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Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals

Objectives: Weber test is typically conducted using a tuning fork but an audiometer can also be used for a similar purpose. Compared to the tuning fork (TF) test, performing Audiometric Weber (AW) test offers several flexibilities as multiple frequencies can be tested and the sound presentation can...

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Main Author: Abdullah, Siti Nazira
Format: Thesis
Language:English
Published: 2020
Subjects:
RA440-440.87 Study and teaching. Research
RF Otorhinolaryngology
Online Access:http://eprints.usm.my/60677/1/Siti%20Nazira%20Abdullah-E.pdf
http://eprints.usm.my/60677/
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spelling my.usm.eprints.60677 http://eprints.usm.my/60677/ Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals Abdullah, Siti Nazira RA440-440.87 Study and teaching. Research RF Otorhinolaryngology Objectives: Weber test is typically conducted using a tuning fork but an audiometer can also be used for a similar purpose. Compared to the tuning fork (TF) test, performing Audiometric Weber (AW) test offers several flexibilities as multiple frequencies can be tested and the sound presentation can be fixed at one intensity level without decay issue. Nevertheless, the performance of TF and AW tests in comparison to pure tone audiometry (PTA) has not been systematically studied. Therefore, the objectives of this study were to determine the accuracy and agreement of TF test in comparison to PTA and to determine the accuracy and agreement of AW test in comparison to PTA. Methods: TFW test was performed according to the established protocol at 256 Hz and 512 Hz. For AW test, a B-71 bone vibrator was placed in the midline of forehead, and 250 Hz and 500 Hz frequencies were tested. The results of TFW and AW tests were then compared with the expected lateralization results. Results: At 256 Hz (or 250 Hz), the overall accuracy values of TFW and AW tests were 81.1% and 86.5%, respectively. At 512 Hz (or 500 Hz), the overall accuracy results of TFW and AW tests were 85.1% and 82.4%, respectively. The kappa statistics revealed substantial agreements between the two tests and PTA (k = 0.63-0.72). Relatively better accuracy results were noted when testing participants with larger air-bone gaps (81.5%-89.1%) compared to those with smaller air-bone gaps (77.7%-88.5%). Conclusion: Both AW and TFW tests are reasonably accurate in assessing patients with CHL. It is recommended for audiologists to perform the simple AW test to verify incomplete or questionable audiograms that are commonly encountered in clinical practice. 2020 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/60677/1/Siti%20Nazira%20Abdullah-E.pdf Abdullah, Siti Nazira (2020) Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals. Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic RA440-440.87 Study and teaching. Research
RF Otorhinolaryngology
spellingShingle RA440-440.87 Study and teaching. Research
RF Otorhinolaryngology
Abdullah, Siti Nazira
Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
description Objectives: Weber test is typically conducted using a tuning fork but an audiometer can also be used for a similar purpose. Compared to the tuning fork (TF) test, performing Audiometric Weber (AW) test offers several flexibilities as multiple frequencies can be tested and the sound presentation can be fixed at one intensity level without decay issue. Nevertheless, the performance of TF and AW tests in comparison to pure tone audiometry (PTA) has not been systematically studied. Therefore, the objectives of this study were to determine the accuracy and agreement of TF test in comparison to PTA and to determine the accuracy and agreement of AW test in comparison to PTA. Methods: TFW test was performed according to the established protocol at 256 Hz and 512 Hz. For AW test, a B-71 bone vibrator was placed in the midline of forehead, and 250 Hz and 500 Hz frequencies were tested. The results of TFW and AW tests were then compared with the expected lateralization results. Results: At 256 Hz (or 250 Hz), the overall accuracy values of TFW and AW tests were 81.1% and 86.5%, respectively. At 512 Hz (or 500 Hz), the overall accuracy results of TFW and AW tests were 85.1% and 82.4%, respectively. The kappa statistics revealed substantial agreements between the two tests and PTA (k = 0.63-0.72). Relatively better accuracy results were noted when testing participants with larger air-bone gaps (81.5%-89.1%) compared to those with smaller air-bone gaps (77.7%-88.5%). Conclusion: Both AW and TFW tests are reasonably accurate in assessing patients with CHL. It is recommended for audiologists to perform the simple AW test to verify incomplete or questionable audiograms that are commonly encountered in clinical practice.
format Thesis
author Abdullah, Siti Nazira
author_facet Abdullah, Siti Nazira
author_sort Abdullah, Siti Nazira
title Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
title_short Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
title_full Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
title_fullStr Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
title_full_unstemmed Determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
title_sort determining the diagnostic accuracy of tuning fork weber test and audiometric weber test in conductive hearing loss individuals
publishDate 2020
url http://eprints.usm.my/60677/1/Siti%20Nazira%20Abdullah-E.pdf
http://eprints.usm.my/60677/
_version_ 1805882513980129280
score 13.211869

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