For the physician to do a hearing evaluation on your child, he will have to perform a complete physical examination and medical history. Besides this, there are other various types of hearing tests that can also be used to examine your child ability to hear. Some of these tests can be used on every age while others are only meant for the specific age of the child and his level of understanding. Below are some of the tests and how they are used on different ages of children.
A newborn can be evaluated used two types of tests. These tests can be used alone or together. The first test is auditory brainstem response abbreviated as ABR. This test uses wires which are joined to the scalp of the baby using an adhesive. The test is carried out when the baby is asleep to avoid distraction. Clicking sounds are applied through small earphones in the ear of the baby. The test usually measures the brain activity in response to the sounds produced. This test takes only a few minutes and it is painless.
The other examination is known as evoked otoacoustic emissions (EOAE). This test unlike the other one utilizes plugs that are small and flexible into your babies ear. The function of the plugs is to send sounds in the ear. The otoacoustic feedback of the sound made in the ear is recorded by a microphone within the inserted plug. The similarity with the other test is that it is done when the baby is asleep and is also pain free.
Similar test is carried out on an infants but they are examined using an additional test, which is known as behavioral audiometry. The behavior of child is put under keen observation, to see how they react after certain sounds that are made. The ear professional may decide to carry out more test if need arises.
Babies between the age of six months and two years usually use two tests. The first one is known as visual reinforcement audiometry (VRA). The child is taught to focus on a source of a produced sound. The child enjoys the test since it is formulated like a game that has a reward system in form of visible objects such as toys in motion or flashlights. Once the child makes the correct response, they are rewarded.
The second test used on toddler is known as play audiometry. This involves the use of electrical machine to relay sound at different pitches and volumes into the child ears. This test can be done in form of a game based on the child age group. In this test, a child is asked to operate a moving toy in reaction to the sound they hears. The bad thing with this test is the cooperation of the child which in most cases is not guaranteed.
A child who is older than 3 or 4 years can be evaluated using Tympanometry test which is also referred to as impendance audiometry. This test is used to determine how the middle ear of the child is working. It does not tell if the child has hear loss or not but it helps to detect any pressure change in the middle ear. The child is required to sit still and not cry, move or talk.
Another test used for hearing evaluation in older children is Pure Tone audiometry. In this test, an electric machine is used to produce sounds at varied pitches as well as volumes onto the ears of the child. The child is asked to respond with his hand when he hears the tone through the earphone.
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