SPIN Test Performance of Elderly Hearing- Impaired Listeners
|
|
- Belinda Barton
- 7 years ago
- Views:
Transcription
1 J Am Acad Audiol 3 : (1992) SPIN Test Performance of Elderly Hearing- Impaired Listeners Donald J. Schum* Lois J. Matthews t Abstract Normative information is available on the expected performance of hearing-impaired individuals on the revised version of the Speech Perception in Noise (SPIN) test. This normative sample includes individuals with sensorineural hearing loss drawn from an age range of 19 to 69 years, with 79 percent of the sample being less than 65 years of age. In the present study, SPIN scores were obtained from both ears of 98 elderly, hearingimpaired listeners (age range: 60 to 78 years). When the percent-correct scores on the High-Predictability (PH) items and on the Low-Predictability (PL) items are viewed as two separate measures, mean performance of the current "elderly-only" sample is similar to the performance of the original normative sample. However, for a certain percentage (18%) of the aged ears, the contextual cues provided in the PH sentences were not used as effectively as expected based on the normative guidelines. Key Words : Word recognition, elderly, hearing loss he Speech Perception in Noise (SPIN) test (Kalikow et al, 1977) was designed T to assess word recognition skills under two controlled levels of contextual information. The listener's task is to listen to a test sentence presented in a background of speech babble and then repeat the last word of the sentence. High- Predictability (PH) sentences provide several syntactic and semantic cues as to the identity of the final word (e.g., "I have a cold and a sore throat"). Low-Predictability (PL) sentences provide few if any such cues (e.g., "He is considering the throat"). PL items are thus similar to classic word recognition test items (monosyllabic words presented in a carrier phrase ; e.g., "Say the word throat"). Therefore, performance on PL items reflects basic word recognition skills in noise. The better performance typically seen on the PH items compared to the PL items reflects the listener's ability to use contextual information when listening to speech. *Department of Otolaryngology, University of Iowa Hospital, Iowa City, Iowa t Otolaryngology and Communicative Sciences, Medical University of South Carolina, Charleston, South Carolina Reprint requests : Donald J. Schum, Department of Otolaryngology, University of Iowa Hospitals, Iowa City, IA Bilger et al (1984) collected normative data on the performance of hearing-impaired listeners on the SPIN test. This normative study led to a revision of the SPIN test lists in order to attain eight lists with similar difficulty and reliability. Bilger et al (1984) noted that the difference in performance between the PL and PH items varied in magnitude across the range of PL performance. Based on these data, Bilger (1984) described the (essentially) 95 percent confidence intervals for the expected relationship between PL and PH scores. For example, for a PL score of 24 percent, the PH score is expected to fall between 80 and 88 percent; whereas for a PL score of 60 percent, the PH score should fall between 92 and 100 percent. Cases in which the PH score is higher than expected based upon a given PL score reflect a situation in which the listener appears to be receiving a greater than expected amount of benefit from the contextual cues. When the PH score is lower than expected based upon a given PL score, the listener apparently uses the available contextual cues less effectively than most hearing-impaired listeners. The normative sample of Bilger et al (1984) included 128 ears from 128 listeners aged 19 to 69 years, with 79 percent ofthe sample less than 65 years old. Since most hearing-impaired indi- 303
2 Journal of the American Academy of Audiology/Volume 3, Number 5, September 1992 viduals are elderly (Catlin, 1986), it is of interest to evaluate the normative guidelines for the SPIN test specifically for elderly listeners. Several investigators (Marshall, 1981 ; Hayes,1985 ; Kausler,1988) have noted that elderly listeners may perform poorly on certain central auditory processing or cognitive skills tests. Therefore, the purpose of this investigation is to compare the performance on the SPIN test of a large number of elderly, hearing-impaired listeners to the normative guidelines presented by Bilger (1984), with emphasis on the elderly listener's ability to make full use of the linguistic cues in the PH items. Subjects METHOD x m ' "--F'- BILGER at al., 1984 CURRENT SUBJECTS, RIGHT CURRENT SUBJECTS, LEFT FREQUENCY (Hz) Figure 1 Mean (±1 standard deviation) audiometric thresholds for the right and left ears for the subjects in the current investigation and for the test ears of the subjects from Bilger et al (1984). Testing was performed on both ears from 98 sensorineurally hearing-impaired listeners ranging in age from 60 to 78 years. Subjects were recruited from patient files of a medical school audiology clinic and are included in a long-term, multidisciplinary study of presbycusis. In order to be included in this portion of the study, the patient needed to demonstrate at least one audiometric threshold (from 250 through 6000 Hz) of greater than 25 db HL, with bone-conduction thresholds within 10 db of airconduction thresholds, bilaterally. Also, the estimated threshold for speech babble, following the procedures described by Bilger (1984), must have been equal to or less than 40 db HL, bilaterally. (This