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Tuning Fork Test

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1. Rinne and Weber tuning fork tests

Rinne and Weber tuning fork tests Recommended Procedure Rinne and Weber tuning fork tests Date: September 2016 Due for review: September 2021 Recommended Procedure Tuning Fork Tests BSA 2016 © BSA 2016 Page2 Page2 General foreword This document presents a Recommended Procedure by the British Society of Audiology (BSA). A Recommended Procedure provides a reference standard for the conduct of an audiological intervention that represents, to the best knowledge of the BSA, the evidence-base (...) and consensus on good practice given the stated methodology and scope of the document and at the time of publication. This document supersedes any previous recommended procedure for tuning fork tests by the BSA (1987). Although care has been taken in preparing the information supplied by the BSA, the BSA does not and cannot guarantee the interpretation and application of it. The BSA cannot be held responsible for any errors or omissions, and the BSA accepts no liability whatsoever for any loss or damage

2016 British Society of Audiology

2. Can smartphone vibration provide a valid alternative to tuning forks for use on the ENT ward round? (PubMed)

hearing loss. Both the right and left ears were tested with the iBrateMe vibration application on an iPhone and using a 512 Hz tuning fork.Occluding the left ear, the tuning fork lateralised to the left in 18 out of 20 cases. In 20 out of 20 cases, sound lateralised to the left with the iPhone (chi-square test, p = 0.147). Occluding the right ear, the tuning fork lateralised to the right in 19 out of 20 cases. In 19 out of 20 cases, sound lateralised to the right with the iPhone (chi-square test, p (...) Can smartphone vibration provide a valid alternative to tuning forks for use on the ENT ward round? All patients undergoing tympanomastoid surgery should be assessed post-operatively for a 'dead ear'; however, tuning forks are frequently inaccessible.To demonstrate that smartphone-based vibration applications provide equivalent accuracy to tuning forks when performing Weber's test.Data were collected on lay participants with no underlying hearing loss. Earplugs were used to simulate conductive

2019 Journal of Laryngology & Otology

3. Rinne test: does the tuning fork position affect the sound amplitude at the ear? (PubMed)

Rinne test: does the tuning fork position affect the sound amplitude at the ear? Guidelines and text-book descriptions of the Rinne test advise orienting the tuning fork tines in parallel with the longitudinal axis of the external auditory canal (EAC), presumably to maximise the amplitude of the air conducted sound signal at the ear. Whether the orientation of the tuning fork tines affects the amplitude of the sound signal at the ear in clinical practice has not been previously reported (...) . The present study had two goals: determine if (1) there is clinician variability in tuning fork placement when presenting the air-conduction stimulus during the Rinne test; (2) the orientation of the tuning fork tines, parallel versus perpendicular to the EAC, affects the sound amplitude at the ear.To assess the variability in performing the Rinne test, the Canadian Society of Otolaryngology - Head and Neck Surgery members were surveyed. The amplitudes of the sound delivered to the tympanic membrane

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2016 Journal of Otolaryngology - Head & Neck Surgery

4. Tuning Fork Tests

Tuning Fork Tests Tuning Fork Tests Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tuning Fork Tests Tuning Fork Tests Aka: Tuning (...) Fork Tests , Weber Test , Weber's Test , Rinne Test , Rinne's Test II. Indication: Differentiate Hearing Loss cause III. Preparation Tuning fork should be 512 Hz (preferred) to 1024 Hz IV. Test: Weber Technique: Tuning Fork placed at midline forehead Normal: Sound radiates to both ears equally Abnormal: Sound lateralizes to one ear Ipsilateral OR Contralateral V. Test: Rinne Technique First: Bone Conduction Vibrating Tuning Fork held on Mastoid Patient covers opposite ear with hand Patient signals

