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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]
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).
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.
Former Bachelor star Pete Weber, a.k.a. Pilot Pete, breaks down the physical and mental aspects of his training for the 2024 NYC Marathon.
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.
As its original name implies, Drs. Kraus and Weber considered the test to determine minimum fitness levels; it consisted only of six basic exercises. One of their experiments involved conducting the fitness test on 4,000 children on the East Coast, which showed that 56.6% of children between 6 and 16 failed the test. [4]
The tone decay test (also known as the threshold tone decay test or TTDT) is used in audiology to detect and measure auditory fatigue. It was developed by Raymond Carhart in 1957. In people with normal hearing, a tone whose intensity is only slightly above their absolute threshold of hearing can be heard continuously for 60 seconds.
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.