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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]
An increased loss of balance is interpreted as a positive Romberg's test. The Romberg test is a test of the body's sense of positioning (proprioception), which requires healthy functioning of the dorsal columns of the spinal cord. [1] The Romberg test is used to investigate the cause of loss of motor coordination .
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.
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.
A Rinne test should always be accompanied by a Weber test to also detect sensorineural hearing loss and thus confirm the nature of hearing loss. The Rinne test was named after German otologist Heinrich Adolf Rinne (1819–1868); [3] [4] the Weber test was named after Ernst Heinrich Weber (1795–1878).
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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]
Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one.It is often tested with two sharp points during a neurological examination [1]: 632 [2]: 71 and is assumed to reflect how finely innervated an area of skin is.