2018 FP Notebook

5. Using Tuning-Fork Tests in Diagnosing Fractures (PubMed)

Using Tuning-Fork Tests in Diagnosing Fractures Mugunthan K, Doust J, Kurz B, Glasziou P. Is there sufficient evidence for tuning fork tests in diagnosing fractures? A systematic review. BMJ Open. 2014;4(8):e005238.Does evidence support the use of tuning-fork tests in the diagnosis of fractures in clinical practice?The authors performed a comprehensive literature search of AMED, CAB Abstracts, CINAHL, EMBASE, MEDLINE, SPORTDiscus, and Web of Science from each database's start to November 2012 (...) . In addition, they manually searched reference lists from the initial search result to identify relevant studies. The following key words were used independently or in combination: auscultation, barford test, exp fractures, fracture, tf test, tuning fork.Studies were eligible based on the following criteria: (1) primary studies that assessed the diagnostic accuracy of tuning forks; (2) measured against a recognized reference standard such as magnetic resonance imaging, radiography, or bone scan; and (3

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2016 Journal of athletic training

6. Comparison of Efficacy Between Suggestion Method During Video EEG Recording by Verbal Suggestion in Isolation and Verbal Suggestion Along With Cotton Swab or Tuning Fork for Inducing the Paroxysmal Event in Children Aged 5 to 18 Years With Suspected Psych

Completion Date : May 2019 Arms and Interventions Go to Arm Intervention/treatment Experimental: Video EEG with verbal suggestion Diagnostic Test: Video EEG with verbal suggestion Video EEG with verbal suggestion will be done by attaching EEG electrodes to the child along with verbals suggestion in isolation or verbal suggestion and tuning fork, verbal suggestion and cotton swab. Experimental: video EEG with verbal suggestion and tuning fork Diagnostic Test: Video EEG with verbal suggestion Video EEG (...) with verbal suggestion will be done by attaching EEG electrodes to the child along with verbals suggestion in isolation or verbal suggestion and tuning fork, verbal suggestion and cotton swab. Experimental: video EEG with verbal suggestion and cotton swab Diagnostic Test: Video EEG with verbal suggestion Video EEG with verbal suggestion will be done by attaching EEG electrodes to the child along with verbals suggestion in isolation or verbal suggestion and tuning fork, verbal suggestion and cotton swab

2018 Clinical Trials

7. Is there sufficient evidence for tuning fork tests in diagnosing fractures? A systematic review. (PubMed)

Is there sufficient evidence for tuning fork tests in diagnosing fractures? A systematic review. To determine the diagnostic accuracy of tuning fork tests for detecting fractures.Systematic review of primary studies evaluating the diagnostic accuracy of tuning fork tests for the presence of fracture.We searched MEDLINE, CINAHL, AMED, EMBASE, Sports Discus, CAB Abstracts and Web of Science from commencement to November 2012. We manually searched the reference lists of any review papers and any (...) identified relevant studies.Two reviewers independently reviewed the list of potentially eligible studies and rated the studies for quality using the QUADAS-2 tool. Data were extracted to form 2×2 contingency tables. The primary outcome measure was the accuracy of the test as measured by its sensitivity and specificity with 95% CIs.We included six studies (329 patients), with two types of tuning fork tests (pain induction and loss of sound transmission). The studies included patients with an age range 7

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2014 BMJ open

8. An alternative to a 10-g monofilament or tuning fork? Two new, simple, easy-to-use screening tests for determining foot ulcer risk in people with diabetes. (PubMed)

An alternative to a 10-g monofilament or tuning fork? Two new, simple, easy-to-use screening tests for determining foot ulcer risk in people with diabetes. 22686252 2013 05 17 2012 11 15 1464-5491 29 12 2012 Dec Diabetic medicine : a journal of the British Diabetic Association Diabet. Med. An alternative to a 10-g monofilament or tuning fork? Two new, simple, easy-to-use screening tests for determining foot ulcer risk in people with diabetes. 1477-9 10.1111/j.1464-5491.2012.03731.x Baker N N (...) Ipswich Hospital NHS Trust, The Diabetic Foot Unit, Ipswich, UK. eng Journal Article England Diabet Med 8500858 0742-3071 IM Aged Caregivers Diabetic Foot diagnosis physiopathology Female Foot innervation physiopathology Humans Male Middle Aged Neurologic Examination instrumentation Predictive Value of Tests Reproducibility of Results Self Care Sensory Thresholds Vibration 2012 6 13 6 0 2012 6 13 6 0 2013 5 18 6 0 ppublish 22686252 10.1111/j.1464-5491.2012.03731.x

