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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.
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.
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.
The test is also useful in older children and adults and is an important measure in diagnosing auditory neuropathy described above. Auditory brainstem response testing is an electrophysiological test used to test for hearing deficits caused by pathology within the ear, the cochlear nerve and also within the brainstem.
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.
Portable audiometer Maico, circa 1960s. An audiometer typically transmits recorded sounds such as pure tones or speech to the headphones of the test subject at varying frequencies and intensities, and records the subject's responses to produce an audiogram of threshold sensitivity, or speech understanding profile.
Often a two-stage process occurs in the actual screening of the hearing. Children are screened with either otoacoustic emissions (OAE) or automated auditory brainstem response (AABR). Children passing the test receive no further assessment. Children who fail the initial screen are usually referred for a second screening assessment either with ...
In children, early diagnosis and treatment of impaired auditory system function is an important factor in ensuring that key social, academic and speech/language developmental milestones are met. [43] Impairment of the auditory system can include any of the following: Auditory brainstem response and ABR audiometry test for newborn hearing