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Visual reinforcement audiometry (VRA) is a key behavioural test for evaluating hearing in young children. [1] [2] First introduced by Liden and Kankkunen in 1969, VRA is a good indicator of how responsive a child is to sound and speech and whether the child is developing awareness to sound as expected.
It has also developed a variety of diagnostic tests, including the Hearing In Noise Test (HINT), the first hearing test that measures an individual's functional hearing ability in everyday environments where background noise is present, the ABaer screening device for detecting hearing loss in infants, and the Stacked ABR, a highly accurate ...
This test helps the audiologist determine whether the hearing loss is conductive (caused by problems in the outer or middle ear) or sensorineural (caused by problems in the cochlea, the sensory organ of hearing) or neural - caused by a problem in the auditory nerve or auditory pathways/cortex of the brain.
Recommended test frequencies are 1000, 2000, and 4000 Hz, at 20 dB HL according to the ASHA (1997) [43] guidelines for screening audiometry. However, 500 Hz has been found to identify the auditory impact of otitis media with effusion in children and should be included at 25 dB HL when permitted by ambient noise levels (WHO, 1997). [44]
Conditioned play audiometry (CPA) is a type of audiometry done in children from ages 2 to 5 years old, in developmental age. It is the test that directly follows visual reinforcement audiometry when the child becomes able to focus on a task. It is a type of behavioral hearing test, of which there are many.
However, there are benefits to using pure-tone audiometry over other forms of hearing test, such as click auditory brainstem response (ABR). [3] Pure-tone audiometry provides ear specific thresholds, and uses frequency specific pure tones to give place specific responses, so that the configuration of a hearing loss can be identified.
The Weber test is administered by holding a vibrating tuning fork on top of the patient's head. The Weber test is a screening test for hearing performed with a tuning fork. [1] [2] It can detect unilateral (one-sided) conductive hearing loss (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear hearing loss). [3]
They usually consist of an embedded hardware unit connected to a pair of headphones and a test subject feedback button, sometimes controlled by a standard PC. Such systems can also be used with bone vibrators to test conductive hearing mechanisms. Audiometers are standard equipment at ear, nose and throat (ENT) clinics and in audiology centers ...
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