criterion allowed the SPIN test to be presented at 50 db SL re : the estimated babble threshold as called for by Bilger, 1984, yet still be presented at or below 90 db HL.) Figure 1 provides the mean (±1 standard deviation) hearing thresholds for the right and left ears of the current subjects. Also included in Figure 1 are the mean audiometric thresholds for the test ears of the subjects from Bilger et al (1984). The subjects from Bilger et al (1984) were tested monaurally, with an equal number of right and left ears. Figure 2 provides the distribution of ages of the current subjects and those of Bilger et al (1984). via earphones (TDH-39). The speech stimuli were presented at 8 db above the competing speech babble. The presentation level of the speech stimuli was set at 50 db above the estimated threshold for the speech babble (as per Bilger, 1984). Procedure Each subject was tested as part of a larger series of clinical and laboratory studies of presbycusis. Included in this test series were speech reception threshold (SRT) testing and monosyllabic word recognition testing (using NU-6 materials) at 30 db SL re : the SRT. Before SPIN testing, pure-tone audiometrics had been obtained for the test ear. All test ears were determined to exhibit sensorineural hearing Speech Stimuli Each subject, for each ear tested, provided verbal responses to one 50-item list from the Revised SPIN test. Each list contained 25 PL items and 25 PH items. The stimuli were taperecorded (provided by R. Bilger) and presented AGE CATEGORY Figure 2 The distribution of ages for subjects in the current investigation and from Bilger et al (1984). 304
3 SPIN Test Performance/Schum and Matthews Table 1 Performance on PH and PL Items Percent Correct (SD) Current Sample Right ear 87.4 (16.4) 44.2 (24.3) Left ear 85.7 (18.8) 45.8 (24.4) Bilger et al (1984) 87.3 (18.9) 45.9 (21.2) loss and to be negative for any relevant otoneurologic pathology. All audiometric testing was performed in a double-walled soundattenuating booth. The order in which the ears were tested and the choice of SPIN list number were varied from subject to subject. PH RESULTS T able 1 compares the data obtained on the PH and PL items in this study with those of Bilger et al (1984). The paired t-test was nonsignificant (p >.05) for the PH score in the right compared to the left ear. The paired t-test was also nonsignificant (p >.05) for the PL score in the right compared to the left ear. T-testing for independent samples was carried out in order to compare the results for the current subjects with the results from Bilger et al (1984). Separate analyses were carried out in order to compare right ear PH scores with Bilger et al (1984) PH scores, right ear PL scores with Bilger et al (1984) PL scores, left ear PH scores with Bilger et al (1984) PH scores, and left ear PL scores with Bilger et al (1984) PL scores. All t-test results were nonsignificant (p >.05). Figure 3 is a scatterplot of the relation between the PH and PL scores observed in this study. Right ear scores are represented by filled triangles and left ear scores are represented by unfilled circles. Heavy lines indicate the 95 percent confidence interval for the expected relation between PH and PL scores reported by Bilger (1984). Data points that fall above the confidence region indicate PH scores higher than expected based upon the PL score. Data points that fall below the confidence region indicate PH scores lower than expected based upon the PL score. For the right ear, 14 percent (n = 14) of the scores fell above the 95 percent confidence region and 14 percent (n = 14) fell below the confidence region. For the left ear, 8 percent (n = 8) of the scores fell above the confidence region and 22 percent (n = 22) fell below the confidence region. For the 36 data points that fell below the confidence region, 28 came from subjects whose PL other ear PH score was not depressed (below the 95% confidence region) and 8 came from subjects whose PH score was depressed for both ears. For the 28 subjects with a depressed PH score in only one ear, 10 showed the depressed score in the right ear and 18 showed the depressed score in the left ear. The proportion.36 (10 of 28) is not significantly different (p >.05) from chance (.5). Table 2 compares those ears with and without depressed PH scores on a variety of demographic and audiometric measures. Statistical comparisons were carried out on these variables for ears with depressed versus nondepressed PH scores using t-testing for independent samples (except for sex, which was evaluated via binomial sampling theory). In the right ear, depressed PH performance was associated with significantly (p <.05) higher average thresholds, higher SRTs, and lower word recognition scores. In the left ear, depressed PH performance was associated with significantly (p <.05) higher average audiometric thresholds, higher SRTs, lower word recognition scores, and lower PL scores. DISCUSSION n general, the listeners in this elderlyonly sample demonstrated performance on the SPIN test similar to that of the generally younger hearing-impaired subjects from the original normative sample. Mean performance LOW NUMBER CORRECT Figure 3 Scatterplot of PH versus PL scores for the right and left ears of the 98 subjects. Right ear scores are represented by filled triangles and left ear scores are represented by unfilled circles. Heavy lines indicate the 95 percent confidence interval for the expected relation between PH and PL scores from Bilger (1984).
