Validation of clinical techniques for verification of uniform attenuation earplugs.
Identifieur interne : 000432 ( Main/Exploration ); précédent : 000431; suivant : 000433Validation of clinical techniques for verification of uniform attenuation earplugs.
Auteurs : Cory D F. Portnuff [États-Unis] ; Drew Price [États-Unis]Source :
- International journal of audiology [ 1708-8186 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Bruit au travail (MeSH), Dispositifs de protection des oreilles (statistiques et données numériques), Exposition professionnelle (analyse), Exposition professionnelle (effets indésirables), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Reproductibilité des résultats (MeSH), Seuil auditif (MeSH), Stimulation acoustique (méthodes), Surdité due au bruit (prévention et contrôle).
- MESH :
- analyse : Exposition professionnelle.
- effets indésirables : Exposition professionnelle.
- méthodes : Stimulation acoustique.
- prévention et contrôle : Surdité due au bruit.
- statistiques et données numériques : Dispositifs de protection des oreilles.
- Adulte, Adulte d'âge moyen, Bruit au travail, Femelle, Humains, Mâle, Reproductibilité des résultats, Seuil auditif.
English descriptors
- KwdEn :
- Acoustic Stimulation (methods), Adult (MeSH), Auditory Threshold (MeSH), Ear Protective Devices (statistics & numerical data), Female (MeSH), Hearing Loss, Noise-Induced (prevention & control), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Noise, Occupational (MeSH), Occupational Exposure (adverse effects), Occupational Exposure (analysis), Reproducibility of Results (MeSH).
- MESH :
- adverse effects : Occupational Exposure.
- analysis : Occupational Exposure.
- methods : Acoustic Stimulation.
- prevention & control : Hearing Loss, Noise-Induced.
- statistics & numerical data : Ear Protective Devices.
- Adult, Auditory Threshold, Female, Humans, Male, Middle Aged, Noise, Occupational, Reproducibility of Results.
Abstract
OBJECTIVE
Uniform attenuation earplugs (UAE) theoretically provide near even attenuation across frequencies when built to a manufacturer's specifications. Unfortunately, there is no current research available confirming if custom-molded uniform attenuation earplugs (UAE) are made to specifications nor is there guidance available on clinical methods of measuring attenuation of uniform attenuation earplug (UAE) devices. The goal of this study was to evaluate different procedures for UAE verification and to determine the most accurate clinically accessible verification protocol.
DESIGN
Attenuation was measured using probe microphone techniques, as well as real-ear attenuation at threshold (REAT) measurements under circumaural earphones, soundfield speakers and supra-aural earphones. Comparisons were made to a reference system created in the laboratory.
STUDY SAMPLE
Seventeen adult participants, totaling 30 ears.
RESULTS
The results of this study demonstrate that the REAT measured in the soundfield using a narrowband noise stimulus with masking in the contralateral ear is currently the most accurate and widely available method of verifying UAEs.
CONCLUSIONS
Factoring in clinical efficiency, the authors of this study recommend verifying attenuation levels using a soundfield REAT procedure as best clinical practice. In addition, the data suggests that REAT measurements under circumaural earphones are an acceptable second choice method.
