A B Seid, D Millet, S Conway-Fithian, V Niemeyer, R T Cotton, M D Lehmann
{"title":"Hearing impaired clinic--a one-year survey.","authors":"A B Seid, D Millet, S Conway-Fithian, V Niemeyer, R T Cotton, M D Lehmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Hearing Impaired Clinic was established at Children's Hospital Medical Center in Cincinnati for the purpose of integrating a multifaceted effort of habilitation of the child with a hearing impairment. This article discusses the rationale for such a clinic and presents the data obtained from the first year that the clinic was functioning. Details of audiological and otological evaluations indicate that there is still a significant delay in the habilitation of these children that could be countered by a greater awareness of the significance of hearing loss in the young child.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"147-51"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stapedius reflex decay in normal hearing subjects.","authors":"U Rosenhall, G Lidén, E Nilsson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The fatigue of the stapedius reflex was studied in 100 normal ears. Stimulus frequencies 500 and 1000 Hz were used,and the decrement of the stapedius reflex at 5, 10, and 15 dB above the reflex threshold was estimated. No decrement at all (less than 10% decay 10 sec after the onset of a stimulus 10 dB above the reflex threshold) was present in a majority of the ears. Between 27 and 58% of the ears showed reflex decay depending on variations of different factors such as stimulus frequency, intensity of the stimulus, and the method to register the reflex. Reflex decay was more often seen at 1000 Hz than at 500 Hz stimulus frequency. Reflex decay was also more often seen 5 dB above the reflex threshold than at higher intensity levels. The reflex decay thus observed in normal ears was generally small and did only very occasionally reach values which can be regarded as pathological.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"157-62"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H C Schweitzer, G D Causey, L S Bowling, M T Howard
{"title":"The influence of hearing aid nonlinear distortion on two auditory tasks.","authors":"H C Schweitzer, G D Causey, L S Bowling, M T Howard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study is reported which examines the influence of hearing aid nonlinear distortion on multitone pitch perception. Normal-hearing subjects produced results indicating that hearing aid-generated harmonic and intermodulation components did significantly affect pitch judgments. Substantial differences in the amount of distortion between the two test aids was not, however, a critical factor. A follow-up study using closed-set intelligibility materials in noise further confirmed that relatively large measurable differences in nonlinear distortion between hearing aids do not seem to have the clinical significance which is often presumed.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"132-40"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The controversial relationship between loudness discomfort levels and acoustic reflex thresholds.","authors":"R Ritter, R M Johnson, J L Northern","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Controversy presently exists concerning the relationship between loudness discomfort levels (LDL's) and acoustic reflex thresholds (ART's). In this study, LDL's and ART's were obtained for two groups of ten normal-hearing adult subjects and one group of ten adult subjects with bilateral sensorineural hearing losses. The procedure involved obtaining LDL's and ART's under earphones and under sound field conditions for four different acoustic stimuli: pure tones, warble tones, spondaic words, and speech spectrum noise. One group of normal-hearing subjects and the hard-of-hearing group of subjects were given \"too loud, uncomfortably loud, or annoyingly loud\" LDL instructions while a second group of normal hearing subjects were instructed to respond when a sound \"first starts to become uncomfortable.\" Results indicated that LDL's, irregardless of instructional pattern, were reported at consistently higher sound pressure levels than the ART's, for all groups of subjects. The magnitude of the differences between the LDL's and ART's varied according to LDL instrucitons, type of test stimulus, hearing sensitivity of the subjects (normal hearing or hard-of-hearing) and transducer used for stimulus presentation. The results of this study demonstrate that ART's correlate too poorly with the LDL to permit ART's to be used as an objective measure of loudness discomfort.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"123-31"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central masking effects on spondee threshold as a function of masker sensation level and masker sound pressure level.","authors":"F N Martin, D Digiovanni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thirteen subjects with normal hearing and thirteen with sensorineural hearing loss were tested with spondaic words to determine their spondee thresholds in the presence of several levels of contralateral noise. Results indicate that the threshold shift ascribed to central masking is a function of the sensation level of the noise. Recommendations for clinical application are made.