Audiogram Hearing Test Results Explained

What do your hearing test results mean?

Whether it’s the sound of a loved one’s voice, a favorite piece of music or an important alarm, the ability to hear contributes greatly to quality of life. So it’s important to recognize when an individual might be suffering any loss of hearing ability, and to measure the degree and severity of that loss—because it’s the first step in the journey to better hearing.

 

 

Heather Hellberg

Heather Hellberg

Miracle-Ear Audiologist

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hearing test, commonly known as an audiogram, is one of the most helpful and precise resources available today for helping individuals learn about the extent of their hearing loss. While the test is easy and painless under the supervision of a trained hearing care professional, knowing what to expect can help you feel even more empowered going into the experience. Here’s what you need to know about how an audiogram measures hearing ability, what to expect during the test and how to interpret the hearing test results.

What is audiometry?

Audiometry is the science of measuring an individual’s ability to hear variations in intensity and pitch of sound. This also includes finer details of hearing such as perceiving different frequencies, recognizing different parts of speech and distinguishing the human voice from background noise.

The intensity of sound is measured in audiometry in decibels (dB). Some decibel examples:

  • A human voice whispering is roughly 20 dB
  • A rock concert might be 80 to 120 dB
  • A jet engine during takeoff ranges from around 140 to 180 dB

The tone or pitch of sound is measured in Hertz (Hz) cycles per second. Examples include:

  • A bass guitar or a rumble of thunder are low-frequency sounds, under 500 Hz
  • A high-pitched whistle may be measured at more than 10,000 Hz
  • The tone of a typical human speaking voice is from about 500 to 3,000 Hz
  • People with healthy hearing can generally hear from around 20 to 20,000 Hz

Age-related hearing loss often begins at the higher end of the frequency range, making it more difficult to hear high-pitched sounds such as women’s and children’s voices or birds tweeting.

Taking the audiogram hearing test

In some cases, a healthcare provider might choose to test for hearing loss with simple examinations that can be done in the doctor’s office.

These informal measures can include listening to tones from an ear examination scope, whispered voices from different directions and the use of a specialized tuning fork to test the ability to hear by air conduction (sounds traveling in the air). The provider may also place the tuning fork against the mastoid bone behind each ear to test how well the bones conduct sound.

These simple steps can verify whether hearing loss is present. If so, the provider may order a formal hearing test called an audiogram.

The audiogram is a simple and painless test to take. Here’s how it works:

  1. First, you put on headphones attached to a device called an audiometer. Sound tones are activated to one ear, then the other. You report back to the audiologist when you can hear particular tones, and those results are mapped out on a graph.

  2. To test speech discrimination, you will hear a series of two-syllable words at gradually decreasing volume. You will be asked to repeat the words you hear, and the lowest volume at which you can hear them will be recorded. You will also be asked to repeat a series of one-syllable words played at a constant volume.

  3. During an acoustic reflex test, a soft plug placed in the ear will track your response to various pressures and sounds. This measures movement of the eardrum and the health of the tiny muscles of the middle ear.

Audiogram hearing test results explained

When your audiogram hearing test is completed, the audiologist will review the results with you. You’ll be shown a graph that indicates your level of hearing sensitivity with frequencies (also called pitch) in Hertz along the top of the graph, and sound levels in decibels along the left side of the graph.

The Xs on your audiogram graph display the softest decibel level at which you are able to hear certain frequencies with each ear. It’s possible that each ear will show a different level of hearing loss (known as asymmetrical hearing loss), or that both ears will show the same level of hearing loss (symmetrical hearing loss). Symmetrical hearing loss is the most common age-related hearing loss.

At any given frequency, the softest decibel level at which you can hear that tone will indicate whether you have lost hearing ability for that frequency.

Here are some examples of mild to severe hearing loss and their implications for everyday life:

  • Mild hearing loss is measured in the range of 26-45 dB. This person might have no problem speaking with someone one-on-one if they’re nearby and able to see the other person’s face. Background noise might make it more difficult for this person to understand a normal speaking voice.
  • Moderate hearing loss is in the 45-65 dB range; a person with this range of loss has trouble understanding conversation, even if it’s in a quiet room. Any level of noise makes hearing very challenging.
  • Severe hearing loss is a deficiency in the ranges of 66-85 dB. At this level, a person has great difficulty hearing in all settings, and can understand someone speaking only if the other person talks very loudly and very closely.
  • Profound hearing loss of ranges greater than 90dB means that the person cannot hear even loud speech or sounds in their environment.

What comes after the audiogram

Hearing loss is the result of a particular part of the ear being affected. When hearing loss is detected through an audiogram, the structure of the inner ear is tested with headphones and a device called a bone conduction transducer, in order to find the source of the issue.

What comes next depends on the cause of the hearing problem and its severity. Hearing loss based in the outer or middle ear is known as conductive hearing loss and can sometimes be improved by medical intervention. Hearing impairment caused in the inner ear is known as sensorineural hearing loss and is often permanent. Some individuals have hearing loss caused by issues in both the middle ear and the inner ear. This is called mixed hearing loss.

Once the cause of hearing loss is determined, strategies for treatment may include consultation with specialist doctors called otolaryngologists or otologists, who are experts on medical interventions and surgical approaches.

In cases that aren’t a good fit for surgical intervention, hearing aids or devices may be beneficial and help counteract permanent hearing loss. 

There’s no question that hearing loss can be difficult, but an audiogram hearing test provides precise information that can lead to concrete strategies for preserving and augmenting the hearing ability that remains. An audiogram can be the first step on the road back to hearing the full range of beautiful, important, life-enhancing sounds.

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