DOI: 10.1080/14992027.2018.1532119
PubMed: 30618313
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Portnuff</name><affiliation wicri:level="2"><nlm:affiliation>a UC Health Hearing and Balance Center , University of Colorado Hospital , Aurora , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a UC Health Hearing and Balance Center , University of Colorado Hospital , Aurora , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>b Department of Otolaryngology, School of Medicine , University of Colorado Denver , Aurora , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>b Department of Otolaryngology, School of Medicine , University of Colorado Denver , Aurora , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author><author><name sortKey="Price, Drew" sort="Price, Drew" uniqKey="Price D" first="Drew" last="Price">Drew Price</name><affiliation wicri:level="2"><nlm:affiliation>c Sound Relief Hearing Center , Highlands Ranch , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>c Sound Relief Hearing Center , Highlands Ranch , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30618313</idno><idno type="pmid">30618313</idno><idno type="doi">10.1080/14992027.2018.1532119</idno><idno type="wicri:Area/Main/Corpus">000610</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000610</idno><idno type="wicri:Area/Main/Curation">000610</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000610</idno><idno type="wicri:Area/Main/Exploration">000610</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Validation of clinical techniques for verification of uniform attenuation earplugs.</title><author><name sortKey="Portnuff, Cory D F" sort="Portnuff, Cory D F" uniqKey="Portnuff C" first="Cory D F" last="Portnuff">Cory D F. Portnuff</name><affiliation wicri:level="2"><nlm:affiliation>a UC Health Hearing and Balance Center , University of Colorado Hospital , Aurora , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a UC Health Hearing and Balance Center , University of Colorado Hospital , Aurora , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation><affiliation wicri:level="2"><nlm:affiliation>b Department of Otolaryngology, School of Medicine , University of Colorado Denver , Aurora , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>b Department of Otolaryngology, School of Medicine , University of Colorado Denver , Aurora , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author><author><name sortKey="Price, Drew" sort="Price, Drew" uniqKey="Price D" first="Drew" last="Price">Drew Price</name><affiliation wicri:level="2"><nlm:affiliation>c Sound Relief Hearing Center , Highlands Ranch , CO , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>c Sound Relief Hearing Center , Highlands Ranch , CO </wicri:regionArea><placeName><region type="state">Colorado</region></placeName></affiliation></author></analytic><series><title level="j">International journal of audiology</title><idno type="eISSN">1708-8186</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation (methods)</term><term>Adult (MeSH)</term><term>Auditory Threshold (MeSH)</term><term>Ear Protective Devices (statistics & numerical data)</term><term>Female (MeSH)</term><term>Hearing Loss, Noise-Induced (prevention & control)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Noise, Occupational (MeSH)</term><term>Occupational Exposure (adverse effects)</term><term>Occupational Exposure (analysis)</term><term>Reproducibility of Results (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Bruit au travail (MeSH)</term><term>Dispositifs de protection des oreilles (statistiques et données numériques)</term><term>Exposition professionnelle (analyse)</term><term>Exposition professionnelle (effets indésirables)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Reproductibilité des résultats (MeSH)</term><term>Seuil auditif (MeSH)</term><term>Stimulation acoustique (méthodes)</term><term>Surdité due au bruit (prévention et contrôle)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Exposition professionnelle</term></keywords><keywords scheme="MESH" qualifier="analysis" xml:lang="en"><term>Occupational Exposure</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Exposition professionnelle</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Acoustic Stimulation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Stimulation acoustique</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Hearing Loss, Noise-Induced</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Surdité due au bruit</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ear Protective Devices</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Dispositifs de protection des oreilles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Auditory Threshold</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Noise, Occupational</term><term>Reproducibility of Results</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bruit au travail</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Reproductibilité des résultats</term><term>Seuil auditif</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Uniform attenuation earplugs (UAE) theoretically provide near even attenuation across frequencies when built to a manufacturer's specifications. Unfortunately, there is no current research available confirming if custom-molded uniform attenuation earplugs (UAE) are made to specifications nor is there guidance available on clinical methods of measuring attenuation of uniform attenuation earplug (UAE) devices. The goal of this study was to evaluate different procedures for UAE verification and to determine the most accurate clinically accessible verification protocol.