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Evaluating psychoacoustic measures for establishing presence of tinnitus. James A. Henry, PhD; Garnett P. McMillan, PhD; Emily J. Thielman, MS; Gino Galvez, PhD; Tara L. Zaugg, AuD; Edward Porsov, MS; Grayson Silaski, BSEE. Aim
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Evaluating psychoacoustic measures for establishing presence of tinnitus James A. Henry, PhD; Garnett P. McMillan, PhD; Emily J. Thielman, MS; Gino Galvez, PhD; Tara L. Zaugg, AuD; Edward Porsov, MS; Grayson Silaski, BSEE
Aim • Develop and document defined test for detecting presence/absence of tinnitus with high degree of confidence. • Relevance • Veterans can claim tinnitus as “service-connected” disability. • Currently, determining presence of tinnitus is based on subjective reporting—objective measures do not exist.
Method • Used computer-automated, self-guided tinnitus evaluation system to conduct 3 phases of testing to compare psychoacoustic measures of tinnitus between participants with vs without tinnitus. • Phase 1 measures: loudness match, pitch match, minimum masking level, residual inhibition, Békésy, and forced-choice double staircase. • Phases 2 and 3 measures: chosen based on Phase 1 results.
Method Podiometer (“Pod”) used by participants to respond to automated testing by turning encoder dial and depressing response buttons. Pod connects to computer and is hardwired to insert earphones.
Results • Number of tests and time of testing decreased during each successive phase. • Differences were seen between groups: • Most notably, higher low-frequency loudness matches and higher median pitch matches were observed for participants with tinnitus.
Conclusion • Study did not result in a defined test for detecting presence/absence of tinnitus. • But data did reveal significant differences in responses between groups with vs without tinnitus. • Results suggest that further efforts can produce a defined psychoacoustic test battery for identifying tinnitus.