Pub Date : 2024-07-09eCollection Date: 2024-05-01DOI: 10.1055/s-0044-1788318
Catherine Palmer, Lori Zitelli, Lindsey Jorgensen
[This corrects the article DOI: 10.1055/s-0044-1786506.].
[此处更正了文章 DOI：10.1055/s-0044-1786506]。
{"title":"Errata: Unleashing the Power of Test Box and Real-Ear Probe Microphone Measurement.","authors":"Catherine Palmer, Lori Zitelli, Lindsey Jorgensen","doi":"10.1055/s-0044-1788318","DOIUrl":"https://doi.org/10.1055/s-0044-1788318","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/s-0044-1786506.].</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"45 2","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This chapter will take you through specific patient complaints and the test box measures you can use to address these complaints. These measurements give you data that aid in your decision making about what is wrong, if anything, with the hearing aid and how you might address the problem. Before we discuss specific patient complaints and problems, let us review the American National Standard Institute (ANSI) guidelines for hearing aid testing in a test box.
{"title":"Chapter 2: My Hearing Aid Isn't Working Like It Used to…","authors":"Lori Zitelli, Catherine Palmer","doi":"10.1055/s-0044-1786523","DOIUrl":"https://doi.org/10.1055/s-0044-1786523","url":null,"abstract":"This chapter will take you through specific patient complaints and the test box measures you can use to address these complaints. These measurements give you data that aid in your decision making about what is wrong, if anything, with the hearing aid and how you might address the problem. Before we discuss specific patient complaints and problems, let us review the American National Standard Institute (ANSI) guidelines for hearing aid testing in a test box.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"21 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140963266","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}
The test box can be used for fitting hearing aids (verifying audibility for the individual), for setting and fine-tuning specific signal processing (e.g., directional microphones, noise reduction, frequency lowering, telecoil responses), and for setting the response for specific accessories (e.g., remote microphones). If you have selected these features for your patient, it is important to make sure they are working properly and turned on. In addition, these tests can help you address specific patient complaints. Let us start by using the test box to pre-set a hearing aid and then we will move on to speech tests of signal processing and features.
{"title":"Chapter 3: Setting the Hearing Aid Response and Verifying Signal Processing and Features in the Test Box","authors":"Catherine Palmer, Lori Zitelli","doi":"10.1055/s-0044-1786522","DOIUrl":"https://doi.org/10.1055/s-0044-1786522","url":null,"abstract":"The test box can be used for fitting hearing aids (verifying audibility for the individual), for setting and fine-tuning specific signal processing (e.g., directional microphones, noise reduction, frequency lowering, telecoil responses), and for setting the response for specific accessories (e.g., remote microphones). If you have selected these features for your patient, it is important to make sure they are working properly and turned on. In addition, these tests can help you address specific patient complaints. Let us start by using the test box to pre-set a hearing aid and then we will move on to speech tests of signal processing and features.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"8 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140962349","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}
The real-ear probe microphone system provides a powerful tool to individual hearing aid fittings accounting for your patient's hearing and ear canal characteristics. The primary treatment for hearing loss is audibility, returning an audible signal across frequencies and input levels given the constraints of the hearing loss. This chapter will provide detailed information on the measures needed to individualize the hearing aid fitting and will present various clinical scenarios that will allow you to work with this information and see how you apply this knowledge clinically. You will explore the verification of signal processing and features that allow you to support your patients.
{"title":"Chapter 5: Setting the Hearing Aid Response and Verifying Signal Processing and Features with Real-Ear Probe Microphone Measures","authors":"Lori Zitelli, Catherine Palmer","doi":"10.1055/s-0044-1786540","DOIUrl":"https://doi.org/10.1055/s-0044-1786540","url":null,"abstract":"The real-ear probe microphone system provides a powerful tool to individual hearing aid fittings accounting for your patient's hearing and ear canal characteristics. The primary treatment for hearing loss is audibility, returning an audible signal across frequencies and input levels given the constraints of the hearing loss. This chapter will provide detailed information on the measures needed to individualize the hearing aid fitting and will present various clinical scenarios that will allow you to work with this information and see how you apply this knowledge clinically. You will explore the verification of signal processing and features that allow you to support your patients.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140963051","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}
Pub Date : 2024-05-15eCollection Date: 2024-05-01DOI: 10.1055/s-0044-1786506
Catherine Palmer, Lori Zitelli, Lindsey Jorgensen
{"title":"How to Use This Workbook.","authors":"Catherine Palmer, Lori Zitelli, Lindsey Jorgensen","doi":"10.1055/s-0044-1786506","DOIUrl":"10.1055/s-0044-1786506","url":null,"abstract":"","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"45 2","pages":"141-144"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11161213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Probe microphone measurements are an essential step in an individualized hearing aid fitting. These measurements allow audiologists to account for the individual's hearing and ear canal acoustics when programming hearing aids. An evidence-based hearing aid fitting includes matching the measured output of the hearing aids to targets for each input level and frequency. This allows the audiologist to confidently counsel the patient that the acoustic fitting is accurate, and the next step is for the individual to use the amplification during all waking hours to adapt to the newly amplified sounds. This also avoids mistakes such as overamplification or insufficient gain, which can endanger the patient and/or lead to a compromised fitting.
