November 2009

KEAN UNIVERSITY

UNION, NEW JERSEY

BASIC AUDIOLOGY

Course Number: 3259

Semesters Hours: Three

Prerequisites: CDD 2260

Limitation on Enrollment 25

Required course for BA in Speech-Language-Hearing Sciences major

Catalog Description:

An introduction to the theory and practice of pure-tone and speech audiometry. Interpretations of audiograms for education, medical, and industrial application. Observation and limited clinical experience are made available to the students.

N.B. In order to ensure full class participation, any students with a disabling condition requiring special accommodations (e.g., tape recorders, special adaptive equipment, special note-taking or test-taking procedures, or interpreters) will be strongly encouraged to contact the professor at the beginning of the course. For the student’s convenience, both the professor’s office hours and telephone number will be listed on the syllabus.

KEAN UNIVERSITY

UNION, NEW JERSEY

Basic Audiology

I.  Course Objectives:

Students will achieve growth toward becoming informed, dynamic professionals, as evidenced by demonstration of proficiencies in knowledge comprehension, disposition development, and skill application. Students will:

A.  Gain information related to acoustics, psychophysiology of learning, and pathologies of the auditory system. (K)

B.  Have experience in pure-tone audiometric testing. (K, S)

C.  Develop skill in using audiograms to determine locus of ear pathology. (K, S)

II.  Course Content:

A. The anatomic, physiologic, and acoustic basis of hearing

1. Outer, middle, and inner ear

a. Structure

b. Function

2. Sound and its measurement

a. Frequency and pitch

b. Intensity and loudness

c. The decibel

d. Wavelength

e. Complex sounds

B.  Pure-tone and speech audiometry

1. Procedures for obtaining air conduction and bone conduction thresholds

2. The effects of test environment on subject’s responses

3. Masking procedures

4. Procedures for obtaining

a. Speech reception threshold (SRT)

b. Speech detection threshold (SDT)

c. Speech understanding (discrimination/recognition) scores (SDS/SRS)

d. Most comfortable loudness (MCL) and uncomfortable loudness (UCL) levels

e. Tolerance level (TL)

f. Dynamic range

C. Audiometric findings associated with ear pathologies of the conductive, sensory, and neural systems

III. Methods of Instruction
A.  Lectures, supported by PowerPoint

B.  Audiometric test experiences

C.  Case discussions and analysis of audiograms

D.  Clinical observations

IV. Methods of Evaluation

A.  Examination (K, S, D)

B.  Class participation (K, S, D)

C.  Special audiometric testing projects (K, S, D)

V. Suggested Texts:

Humes, L.E., and Bess, F.H. (2008). Audiology and communication disorders: An overview. Philadelphia: Lippincott Williams & Wilkins.

Martin, F.N., and Clark, J.G. (2009). Introduction to Audiology (10th Ed.). Boston: Allyn & Bacon.

VI. Bibliography

Current Works

Bess, F. H., & Humes, L. E. (2008). Audiology: The fundamentals. Philadelphia: Lippincott Williams & Wilkins.

DeBonis, D. & Donohue, C. (2008). Survey of audiology: Fundamentals for audiologists and health professionals. Boston: Allyn & Bacon.

Gelfand, S. (2009). Essentials of audiology. New York: Thieme.

Gordon-Salant, S., & Callahan, J. S. (2009). The benefits of hearing aids and closed captioning for television viewing by older adults with hearing loss. Ear & Hearing, 30, 458-465.

Guthrie, L. A., & Mackersie, C. L. (2009). A comparison of presentation levels to maximize word recognition scores. Journal of the American Academy of Audiology, 20(6), 381-390.

Huttunen, K., Rimmanen, S., Vikman, S., Virokannas, N., Sorri, M., Archbold, S., & Lutman, M. E. (2009). Parents’ views on the quality of life of their children 2-3 years after cochlear implantation. International Journal of Pediatric Otorhinolaryngology 73(12), 1786-1794.

