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The British recommended procedure is based on international standards. Although there are some differences, the BSA-recommended procedures are in accordance with the ISO:8253-1 standard. The BSA-recommended procedures provide a "best practice" test protocol for professionals to follow, increasing validity and allowing standardisation of results ...
Some procedures use a series of trials, with each trial using the 'single-interval "yes"/"no" paradigm'. This means that sound may be present or absent in the single interval, and the listener has to say whether they thought the stimulus was there. When the interval does not contain a stimulus, it is called a "catch trial". [4]
Prior to the hearing test, the ears of the patient are usually examined with an otoscope to make sure they are free of wax, that the eardrum is intact, the ears are not infected, and the middle ear is free of fluid (indicating middle ear infection).
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.
Acoustic immittance audiometry - Immittance audiometry is an objective technique which evaluates middle ear function by three procedures: static immittance, tympanometry, and the measurement of acoustic reflex threshold sensitivity. Immittance audiometry is superior to pure tone audiometry in detecting middle ear pathology.
These measurements are then compared to the measurements of a group of people without attention disorders who took the T.O.V.A. This test should be used along with a battery of neuropsychological tests, such as a detailed history, subjective questionnaires, interviews, and symptom checklists before a diagnosis should be concluded.
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.
The acoustic reflex (also known as the stapedius reflex, [1] stapedial reflex, [2] auditory reflex, [3] middle-ear-muscle reflex (MEM reflex, MEMR), [4] attenuation reflex, [5] cochleostapedial reflex [6] or intra-aural reflex [6]) is an involuntary muscle contraction that occurs in the middle ear in response to loud sound stimuli or when the person starts to vocalize.