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2012 Diabetic Medicine

9. Tuning Fork Tests

Tuning Fork Tests Tuning Fork Tests Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Tuning Fork Tests Tuning Fork Tests Aka: Tuning (...) Fork Tests , Weber Test , Weber's Test , Rinne Test , Rinne's Test II. Indication: Differentiate Hearing Loss cause III. Preparation Tuning fork should be 512 Hz (preferred) to 1024 Hz IV. Test: Weber Technique: Tuning Fork placed at midline forehead Normal: Sound radiates to both ears equally Abnormal: Sound lateralizes to one ear Ipsilateral OR Contralateral V. Test: Rinne Technique First: Bone Conduction Vibrating Tuning Fork held on Mastoid Patient covers opposite ear with hand Patient signals

2015 FP Notebook

10. Simplified Method of Determining Percentage of Actual Hearing-power in Tuning-fork Tests: (Section of Otology) (PubMed)

Simplified Method of Determining Percentage of Actual Hearing-power in Tuning-fork Tests: (Section of Otology) 19989696 2010 06 24 2010 06 24 0035-9157 27 4 1934 Feb Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Simplified Method of Determining Percentage of Actual Hearing-power in Tuning-fork Tests: (Section of Otology). 419-24 Dundas-Grant J J eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1934 2 1 0 0 1934 2 1 0 1 ppublish 19989696 PMC2205105

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1934 Proceedings of the Royal Society of Medicine

11. The Tuning Fork Tests (PubMed)

The Tuning Fork Tests 20891964 2011 03 30 2015 12 25 0027-9684 14 2 1922 Apr Journal of the National Medical Association J Natl Med Assoc The Tuning Fork Tests. 95-8 Barnes W H WH eng Journal Article United States J Natl Med Assoc 7503090 0027-9684 2010 10 5 6 0 1922 4 1 0 0 1922 4 1 0 1 ppublish 20891964 PMC2622561

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1922 Journal of the National Medical Association

12. A Device for Tuning-fork Testing (PubMed)

A Device for Tuning-fork Testing 19981937 2010 06 24 2010 06 24 0035-9157 14 Otol Sect 1921 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. A Device for Tuning-fork Testing. 42 Peters E A EA Lake R R eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1921 1 1 0 0 1921 1 1 0 1 ppublish 19981937 PMC2152138

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1921 Proceedings of the Royal Society of Medicine

13. Objective sound wave amplitude measurement generated by a tuning fork. An analysis of its use as a diagnostic tool in suspected femoral neck fractures. (PubMed)

(MRI), are sometimes required which are expensive and may be difficult to access. Disruption to the conduction of a sound wave travelling through a fractured bone is a concept that has been used to diagnose fractures.In our study we used a tuning fork with frequency of 128 Hz to objectively measure the reduction in sound amplitude in fractured and non-fractured hips. We looked at the feasibility of using this test as a diagnostic tool for neck of femur fractures.A total of 20 patients was included (...) Objective sound wave amplitude measurement generated by a tuning fork. An analysis of its use as a diagnostic tool in suspected femoral neck fractures. Hip injuries are becoming a more common problem as the elderly population increases and their management represents a significant proportion of health care costs. Diagnosis of a fracture based on clinical assessment and plain films is not always conclusive and further investigations for such occult fractures, such as magnetic resonance imaging

2012 Injury

14. How to make a tuning fork vibrate: the humble pisiform bone. (PubMed)

How to make a tuning fork vibrate: the humble pisiform bone. 22171890 2012 02 09 2011 12 16 1326-5377 195 11-12 2011 Dec 19 The Medical journal of Australia Med. J. Aust. How to make a tuning fork vibrate: the humble pisiform bone. 732 Watson D Ashley R DA School of Clinical Medicine, Australian National University, Canberra, ACT. ashley.watson@act.gov.au eng Journal Article Australia Med J Aust 0400714 0025-729X IM Hearing Tests instrumentation Humans Pisiform Bone anatomy & histology 2011 12

