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Auditory fatigue is defined as a temporary loss of hearing after exposure to sound. This results in a temporary shift of the auditory threshold known as a temporary threshold shift (TTS). The damage can become permanent (permanent threshold shift, PTS) if sufficient recovery time is not allowed before continued sound exposure. [1]
The absolute threshold of hearing (ATH), also known as the absolute hearing threshold or auditory threshold, is the minimum sound level of a pure tone that an average human ear with normal hearing can hear with no other sound present. The absolute threshold relates to the sound that can just be heard by the organism.
The criterion most commonly used is the standard threshold shift (STS), defined by a change of 10 dB or greater averaged at 2000, 3000, and 4000 Hz. [18] Age correction factors can be applied to the change in order to compensate for hearing loss that is age-related rather than work-related.
Hearing threshold shifts were observed in 86% of the officials (25/29). [ 76 ] In a study of noise levels at 10 intercollegiate basketball games showed noise levels in 6 of the 10 basketball games to exceed the national workplace noise exposure standards, with participants showing temporary threshold levels at one of the games.
This prevents the non-test ear from detecting the test signal presented to the test ear. The threshold of the test ear is measured at the same time as presenting the masking noise to the non-test ear. Thus, thresholds obtained when masking has been applied, provide an accurate representation of the true hearing threshold level of the test ear. [13]
Noise-induced hearing loss is a permanent shift in pure-tone thresholds, resulting in sensorineural hearing loss. The severity of a threshold shift is dependent on duration and severity of noise exposure. Noise-induced threshold shifts are seen as a notch on an audiogram from 3000 to 6000 Hz, but most often at 4000 Hz. [16]
The levels are, however, not absolute, but weighted with frequency relative to a standard graph known as the minimum audibility curve which is intended to represent a 'normal' hearing. This is not the best threshold found for all subjects, under ideal test conditions, which is represented by around 0 Phon or the threshold of hearing on the ...
A tone at the frequency of 4000 Hz is presented for 60 seconds at an intensity of 5 decibels above the patient's absolute threshold of hearing. If the patient stops hearing the tone before 60 seconds, the intensity level is increased by another 5 decibels with the procedure repeated until the tone can be heard for the full 60 seconds or until no decibel level can be found where the tone can be ...