John Andrew B, Kreisman Brian M
a Department of Communication Sciences and Disorders , University of Oklahoma Health Sciences Center , Oklahoma City , OK , USA.
c Department of Speech Pathology and Audiology , Calvin College , Grand Rapids , MI , USA.
Int J Audiol. 2017 Sep;56(9):635-642. doi: 10.1080/14992027.2017.1309084. Epub 2017 Apr 7.
OBJECTIVES: Extended high-frequency (EHF) audiometry is useful for evaluating ototoxic exposures and may relate to speech recognition, localisation and hearing aid benefit. There is a need to determine whether common clinical practice for EHF audiometry using tone and noise stimuli is reliable. We evaluated equivalence and compared test-retest (TRT) reproducibility for audiometric thresholds obtained using pure tones and narrowband noise (NBN) from 0.25 to 16 kHz. DESIGN: Thresholds and test-retest reproducibility for stimuli in the conventional (0.25-6 kHz) and EHF (8-16 kHz) frequency ranges were compared in a repeated-measures design. STUDY SAMPLE: A total of 70 ears of adults with normal hearing. RESULTS: Thresholds obtained using NBN were significantly lower than thresholds obtained using pure tones from 0.5 to 16 kHz, but not 0.25 kHz. Good TRT reproducibility (within 2 dB) was observed for both stimuli at all frequencies. Responses at the lower limit of the presentation range for NBN centred at 14 and 16 kHz suggest unreliability for NBN as a threshold stimulus at these frequencies. CONCLUSION: Thresholds in the conventional and EHF ranges showed good test-retest reproducibility, but differed between stimulus types. Care should be taken when comparing pure-tone thresholds with NBN thresholds especially at these frequencies.
目的:扩展高频(EHF)听力测定法有助于评估耳毒性暴露情况,且可能与言语识别、定位及助听器效果相关。有必要确定使用纯音和噪声刺激进行EHF听力测定法的常见临床操作是否可靠。我们评估了等效性,并比较了使用0.25至16kHz的纯音和窄带噪声(NBN)获得的听力阈值的重测(TRT)重复性。 设计:在重复测量设计中,比较了传统(0.25 - 6kHz)和EHF(8 - 16kHz)频率范围内刺激的阈值和重测重复性。 研究样本:共有70只听力正常的成年人耳朵。 结果:使用NBN获得的阈值显著低于使用0.5至16kHz纯音获得的阈值,但0.25kHz时并非如此。在所有频率下,两种刺激的TRT重复性均良好(在2dB以内)。以14和16kHz为中心的NBN呈现范围下限处的反应表明,在这些频率下NBN作为阈值刺激不可靠。 结论:传统和EHF范围内的阈值显示出良好的重测重复性,但刺激类型之间存在差异。在比较纯音阈值和NBN阈值时应谨慎,尤其是在这些频率下。
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