4 11111 *11,, + l ' i ti Y 1l li+l k~ 1411!111- NIN Nl11iiIIIIN1~If~1lP+I NI Journal of the American Academy of Audiology/Volume 3, Number 5, September 1992 Table 2 Demographic and Audiometric Variables Depressed PH Scores Nondepressed Right ear (n = 14) (n = 84) Age (years) Sex (% female) Average hearing level (db HL) (mean at.5, 1, 2, and 4 khz) Audiometric slope (db/octave) (mean from.5 to 4 khz) Speech reception threshold (db HL) Word recognition score (% correct) (at 30 db SL re'. SRT) PL score (% correct) Left ear (n = 22) (n = 76) Age (years) Sex (% female) Average hearing level (db HL) (mean at.5, 1, 2, and 4 khz) Audiometric slope (db/octave) (mean from.5 to 4 khz) Speech reception threshold (db HL) Word recognition score (% correct) (at 30 db SL re : SRT) PL score (% correct) on both the PH items and the PL items was not significantly different than that of the Bilger et al (1984) subjects. However, the normative guidelines proposed by Bilger (1984) for the SPIN test may not fully reflect the performance characteristics of elderly listeners. Bilger et al (1984) note that the magnitude of the difference between the PH and the PL score will vary across the range of PL scores. Therefore, the PH and PL scores can not be combined in any simple arithmetic manner to yield one performance score. The 95 percent confidence intervals were established in order to describe the expected relation between these measures. Thirty percent (n = 58) of the scores fell outside the proposed 95 percent confidence intervals. Although a significant number (n = 22) of the scores fell above the target region (reflecting greater than expected benefit of linguistic cues), most of these scores were only one position away from the target region (that is, one less PH word correct would put the score within the 95 percent confidence region). In contrast, an even greater number of scores (n = 36) fell below the target region, and most of these scores fell more than one position away from that region. Given that the upper bound of the confidence region is near 100 percent for a significant portion of the PL performance range, it may be argued that scores are limited from extending above the confidence region due to a ceiling effect. However, inspection of the data at and below eight PL items correct-a region in which there is adequate room above the confidence region-continues to reveal a greater spread in the scores below the confidence region than above. Therefore, the present data do not appear to demonstrate simply greater variability as compared to the Bilger (1984) norms. Rather, there seems to be a true tendency for the PH score to be lower than expected given the PL score. Bilger (1984) suggests that scores that fall outside the confidence interval "probably reflect non-auditory factors" (p. 34). Given a relatively large literature documenting declines in cognitive and information processing skills in the elderly (see Cohen and Wu,1980 ; Woodruff, 1983 ; Welford, 1985 ; and Kausler, 1988 for reviews), it is reasonable to assume that older listeners will be at greater risk for certain perceptual difficulties that extend beyond the peripheral hearing loss. The results from Table 2 suggest that as the peripheral hearing loss becomes more severe, the likelihood of elderly listeners being able to make full use oflinguistic cues declines. One interpretation of these results is that, compared to younger listeners, elderly listeners are not as efficient at compensating for an impoverished input from the peripheral auditory system. However, since 28 of the 36 depressed PH scores were from listeners 306
5 SPIN Test Performance/Schum and Matthews who showed nondepressed PH scores in the other ear, the current results cannot be attributed to a general decline in linguistic skills. It is difficult to specify precisely which changes in the nervous system account for this performance decrement. Acknowledgment. Drs. Lisa Hellstrom and John Gibson provided important comments on an earlier version of this manuscript. Portions of this paper were presented at the Annual Midwinter Meeting of the Association for Research in Otolaryngology, St. Petersburg Beach, February, This work is supported by NIH grant P50-NS25039 to the Medical University of South Carolina. REFERENCES Bilger RC. (1984) Manual for the Clinical Use of the Speech Perception in Noise (SPIN) Test. Champaign- Urbana : University of Illinois Press. Bilger RC, Nuetzel JM, Rabinowitz WM, Rzeczkowski C. (1984) Standardization of a test of speech perception in noise. J Speech Hear Res 27 : Catlin Fl. (1986) Noise-induced hearing loss. Am J Otol 7: Cohen D, Wu S. (1980) Language and cognition. Ann Rev Gerontol Geriatr 1: Hayes D. (1985) Aging and speech understanding. Semin Hear 6: Kalikow DN, Stevens KN, Elliott LL. (1977) Development of a test of speech intelligibility in noise using sentence materials with controlled word predictability. J Acoust Soc Am 61 : Kausler SH. (1988) Cognition and aging. In: Shadden BB, ed. Communication Behavior and Aging : A Sourcebook for Clinicians. Baltimore : Williams & Wilkins, Marshall L. (1981) Auditory processing in aging listeners. J Speech Hear Disord 46 : Welford AT. (1985) Changes of performance with age : An overview. In : Chamess N, ed. Aging and Human Performance. New York : John Wiley & Sons, Woodruff DS. (1983) A review of aging and cognitive processes. Res Aging 5:
Pure-Tone Assessment and Screening of Children with Middle-Ear Effusion
J Am Acad Audiol 5 : 173-182 (1994) Pure-Tone Assessment and Screening of Children with Middle-Ear Effusion Shlomo Silman* t Carol A. Silvermantt Daniel S. Arick Abstract The purpose of this prospective
More informationS ilman, Gelfand, and Silverman (1984)
J Am Acad Audiol 4: 285-295 (1993) Monaural Hearing Aid Effect : Case Presentations Raymond M. Hurley* Abstract A phenomenon associated with a monaural hearing aid fitting has previously been identified.
More informationThe NAL Percentage Loss of Hearing Scale
The NAL Percentage Loss of Hearing Scale Anne Greville Audiology Adviser, ACC February, 2010 The NAL Percentage Loss of Hearing (PLH) Scale was developed by John Macrae of the Australian National Acoustic
More informationEarly vs. Late Onset Hearing Loss: How Children Differ from Adults. Andrea Pittman, PhD Arizona State University
Early vs. Late Onset Hearing Loss: How Children Differ from Adults Andrea Pittman, PhD Arizona State University Heterogeneity of Children with Hearing Loss Chronological age Age at onset Age at identification
More informationAudio Examination. Place of Exam:
Audio Examination Name: Date of Exam: SSN: C-number: Place of Exam: The Handbook of Standard Procedures and Best Practices for Audiology Compensation and Pension Exams is available online. ( This is a
More informationProceedings of Meetings on Acoustics
Proceedings of Meetings on Acoustics Volume 19, 213 http://acousticalsociety.org/ ICA 213 Montreal Montreal, Canada 2-7 June 213 Communication Session 3aSCb: Components of Informational Masking 3aSCb4.
More informationThe Accuracy of 0 db HL as an Assumption of Normal Hearing
The Accuracy of 0 db HL as an Assumption of Normal Hearing Introduction An operating assumption of diagnostic audiology is that hearing level of a young adult with no known hearing loss or history of noise
More informationSPEECH AUDIOMETRY. @ Biswajeet Sarangi, B.Sc.(Audiology & speech Language pathology)
1 SPEECH AUDIOMETRY Pure tone Audiometry provides only a partial picture of the patient s auditory sensitivity. Because it doesn t give any information about it s ability to hear and understand speech.