{"title":"Chapter 4: Introduction and Getting Ready for Real-Ear Probe Microphone Measures","authors":"Lori Zitelli, Catherine Palmer","doi":"10.1055/s-0044-1786505","DOIUrl":"https://doi.org/10.1055/s-0044-1786505","url":null,"abstract":"Probe microphone measurements are an essential step in an individualized hearing aid fitting. These measurements allow audiologists to account for the individual's hearing and ear canal acoustics when programming hearing aids. An evidence-based hearing aid fitting includes matching the measured output of the hearing aids to targets for each input level and frequency. This allows the audiologist to confidently counsel the patient that the acoustic fitting is accurate, and the next step is for the individual to use the amplification during all waking hours to adapt to the newly amplified sounds. This also avoids mistakes such as overamplification or insufficient gain, which can endanger the patient and/or lead to a compromised fitting.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"56 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983668","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}
If there is sound in the ear canal, you can measure it with a probe microphone in the ear. The following are a few examples of how you might use your real-ear probe microphone measures beyond verifying hearing aid fittings, signal processing, and function of features. A process to simulate hearing loss to educate and support family members and patients is described.
{"title":"Chapter 6: What Else Can I Do with This Equipment?","authors":"Catherine Palmer, Lori Zitelli","doi":"10.1055/s-0044-1786503","DOIUrl":"https://doi.org/10.1055/s-0044-1786503","url":null,"abstract":"If there is sound in the ear canal, you can measure it with a probe microphone in the ear. The following are a few examples of how you might use your real-ear probe microphone measures beyond verifying hearing aid fittings, signal processing, and function of features. A process to simulate hearing loss to educate and support family members and patients is described.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"74 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983356","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}
In this chapter you will be introduced to the hearing aid test box equipment and work through how to prepare the equipment so that it is ready to provide the testing you will use to evaluate, fit, and troubleshoot hearing aids and other amplifiers. At the end of this chapter, you will be familiar with terminology associated with hearing aid test box measures and the leveling required with the reference microphone and coupler microphone to ensure that your measurements are accurate and can be interpreted.
{"title":"Chapter 1: Introduction and Getting Ready for Hearing Aid Test Box Measures","authors":"Catherine Palmer, Lori Zitelli","doi":"10.1055/s-0044-1786504","DOIUrl":"https://doi.org/10.1055/s-0044-1786504","url":null,"abstract":"In this chapter you will be introduced to the hearing aid test box equipment and work through how to prepare the equipment so that it is ready to provide the testing you will use to evaluate, fit, and troubleshoot hearing aids and other amplifiers. At the end of this chapter, you will be familiar with terminology associated with hearing aid test box measures and the leveling required with the reference microphone and coupler microphone to ensure that your measurements are accurate and can be interpreted.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"109 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140985635","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}
Curtis J. Billings, Tessa M. Olsen, Lauren Charney, Brandon M. Madsen, Corrie E. Holmes
Abstract Speech-in-noise testing has been proposed as a useful part of the audiometric test battery dating back to the earliest years of the field of audiology. Many speech-in-noise tests have been developed and used to varying degrees. However, multiple barriers have prevented speech-in-noise testing from being used widely in the clinic. The purpose of this article is to provide a resource to audiologists and other hearing health professionals who want to know (1) what tests are available for use, (2) the rationale behind specific tests, and (3) important considerations when selecting one or more tests to use clinically. In addition, data are presented for four speech-in-noise tests with the purpose of comparing outcomes as a function of age and hearing status. The four tests (QuickSIN, Words in Noise [WIN], Listening in Spatialized Noise–Sentences [LiSN-S], and Coordinate Response Measure [CRM]) were completed by 30 individuals from three groups: 10 young adults with normal hearing, 10 older adults with normal hearing, and 10 older adults with hearing loss. The results suggest that, despite significant differences in performance between groups, group overlap was present such that some individuals from one group performed similar to some individuals of other groups; therefore, individual performance was more important than associated group. When selecting an appropriate speech-in-noise test to use clinically, audiologists should carefully consider the purpose of their testing and the type of information they desire as an outcome. A quick-resource table and appendix is provided to aid audiologists and other health professionals in their selection of an appropriate speech-in-noise test.
