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What is an audiologist?
Audiologists are healthcare professionals who identify, assess, and manage disorders of hearing, balance, and other neural systems
They are the primary healthcare providers for hearing and balance disorders in people of all ages from newborn infants to the elderly
Those that specilaze in the ear
otolaryngologists
These are medical doctors
otologists
Hearing instrument specialists
or hearing aid dispensers
Specialists trained to perform hearing tests, and select, fit, program, and maintain hearing aids
Requires a high school diploma and 3-6 month training program. Credentials will be this
Must pass a state board exam and obtain licensure
Hearing Scientists
Hearing scientists are that study all things related to ear/hearing
Will almost always have a phd(research degree)
Have specialized training in a specific area. Often come from a wide variety of backgrounds
Biology, engineering, physics,neuroscience, psychology,physiology, music, communication sciences audio engineering
Medical audiology
Most common
Full range of diagnostic____ testing for newborns up to elderly
Works closely with physicians, slp’s and pt’s
Industrial
Assess noise level in the workplace
Make recommendations for hearing protection_____
Manufacturer
Product specialist for hearing aid or cochlear implant company
Sales representative
Waveform
is a graphic representation of the shape of a wave that indicates its characteristics (like frequency and amplitude)
Periodic motion
motion that is repetitive and repeats itself on regular time intervals
Cycle of waveform
is when the motion completes one full cycle
Frequency
number of cycles per second
Frequency unit
is hertz which is cyvle per second
Period
how long it takes to complete one cycle
seconds/cycle
Pitch
the perceptual correlate of frequency
Waveform-wavelength
is the distance in space between two adjacent identical points on a wave
What is the relationship between frequency and wavelength
Inverse-as frequency goes up, wavelength goes down
What about period and wavelength?
Direct : as period goes up, wavelength goes up
The maximum magnitude is called
amplitude
The perceptual correlate of amplitude is
Loudness
The phase relationship
describes the difference between phases of two periodic waveforms as they cycle though time
Medium
the matter that occupies space
Transverse waves
the particles in the medium move perpendicular to the direction the wave is traveling.
Longitudinal waves
the particles in the medium move parallel to the direction the wave is traveling.
Compression
spots where particles are bunched together, creating increased density.
Rarefaction
spots where particles are spread apart, creating decreased density.
Sound diffraction
Sound waves can bend around objects- longer wavelengths can pass over objects
Doppler effect
s a shift in the frequency___ of a sound wave resulting from the movement__ of a sound source
Reflection
Sound waves bounce off hard, slick surfaces like tile, concrete,hardwood
When sound bounces around in a space
reverberation
Absorption
Sound doesn’t just travel on forever.
Friction between the air molecules
Or by materials in the environment
constructive interference
occurs when you add two in-phase waves are added together and the magnitude increases_________
destructive interference
occurs when you add two out-of-phase waves together and the magnitude_decreases____________
Beats
are slow periodic amplitude fluctuations caused when two waves that are very close in frequency interfere with each other
Tuning fork
are an example of periodic motion
They have a_resonance________ which is the frequency that they vibrate most easily
Resonant frequency
is how many times the tines are moving back and forth in one second
Fundamental frequency
is the lowest frequency component in a periodic waveform.
Harmonics
are frequency components that are whole number multiples of the fundamental frequency.
octave harmonics.
The special harmonics that occur each time the fundamental frequency doubles
Waveform synthesis
The process of combining multiple
sinusoid waves together to make
one complex waveform is called
Sawtooth wave
has spectral components that include all whole-
number multiples of f0 (all harmonics) with decreasing amplitude
Square wave
has spectral components that include all odd-
number harmonics of f0 with decreasing amplitude
Triangle wave
has spectral components that include all odd-number harmonics of f0 with decreasing amplitude: like a square wave but the amplitude of the harmonics decays more quickly
Musical/pitch scale
For sound, we use a scale called the
Dosimeter
measures sound levels and the duration
of those levels
Outer ear
collects soundwaves from the environment
Middle ear
transmits sounds collected from the outer ear to the inner ear
Inner ear
the sensory organ for hearing and balance
external auditory canal/ear canal
the actual opening of the ear
Spatial localization or sound localization.
