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Weber’s Test

Weber’s Test

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Published by: api-3769252 on Oct 16, 2008
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05/09/2014

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Weber’s Test

Results & Discussion

Weber’s Test

A tuning fork was gently struck on the heel of the hand The vibrating tuning fork was placed at any midline structure such as the vertex, nasal bone, or incisors. The subjects were asked to localize on which side the sound is heard.

Weber’s Test

Correct Response: sound is heard equally on both ears. Sensorineural loss = loudest sound in unaffected ear Conduction loss = loudest sound in affected ear (hears vibrations only)

Weber’s Test
WEBER’S TEST
Normal Hearing Left conductive deafness Left complete sensorineural deafness Right conductive deafness Right complete sensorineural deafness

Sound heard loudest in…
Both ears Left ear Right ear Right ear Left ear

Results
Subjects
Salvador Sanchez San Juan Santos Seneris Siapno Soliman Soliza Sombilla Sosa Sumayao Tabora Talabong

Localization of Sound
Heard in both ears equally Heard in both ears equally Heard in both ears equally Heard in both ears equally Heard in both ears equally Heard in both ears equally Heard in both ears but louder in left ear Heard in both ears equally Heard in both ears but louder in left ear Heard in both ears but louder in left ear Heard in both ears equally Heard in both ears but louder in right ear Heard in both ears equally

Discussion

 

The Ernst Weber’s test (1934) is used to identify the better hearing cochlear. It is used in conjunction with Rinne’s test and is of most use in patients with unilateral hearing loss. The correct response is equal loudness of sound on both ears. The results in the experiment showed “lateralization on the Weber” by four of the thirteen subjects and indicated some form of hearing loss. Three subjects heard the sound louder on left ear.

Discussion

This lateralization of sound perception can be explained in two ways:
1.

Sensorineural loss on the Right

Acoustic nerve unable to carry the sound  sound is heard only from the left side Air conduction is lost  sound waves are blocked from entering the inner ear  subject is hearing exclusively by bone conduction  the other ear has both the influence of air conduction and bone conduction  Air conduction is better than bone conduction. Therefore, right ear will be less aware of the bone conduction than the left ear  subject hears the sound on the left.

2.

Conduction loss on the Left

Discussion

The results need to be interpreted with care and only in conjunction with further hearing tests.

Types of Hearing Loss

Conductive Hearing Loss

 

External ear obstructions (earwax, foreign bodies) Middle ear obstructions (otitis) Otosclerosis Hair cell degeneration Presbycusis Lesion of cochlear nerve

Sensorineural Hearing Loss
  

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