A Smartphone-Based WeberTest May Discriminate between a Conductive and a Sensorineural Hearing Loss. The aim of this paper was to compare the accuracy of a smartphone-based Webertest (SPWT) with the traditional tuning fork Webertest (TFWT) in identifying and differentiating between sensorineural hearing loss (SNHL) and conductive hearing loss (CHL). We conducted a prospective, noncontrolled clinical study. Sixty patients referred to the emergency department due to unilateral hearing loss (HL) were enrolled. They were asked to press a single uncovered smartphone on their forehead and conduct a Webertest by means of the smartphone's vibration application. The results were compared to the TFWT. Twenty-six (43%) patients were diagnosed with a SNHL, and 34 (57%) with a CHL. The SPWT
Validity of the Hum Test, a Simple and Reliable Alternative to the WeberTest. To compare the diagnostic performance of the Hum Test against the WeberTest using pure tone audiometry (PTA) as the "gold standard" comparator. 29 participants with normal hearing of ages 18 to 35 without any history of hearing abnormalities or otologic conditions were enrolled. Subjects underwent three tests (Hum Test, WeberTest, and PTA) across two conditions: with an ear plug in one ear (side randomized) and without ear plugs. When examining the ability of the Hum Test to detect simulated conductive hearing loss (CHL), the test had a sensitivity of 89.7% and specificity of 100% with high pitched humming and 93.1% and 100%, respectively, with low pitched humming. The WeberTest had a sensitivity
How Reliable Is the "Scratch Test" Versus the WeberTest After Tympanomastoid Surgery? To identify whether the scratch test can be used as an alternative to the Weber'stest after tympanomastoid surgery. This twin-center prospective study assessed major tympanomastoid surgery patients over a 6-month period. Patients were assessed postoperatively on Day 0 or Day 1 of surgery using a standardized proforma. A Weber'stest was performed using a 512-Hz tuning fork, placed midline on the forehead to assess the direction of sound localization. This was directly compared with a scratch test, by asking the patient the following while scratching the head bandage in the midline: "Can you hear this? And which side is loudest?" Fifty-six patients were assessed in total. Sixteen mastoid explorations, 14
. The tuning fork is then placed next to the external ear (air conduction). Usually air conduction is better than bone conduction so the sound can still be heard; this is a positive Rinne's test. If bone conduction is better than air conduction, this is a negative Rinne's test and indicates conductive hearing loss in that ear.[4]Weber'stest: the tuning fork is placed on the forehead. The patient is asked
'A' (experimental) and group 'B' (control-conventional). The participants underwent evaluations for disability using the Oswestry Disability Scale. Pain levels were recorded using a numerical pain rating scale (NPRS), while endurance was tested using the Krause Webertest. Quality of life (QOL) was evaluated using the Menopause-Specific Quality of Life (MENQOL) Questionnaire. Both the exercises Pilates (group
* autoimmune ear diseases * syphilisMore risk factorsLog in or subscribe to access all of BMJ Best PracticeDiagnostic investigations1st investigations to order * audiogram * Weber'stest * Rinne's testMore 1st investigations to orderInvestigations to consider * CT or MRI brain * electronystagmography * rotary chair test * vestibular-evoked myogenic potentials * syphilis serology * cerebrospinal fluid Gram
conduction, this is a negative Rinne's test and indicates conductive hearing loss in that ear.[4]Damodaran O, Rizk E, Rodriguez J, et al. Cranial nerve assessment: a concise guide to clinical examination. Clin Anat. 2014 Jan;27(1):25-30.https://www.doi.org/10.1002/ca.22336http://www.ncbi.nlm.nih.gov/pubmed/24307604?tool=bestpractice.com * Weber'stest: the tuning fork is placed on the forehead
, and sandblasters. The aim of this study was to Evaluation of the effect of noise production in dental technology laboratory on dental technician hearing capacity. For this cross-sectional study, a total of 120 dental technicians were chosen. Otoscopic evaluation and the Webertest were used to establish if they had sensorineural or transmission hearing loss at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz, respectively
examination was normal except for mildly enlarged tonsils. Unilateral right ear hearing loss was noted using Weber'stest. Evidence of progressive, mild anemia, and raised inflammatory markers was noted. Diagnosis of scrub typhus was confirmed by positive detection of Orentia tsutsugamushi IgM antibodies on rapid diagnostic test and the presence of chigger mite in the right external auditory canal on repeat
