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Rationale for Including Objective Measures
Physiologic Measures 1
47
Audiology
Graduate
02/24/2017

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Term
the role of audiologists in diagnosing hearing loss is to obtain (or estimate) the ___, ___, & ___ of hearing loss in each ear
Definition
severity; configuration; type
Term
What is needed for an audiologist to diagnose a hearing loss?
-___ & ___ procedures to use with patients of all ages & abilities
-___ -specific information
-___-specific information
-___ and ___-conduction thresholds
Definition
Valid; reliable; Frequency; Ear; Air- & bone
Term
What are 5 variables that may influence behavioral responses?
Definition
-Age & development
-Cognitive ability
-Language
-Motivation
-Attention
Term
physically measureable; independent of subjective interpretation
Definition
objective
Term
measuring hearing sensitivity based on predictions made from
physiologic response to sound
Definition
objective measures
Term
not physically measurable, but perceived only by the individual involved
Definition
subjective
Term
“using scientific & skillful methods to establish the cause & nature of hearing loss”
Definition
diagnosis
Term
determination of a disease or disorder in a patient from among two or more diseases or disorders with similar symptoms or findings
Definition
differential diagnosis
Term
the locus of a pathologic change
Definition
site of lesion
Term
series of tests designed to identify the location of a lesion
Definition
site of lesion test battery
Term
pertaining to the sensory end organs and their nerve fibers
Definition
sensorineural
Term
prediction of the course or outcome of a disease or proposed treatment
Definition
prognosis
Term
decibel notation used on the audiogram that is referenced to audiometric zero
Definition
dB HL
Term
decibel notation referenced to behavioral thresholds of a sample of normal-hearing persons, used most often to describe the intensity level of click stimuli used in evoked potential audiometry
Definition
dB nHL decibels normalized hearing level
Term
decibel level of a 1000-Hz tone at an amplitude equivalent to the peak of a transient signal; used to express the intensity level of click stimuli used in auditory evoked potential testing
Definition
dB peSPL-decibels peak equivalent sound pressure
level
Term
age of an individual from date of birth
Definition
chronologic age (CA)
Term
age at which children acquire specific skills
Definition
developmental age
Term
grade-level equivalent age of a student based on standardized achievement tests
Definition
educational age (EA)
Term
age since conception, measured in weeks and days from the first day of the last normal menstrual period
Definition
gestational age
Term
intellectual age, as measured on standardized tests
Definition
mental age (MA)
Term
association of specialists, manufacturers, and consumers that determines standards for measuring instruments
Definition
ANSI-American National Standards Institute
Term
entire collection of methods and equipment available to a practitioners
Definition
Armamentarium
Term
sense of hearing
Definition
Acusis
Term
of sudden onset & short duration
Definition
Acute
Term
dissimilarity between two or more like parts that are normally similar; e.g. lack of symmetry between ears on some auditory measure
Definition
Asymmetry
Term
Without symptoms
Definition
asymptomatic
Term
to reduce in magnitude; to decrease
Definition
attenuate
Term
reduction in the sound energy of a signal as it is transmitted by bone conduction from one side of the head to the opposite ear
Definition
interaural attenuation (IA)
Term
reduction in the ability to manipulate acoustic signals, despite normal hearing sensitivity and regardless of language, attention, and cognition ability
Definition
APD-auditory processing disorder
Term
deficit in hearing function based on dysfunction of the auditory system
Definition
hearing impairment
Term
Abnormal auditory function somewhere in the auditory system (anywhere from the external ear to the auditory cortex)
Definition
Auditory dysfunction
Term
disturbance in auditory structure, function, or both
Definition
auditory disorder
Term
functional disorder resulting from diseases of or trauma to the central auditory nervous system
Definition
central auditory disorder
Term
functional disorder resulting from diseases of or trauma to the external ear, middle ear, cochlea, and CN VIII
Definition
peripheral auditory disorder
Term
uditory disorder that appears to disrupt synchronous activity of the auditory nervous system, characterized by normal cochlear OHC function, abnormal ABR, absent acoustic reflexes, and threshold and supra-threshold hearing disorder of varying degrees; SYN: auditory neuropathy
Definition
auditory dysynchrony
Term
Auditory Sensitivity:
-Thresholds for some type of auditory response, but not necessarily a ___ response
-Auditory sensitivity & hearing sensitivity may be the ___ (especially in adults)
-Auditory & hearing sensitivity may ___ be the same.
Definition
behavioral; same; not
Term
category of mentally or physically handicapping conditions that appear in infancy or early childhood and are related to abnormal development
Definition
Developmental disability
Term
the application of rapid & simple hearing tests, to a large population consisting of individuals who are undiagnosed and typically asymptomatic, to identify those who require additional diagnostic procedure
Definition
hearing screening
Term
Terms Related to the Performance of Test Methods:
-___ ___ ___: specified disorder to target; in audiology – hearing loss
-___: ability to correctly identify persons with the target disorder
-____: ability to correctly identify persons without the target disorder
-Both expressed as ___
-Typically ___ related
-Ideally, want ___ values of both
Definition
Target disorder/hearing loss; Sensitivity; Specificity; percentages; inversely; high
Term
Terms Related to Outcomes on Tests:
-False ___ result: incorrect fail result for a person without the target disorder
– Person with normal hearing “___” on screening
-False ___ result: incorrect “pass” result for a person with the target disorder
– Person with hearing loss ___ screening
Definition
positive; refers; negative; passes
Term
a condition that renders the use of a treatment or procedure inadvisable
Definition
contraindication
Term
in pediatric audiology, the concept that no single test result obtained during pediatric assessment should be considered valid until an independent cross-check of its validity has been obtained
Definition
cross-check principle
Term
the perception of sound in one ear that has crossed over the head by bone-conduction transmission of a sound presented through an earphone to the opposite ear; SYN: crossover
Definition
cross-hearing
Term
the process in which sound presented to one ear through an earphone crosses the head via bone conduction and is perceived by the other ear; SYN: cross hearing
Definition
crossover
Term
Limitations of Objective Measures:
-Objective measures do not measure ___; only ___ measures do
-Implication: when possible, continue diagnostic process until
thorough evaluation of auditory function is done; & treatment effectiveness is confirmed with ___ measures
-Abnormal findings do not necessarily mean ___ ___
-A single measure typically provides only ___ information about hearing status
-Do not yield information about speech ___
-Give no information about cortical ___ dysfunction
Definition
hearing; behavioral; behavioral; hearing loss; limited; understanding; auditory
Term
Strengths of Objective Measures:
1. Have high sensitivity to ___ ___
2. Yield ___-specific information (e.g. middle ear to cortex)
3. Valid measures can be obtained on patients of all ___.
4. Reasonable ___ time
5. Can use with individuals who are ___ or ___ to
complete behavioral measures
6. Not influenced by ___
7. Not influenced by ___ status
8. Not influenced by ___ status
9. Not influenced by ___, or whether asleep or awake
10. Can be done when patients receive ___ or ___
11. Do not require patients to follow ___.
Definition
auditory dysfunction; site; ages; testing; unable; unwilling; motivation; cognitive; motor; attention anesthesia; sedation; instructions
Term
method for measuring the auditory brainstem response in which recording parameters are under computer control and detection of a response is determined automatically by computer-based algorithms
Definition
Automated ABR
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