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Assessing

How Hearing is Tested

A hearing test identifies your child’s ability to hear certain tones. In addition to a visual examination of your child’s ears, the audiologist may select one or more methods to test your child’s hearing depending on your child’s age and co-operation.

Test

When Description
Otoacoustic emissions (OAE) Newborns and infants

Very weak signals are recorded from the cochlea when it is stimulated by audible sounds. Children with normal hearing produce emissions: an absence of emissions indicates loss of hearing.

Auditory brainstem response (ABR) Newborns and infants

During this test the audiologist will place electrodes on your child’s head in order to record brain wave activity in response to sound.

Visual reinforcement audiometry (VRA) 6 months to 2 years

Your child will be encouraged to look towards a sound source and will be “rewarded” through a visual reinforcement, such as a teddy bear that lights up and plays a drum.

Conditioned play audiometry (CPA) 2 to 4 years

Your child will be asked to perform an activity (such as throwing a block in a pail or putting a peg in a board) each time he or she hears a sound.

Conventional audiometry Older children

Your child will be asked to raise his or her hand or press a button when he or she hears a sound.

In addition to the tests described above, which are based on tones, the audiologist may conduct speech understanding tests that ask your child to listen to and repeat words and sentences.

Your child's age and interest in cooperating will determine which of these methods is the best approach. Remember, performing a hearing test, especially on smaller children, can take time. Often several tests are needed to define the precise degree of hearing loss. Additional tests will also take place after your child receives his or her hearing aids to ensure the settings are appropriate.



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