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Attenuation was measured using probe microphone techniques, as well as real-ear attenuation at threshold (REAT) measurements under circumaural earphones, soundfield speakers and supra-aural earphones. Comparisons were made to a reference system created in the laboratory.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY SAMPLE</b></p><p>Seventeen adult participants, totaling 30 ears.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The results of this study demonstrate that the REAT measured in the soundfield using a narrowband noise stimulus with masking in the contralateral ear is currently the most accurate and widely available method of verifying UAEs.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Factoring in clinical efficiency, the authors of this study recommend verifying attenuation levels using a soundfield REAT procedure as best clinical practice. In addition, the data suggests that REAT measurements under circumaural earphones are an acceptable second choice method.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30618313</PMID><DateCompleted><Year>2020</Year><Month>05</Month><Day>29</Day></DateCompleted><DateRevised><Year>2020</Year><Month>05</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1708-8186</ISSN><JournalIssue CitedMedium="Internet"><Volume>58</Volume><Issue>sup1</Issue><PubDate><Year>2019</Year><Month>02</Month></PubDate></JournalIssue><Title>International journal of audiology</Title><ISOAbbreviation>Int J Audiol</ISOAbbreviation></Journal><ArticleTitle>Validation of clinical techniques for verification of uniform attenuation earplugs.</ArticleTitle><Pagination><MedlinePgn>S33-S39</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1080/14992027.2018.1532119</ELocationID><Abstract><AbstractText Label="OBJECTIVE">Uniform attenuation earplugs (UAE) theoretically provide near even attenuation across frequencies when built to a manufacturer's specifications. Unfortunately, there is no current research available confirming if custom-molded uniform attenuation earplugs (UAE) are made to specifications nor is there guidance available on clinical methods of measuring attenuation of uniform attenuation earplug (UAE) devices. The goal of this study was to evaluate different procedures for UAE verification and to determine the most accurate clinically accessible verification protocol.</AbstractText><AbstractText Label="DESIGN">Attenuation was measured using probe microphone techniques, as well as real-ear attenuation at threshold (REAT) measurements under circumaural earphones, soundfield speakers and supra-aural earphones. Comparisons were made to a reference system created in the laboratory.</AbstractText><AbstractText Label="STUDY SAMPLE">Seventeen adult participants, totaling 30 ears.</AbstractText><AbstractText Label="RESULTS">The results of this study demonstrate that the REAT measured in the soundfield using a narrowband noise stimulus with masking in the contralateral ear is currently the most accurate and widely available method of verifying UAEs.</AbstractText><AbstractText Label="CONCLUSIONS">Factoring in clinical efficiency, the authors of this study recommend verifying attenuation levels using a soundfield REAT procedure as best clinical practice. In addition, the data suggests that REAT measurements under circumaural earphones are an acceptable second choice method.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Portnuff</LastName><ForeName>Cory D F</ForeName><Initials>CDF</Initials><AffiliationInfo><Affiliation>a UC Health Hearing and Balance Center , University of Colorado Hospital , Aurora , CO , USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>b Department of Otolaryngology, School of Medicine , University of Colorado Denver , Aurora , CO , USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Price</LastName><ForeName>Drew</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>c Sound Relief Hearing Center , Highlands Ranch , CO , USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>01</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Audiol</MedlineTA><NlmUniqueID>101140017</NlmUniqueID><ISSNLinking>1499-2027</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000161" MajorTopicYN="N">Acoustic Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001309" MajorTopicYN="N">Auditory Threshold</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004430" MajorTopicYN="N">Ear Protective Devices</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006317" MajorTopicYN="N">Hearing Loss, Noise-Induced</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009623" MajorTopicYN="Y">Noise, Occupational</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016273" MajorTopicYN="N">Occupational Exposure</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000032" MajorTopicYN="Y">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Musicians</Keyword><Keyword MajorTopicYN="Y">earplug</Keyword><Keyword MajorTopicYN="Y">hearing conservation</Keyword><Keyword MajorTopicYN="Y">hearing loss prevention</Keyword><Keyword MajorTopicYN="Y">validation</Keyword><Keyword MajorTopicYN="Y">verification</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>1</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30618313</ArticleId><ArticleId IdType="doi">10.1080/14992027.2018.1532119</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Colorado</li></region></list><tree><country name="États-Unis"><region name="Colorado"><name sortKey="Portnuff, Cory D F" sort="Portnuff, Cory D F" uniqKey="Portnuff C" first="Cory D F" last="Portnuff">Cory D F. Portnuff</name></region><name sortKey="Portnuff, Cory D F" sort="Portnuff, Cory D F" uniqKey="Portnuff C" first="Cory D F" last="Portnuff">Cory D F. Portnuff</name><name sortKey="Price, Drew" sort="Price, Drew" uniqKey="Price D" first="Drew" last="Price">Drew Price</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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