语音噪声测试作为听力测试的一个重要组成部分，早在听力学领域的早期就被提出。许多语音噪声测试已经被开发出来并在不同程度上使用。然而，多重障碍阻碍了语音噪声测试在临床上的广泛应用。这篇文章的目的是为听力专家和其他听力健康专业人员提供一个资源，他们想知道(1)什么测试是可用的，(2)特定测试背后的基本原理，(3)选择一种或多种临床使用的测试时的重要考虑因素。此外，本文还提供了四项噪音语音测试的数据，目的是比较结果与年龄和听力状况的关系。本研究选取听力正常的青年、听力正常的老年人和听力损失的老年人各10名，共30人完成了QuickSIN、word in Noise (WIN)、Listening in Spatialized Noise - sentence (LiSN-S)和coordination Response Measure (CRM)四项测试。结果表明，尽管组与组之间的表现存在显著差异，但组间存在重叠，以至于一个组中的一些个体的表现与其他组中的一些个体相似;因此，个体表现比群体表现更重要。当选择一种适合临床使用的噪音语音测试时，听力学家应该仔细考虑他们测试的目的和他们希望得到的信息类型。提供了一个快速资源表和附录，以帮助听力学家和其他卫生专业人员选择适当的噪音语音测试。
{"title":"Speech-in-Noise Testing: An Introduction for Audiologists","authors":"Curtis J. Billings, Tessa M. Olsen, Lauren Charney, Brandon M. Madsen, Corrie E. Holmes","doi":"10.1055/s-0043-1770155","DOIUrl":"https://doi.org/10.1055/s-0043-1770155","url":null,"abstract":"Abstract Speech-in-noise testing has been proposed as a useful part of the audiometric test battery dating back to the earliest years of the field of audiology. Many speech-in-noise tests have been developed and used to varying degrees. However, multiple barriers have prevented speech-in-noise testing from being used widely in the clinic. The purpose of this article is to provide a resource to audiologists and other hearing health professionals who want to know (1) what tests are available for use, (2) the rationale behind specific tests, and (3) important considerations when selecting one or more tests to use clinically. In addition, data are presented for four speech-in-noise tests with the purpose of comparing outcomes as a function of age and hearing status. The four tests (QuickSIN, Words in Noise [WIN], Listening in Spatialized Noise–Sentences [LiSN-S], and Coordinate Response Measure [CRM]) were completed by 30 individuals from three groups: 10 young adults with normal hearing, 10 older adults with normal hearing, and 10 older adults with hearing loss. The results suggest that, despite significant differences in performance between groups, group overlap was present such that some individuals from one group performed similar to some individuals of other groups; therefore, individual performance was more important than associated group. When selecting an appropriate speech-in-noise test to use clinically, audiologists should carefully consider the purpose of their testing and the type of information they desire as an outcome. A quick-resource table and appendix is provided to aid audiologists and other health professionals in their selection of an appropriate speech-in-noise test.","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135936895","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}
Pub Date : 2023-08-23eCollection Date: 2024-02-01DOI: 10.1055/s-0043-1770139
Melissa A Papesh, Tess Koerner
It has been established that blast exposure and brain injury can result in self-reported and measured auditory processing deficits in individuals with normal or near-normal hearing sensitivity. However, the impaired sensory and/or cognitive mechanisms underlying these auditory difficulties are largely unknown. This work used a combination of behavioral and electrophysiological measures to explore how neural stimulus discrimination and processing speed contribute to impaired temporal processing in blast-exposed Veterans measured using the behavioral Gaps-in-Noise (GIN) Test. Results confirm previous findings that blast exposure can impact performance on the GIN and effect neural auditory discrimination, as measured using the P3 auditory event-related potential. Furthermore, analyses revealed correlations between GIN thresholds, P3 responses, and a measure of behavioral reaction time. Overall, this work illustrates that behavioral responses to the GIN are dependent on both auditory-specific bottom-up processing beginning with the neural activation of the cochlea and auditory brainstem as well as contributions from complex neural networks involved in processing speed and task-dependent target detection.
{"title":"Clinical Gaps-in-Noise Measures in Blast-Exposed Veterans: Associations with Electrophysiological and Behavioral Responses.","authors":"Melissa A Papesh, Tess Koerner","doi":"10.1055/s-0043-1770139","DOIUrl":"10.1055/s-0043-1770139","url":null,"abstract":"<p><p>It has been established that blast exposure and brain injury can result in self-reported and measured auditory processing deficits in individuals with normal or near-normal hearing sensitivity. However, the impaired sensory and/or cognitive mechanisms underlying these auditory difficulties are largely unknown. This work used a combination of behavioral and electrophysiological measures to explore how neural stimulus discrimination and processing speed contribute to impaired temporal processing in blast-exposed Veterans measured using the behavioral Gaps-in-Noise (GIN) Test. Results confirm previous findings that blast exposure can impact performance on the GIN and effect neural auditory discrimination, as measured using the P3 auditory event-related potential. Furthermore, analyses revealed correlations between GIN thresholds, P3 responses, and a measure of behavioral reaction time. Overall, this work illustrates that behavioral responses to the GIN are dependent on both auditory-specific bottom-up processing beginning with the neural activation of the cochlea and auditory brainstem as well as contributions from complex neural networks involved in processing speed and task-dependent target detection.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"1 1","pages":"83-100"},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41603118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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