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J Am Acad Audiol 1999; 10(09): 502-520
DOI: 10.1055/s-0042-1748540
Original Article

Reliability of Tinnitus Loudness Matches under Procedural Variation

James A. Henry
National VA RR&D Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon
Department of Otolaryngology, Oregon Health Sciences University, Portland, Oregon
,
Christopher L. Flick
National VA RR&D Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon
,
Alison Gilbert
National VA RR&D Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon
,
Roger M. Ellingson
National VA RR&D Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon
,
Stephen A. Fausti
National VA RR&D Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon
Department of Otolaryngology, Oregon Health Sciences University, Portland, Oregon
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Abstract

Repeated tinnitus loudness matches (LMs) were obtained to determine response reliability using a computer-automated technique with two procedural variations, fixed or random step sizes, to increase output level during the initial ascending series of tones at each frequency. Twenty subjects with stable, tonal tinnitus were evaluated with both methods during each of two sessions. Response instructions were displayed on a portable computer, and a pen device was used to make response choices that appeared on the touch-sensitive video monitor. For each method, hearing thresholds and LMs were obtained, with 1-dB resolution, at 1/3-octave frequencies from 1 to 16 kHz. Analyses revealed reliability of LMs to be equivalent between methods. LM data are reported in both dB SPL and dB SL, with the SPL values providing greater reliability both within and between sessions (all r's ≥ .889, p's ≤ .0001).

Abbreviations: ANOVA = analysis of variance, LAN = local area network, LM = loudness match

Key Words

Loudness - measurement - reliability - tinnitus


Publication History

Article published online:
05 May 2022

© 1999. American Academy of Audiology. This article is published by Thieme.