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"141-6"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Loudness and the acoustic reflex: normal-hearing listeners.","authors":"R W Keith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The relationships among most comfortable listening level (MCL), loudness discomfort level, and the acoustic reflex to speech were studied on normal-hearing listeners using earphones and sound field test conditions. Recorded sentence materials were presented monaurally in quiet and, in the sound field, in the presence of 55 dB SPL cafeteria noise. The results indicate the MCL in the quiet sound field at approximately 70 dB SPL with the acoustic reflex occurring at 16 dB higher intensity. The earphone MCL was 7 dB lower than in the sound field, a finding that may reflect a real reverse in usual earphone/sound field results or simply calibration factors particular to the speakers and test room used in this study. The AR to speech seems to occur at approximately equal intensities between the MCL and LDL tested in quiet. The MCL is elevated by noise whereas the acoustic reflex remains at a constant level, indicating that no absolute relationship exists between loudness and the AR.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 4","pages":"152-6"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11627365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Auditory temporal acuity of the hearing impaired and its relationship to speech intelligibility.","authors":"R G Stoker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Auditory temporal acuity (deltat) was measured in 42 hearing-impaired subjects to investigate the hypothesis that it would facilitate the production of intelligible speech. The measure divided the test population into two subgroups with mean speech intelligibility measures of 77.7 and 52.6%, respectively. These results are discussed along with implications relating to hearing loss and the slope of audiogram.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 1","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparison of two response-reinforcement methods in pure-tone testing of the retarded.","authors":"D G Williamson, R Ross, S Woodrow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to determine whether a visual reward method or play audiometry is a better motivator in eliciting the lowest possible pure-tone thresholds from a group of Down's syndrome adults. Thresholds were obtained at 250, 500, 2000, 4000, and 6000 Hz for both procedures using a modified ascending method. The method of testing was constructed such that each of the two procedures served as a comparison for validity of the other. The level of significant difference between the play audiometry and the visual reward method was determined using the Sign Test. In each case, there appeared to be a significant difference between the two tests, but the difference was attributed to the order of administration of the tests and practice rather than by the tests themselves. The data obtained suggests that more accurate auditory thresholds may be determined by administering two pure-tone tests and accepting the second as most valid.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 1","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11371669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Noise attenuation characteristics of the MX-41/AR and the Telephonics circumaural audiometric headsets.","authors":"G R Bienvenue, P L Michael","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Masking from background noise is often a serious problem when hearing levels are measured at or near the low reference threshold levels specified in the American National Standards Specifications for Audiometers, ANSI S3.6-1969. Since background noise limits for audiometric test rooms are inversely related to the noise reduction characteristics of the earphone/cushion assemblies, it is important that these units have significant and consistent attenuation properties. This paper reports the noise reduction characteristics measured for the conventional TDH-39 earphone mounted in the supra-aural MX-41/AR cushion and for the new TDH-50 Telephonics circumaural headset. The circumaural headset was found to produce an average of about 10 dB more noise attenuation than did a well-adjusted supra-aural device, and the circumaural headset provided much more consistent test-retest noise reduction characteristics. Theoretical aspects of headband force as well as the implications of attenuation measurements for test room recommendations are discussed.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pure-tone and tympanometric screening: an ideal pair in identification audiometry.","authors":"P Grosso, R R Rupp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A population of 140 fourth graders participated in a combined audiometric and tympanometric screening project. Pass/fail criteria were established for both subtests. The children were compared between the two tests with the following findings: (1) 52.2% passed both tasks and 5.0% failed both; (2) 36.4% passed the pure-tone task and failed the tympanometric procedure; and (3) 6.4% failed the pure-tone observation and passed the tympanometric study. Of the total population, 42.8% were inconsistent for the norms established for the two tasks. Since the ideal goal of a hearing screening task is to locate children with hearing losses and/or medically related hearing problems, the routine use of tympanometric screening as an integral part of a hearing conservation program is proposed.</p>","PeriodicalId":76026,"journal":{"name":"Journal of the American Audiology Society","volume":"4 1","pages":"11-5"},"PeriodicalIF":0.0,"publicationDate":"1978-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11922263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}