The Value Of Using Audiometers

By Marissa Velazquez


Testing for hearing loss in adults and children is a precise science that uses audiometers to measure what a person can and cannot hear. Tolerances or discomfort levels are measured as well as they provide the audiologist an idea of word recognition capabilities. All of this information is used to help correct the loss with hearing aids or other devices.

Audiometry is done in a testing room made up of 2 rooms, an equipment room and an evaluation room. The equipment room contains the audiometer, input devices such as microphones, tape recorders, and CD's for testing. Tests are performed using earphones and are sent to one or both of them. They can also be done through a bone-conductor vibrator. Materials can also be presented through loudspeakers in the sound-field.

There are various tests used to find out what a person's speech thresholds are, the lowest level that speech can be heard at is tested at a 50 percent awareness level. Words that have equal emphasis on the syllables, or spondaic words, are used because they contain information in each syllable that allows the patient to make a reasonably accurate guess and they are easy to understand. This type of testing is excellent for children, people with neurological problems, and those who speak a different language.

Speech recognition threshold measures the lowest level at which speech can be recognized at least half of the time. Spondaic words are used for this test as well. It determines the softest level that words can be heard and repeated and it validates pure-tone thresholds. It measures appropriate gain during hearing aid selection.

The suprathreshold word recognition testing shows the ability to repeat and understand conversation using one syllable words, it is also known as speech or word discrimination testing. The words used are phonetically balanced and either a tape, CD, or a live person presents the test. The words are repeated by the patient to the audiologist with each correct answer receiving 2 points. When an 80 percent score is achieved the test is over, otherwise it will continue. Patients wearing their hearing aids also take this test to check improvement in their hearing.

Testing young children is a bit more difficult and different methods need to be used to get the data required to correct their hearing losses. With limited language skills, picture cards of spondaic words are used. Children will be asked if they understand the pictures prior to testing. These are used for children in kindergarten and first grades.

A popular test for children is one where they identify cards by pointing to them. Word intelligibility testing consists of 25 pages of colored pictures that represent something named by a monosyllabic word. This test is used for children with hearing impairment and can be used for children ages 4 and older. The Northwestern University speech testing was developed for children 3 and older. Pediatric speech intelligibility testing uses both sentences and monosyllabic words where children point to the appropriate picture, this test is for children ages 3 and older.

Some other options for children are the phonetically balanced kindergarten test, the pediatric speech intelligibility test, or the Bamford-Kowal-Bench speech in noise test. Early detection will ensure that both children and adults live a normal life, develop socially and academically and are able to communicate with others. A good audiologist makes all the difference when testing with audiometers.




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