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Weber test considerations The Weber test reflects conduction loss in the ipsilateral ear because, in the event of impaired conduction, ipsilateral sensorineural hearing is perceived as louder; this is the same reason humming becomes more salient when covering the ears.
A hearing test provides an evaluation of the sensitivity of a person's sense of hearing and is most often performed by an audiologist using an audiometer. An audiometer is used to determine a person's hearing sensitivity at different frequencies. There are other hearing tests as well, e.g., Weber test and Rinne test.
The Kraus–Weber test (or K–W test [1]) is a fitness test devised in the 1940s by Hans Kraus and Sonja Weber of New York Presbyterian Hospital. The poor tests results of American children versus children from European countries gained attention in the 1950s from American media, prompting the United States government to establish the Presidential Fitness Test within the following decades.
The Weber test also uses a tuning fork to differentiate between conductive versus sensorineural hearing loss. In this test, the tuning fork is placed at the top of the skull, and the sound of the tuning fork reaches both inner ears by travelling through bone. In a healthy patient, the sound would appear equally loud in both ears.
Tuning forks, usually C512, are used by medical practitioners to assess a patient's hearing. This is most commonly done with two exams called the Weber test and Rinne test, respectively. Lower-pitched ones, usually at C128, are also used to check vibration sense as part of the examination of the peripheral nervous system. [12]
Weber test, in which a tuning fork is touched to the midline of the forehead, localizes to the normal ear in people with unilateral sensorineural hearing loss. Rinne test, which tests air conduction vs. bone conduction is positive, because both bone and air conduction are reduced equally. less common Bing and Schwabach variants of the Rinne test.
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With a one-sided conductive component the combined use of both the Weber and Rinne tests is useful. If the Weber test is used, in which a vibrating tuning fork is touched to the midline of the forehead, the person will hear the sound more loudly in the affected ear because background noise does not mask the hearing on this side.