Document Detail


Effect of static force on bone conduction hearing thresholds and comfort.
MedLine Citation:
PMID:  21506894     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: To assess the effect of the static force of a bone vibrator on the results of bone conduction (BC) threshold measurements and comfort. Design: BC thresholds were determined for 40 participants using the standardized P-3333 headband and a leather adjustable headstrap with variable static forces (2.4, 3.4, 4.4, 5.4 N). Comfort ratings were examined using a five-point Likert scale. Results: Mean BC thresholds were within ± 2 dB across all conditions; differences may be considered small enough to be clinically insignificant. Participants experienced significantly greater discomfort with the P-3333 versus the adjustable headstrap. The mean static force of the P-3333 varied considerably and was higher in situ than the calibration standard of 5.4 N. Conclusions: The results suggest that future revisions of relevant international and national standards should address the use of an adjustable headstrap and a static force less than 5.4 N. Sumario Objetivo: Evaluar el efecto de la fuerza estática de un vibrador óseo en los resultados de las mediciones de los umbrales por conducción ósea (BC) y sobre la comodidad. Diseño: Se determinaron los umbrales BC en 40 participantes utilizando la diadema estandarizada P-3333 y una banda cefálica ajustable con fuerzas estáticas variables (2.4, 3.4, 4.4, 5.4 N). La calificación de la comodidad se examinó con una escala Likert de cinco puntos. Resultados: Los umbrales promedio estuvieron en los ± 2dB a través de todas las condiciones; las diferencias pueden ser consideradas lo suficientemente pequeñas para ser clínicamente insignificantes. Los participantes experimentaron una molestia mucho mayor con la P-3333 que con la banda cefálica ajustable. La fuerza estática de la P-3333 varió considerablemente y fue mayor in situ que en el estándar de calibración de 5.4 N. Conclusiones: Los resultados sugieren que las revisiones de los estándares internacionales y nacionales deben dirigir la atención al uso de las bandas cefálicas ajustables y una fuerza estática menor que 5.4 N.
Authors:
Laura E Toll; Diana C Emanuel; Tomasz Letowski
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-21
Journal Detail:
Title:  International journal of audiology     Volume:  -     ISSN:  1708-8186     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140017     Medline TA:  Int J Audiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*Chesapeake Ear Nose & Throat, P.A., Owings Mills, Maryland, USA.
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