More informationPURE TONE AUDIOMETRY Andrew P. McGrath, AuD
PURE TONE AUDIOMETRY Andrew P. McGrath, AuD Pure tone audiometry is the standard behavioral assessment of an individual s hearing. The results of pure tone audiometry are recorded on a chart or form called
More informationHearing Aids - Adult HEARING AIDS - ADULT HS-159. Policy Number: HS-159. Original Effective Date: 3/18/2010. Revised Date(s): 3/18/2011; 3/1/2012
Harmony Behavioral Health, Inc. Harmony Behavioral Health of Florida, Inc. Harmony Health Plan of Illinois, Inc. HealthEase of Florida, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance
More informationSPEECH AND LANGUAGE EVALUATION CLIENT : RESP. PARTY : ADDRESS : INFORMANT : REFERRAL SOURCE : BIRTH DATE : EVALUATION DATE : PHONE : REPORT DATE :
(Leave room for letterhead) SPEECH AND LANGUAGE EVALUATION CLIENT : RESP. PARTY : ADDRESS : INFORMANT : REFERRAL SOURCE : BIRTH DATE : EVALUATION DATE : PHONE : REPORT DATE : All pages following the letterhead
More informationComparison of Traditional Bone-Conduction Hearing Aids with the Baha â System DOI: 10.3766/jaaa.21.4.5
J Am Acad Audiol 21:267 273 (2010) Comparison of Traditional Bone-Conduction Hearing Aids with the Baha â System DOI: 10.3766/jaaa.21.4.5 Lisa Christensen* Laura Smith-Olinde Jillian Kimberlain* Gresham
More informationYour Hearing ILLUMINATED
Your Hearing ILLUMINATED INFORMATION FROM YOUR HEARING CARE PROFESSIONAL REDISCOVER your hearing and reconnect 1 with the important things you might have been missing. Your sense of hearing is a vital
More information8.Audiological Evaluation
8. A U D I O L O G I C A L E V A L U A T I O N 8.Audiological Evaluation The external ear of the child with Progeria Behavioral testing for assessing hearing thresholds Objective electrophysiologic tests
More informationAuditory evoked response, clicks, notch noise bandwidth, frequency
1~14fYl~t~lilliill ~~~~l~lll ~ I i?~l~i i J Am Acad Audiol 3 : 269-274 (1992) Effects of Notch Noise Bandwidth on the Auditory Brainstem Response to Clicks Randall C. Beattie* Debra L. Franzone* Kristen
More informationLong-Term Findings from the NIDCD/VA Hearing Aid Clinical Trial. Gene W. Bratt, Ph.D, Chair gene.bratt@med.va.gov
Long-Term Findings from the NIDCD/VA Hearing Aid Clinical Trial Gene W. Bratt, Ph.D, Chair gene.bratt@med.va.gov Demographics and Audiometrics CSP #418-A Gene W. Bratt, Ph.D. Study Chair Barbara F. Peek,
More informationBenefit Acclimatization in Elderly Hearing Aid Users
J Am Acad Audiol 7 : 428-441 (1996) Benefit Acclimatization in Elderly Hearing Aid Users Robyn M. Cox*t Genevieve C. Alexandert Izel M. Taylor' Ginger A. Gray* Abstract A previous study from this laboratory
More informationDoes premium listening require premium hearing aids?
Does premium listening require premium hearing aids? Effectiveness of basic and premium hearing aids on speech understanding and listening effort outcomes. Jani Johnson, Jingjing Xu, Robyn Cox Presented
More informationGSI AUDIOSTAR PRO CLINICAL TWO-CHANNEL AUDIOMETER. Setting The Clinical Standard
GSI AUDIOSTAR PRO CLINICAL TWO-CHANNEL AUDIOMETER Setting The Clinical Standard GSI AUDIOSTAR PRO CLINICAL TWO-CHANNEL AUDIOMETER Tradition of Excellence The GSI AudioStar Pro continues the tradition of
More informationMICHIGAN TEST FOR TEACHER CERTIFICATION (MTTC) TEST OBJECTIVES FIELD 062: HEARING IMPAIRED
MICHIGAN TEST FOR TEACHER CERTIFICATION (MTTC) TEST OBJECTIVES Subarea Human Development and Students with Special Educational Needs Hearing Impairments Assessment Program Development and Intervention
More informationBehavioural Audiometry for Infants and Young Children Whose hearing loss has been detected in infancy
Behavioural Audiometry for Infants and Young Children Whose hearing loss has been detected in infancy Alison King, Principal Audiologist, Paediatric Services, Australian Hearing International Paediatric
More informationCONVENTIONAL AND DIGITAL HEARING AIDS
CONVENTIONAL AND DIGITAL HEARING AIDS Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Medical
More informationPros and Cons: Including High Frequency (1000 Hz) Ipsilateral Acoustic Stapedial Reflexes in UNHS
Pros and Cons: Including High Frequency (1000 Hz) Ipsilateral Acoustic Stapedial Reflexes in UNHS Samantha J. Kleindienst, M.S. Wendy D. Hanks, Ph.D. Gallaudet University Collaborators Carmen Brewer, Ph.D.
