What Audiometers Are Used For

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.

The speech recognition threshold test measures the lowest point at which language can be understood at least 50 percent of the time using spondaic words. The softest level of hearing and repeating is measured and it shows pure-tone thresholds. Appropriate gain is measured for proper hearing aid selection and settings.

To estimate the ability of understanding and repeating conversation of single syllable words, the suprathreshold word-recognition test is used. This test is also referred to as speech or word discrimination testing. Phonetically balanced words are used and presented by CD, tape, or live and are repeated by the patient. A 2 percent score is given for each correct response and is stopped at 80 percent or continued if needed. Patients can be tested with their hearing aids to show improvement.

Very young children present another challenge for testing as they have limited language skills, picture cards representing spondaic words can be used. Prior to testing the child must understand what the card represents. There is a list of words specifically selected for children in kindergarten and first grade levels.

The word intelligibility test asks children to identify pictures by pointing to them, they are given 25 pages of color pictures each representing a single syllable word. This test is great for for children who are hearing impaired and are 4 years old and up. For children 3 and up the the Northwestern University speech test is a great option. Using both words and sentences, the pediatric speech intelligibility test is for children 3 and up.

There are other tests used for children such as the Bamford-Kowal-Bench speech in noise testing, phonetically balanced kindergarten testing, and the pediatric speech intelligibility tests. Early testing can insure little loss in academic achievement and social development. Finding a good audiologist will ensure the best results and accurate testing. Audiometers provide this critical information.




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