Your ears help you determine where sounds are in space
Middle ear
Is an air-filled space that
starts at the tympanic membrane and ends
at the bony wall that separates the middle
ear from the inner ea
The middke ear space is located where?
is located within the
temporal bone
Temporal bone
Very thick bone
Connected to the skull and attaches to the
jaw
Many cranial nerves pass over this
The Tympanic Membrane (eardrum or TM
is a small cone-shaped membrane.
boundary to the middle ear
It converts acoustic vibrations (sound waves)
into mechanical vibrations
Pars tensa
which is stretched(taut)
Pars flaccida
which is relatively loose
What does otoscopy mean?
means examining the ear using an otoscope, a medical instrument used to visualize the ear canal and eardrum
Used to observe the ear canal and the tympanic membrane
A healthy TM is clear-ish and reflects light
Can sometimes see the bones of the middle ear behind it
Middle ear anatomy
houses the ossicles-the middle ear bones
Eustachian tube
thin tube that connects the middle ear space to the back of the throat (nasopharynx)
Equalizes pressure in the middle ear-”popping your ear”
Also helps drain any fluid that might accumulate in the middle ear space
Acoustic reflex
these muscles contract in response to loud sounds as a protective mechanism
tympanometry
Diagnostic tool that tests the movement of the middle ear (mostly eardrum and malleus)
Can determine normal function or a range of other issues
Fluid in the ear
perforation(hole in the ear drum)
hypermobility/stiffness
Middle ear function
Transfers acoustical energy( sound pressure fluctuations) into mechanical energy (vibrations) that are sent to the inner ear
air-tissue/bones-fluid
Impedance-resistance
acts as an impedance matcher
Two mechanisms to overcome the impedance mismatch
The area ratio pressure transformer
The ossicular lever
Area ratio pressure transformer
Most effective mechanism of the middle ear: area ratio pressure transformer
pressure-force/area
Tympanic membrane pressure-force/56mm2
Oval window pressure-force/3.2mm2
Ossicular lever
The length of the malleus is greater than the length of the incus
This creates and anatomical lever
This increases the pressure by about 3dB
Outer ear-
funnel sound in
localize sounds in space
projects objects from getting in
Middle ear
convert air pressure eaves to mechanical waves
Protection from loud sounds
Pressure equalization
Inner ears
is located within the temporal bone
Within the labyrinth are three major structures
The cochlea is the hearing part of this It contains the organ of corti(hearing organ)
The other parts the semicircular canals and the vestibule are the balance parts of this
The cochlea
The bony labyrinth of this coils to form a spiral tunnel this is part of the inner ear
that looks like a snail shell
modiolus
is the bony central core of the cochlea
spiral lamina
is a bony shelf that protrudes from the modiolus. It acts like a skeleton
for the membranous labyrinth to be built around
Organ of Corti
is the actual sense organ for hearing-mechanical eaves get turned into
electrical impulses
sits on top of the basilar membrane
Sits below and is connected to the tectorial membrane
On the inside toward the modiolus is one row of inner hair cells (ICHs)out the outside, there are Three rows of outer hair cells
Hair cells
Each hair cell has a small bundle on top of it called stereocilia(hair bundle)
IHCs are assembled in a u shape
OCHs are assembled in a v or w shape
basilar membrane
is a thin membrane in the middle of the cochlea that divides scala vestibuli
and scala tympani
It vibrates like a ribbon
is thin and stiff at the base (bottom) and thick and flaccid at the apex (top)
This design is important for how it functions
Traveling wave
The stapes connects to the cochlea at the oval window
Below that on the cochlea is the round window-its a thin membrane that is flexible
Outer hair cells
Three rows of about 13,000 OCHs
They have motility meaning that they move
Vibration causes the stereocilia to bend, which shortens the length of this
main function amplify the vibration of the basilar membrane
They do not send signals to the brain
Inner hair cells
One row of about 3500 IHCs
Vibration of the membrane (enhanced by the OCHs) causes the stereocilia of them to bend
Once they bend, positive ions rush in
This results in an action potential that gets fired to the auditory nerve
The signal gets sent to the brain
Main function: generate electrical signal that we process as sound
Vestibulocochlear nerve
Has two components
Vestibular portion (balance)
Cochlear portion (hearing)
Often referred to as auditory nerve
Consists of many fibers that transmit signals to the brain
Afferent nerves
carry information toward the brain
Efferent nerves
carry signals away from the brain
Auditory pathway
Sound follows them from the ear to the brain
The auditory cortex is the primary region where sound is processed
Located in the temporal lobe
Vestibular system
Is the balance system
Used in conjunction with the visual system ad somatosensory system
gives us information about where our head is relative to the ground
Also gives info about linear and rotational acceleration