Audiology - Speech Audiometry Materials Flashcards
Why is pure tone audiometry not sufficient by itself?
It only tells you about thresholds of audibility.
It doesn’t inform on comprehension of what is heard
Is speech or pure tone signals clearer?
Pure tone.
Speech is one of the most complex signals
What are the sources of information involved in speech?
- Phonetic information (acoustic cues)
- Visual cues
- Linguistic/situation information (context)
What factors make assessing speech perception in clinic difficult?
The multiple sources of information that interact in speech, time, methodological issues
What method is currently used to measure speech perception in clinic?
Word lists
(single word level)
What is a Supra-threshold test used for?
To assist in hearing aid evaluation and to monitor progress
What is the aim of a Supra-threshold test?
To establish a client’s maximum ability to identify speech at comfortable listening levels ABOVE their pure tone threshold
What do you need to know when choosing intensity levels for a Supra-threshold test?
The client’s pure tone average (PTA)
What is the intensity level for the first word list?
30dBHL above threshold
By what should intensity increase by until the maximum score is obtained?
10dBHL
How are Supra-threshold tests carried out?
- Each ear tested separately
- Client repeats the word 3. Scoring for % correct at each level
What are the characteristics of the words used on Supra-threshold tests?
3 phonemes per word, 10 words per list
What are the axis on a Speech Audiogram?
Relative Speech Level vs. Optimum Discrimination Score
What is normal hearing on a Speech Audiogram?
100% achieved at levels 40dB above threshold
What does a Speech Audiogram look like for conductive hearing loss?
Similar pattern to normal hearing if signals are amplified sufficiently 100% is possible (from approx 40dB upwards)