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29 Cards in this Set
- Front
- Back
types of speech audiometry
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- speech reception threshold (SRT)
- word discrimination (WD) |
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speech reception threshold (SRT)
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- lowest hearing level at which 50% of a list of 10 spondaic words can be correctly identified
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word discrimination (WD)
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- aka suprathreshold test
- use single syllable words, start at 30-40 dB above SRT - uses carrier phrase - list of 50 words, find % correct |
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acoustic immitance meaning and types
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- test battery procedure used to identify abnormalities in auditory system
- static compliance - tympanometry - acoustic reflex |
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static compliance
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mobility of tympanic membrane in response to pressure in external ear canal
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static compliance procedure
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- insert probe into ear canal
- raise pressure and measure - equalize pressure and measure |
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static compliance results
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- below normal indicate change in middle ear limiting tympanic membrane mobility
- above normal suggest interruption in ossicles |
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tympanometry
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measurement of middle ear pressure used to determine point and magnitude of greatest compliance of tympanic membrane
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tympanometry procedure
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- pressure raised in ear canal
- compliance measured in successive intervals as pressure is decreased |
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tympanometry results
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- type a: normal hear, has greatest compliance at 0 daPa
- type b: middle ear is filled with fluid, the point of greatest compliance cannot be found - type c: greatest compliance occurs at -200 daPa, problem with pressure, not flexibility |
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acoustic reflex
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- contraction of tensor tympani and stapedius muscles in response to loud sound
- testing measures quietest sound that elicits reflex |
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acoustic reflex testing
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- signal presented to one ear
- tympanic membrane compliance decrease detected ipsalaterally or contralaterally - use pure tone at 70 dB and raise until response is seen - find threshold |
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acoustic reflex results
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- reflex occurs at 85 dB in those with normal hearing and lesions in higher centers of auditory cortex
- no response if patient has SN loss - no contralateral response if patient has lesions in brainstem |
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acoustic reflex decay testing
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- tests for lesions in auditory nerve and brainstem
- play low frequency tone 10 dB above ART for 10 seconds, goal is to have contraction hold - count number of seconds for reflex to be reduced by 50% |
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otoacoustic emissions (OAE) meaning and types
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- sounds generated within cochlea
- transient-evoked OAE - distortion-product OAE |
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OAE procedure
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- probe placed in external auditory canal
- evoking stimulus presented thru mini loudspeaker - microphone converts OAE into electrical signal |
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OAE results
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- presence of evoked OAE suggests little or no conductive loss caused by middle ear abnormality
- indicates disorder is retrocochlear for SN loss |
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transient-evoked OAE
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series of brief tones such as clicks
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distortion-product OAE
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two tones presented at once
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auditory evoked potentials (AEP)
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electrical responses generated within cochlea due to acoustic stimuli
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electrocochleography (ECoG)
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response to sound in form of electrical potentials in cochlea that occur milliseconds after signal presentation
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auditory brain stem response (ABR)
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- used to assess integrity of central auditory pathway
- electrodes placed on mastoid and top of skull, with additional ground electrode - rapid stimuli presented, eliciting wavelengths |
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intraoperative monitoring
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use of AEP for monitoring electrophysiological states of patient during neurosurgery
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event related potentials
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recognized at 80 ms
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tangible reinforcement operant conditioning audiometry (TROCA)
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form of operant audiometry using rewards such as food or tokens
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Ling (6 sounds) test
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used to determine frequency-specific hearing lsos information in children by using frequency specific phonemes (/a/, /u/, /i/ for 1K Hz, /sh/ for 2K Hz, /s/, /m/ for 4K Hz)
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behavioral observation audiometry (BOA)
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- observation of changes in activity state of infant (<8 months) in response to sound
- one clinician observes child while other presents sound |
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auropalprebral reflex (APR)
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contraction of ring muscles of eyes in response to sudden sound
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Moro reflex
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sudden embracing of arms and drawing up of legs in response to sudden sounds
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