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What Is Speech Audiometry? |
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Procedures that use speech to assess auditory function and measures sensitivity (threshold) and clarity (suprathreshold) |
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The lowest level of sound intensity in decibels at which a person identifies a spoken word 50% of the time; don't have to repeat the word back; just acknowledge that they heard something |
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Speech Detection Threshold (SDT) |
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is the softest intensity spondee words that an individual can repeat at least 50% of the time. Spondees are bisyllabic words equally emphasizing both syllables. |
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Speech Reception Threshold (SRT) |
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Advantages of Recorded Materials: Available for ___ or ___ speakers ___ recorded Intensity level calibrated and ___ Variability in patient performance ___ permitting comparison of test results over time Speech materials are the same -Each ___ used in clinic -From one ___ to the ___ |
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male or female; Professionally; consistent; minimized; time; clinic; next |
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Presentation Level: Normal hearing listeners -Achieve maximal performance for WRS at ___ to ___ dB SL (sensation level re:SRT) Often used to obtain ___ ___ ___ -Single level may provide ___ information |
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SRT: ___ words-Two syllable words with equal stress on each syllable Use approximately ___ words ___ patients and ___ with words Make patient aware words will become very ___, it is ok to guess |
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Spondaic; 15; Instruct; familiarize; soft |
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SRT Calculation Example: 40 dB, 5 correct 35 dB, 3 correct 30 dB, 0 correct 5 + 3 = 8 (number of correct words) 40 (starting level) – 8 = 32 + 2 correction factor = 34 dB HL |
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Function of SRT: ___ ___ for PTA Reference for ___ measures Assessing response ___ |
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Cross validation; suprathreshold; reliability |
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Level at which best word recognition score in quiet is obtained |
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PB Max: Normal hearing approximately __-__ dB SL re:SRT Must test more than ___ level |
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Decrease in word recognition score of 20% or greater at louder levels (for monosyllabic word lists) |
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PAL PB-50: ___ words divided into 20 lists of 50 words ___ ___ – proportionally correct representation of phonetic elements in English discourse JP Egan (1948) |
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1,000; Phonetically balanced |
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What test does this describe? First clinically accepted sentence test 10 lists of 10 sentences with 50 key words in each list Calculated as percent correct for key words |
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CID Everyday Sentences, Silvermann and Hirsh (1955) |
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Sentence Tests Provide a more ___ ___ listening situation Provide semantic, syntactic and lexical clues (may be evaluating top-down processing) As sentence length grows, ___ needs grow Typically too easy creating ___ effect |
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real world; memory; ceiling |
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Nonsense Syllable Tests Reduce ___ context Allows detailed examination of ___ errors Clinical use occurred beginning in the ___ |
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Speech Recognition in Noise Primary complaint of patients – difficulty hearing in ___ Prior to ___ ___ technology (1990s) for hearing aids, nothing we could do about difficulty in noise, so we didn’t test it Now, directional microphones, ___ ___ algorithms, digital signal ___ ___ to measure speech in noise |
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noise; directional microphone; noise reduction; processing; Important |
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Puretone thresholds and WRS in quiet do not predict ___ person with hearing loss has in noise Since we can’t predict ability of an individual in noise (real-life situations) using puretone thresholds and speech in quiet, we should measure ___ ___ ___ |
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difficulty; speech in noise |
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What kind of tests are these? Synthetic Sentence Identification Speech Perception in Noise The Connected Speech Test |
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Comparisons Wilson and McArdle (2005) Both sentences and words in noise ___ ___ to effects of hearing loss |
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