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Speech Audiometry
Audiology 1
22
Audiology
Graduate
10/09/2016

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Term
What Is Speech Audiometry?
Definition
Procedures that use speech to assess
auditory function and measures sensitivity (threshold) and clarity (suprathreshold)
Term
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
Definition
Speech Detection Threshold (SDT)
Term
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.
Definition
Speech Reception Threshold (SRT)
Term
SRC
Definition
Speech recognition score
Term
WRS
Definition
word recognition score
Term
SNR
Definition
Signal to Noise Ratio
Term
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 ___
Definition
male or female; Professionally; consistent; minimized; time; clinic; next
Term
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
Definition
30; 40; WRS; limited
Term
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
Definition
Spondaic; 15; Instruct; familiarize; soft
Term
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
Definition
memorize
Term
Function of SRT:
 ___ ___ for PTA
 Reference for ___ measures
 Assessing response ___
Definition
Cross validation; suprathreshold; reliability
Term
Level at which best word recognition score in quiet is obtained
Definition
PB max
Term
PB Max:
 Normal hearing approximately __-__ dB SL
re:SRT
 Must test more than ___ level
Definition
30-40; one
Term
Decrease in word recognition score of
20% or greater at louder levels (for
monosyllabic word lists)
Definition
Rollover
Term
PAL PB-50:
 ___ words divided into 20 lists of 50
words
 ___ ___ – proportionally
correct representation of phonetic
elements in English discourse
 JP Egan (1948)
Definition
1,000; Phonetically balanced
Term
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
Definition
CID Everyday Sentences, Silvermann and Hirsh
(1955)
Term
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
Definition
real world; memory; ceiling
Term
Nonsense Syllable Tests
 Reduce ___ context
 Allows detailed examination of ___
errors
 Clinical use occurred beginning in the
___
Definition
lexical; phoneme; 1970s
Term
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
Definition
noise; directional microphone; noise
reduction; processing; Important
Term
 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 ___ ___ ___
Definition
difficulty; speech in noise
Term
What kind of tests are these?
 Synthetic Sentence Identification
 Speech Perception in Noise
 The Connected Speech Test
Definition
Speech in Noise
Term
Comparisons
 Wilson and McArdle (2005)
 Both sentences and words in noise ___ ___ to effects of hearing loss
Definition
equally sensitive
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