More informationAudiology as a School Based Service. Purpose. Audiology (IDEA 2004) Arkansas SPED Regulations. IDEA 2004 Part B
Audiology as a School Based Service 2008 Medicaid in the Schools (MITS) Summit January 24, 2008 Donna Fisher Smiley, Ph.D., CCC-A Audiologist Arkansas Children s Hospital and Conway Public Schools Purpose
More informationNoise. CIH Review PDC March 2012
Noise CIH Review PDC March 2012 Learning Objectives Understand the concept of the decibel, decibel determination, decibel addition, and weighting Know the characteristics of frequency that are relevant
More informationNoise Induced Hearing Loss
Noise Induced Hearing Loss Parkes v Meridian Ltd [2007] EWHC B1 (QB) 14 th Feb 2007. The case examined whether or not there was a duty of care to protect employees from exposure to noise of less than 90
More informationHEARING SCREENING FOR CHILDREN
PURPOSE Audiologic (hearing) screening identifies those persons who are likely to have hearing impairments or disorders that may interfere with body function/structure and/or activity/participation as
More informationThe Effects of Hearing Impairment and Aging on Spatial Processing
The Effects of Hearing Impairment and Aging on Spatial Processing Helen Glyde, 1 3 Sharon Cameron, 1,2 Harvey Dillon, 1,2 Louise Hickson, 1,3 and Mark Seeto 1,2 Objectives: Difficulty in understanding
More informationNoise: Impact on Hearing; Regulation
Noise: Impact on Hearing; Regulation EOH 466A Fall 2008 Mechanism of Hearing Sound waves collected, focused by the outer ear. Humans have little control over muscles in outer ear. Many animals have the
More informationAudiometry and Hearing Loss Examples
Audiometry and Hearing Loss Examples An audiogram shows the quietest sounds you can just hear. The red circles represent the right ear and the blue crosses represent the left ear. Across the top, there
More informationMacroaudiology a Working Model of Hearing Presented at XXI International Congress of Audiology Morioka, Japan, 1992 R.
Macroaudiology a Working Model of Hearing Presented at XXI International Congress of Audiology Morioka, Japan, 1992 R. Bishop MNZAS I would like to present a model of hearing which gives a theoretical
More informationA new method of partial deafness treatment
Signature: Med Sci Monit, 3; 9(4): CS-24 PMID: 129676 WWW.MEDSCIMONIT.COM Case Study Received: 2.12.5 Accepted: 3.2. Published: 3.4.23 A new method of partial deafness treatment Henryk Skarżyński, Artur
More informationNEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES PROCEDURE CODES
NEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES PROCEDURE CODES Table of Contents WHAT S NEW FOR THE 2016 MANUAL? --------------------------------------------------------------------------------
More informationManual Pure-Tone Threshold Audiometry
Guidelines Manual Pure-Tone Threshold Audiometry Guidelines 1977 / II - 221 Manual Pure-Tone Threshold Audiometry ASHA Committee on Audiometric Evaluation Reference this material as: American Speech-Language-
More informationIntroduction Bone Anchored Implants (BAI), Candidacy and Pre-Operative Testing for Adult Patients
Introduction Bone Anchored Implants (BAI), Candidacy and Pre-Operative Testing for Adult Patients Developed by Hakanssonand his colleagues in Sweden in the late 1970s 3 Components Sound Processor (#1)
More informationWorkplace Health, Safety & Compensation Review Division
Workplace Health, Safety & Compensation Review Division WHSCRD Case No: 13111-04 WHSCC Claim No: 832088 Decision Number: 14017 Margaret Blackmore Review Commissioner The Review Proceedings 1. The hearing
More informationPERCENTAGE ARTICULATION LOSS OF CONSONANTS IN THE ELEMENTARY SCHOOL CLASSROOMS
The 21 st International Congress on Sound and Vibration 13-17 July, 2014, Beijing/China PERCENTAGE ARTICULATION LOSS OF CONSONANTS IN THE ELEMENTARY SCHOOL CLASSROOMS Dan Wang, Nanjie Yan and Jianxin Peng*
More informationPURE TONE AUDIOMETER
PURE TONE AUDIOMETER V. Vencovský, F. Rund Department of Radioelectronics, Faculty of Electrical Engineering, Czech Technical University in Prague, Czech Republic Abstract Estimation of pure tone hearing
More informationIf you do not use the calculator-generated text, you MUST notify the Rating Job Aids mailbox. Please describe the error in detail.
HEARING LOSS CALCULATOR USER GUIDE HL Calculator v4.7 Index Hearing Loss Calculator.....3 How to Navigate the Hearing Loss Calculator User Guide.4 Hearing Loss Calculator - Starting the Program..5 New
More informationKANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Audiology
KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Audiology PART II Introduction Section BILLING INSTRUCTIONS Page 7000 Audiology Billing Instructions............... 7-1 Submission of Claim................
More informationJustin M. Aronoff, Ph.D. Education House Research Institute and University of Southern California: NIH T32 Post-doctoral fellow
Justin M. Aronoff, Ph.D. House Research Institute 2100 W. 3 rd Street Los Angeles, CA 90057 (213) 273-8040 jaronoff@hei.org Education House Research Institute and : NIH T32 Post-doctoral fellow House Research
More informationL2 EXPERIENCE MODULATES LEARNERS USE OF CUES IN THE PERCEPTION OF L3 TONES
L2 EXPERIENCE MODULATES LEARNERS USE OF CUES IN THE PERCEPTION OF L3 TONES Zhen Qin, Allard Jongman Department of Linguistics, University of Kansas, United States qinzhenquentin2@ku.edu, ajongman@ku.edu
More informationIntroducing the WAIS IV. Copyright 2008 Pearson Education, inc. or its affiliates. All rights reserved.
