Subject: clinical tests for suprathreshold hearing deficits From: Skyler Jennings <Skyler.Jennings@xxxxxxxx> Date: Thu, 1 Sep 2016 16:19:11 +0000 List-Archive:<http://lists.mcgill.ca/scripts/wa.exe?LIST=AUDITORY>--_000_4A5C710244AF2E45ADA18C089FD1B9D35698C14FXMB10xdsumailut_ Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable Dear list, Recently our audiology clinic has received several requests to evaluate adu= lt (and some teenage) patients who present with normal audiometric threshol= ds, but who complain of hearing difficulties in noisy backgrounds. Currentl= y we use a battery of tests used to assess central auditory processing diso= rder, including some electrophysiological measures (e.g., middle latency re= sponse). We have also considered adding tests thought to be sensitive to "h= idden" hearing loss, such as auditory brainstem response testing with parti= cular attention to the amplitude of wave I (Schaette and McAlpine, 2011) an= d the latency of wave V in background noise (Mahraei et al., 2016). We are curious to know how other clinics assess these patients. Would any o= f you be willing to share the battery of tests you use to evaluate patients= with normal audiograms but who perceive speech-in-noise problems? Sincerely, Skyler --_000_4A5C710244AF2E45ADA18C089FD1B9D35698C14FXMB10xdsumailut_ Content-Type: text/html; charset="us-ascii" Content-Transfer-Encoding: quoted-printable <html xmlns:v=3D"urn:schemas-microsoft-com:vml" xmlns:o=3D"urn:schemas-micr= osoft-com:office:office" xmlns:w=3D"urn:schemas-microsoft-com:office:word" = xmlns:m=3D"http://schemas.microsoft.com/office/2004/12/omml" xmlns=3D"http:= //www.w3.org/TR/REC-html40"> <head> <meta http-equiv=3D"Content-Type" content=3D"text/html; charset=3Dus-ascii"= > <meta name=3D"Generator" content=3D"Microsoft Word 15 (filtered medium)"> <style><!-- /* Font Definitions */ @xxxxxxxx {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @xxxxxxxx {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:11.0pt; font-family:"Calibri",sans-serif;} a:link, span.MsoHyperlink {mso-style-priority:99; color:#0563C1; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {mso-style-priority:99; color:#954F72; text-decoration:underline;} span.EmailStyle17 {mso-style-type:personal-compose; font-family:"Calibri",sans-serif; color:windowtext;} .MsoChpDefault {mso-style-type:export-only; font-family:"Calibri",sans-serif;} @xxxxxxxx WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --></style><!--[if gte mso 9]><xml> <o:shapedefaults v:ext=3D"edit" spidmax=3D"1026" /> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext=3D"edit"> <o:idmap v:ext=3D"edit" data=3D"1" /> </o:shapelayout></xml><![endif]--> </head> <body lang=3D"EN-US" link=3D"#0563C1" vlink=3D"#954F72"> <div class=3D"WordSection1"> <p class=3D"MsoNormal">Dear list,<o:p></o:p></p> <p class=3D"MsoNormal"><o:p> </o:p></p> <p class=3D"MsoNormal">Recently our audiology clinic has received several r= equests to evaluate adult (and some teenage) patients who present with norm= al audiometric thresholds, but who complain of hearing difficulties in nois= y backgrounds. Currently we use a battery of tests used to assess central auditory processing disorder, incl= uding some electrophysiological measures (e.g., middle latency response). W= e have also considered adding tests thought to be sensitive to “hidde= n” hearing loss, such as auditory brainstem response testing with particular attention to the amplitude of wave I (Sch= aette and McAlpine, 2011) and the latency of wave V in background noise (Ma= hraei et al., 2016).<o:p></o:p></p> <p class=3D"MsoNormal"><o:p> </o:p></p> <p class=3D"MsoNormal">We are curious to know how other clinics assess thes= e patients. Would any of you be willing to share the battery of tests you u= se to evaluate patients with normal audiograms but who perceive speech-in-n= oise problems? <o:p></o:p></p> <p class=3D"MsoNormal"><o:p> </o:p></p> <p class=3D"MsoNormal">Sincerely,<o:p></o:p></p> <p class=3D"MsoNormal"><o:p> </o:p></p> <p class=3D"MsoNormal">Skyler <o:p></o:p></p> </div> </body> </html> --_000_4A5C710244AF2E45ADA18C089FD1B9D35698C14FXMB10xdsumailut_--