Unit 7: Speech audiometry and Tympany Flashcards
speech audiometry
assessment of the patient’s hearing using speech stimuli
threshold test
speech reception thresholds or Spondee Reception thresholds
speech reception threshold
lowest intensity that speech is identified correctly 50% of time
speech materials used as spondaic words
purpose of SRT
assess the reliability of pure tone findings (cross-check)
how does SRT assess reliability of pure tone findings?
compares pure tone average of thresholds at 500 hz, 1000 hz, 2000 hz
PTA and SRT within 10 dB
word recognition testing
supra threshold measure of speech recognition performance with monosyllabic and phonetically/phonemically balanced words
word lists for WRS
CID W-22: 50 word list
PBK-50: pediatrics
SPIN: speech in noise tests
presentation level for WR
determined by the amount of hearing loss and the purpose of the test
factors affecting Speech discrimination scores
physical
linguistic
test administration variables
patient variables
typanometry
test that measures mobility of the tympanic membrane by varying the air pressure in ear canal
Type A graph
Normal
air pressure at zero
with a peak in compliance
AS: low compliance
AD: high compliance
Type B graph
ear drum doesn’t move
straight line
Type C graph
negative pressure behind ear drum
peak of compliance
sensorineural hearing loss
type A
otitis media
type b