Introducing the WAIS IV Overview Introduction Revision Goals Test Structure Normative / Validity / Clinical Information Wechsler s View of Intelligence "The global capacity of a person to act purposefully,
More informationCochlear Implant, Bone Anchored Hearing Aids, and Auditory Brainstem Implant
Origination: 06/23/08 Revised: 10/13/14 Annual Review: 11/12/15 Purpose: To provide cochlear implant, bone anchored hearing aids, and auditory brainstem implant guidelines for the Medical Department staff
More informationAuditory measures of selective and divided attention in young and older adults using single-talker competition
Auditory measures of selective and divided attention in young and older adults using single-talker competition Larry E. Humes, Jae Hee Lee, and Maureen P. Coughlin Department of Speech and Hearing Sciences,
More informationSpeech as input for technical measures
Speech as input for technical measures Carsten Daugaard DELTA, Edisonvej 24, 5000 Odense C, Denmark, cd@delta.dk Ellen Raben Pedersen Institute of Technology and Innovation, University of Southern Denmark,
More information62 Hearing Impaired MI-SG-FLD062-02
62 Hearing Impaired MI-SG-FLD062-02 TABLE OF CONTENTS PART 1: General Information About the MTTC Program and Test Preparation OVERVIEW OF THE TESTING PROGRAM... 1-1 Contact Information Test Development
More informationTechnical Report. Overview. Revisions in this Edition. Four-Level Assessment Process
Technical Report Overview The Clinical Evaluation of Language Fundamentals Fourth Edition (CELF 4) is an individually administered test for determining if a student (ages 5 through 21 years) has a language
More informationTinnitus: a brief overview
: a brief overview sufferers experience sound in the absence of an external source. Sounds heard in tinnitus tend to be buzzing, hissing or ringing rather than fully-formed sounds such as speech or music.
More informationEarly Detection of Adult Hearing Loss: Next Steps to Clinical Practice
Early Detection of Adult Hearing Loss: Next Steps to Clinical Practice Jonathan Siegel Sumitrajit Dhar Knowles Hearing Center Roxelyn & Richard Pepper Department of Communication Science & Disorders Northwestern
More informationCentral Auditory Processing Disorder (CAPD)
Central Auditory Processing Disorder (CAPD) What is CAPD? Central Auditory Processing Disorder (CAPD) - also known as Auditory Processing Disorder (APD) - is an umbrella term for a variety of disorders
More informationConsonant Perception in Quiet : Effect of Increasing the Consonant Vowel Ratio with Compression Amplification
J Am Acad Audiol 8 : 322-332 (1997) Consonant Perception in Quiet : Effect of Increasing the Consonant Vowel Ratio with Compression Amplification Louise Hickson* Denis Byrner Abstract Single-channel syllabic
More informationThe Severely to Profoundly Hearing-Impaired Population in the United States : Prevalence Estimates and Demographics
J Am Acad Audiol 12 : 183-189 (21) The Severely to Profoundly Hearing-Impaired Population in the United States : Prevalence Estimates and Demographics Bonnie B. Blanchfield* Jacob J. Feldman* Jennifer
More informationHEARING SCREENING (May 2006)
HEARING SCREENING (May 2006) Definition Procedures for Hearing Screening Student with hearing loss School Nurse Role Referral Criteria Resources Definition: Hearing is the perception of sound. The normal
More informationProduct Development News
Article from: Product Development News May 2006 Issue 65 Features Comfort Food for an Actuary: Cognitive Testing in Underwriting the Elderly 1 by Eric D. Golus, Laura Vecchione and Thomas Ashley Eric D.
More informationHearing loss and aging: New research findings and clinical implications
JRRD Volume 42, Number 4, Pages 9 24 July/August 2005, Supplement 2 Journal of Rehabilitation Research & Development Hearing loss and aging: New research findings and clinical implications Sandra Gordon-Salant,
More informationNEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES PROCEDURE CODES
NEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES PROCEDURE CODES Table of Contents GENERAL INFORMATION AND INSTRUCTIONS----------------------------------------------- 2 A. DIAGNOSTIC SERVICES
More informationPediatric Whitepaper. Electrophysiological Threshold Estimation and Infant Hearing Instrument Fitting
Pediatric Whitepaper January 2010 Electrophysiological Threshold Estimation and Infant Hearing Instrument Fitting Merethe Lindgaard Fuglholt, M.A. Oticon A/S, Pediatric Audiology Abstract This paper addresses
More informationUnilateral (Hearing Loss in One Ear) Hearing Loss Guidance
Unilateral (Hearing Loss in One Ear) Hearing Loss Guidance Indiana s Early Hearing Detection and Intervention Program Before universal newborn hearing screening, most children with unilateral hearing loss
More informationMaturation of Hearing Aid Benefit: Objective and Subjective Measurements
Amplification and Aural Rehabilitation Maturation of Hearing Aid Benefit: Objective and Subjective Measurements Robyn M. Cox, PhD; Genevieve C. Alexander, MA Department of Audiology and Speech Pathology,
More informationThe Disability Tax Credit Certificate Tip sheet for Audiologists
The Disability Tax Credit Certificate Tip sheet for Audiologists Developed by: The Canadian Academy of Audiology (CAA) & Speech- Language and Audiology Canada (SAC) Purpose of This Document The Canada
More informationHearing Tests And Your Child
HOW EARLY CAN A CHILD S HEARING BE TESTED? Most parents can remember the moment they first realized that their child could not hear. Louise Tracy has often told other parents of the time she went onto
More informationPortions have been extracted from this report to protect the identity of the student. RIT/NTID AURAL REHABILITATION REPORT Academic Year 2003 2004
Portions have been extracted from this report to protect the identity of the student. Sessions: 9/03 5/04 Device: N24 cochlear implant Speech processors: 3G & Sprint RIT/NTID AURAL REHABILITATION REPORT
More informationHearing Tests And Your Child
How Early Can A Child s Hearing Be Tested? Most parents can remember the moment they first realized that their child could not hear. Louise Tracy has often told other parents of the time she went onto
More informationConfidence Intervals for One Standard Deviation Using Standard Deviation
Chapter 640 Confidence Intervals for One Standard Deviation Using Standard Deviation Introduction This routine calculates the sample size necessary to achieve a specified interval width or distance from
More informationPROFESSIONAL BOARD FOR SPEECH, LANGUAGE AND HEARING PROFESSIONS STANDARDS OF PRACTICE IN AUDIOLOGY
The Health Professions Council of South Africa PROFESSIONAL BOARD FOR SPEECH, LANGUAGE AND HEARING PROFESSIONS STANDARDS OF PRACTICE IN AUDIOLOGY December 2002 The following are considered to be standard
More informationMarc A. Brennan. 2014 present Director Amplification and Perception Laboratory, Boys Town National Research Hospital, Omaha, NE
Marc A. Brennan Boys Town National Research Hospital 555 N. 30 th St. Omaha, NE 68131 402.498.6553 Marc.Brennan@boystown.org Education University of Washington Seattle Ph.D., Speech and Hearing Sciences,
More informationWhat Audio Engineers Should Know About Human Sound Perception. Part 2. Binaural Effects and Spatial Hearing
What Audio Engineers Should Know About Human Sound Perception Part 2. Binaural Effects and Spatial Hearing AES 112 th Convention, Munich AES 113 th Convention, Los Angeles Durand R. Begault Human Factors
More informationINCREASE YOUR PRODUCTIVITY WITH CELF 4 SOFTWARE! SAMPLE REPORTS. To order, call 1-800-211-8378, or visit our Web site at www.pearsonassess.
