Canadian Journal of Speech-Language Pathology and Audiology

Nontraditional Auditory Assessment: Beyond the Audiogram

Author(s) David A Fabry
Wayne O Olsen
Volume 17
Number 4
Year 1993
Page(s) 58-64
Language English
Keywords hearing
Abstract Hearing aid fitting continues to be based primarily on audiometric pure tone thresholds. Although the underlying goal of many prescriptive formulas is improved speech recognition, actual evaluation with suprathreshold stimuli (such as speech) is rare. Furthermore, assessment of benefit from hearing aids in real world environments is often based on nonstandardized anecdotal evidence. The objective of this manuscript is to consider several procedures that may be used to assess hearing aid candidacy and to evaluate benefit from amplification. These measures include: (1) efficient, reliable speech recognition tests; (2) masking pattern data; (3) aided and unaided loudness discomfort measures; (4) self-assessment scales of hearing aid performance; and (5) user selected frequency responses. The feasibility of using each of these measures in clinical practice will be discussed.

L'ajustement des prothèses auditives se base principalement sur les seuils auditifs. Même si l'objectif d'un bon nombre de formules prescriptives est d'améliorer l'intelligibilité de la parole, l'évaluation pour les stimuli supra-liminaires (comme la parole) est rare. De plus, l'évaluation des avantages des prothèses auditives dans des contextes réalistes est souvent fondée sur des preuves non scientifiques et non standardisées. Les auteurs examinent plusieurs protocoles pour évaluer la candidature et les bénéfices à l'amplification. Ces mesures comprennent notamment les suivantes : (1) examens vocaux efficaces et fiables pour l'intelligibilité de la parole; (2) données sur l'assourdissement: (3) mesures d'inconfort causé par l'intensité sonore, avec et sans amplification; (4) échelles d'auto-évaluation du rendement des prothèses auditives; (5) réponses fréquentielles préférées par l'utilisateur. Les auteurs abordent la praticabilité de ces mesures en milieu clinique.
Record ID 327
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