All Hearing Aid Tests You Must Know Before Choosing One

  • 13 Sep 2024
  • 3 min read
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There are 7 main types of hearing tests that audiologists use, depending on your age and symptoms. These tests help them figure out exactly how well your ears are working and what kind of help you might need. Knowing about these tests beforehand makes the process easier and less scary. By understanding what to expect, you can confidently book your hearing check and take the first step toward better hearing.

Over 1.5 billion people worldwide experience some form of hearing loss, with 430 million of them requiring rehabilitation for disabling hearing loss, World Health Organization. By 2050, it’s projected that over 700 million people will have disabling hearing loss from the World Health Organization. Early detection through hearing tests can help prevent further issues and improve quality of life.

7 Types of Hearing Tests You Need to Know

1) Audiometry:

This test checks how well you hear different sounds, from very low to very high pitches. You wear headphones, and every time you hear a beep, you raise your hand or press a button. The results are shown on a graph called an audiogram, which helps the audiologist see what sounds you can and cannot hear.

2) Speech Testing:

This test checks how well you understand words and speech at different volumes. Sometimes it’s done in a quiet room, and sometimes in a noisy one to mimic real life. The results help the audiologist decide if you need a hearing aid or another device.

3) Tympanometry:

This test looks at how your eardrum moves. It can find fluid, wax buildup, or damage in your middle ear. A small probe goes into your ear, and different sounds and pressures are tested. The results are shown on a graph called a tympanogram.

4) Acoustic Reflex Measures and Static Acoustic Measures:

This test checks how well the muscles in your ear work, especially in children under 5. Loud sounds are played, and the audiologist sees if your ear responds. If the ear needs louder sounds to react, it may show hearing damage.

5) Electrocochleography (ECOG):

ECOG measures how your inner ear (cochlea) reacts to sound. Earphones play sounds, and electrodes on your forehead pick up responses. This test can detect certain conditions like Meniere’s disease.

6) Auditory Brainstem Response (ABR):

This test checks how fast sounds travel from your ear to your brain. It’s often done on babies or young kids. Earphones and small electrodes are placed near the ears and forehead. Sometimes kids need to sleep or get light sedation.

7) Otoacoustic Emissions (OAEs):

OAEs check if your inner ear hair cells are working. A small probe in your ear measures tiny sounds your ear makes when it hears noise. If your ear doesn’t make these sounds, it could mean hearing loss.

Hearing Loss Tests Compared: Find the Right One Fast

Test NameWhat It ChecksHow It WorksBest ForWhat It Detects
AudiometryHow well you hear different sound pitches (low to high)Wear headphones and raise hand or press button when you hear beepsAll agesHearing loss at different frequencies; results shown on audiogram
Speech TestingHow well you understand words and speech at different volumesListen to words in quiet and noisy environmentsPeople with communication difficultiesSpeech comprehension issues; helps decide if hearing aid is needed
TympanometryHow your eardrum movesSmall probe in ear tests eardrum with sounds and pressure changesMiddle ear problemsFluid, earwax buildup, or eardrum damage; results shown on tympanogram
Acoustic Reflex & Static Acoustic MeasuresHow well ear muscles work when exposed to loud soundsLoud sounds played to check if ear muscles respond properlyChildren under 5 years oldHearing damage if ear needs louder sounds to react
Electrocochleography (ECOG)How inner ear (cochlea) reacts to soundEarphones play sounds while electrodes on forehead measure responsesInner ear disordersConditions like Meniere’s disease
Auditory Brainstem Response (ABR)How fast sounds travel from ear to brainEarphones and electrodes placed near ears and forehead; may require sleep or light sedationBabies and young childrenBrain’s response to sound; nerve pathway issues
Otoacoustic Emissions (OAEs)If inner ear hair cells are working properlySmall probe in ear measures tiny sounds your ear makes when hearing noiseNewborn screening and early detectionInner ear damage; no sound emission means possible hearing loss

Final Notes:

Hearing tests are safe and usually need no special preparation. Most people take two or more tests to get an accurate result. After the tests, your audiologist will suggest the best treatment, like therapy, a hearing aid, or sometimes surgery.

FAQ

1. What is an audiometry test?
Audiometry checks how well you hear different sounds, from low to high. You wear headphones and raise your hand or press a button when you hear beeps.

2. What does a speech test do?
A speech test shows how well you understand words in quiet or noisy places. It helps find speech comprehension problems and if you might need a hearing aid.

3. What is tympanometry for?
Tympanometry checks how your eardrum moves. A small probe in your ear tests for fluid, wax buildup, or eardrum problems.

4. What are acoustic reflex tests?
These tests see if your ear muscles respond correctly to loud sounds. They are usually done for young children under 5.

5. What is Electrocochleography (ECOG)?
ECOG checks how your inner ear (cochlea) reacts to sound. Electrodes on your head measure responses to sounds in your ears.

6. What does an Auditory Brainstem Response (ABR) test show?
ABR shows how fast sound travels from your ear to your brain. It’s mostly for babies and young kids, and sometimes they may need to sleep during the test.

7. What are Otoacoustic Emissions (OAEs)?
OAEs test if your inner ear hair cells are working properly. A small probe in the ear measures tiny sounds your ear makes when hearing noise.

8. Do I need to prepare for a hearing test?
No special preparation is needed. Most people do two or more tests to get accurate results. Your audiologist will then suggest the best treatment.