INCREASE YOUR PRODUCTIVITY WITH CELF 4 SOFTWARE! Report Assistant SAMPLE REPORTS To order, call 1-800-211-8378, or visit our Web site at www.pearsonassess.com In Canada, call 1-800-387-7278 In United Kingdom,
More informationCosts and determinants of compensation claims for noise induced hearing loss (NIHL) between 1998-99 and 2008-09
Costs and determinants of compensation claims for noise induced hearing loss (NIHL) between 1998-99 and 2008-09 Monash University Centre for Occupational and Environmental Health Authors Dr Samia Radi,
More informationRESOURCE PACKET. Assessment of Deafness and Hearing Impairment
RESOURCE PACKET Assessment of Deafness and Hearing Impairment Introduction The reauthorization of the Individuals with Disabilities Education Act (IDEA) in 1997 is the third major statutory reauthorization
More informationCURRICULUM VITAE THOMAS G. DOLAN. March, 2011
CURRICULUM VITAE THOMAS G. DOLAN March, 2011 Address: Department of Speech and Hearing Sciences Portland State University P.O. Box 751 Portland, OR 97207-0751 Telephone: (503) 725-3264 Fax: (503) 725-9171
More informationWMS III to WMS IV: Rationale for Change
Pearson Clinical Assessment 19500 Bulverde Rd San Antonio, TX, 28759 Telephone: 800 627 7271 www.pearsonassessments.com WMS III to WMS IV: Rationale for Change Since the publication of the Wechsler Memory
More informationCochlear implants for children and adults with severe to profound deafness
Issue date: January 2009 Review date: February 2011 Cochlear implants for children and adults with severe to profound deafness National Institute for Health and Clinical Excellence Page 1 of 41 Final appraisal
More informationBY S. S. STEVENS. Harvard University
A SCALE FOR THE MEASUREMENT OF A PSYCHOLOGICAL MAGNITUDE: LOUDNESS BY S. S. STEVENS Harvard University A scale adequate to the measurement of the subjective magnitude of sensation has long been sought
More informationIntroduction Noise and Occupational Hearing Loss
Introduction Noise and Occupational Hearing Loss Dr Steven Sadhra Senior Lecturer & Director of Education for Occupational Medicine PhD, MIOSH, MFOM, FFOM (Hon.) Institute of Occupational and Environmental
More informationC HAPTER T HIRTEEN. Diagnosis and Treatment of Severe High Frequency Hearing Loss. Susan Scollie and Danielle Glista
C HAPTER T HIRTEEN Diagnosis and Treatment of Severe High Frequency Hearing Loss Susan Scollie and Danielle Glista Providing audible amplified signals for listeners with severe high frequency hearing loss
More informationCHAPTER 11 NOISE AND HEARING CONSERVATION PROGRAM
CHAPTER 11 NOISE AND HEARING CONSERVATION PROGRAM INTRODUCTION This program contains information on the effects, evaluation, and control of noise. For assistance in evaluating a noise problem, contact
More informationCentral Auditory System
Auditory Processing Disorder Sarah (King) Zlomke, Au.D., CCC-A September 16, 2011 Kansas Speech-Language-Hearing Association Conference Auditory processing is not only what we hear, it is how we process
More information5th Congress of Alps-Adria Acoustics Association NOISE-INDUCED HEARING LOSS
5th Congress of Alps-Adria Acoustics Association 12-14 September 2012, Petrčane, Croatia NOISE-INDUCED HEARING LOSS Davor Šušković, mag. ing. el. techn. inf. davor.suskovic@microton.hr Abstract: One of
More informationDescriptive Statistics
Descriptive Statistics Primer Descriptive statistics Central tendency Variation Relative position Relationships Calculating descriptive statistics Descriptive Statistics Purpose to describe or summarize
More informationPerceptual experiments sir-skur-spur-stir
Perceptual experiments sir-skur-spur-stir Amy Beeston & Guy Brown 19 May 21 1 Introduction 2 Experiment 1: cutoff Set up Results 3 Experiment 2: reverse Set up Results 4 Discussion Introduction introduction
More informationNEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES FEE SCHEDULE
NEW YORK STATE MEDICAID PROGRAM HEARING AID/ AUDIOLOGY SERVICES FEE SCHEDULE Table of Contents GENERAL INFORMATION AND INSTRUCTIONS----------------------------------------------- 2 CODES -------------------------------------------------------------------------------------------------------
More information3030. Eligibility Criteria.
