Journal of Speech, Language, and Hearing Research

Study proposes reference data for very high-frequency hearing

Among adults with normal standard-range hearing, average very high-frequency thresholds ranged from −12.5 to 97.5 decibels of hearing level.

Paper by Claire M. Dorey, David A. Eddins, Carrie A. Secor, +2 more authorsErol J. Ozmeral · College of Behavioral & Community Sciences
A large ear is surrounded by small upright people wearing headphones, with sound waves ranging from tiny crescents to broad arcs beside them.

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Biomarkers
Studied:
Cross-sectional study of 717 adults
What changed:
Average very high-frequency hearing thresholds ranged from −12.5 to 97.5 dB HL among adults with normal standard-range hearing
The catch:
Repeatability alone does not identify cutoffs for difficulties understanding speech in noise

Editor of record: Boris Djordjevic · AgingResearch.News

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The 717 adults aged 18–88—438 women and 279 men—underwent hearing tests in an observational study proposing reference data for very high frequencies. Testing covered both standard and very high frequencies, using typical clinical equipment. Researchers calculated averages of the faintest sounds participants could hear at four frequencies in each range. Higher thresholds meant poorer hearing.

The 62 participants retested within a year showed excellent repeatability for very high-frequency thresholds. Men had poorer average hearing than women in both frequency ranges. Even participants with normal standard-range hearing had widely varying very high-frequency results. The authors concluded that setting reference limits or using four-frequency averages in this range was feasible.

Why it matters

Assessing hearing as people age raises the question of what tests beyond the standard frequency range can add. The authors suggest that very high-frequency measurements could help outpatient diagnosis.

Caveats

Repeatable hearing measurements alone do not establish which very high-frequency cutoff best identifies difficulties in daily life, such as understanding speech in noise.

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