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Contrast sensitivity test and conventional and high frequency audiometry: information beyond that required to prescribe lenses and headsets

机译:对比度灵敏度测试和传统和高频听力测定:超出规定镜头和耳机所需的信息

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In Optometry and in Audiology, the routine tests to prescribe correction lenses and headsets are respectively the visual acuity test (the first chart with letters was developed by Snellen in 1862) and conventional pure tone audiometry (the first audiometer with electrical current was devised by Hartmann in 1878). At present there are psychophysical non invasive tests that, besides evaluating visual and auditory performance globally and even in cases catalogued as normal according to routine tests, supply early information regarding diseases such as diabetes, hypertension, renal failure, cardiovascular problems, etc. Concerning Optometry, one of these tests is the achromatic luminance contrast sensitivity test (introduced by Schade in 1956). Concerning Audiology, one of these tests is high frequency pure tone audiometry (introduced a few decades ago) which yields information relative to pathologies affecting the basal cochlea and complements data resulting from conventional audiometry. These utilities of the contrast sensitivity test and of pure tone audiometry derive from the facts that Fourier components constitute the basis to synthesize stimuli present at the entrance of the visual and auditory systems; that these systems responses depend on frequencies and that the patient's psychophysical state affects frequency processing. The frequency of interest in the former test is the effective spatial frequency (inverse of the angle subtended at the eye by a cycle of a sinusoidal grating and measured in cycles/degree) and, in the latter, the temporal frequency (measured in cycles/sec). Both tests have similar duration and consist in determining the patient's threshold (corresponding to the inverse multiplicative of the contrast or to the inverse additive of the sound intensity level) for each harmonic stimulus present at the system entrance (sinusoidal grating or pure tone sound). In this article the frequencies, standard normality curves and abnormal threshold shifts inherent to the contrast sensitivity test (which for simplicity could be termed “visionmetry”) and to pure tone audiometry (also termed auditory sensitivity test) are analyzed with the purpose of contributing to divulge their ability to supply early information associated to pathologies not solely related to the visual and auditory systems respectively.
机译:在验光和听力学中,规定校正镜头和耳机的常规测试分别是视力测试(由1862年由Snellen开发的第一图表)和传统的纯净音轨(第一个带电流的听力计由Hartmann设计1878年)。目前有心理物理非侵入性测试,除了根据常规测试以正常的情况评估视觉和听觉性能,还根据常规测试,提供关于糖尿病,高血压,肾功能衰竭,心血管问题等疾病的早期信息。关于验光,其中一个测试是消色差亮度对比度灵敏度测试(由Schade于1956年引入)。关于听力学,这些测试之一是高频纯度听力测量仪(几十年前推出),其产生相对于影响基础耳蜗的病理学的信息,并补充来自常规听力测量的数据。对比度敏感性测试和纯音听力的这些实用程序得出了傅立叶组分构成依据在视觉和听觉系统入口处合成刺激的基础的事实;这些系统响应依赖于频率,并且患者的心理物理状态影响频率处理。前测试的景点是有效的空间频率(通过正弦光栅的循环并在循环/程度上测量角度下方的角度的倒数),并且在后者中,时间频率(在循环中测量/秒)。两个测试具有相似的持续时间,并且在系统入口处(正弦光栅或纯音声或纯音声声音)中确定患者的阈值(对应于对比度的反向乘法或声音强度水平的反应性)。在本文中,对比度敏感性测试固有的频率,标准正常曲线和异常阈值变化(用于简单起见,可以被称为“视觉metry”)和纯粹的音调听力学(也称为听觉灵敏度测试),以贡献透过他们提供与不完全与视觉和听觉系统相关的病理相关的早期信息的能力。

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