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  • REFERENCES

  • Bailey Q. (1979). Audiological aspects of tinnitus. Aust J Audiol 1: 19–23.
  • Bilger RC, Hirsh LJ. (1956). Masking of tones by bands of noise. J Acoust Soc Am 28: 623–630.
  • Burns EM. (1984). A comparison of variability among measurements of subjective tinnitus and objective stimuli. Audiology 23: 426–440.
  • Carhart R. (1958). Audiometry in diagnosis. Laryngoscope 68: 253–279.
  • Carhart R, Jerger JF. (1959). Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Disord 24: 330–345.
  • Chaiklin JB, Ventry IM, Barrett LS, Skalbeck GA. (1959). Pure-tone threshold patterns observed in functional hearing loss. Laryngoscope 69: 1165–1179.
  • Coles RRA, Baskill JL. (1996). Absolute loudness of tinnitus: tinnitus clinic data. In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 135–141.
  • Doerfler LG. (1951). Psychogenic deafness and its detection. Ann Otol Rhinol Laryngol 60: 1045–1048.
  • Evered D, Lawrenson G (1981). Appendix II. Guidelines for recommended procedures in tinnitus testing. In: Evered D, Lawrenson G, eds. CIBA Foundation Symposium 85. Tinnitus. London: Pitman, 303–306.
  • Fausti SA, Frey RH, Henry JA, Knutsen JM, Olson DJ. (1990). Reliability and validity of high-frequency (8-20 kHz) thresholds obtained on a computer-based audiometer as compared to a documented laboratory system. J Am Acad Audiol 1: 162–170.
  • Fletcher H. (1940). Auditory patterns. Rev Mod Phys 12: 47–65.
  • Fortune DS, Haynes DS, Hall JWI. (1999). Tinnitus: current evaluation and management. Otolaryngol Internist 83: 153–162.
  • Fowler EP. (1943). Control of head noises. Their illusions of loudness and of timbre. Arch Otolaryngol 37: 391–398.
  • Goetzinger CP, Proud GO. (1958). Deafness: examination techniques for evaluating malingering and psychogenic disabilities. J Kans Med Soc 59: 95–101.
  • Goldstein B. (1997). Psychophysical and psychoacoustic correlates of tinnitus. In: ShulmanA, ed. Tinnitus Diagnosis / Treatment. San Diego: Singular, 99–115.
  • Goldstein BA, Newman CW. (1994). Clinical masking: a decision-making process. In: Katz J, ed. Handbook of Clinical Audiology. Baltimore: Williams and Wilkins, 109–131.
  • Goodwin PE, Johnson RM. (1980). The loudness of tinnitus. Acta Otolaryngol 90: 353–359.
  • Graham JT, Newby HA. (1962). Acoustical characteristics of tinnitus: an analysis. Arch Otolaryngol 75: 82–87.
  • Hallam RS, Jakes SC, Chambers C, Hinchcliffe R. (1985). A comparison of different methods for assessing the 'inten-sity'of tinnitus. Acta Otolaryngol (Stockh) 99: 501–508.
  • Hawkins JEJ, Stevens SS. (1950). The masking of pure tones and of speech by white noise. J Acoust Soc Am 22: 6–13.
  • Hazell JW, Wood SM, Cooper HR, Stephens SD, Corcoran AL, Coles RR, Baskill JL, Sheldrake JB. (1985). A clinical study of tinnitus maskers. BrJAudiol 19: 65–146.
  • Henry JA. (1996). Loudness recruitment only partially explains the small size of tinnitus loudness-matches. In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 148-157.
  • Henry JA, Fausti SA, Mitchell CR, Flick CL, Helt WJ. (1996). An automated technique for tinnitus evaluation. In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 325–326.
  • Henry JA, Meikle MB. (1999). Techniques for measuring the loudness of tinnitus: pulsed versus continuous stimuli. J Am Acad Audiol 10: 261–272.
  • Hinchcliffe R, Chambers C. (1983). Loudness of tinnitus: an approach to measurement. Adv Otorhinolaryngol 29: 163–173.
  • Ishikawa T, Kusano H, Ogasawara M, Murai K, Tauiki T. (1991). Investigation of tinnitus tests: comparison of ipsilateral and contralateral testing. In: Aran J-M, Dauman R, eds. Fourth International Tinnitus Seminar. Bordeaux, France: Kugler, 43–48.
  • Jacobson GP, Henderson JA. (1999). Toward the development of a subjective measure of the presence of tinnitus: preliminary observations. In: Popelka GR, ed. Association for Research in Otolaryngology [abstract 682]. Mt. Royal, NJ: Association for Research in Otolaryngology.
  • Jastreboff PJ. (1996). Usefulness of the psychoacousti-cal characterization of tinnitus. In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 158–166.
  • Kuk FK, Tyler RS, Rustad N, Harker LA, Tye-Murray N. (1989). Alternating current at the eardrum for tinnitus reduction. J Speech Hear Res 32: 393–400.
  • Martin FN. (1994). Pseudohypacusis. In: Katz J, ed. Handbook of Clinical Audiology. Baltimore: Williams and Wilkins, 553–567.
  • Matsuhira T, Yamashita K, Yasuda M. (1992). Estimation of the loudness of tinnitus from matching tests. Br J Audiol 26: 387–395.
  • Meikle MB, Henry JA, Mitchell CM. (1996). Methods for matching the loudness of tinnitus using external tones. In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 178–179.
  • Meikle MB, Johnson RM, Griest SE, Press LS, Charnell MG. (1995). Oregon Tinnitus Data Archive. World Wide Web: http//www.ohsu.edu/ohrc-otda/> 95-01.
  • Meikle MB, Vernon J, Johnson RM. (1984). The perceived severity of tinnitus. Otolaryngol Head Neck Surg 92:689–696.
  • Meikle M, Walsh ET. (1984). Characteristics of tinnitus and related observations in over 1800 tinnitus patients. J Laryngol Otol 9(Suppl): 17–21.
  • Mitchell CR, Vernon JA, Creedon TA. (1993). Measuring tinnitus parameters: loudness, pitch, and maskability. J Am Acad Audiol 4: 139–151.
  • Murai K, Tyler RS, Harker LA, Stouffer JL. (1992). Review of pharmacologic treatment of tinnitus. Am J Otol 13: 454–464.
  • Penner MJ. (1983). Variability in matches to subjective tinnitus. J Speech Hear Res 26: 263–267.
  • Penner MJ. (1984). Equal-loudness contours using subjective tinnitus as the standard. J Speech Hear Res 27: 274–279.
  • Penner MJ. (1986). Magnitude estimation and the "paradoxical" loudness of tinnitus. J Speech Hear Res 29: 407–412.
  • Penner MJ, Bilger RC. (1992). Consistent within-session measures of tinnitus. J Speech Hear Res 35: 694–700.
  • Reed GF. (1960). An audiometric study of two hundred cases of subjective tinnitus. Arch Otolaryngol 71: 94–104.
  • Risey J, Briner W, Guth PS, Norris CH. (1989). The superiority of the Goodwin procedure over the traditional procedure in measuring the loudness level of tinnitus. Ear Hear 10: 318–322.
  • Robinson DW, Dadson RS. (1956). A redetermination of the equal loudness relations for puretones. Br J Appl Phys 7: 166–181.
  • Roeser RJ, Price DR. (1980). Clinical experience with tinnitus maskers. Ear Hear 1: 63–68.
  • Scott B, Lindberg Ρ, Lyttkens L, Melin L. (1985). Psychological treatment of tinnitus. An experimental group study. Scand Audiol 14: 223–230.
  • Tyler RS, Aran J-M, Dauman R. (1992). Recent advances in tinnitus. Am J Audiol 1: 36–44.
  • Tyler RS, Conrad-Armes D. (1983). The determination of tinnitus loudness considering the effects of recruitment. J Speech Hear Res 26: 59–72.
  • Vernon JA. (1976). The loudness (?) of tinnitus. Hear Speech Action 44: 17–19.
  • Vernon JA. (1982). Relief of tinnitus by masking treatment. In: English GM, ed. Otolaryngology. Philadelphia: Harper and Row, 1–21.
  • Vernon JA. (1987). Assessment of the tinnitus patient. In: Hazell JWP, ed. Tinnitus New York: Churchill Livingstone, 71–87.
  • Vernon JA. (1996). Is the claimed tinnitus real and is the claimed cause correct? In: Reich GE, Vernon JA, eds. Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, OR: American Tinnitus Association, 395–396.
  • Vernon JA. (1997). Common errors in the use of masking for relief of tinnitus. In: Shulman A, ed. Tinnitus: Diagnosis / Treatment. San Diego: Singular, 50–66.
  • Vernon JA, Fenwick J. (1984). Identification of tinnitus: a plea for standardization. J Laryngol Otol 9(Suppl):45: 45–53.
  • Vernon JA, Johnson RM, Schleuning AJ, Mitchell CR. (1980). Masking and tinnitus. Audiol Hear Educ Summer:5–9.
  • Vernon JA, Meikle MB. (1981). Tinnitus masking: unresolved problems. In: Evered D, Lawrenson G, eds. CIBA Foundation Symposium 85. Tinnitus. London: Pitman, 239–256.
  • Vernon JA, Meikle MB. (1988). Measurement of tinnitus: an update. In: Kitahara M, ed. Tinnitus, Pathophysiology and Management. Tokyo: Igaku-Shoin, 36–52.
  • Welkowitz J, Ewen RB, Cohen J. (1976). Introductory Statistics for the Behavioral Sciences. New York: Academic Press.