Katz, J., Medwetsky, L., Burkhard, R. F., & Hood, L. (Eds.). (2009). Handbook of clinical audiology (6th ed.). Philadelphia: Lippincott Williams & Wilkins.

Kramer, S., & Guthrie, L. (2008). Audiology workbook. San Diego: Plural Publishing.

Madell, J., & Flexer, C. (Eds.). (2008). Pediatric audiology: Diagnosis, Technology, and management. New York: Thieme.

Nittrouer, S., & Chapman, C. (2009). The effects of bilateral electric and bimodal electric-acoustic stimulation on language development. Trends in Amplification, 13(3), 190-205.

Porter, H. L., Neely, S. T., & Gorga, M. P. (2009). Using benefit-cost ratio to select Universal Newborn Hearing Screening test criteria. Ear & Hearing, 30, 447-457.

Roland, J. T. Jr., Cosetti, M., Wang, K. H., Immerman, S., & Waltzman, S. B. (2009). Cochlear implantation in the very young child: Long-term safety and efficacy. Laryngoscope, 119(11), 2205-2210.

Stach, B. (2008). Clinical audiology: An introduction (2nd ed.). San Diego: Singular Publishing Co.

Seminal Works

American Speech-Language-Hearing Association Working Group on Acoustic Immittance Measurements and the Committee on Audiologic Evaluation. (1990). Guidelines for screening for hearing impairment and middle-ear disorders. ASHA Supplement, 2, 17-24.

Chan, V. S., Wong, E. C., & McPherson, B. (2004). Occupational hearing loss: Screening with distortion-product otoacoustic emissions. International Journal of Audiology, 43(8), 323-329.

Chmiel, R., & Jerger, J. (1995). Quantifying improvement with amplification. Ear & Hearing, 16, 166-175.

Dubno, J. R., Lee, F. S., Matthews, L. J., & Mills, J. H. (1997). Age-related and gender-related changes in monaural speech recognition. Journal of Speech, Language, & Hearing Research, 40(2), 444-452.

Gelfand, S. A. (1990). Hearing: An introduction to psychological and physiological acoustics (2nd ed.). New York: Marcel Dekker, Inc.

Haapaniemi, J. J. (1996). Immittance findings in school-aged children. Ear & Hearing, 17, 19-27.

Hughes, G. B., & Pensak, M. L. (1997). Clinical otology (2nd ed.). New York: Thieme.

Hyde, M. L., Riko, K., & Malizia, K. (1990). Audiometric accuracy of the click ABR in infants at risk for hearing loss. Journal of the American Academy of Audiology, 1(2), 59-66.

Johnson, D. D., & Whitehead, R. L. (1989). Effect of maternal rubella on hearing and vision: A twenty year post-epidemic study. American Annals of the Deaf, 134, 232-242.

Kaplan, H. (1996). Assistive devices for the elderly. Journal of the American Academy of Audiology, 7, 203-211.

Lesner, S. A. (2003). Candidacy and management of assistive listening devices: Special needs of the elderly. International Journal of Audiology, 42 Supplement 2, 2S66-76.

Silman, S., Silverman, C. A., Emmer, M. B., & Gelfand, S. A. (1992). Adult-onset auditory deprivation. Journal of the American Academy of Audiology, 3, 390-396.

Sininger, Y. S. (1993). Auditory brain stem response for objective measures of hearing. Ear & Hearing, 14, 23-30.

Weinstein, B. E. (2000). Geriatric audiology. New York: Thieme.

Van Camp, K. J., Margolis, R. H., Wilson, R. H., Creten, W. L., & Shanks, J. E. (1986). Principles of tympanometry. ASHA Monograph Number 24, 1-88.

Yost, W. A. (2000). Fundamentals of hearing: An introduction (4th ed.). San Diego: Academic Press.

5