced words are used and presented by CD, tape, or live and are repeated by the patient. A 2 percent score is given for each correct response and is stopped at 80 percent or continued if needed. Patients can be tested with their hearing aids to show improvement.
Very young children present another challenge for testing as they have limited language skills, picture cards representing spondaic words can be used. Prior to testing the child must understand what the card represents. There is a list of words specifically selected for children in kindergarten and first grade levels.
One test that is often used is the word intelligibility test, it is comprised of 25 pages filled with colored pictures representing something named by single syllable words. This test is wonderful for children who are hearing impaired ages 4 and up. The pediatric speech intelligibility test uses a combination of single syllable words and sentences and is a good fit for those 3 and up. Another good test is the Northwestern University speech test that is good for ages 3 and over.
Other testing used for children include the pediatric speech intelligibility test, the phonetically balanced kindergarten test, and the Bamford-Kowal-Bench speech in noise test. It is best to find out early that a child has a hearing loss so they can have it corrected with hearing aids and speech therapy which will enable them to do well socially and in school. Audiometers are great machines to help determine what kind of assistance is best with the help of a talented audiologist.
Testing is done in a 2-room area, one is set up with the equipment and is sound-proof and the other is for the audiologist who is performing the testing. The equipment room has earphones, the audiometer, speakers, tape recorders, and CD's. The patient wears the earphones to participate in the testing, instruction is sent through one or both of them. A bone-conductor vibrator is also sometimes used. Loudspeakers are also used to present material into the sound field.
Speech awareness thresholds are tested to find the lowest point at which speech can be recognized half of the time. Words that have equal emphasis on each syllable are used, they are known as spondaic words and contain information in each syllable and are easy to understand so that there can be a chance of a reasonable guess. This type of test is good for young patients, those who have suffered neurological damage, and those who speak another language.
Speech recognition threshold measures the lowest level at which speech can be recognized at least half of the time. Spondaic words are used for this test as well. It determines the softest level that words can be heard and repeated and it validates pure-tone thresholds. It measures appropriate gain during hearing aid selection.
To estimate the ability of understanding and repeating conversation of single syllable words, the suprathreshold word-recognition test is used. This test is also referred to as speech or word discrimination testing. Phonetically balanced words are used and presented by CD, tape, or live and are repeated by the patient. A 2 percent score is given for each correct response and is stopped at 80 percent or continued if needed. Patients can be tested with their hearing aids to show improvement.
Very young children present another challenge for testing as they have limited language skills, picture cards representing spondaic words can be used. Prior to testing the child must understand what the card represents. There is a list of words specifically selected for children in kindergarten and first grade levels.
One test that is often used is the word intelligibility test, it is comprised of 25 pages filled with colored pictures representing something named by single syllable words. This test is wonderful for children who are hearing impaired ages 4 and up. The pediatric speech intelligibility test uses a combination of single syllable words and sentences and is a good fit for those 3 and up. Another good test is the Northwestern University speech test that is good for ages 3 and over.
Other testing used for children include the pediatric speech intelligibility test, the phonetically balanced kindergarten test, and the Bamford-Kowal-Bench speech in noise test. It is best to find out early that a child has a hearing loss so they can have it corrected with hearing aids and speech therapy which will enable them to do well socially and in school. Audiometers are great machines to help determine what kind of assistance is best with the help of a talented audiologist.
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