of adult patients (aged ≥18 years) referred to the otolaryngology emergency department in our medical center with the chief complaint of new-onset unilateral SHL. The telemedicine model comprised 2 sequential steps: a Webertest using the Hum Test and a smartphone-based vibration, and uHear app-based audiometry. Discrimination between patients with and without SSNHL by using the telemedicine model. All
you don’t miss a central (stroke) cause.Examine tympanic membrane and auditory canal (cerumen impaction or FB). Solid neuro exam including weber and rinne’s test.WEBER and RINNE, Normal vs. Abnormal HearingFrom Wikipedia:Weber: In the Webertest a vibrating tuning fork (Typically 256 Hz or 512 Hz used for Weber vibration test; 512 Hz used for Rinne hearing test) is placed in the middle of the forehead, above the upper lip under the nose over the teeth, or on top of the head equidistant from the patient’s ears on top of thin skin in contact with the bone. The patient is asked to report in which ear the sound is heard louder. A normal webertest has a patient reporting the sound heard equally in both sides. In an affected patient, if the defective ear hears the Weber tuning fork louder
. Preoperative tests included otomicroscopy, bone- and air-conduction audiogram, tympanometry, stapes reflex tests, Rinne and Webertest and Otoacoustic emissions. The children underwent endoscopy of the middle ear with an individual treatment plan and long-term follow-up. The aim was to explore etiology and to give a treatment plan for hearing loss. Follow-up included air- and bone conduction hearing tests
............................................................................................................... 5 4. Tuning Fork Tests................................................................................................................... 6 4.1 The WeberTest........................................................................................................ 6 4.1.1 Procedure of different tuning fork tests in literature; the Rinne and Webertest are complementary to each other. For this recommended procedure, only the Weber and Rinne tests are described. They shall be undertaken together rather than as independent tests. Information on the sensitivity and specificity of these tests can be found on pages 7 and 8. 1.2 Development of the recommended procedure Unless stated otherwise
on examinationExamine for evidence of local neurological involvement. There may be an ipsilateral VIth or VIIth cranial nerve palsy, or pain over the distribution of the ophthalmic division of the Vth cranial nerve.The patient may complain of deafness and there may be signs of conductive deafness (Rinne's test negative; Weber'stest - sound localised/loudest in the affected ear).Differential diagnosisOtitis media
, neurological and ENT systems is advisable to look for other causes of similar symptoms. Examine:For anaemia, blood pressure (lying and standing), arrhythmias, carotid bruits.Cranial nerves (including nystagmus), gait and co-ordination (Romberg's test and finger-nose test).Ears for wax; hearing tests (Weber'stest and Rinne's test).Cervical spine for vertigo associated with cervical spondylosis and neck
and oval window niche, due to vascular hyperaemia of immature abnormal bone[9].Tuning fork tests (Rinne's and Weber'stests) reveal conductive pattern deafness in the majority of cases.Where the cochlea is involved there may be a mixed conductive/sensory pattern of hearing loss.Differential diagnosisOther middle ear pathology - eg, chronic suppurative otitis media, chronic serous otitis media (glue ear
fever.Assessment of gait:Patients tend to fall towards the affected side when standing or walking.Because the brain can still process information from the visual and somatosensory systems, they should still be able to sit and stand unaided.Inability to stand or walk unassisted is suggestive of ischaemia.A simple hearing test using a 256 Hz (middle C) tuning fork or 512 Hz (top C):Weber'stest involves placing
in that ear.If it is marked, place the still vibrating fork on the mastoid process and ask if it is heard. If it is heard by bone but not air conduction, there is a marked conductive loss. With profound nerve deafness, the patient may be hearing it by bone conduction in the other ear.If there is significant loss in one ear, Weber'stest can be employed. Strike the tuning fork and place it on the centre