3030. Eligibility Criteria. 5 CA ADC 3030BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS Barclays Official California Code of Regulations Currentness Title 5. Education Division 1. California Department
More informationAcoustical Design of Rooms for Speech
Construction Technology Update No. 51 Acoustical Design of Rooms for Speech by J.S. Bradley This Update explains the acoustical requirements conducive to relaxed and accurate speech communication in rooms
More informationACOUSTICAL CONSIDERATIONS FOR EFFECTIVE EMERGENCY ALARM SYSTEMS IN AN INDUSTRIAL SETTING
ACOUSTICAL CONSIDERATIONS FOR EFFECTIVE EMERGENCY ALARM SYSTEMS IN AN INDUSTRIAL SETTING Dennis P. Driscoll, P.E. and David C. Byrne, CCC-A Associates in Acoustics, Inc. Evergreen, Colorado Telephone (303)
More informationThe Effects of Ultrasonic Sound Generated by Ultrasonic Cleaning Systems on Human Hearing and Physiology
The Effects of Ultrasonic Sound Generated by Ultrasonic Cleaning Systems on Human Hearing and Physiology Questions about the effects of ultrasonic energy on hearing and other human physiology arise from
More informationTECHNICAL ASSISTANCE AND BEST PRACTICES MANUAL Speech-Language Pathology in the Schools
I. Definition and Overview Central Consolidated School District No. 22 TECHNICAL ASSISTANCE AND BEST PRACTICES MANUAL Speech-Language Pathology in the Schools Speech and/or language impairments are those
More informationORIGINAL ARTICLE. The Clinical Value of the Multiple-Frequency 80-Hz Auditory Steady-State Response in Adults With Normal Hearing and Hearing Loss
ORIGINAL ARTICLE The Clinical Value of the Multiple-Frequency 8-Hz Auditory Steady-State Response in Adults With Normal Hearing and Hearing Loss Wendy D haenens, MSc; Ingeborg Dhooge, MD, PhD; Leen Maes,
More information. Niparko, J. K. (2006). Speech Recognition at 1-Year Follow-Up in the Childhood
Psychology 230: Research Methods Lab A Katie Berg, Brandon Geary, Gina Scharenbroch, Haley Schmidt, & Elizabeth Stevens Introduction: Overview: A training program, under the lead of Professor Jeremy Loebach,
More informationPractice Standards for Hearing Service Providers
Practice Standards for Hearing Service Providers The WCB has been unsuccessful in obtaining input from the SASLPA for the development of practice standards and a fee schedule to cover hearing service providers
More informationOfficial CPT Description
s CPT 69210 Removal impacted cerumen (separate procedure), one or both ears 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual 92516 Facial nerve
More informationMAINE STATE LEGISLATURE
MAINE STATE LEGISLATURE The following document is provided by the LAW AND LEGISLATIVE DIGITAL LIBRARY at the Maine State Law and Legislative Reference Library http://legislature.maine.gov/lawlib Reproduced
More informationMODEL SUPERBILL for AUDIOLOGY
MODEL SUPERBILL for AUDIOLOGY The following is a model of a superbill which could be used by an audiology practice when billing private health plans. This sample is not meant to dictate which services
More informationHEARING LOSS AND LANGUAGE DELAY IN LITTLE CHILDREN. Prepared by Jane H. LeBlanc, M.S., M.S.P. Audiologist, CCC-A Speech Language Pathologist, CCC-SLP
HEARING LOSS AND LANGUAGE DELAY IN LITTLE CHILDREN Prepared by Jane H. LeBlanc, M.S., M.S.P. Audiologist, CCC-A Speech Language Pathologist, CCC-SLP This is being written to provide information to concerned
More informationFunctional Auditory Performance Indicators (FAPI)
Functional Performance Indicators (FAPI) An Integrated Approach to Skill FAPI Overview The Functional (FAPI) assesses the functional auditory skills of children with hearing loss. It can be used by parents,
More informationEffects of Noise Attenuation Devices on Screening Distortion Product Otoacoustic Emissions in Different Levels of Background Noise
Effects of Noise Attenuation Devices on Screening Distortion Product Otoacoustic Emissions in Different Levels of Background Noise Kelsey Nielsen, Au.D. Otolaryngology Associates, P.C. Fairfax, Virginia
More informationAudiometric Accuracy of the Click ABR in Infants at Risk for Hearing Loss
J Am Acad Audiol 1:59-66 (1990) Audiometric Accuracy of the Click ABR in Infants at Risk for Hearing Loss Martyn L. Hyde Krista Riko Kathy Malizia Abstract The auditory brainstem response (ABR) to clicks
More informationPPVT -4 Publication Summary Form
PPVT -4 Publication Summary Form PRODUCT DESCRIPTION Product name Peabody Picture Vocabulary Test, Fourth Edition Product acronym PPVT 4 scale Authors Lloyd M. Dunn, PhD, and Douglas M. Dunn, PhD Copyright
More informationLearners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan
Learners Who are Deaf or Hard of Hearing Kalie Carlisle, Lauren Nash, and Allison Gallahan Definition Deaf A deaf person is one whose hearing disability precludes successful processing of linguistic information
More information