2011 Medical Journal of Australia

15. Concurrent validity of a low-cost and time-efficient clinical sensory test battery to evaluate somatosensory dysfunction. (PubMed)

/radiculopathy (LR, n = 26) were included. The CST consisted of 13 tests, each corresponding to a QST parameter and evaluating a broad spectrum of sensory functions using thermal (coins, ice cube, hot test tube) and mechanical (cotton wool, von Frey hairs, tuning fork, toothpicks, thumb and eraser pressure) detection and pain thresholds testing both loss and gain of function. Agreement rate, statistical significance and strength of correlation (phi coefficient) between CST and QST parameters were (...) Concurrent validity of a low-cost and time-efficient clinical sensory test battery to evaluate somatosensory dysfunction. This study describes a low-cost and time-efficient clinical sensory test (CST) battery and evaluates its concurrent validity as a screening tool to detect somatosensory dysfunction as determined using quantitative sensory testing (QST).Three patient cohorts with carpal tunnel syndrome (CTS, n = 76), non-specific neck and arm pain (NSNAP, n = 40) and lumbar radicular pain

2019 European Journal of Pain

16. A Smartphone-Based Weber Test May Discriminate between a Conductive and a Sensorineural Hearing Loss. (PubMed)

A Smartphone-Based Weber Test May Discriminate between a Conductive and a Sensorineural Hearing Loss. The aim of this paper was to compare the accuracy of a smartphone-based Weber test (SPWT) with the traditional tuning fork Weber test (TFWT) in identifying and differentiating between sensorineural hearing loss (SNHL) and conductive hearing loss (CHL).We conducted a prospective, noncontrolled clinical study.Sixty patients referred to the emergency department due to unilateral hearing loss (HL (...) and 97.1%, respectively.SPWT can serve as an auxiliary diagnostic tool in the absence of a 512-Hz tuning fork to assist in the identification of the type of HL and to potentially hasten the diagnosis and provision of treatment when indicated.© 2019 S. Karger AG, Basel.

2019 Audiology & Neuro-Otology

17. Comparing the Diagnostic Accuracy of Simple Tests to Screen for Diabetic Peripheral Neuropathy: Protocol for a Cross-Sectional Study (PubMed)

of the 128 Hz tuning fork. A new test, VibraTip (McCallan Medical, UK), might be a valuable alternative as it emits a consistent amplitude and may offer improved diagnostic accuracy.The aims of this study are to estimate the diagnostic accuracy of the VibraTip device for diabetic peripheral neuropathy against the reference standard of sural nerve conduction velocity measurement, and to assess whether the VibraTip offers superior diagnostic accuracy to other routine tests based on vibration or touch.The (...) Comparing the Diagnostic Accuracy of Simple Tests to Screen for Diabetic Peripheral Neuropathy: Protocol for a Cross-Sectional Study Various tests are used to detect diabetic peripheral neuropathy by assessing sense perception in the feet. Tests vary in terms of time and resources required. Simple tests are those that can be conducted quickly and easily in primary care without laboratory equipment. There are some limitations to these simple tests, an example being the variable amplitude

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2018 JMIR Research Protocols

18. The Necessity of the Simple Tests for Diabetic Peripheral Neuropathy in Type 2 Diabetes Mellitus Patients without Neuropathic Symptoms in Clinical Practice (PubMed)

examination, the 128-Hz tuning-fork, ankle-reflex, and pinprick tests; the Total Symptom Score and the 15-item self-administered questionnaire of the Michigan Neuropathy Screening Instrument. Among 136 patients, 48 had subjective neuropathic symptoms and 88 did not. The abnormal-response rates varied depending on the methods used according to the presence of subjective neuropathic symptoms (18.8% vs. 5.7%, P<0.05; 58.3% vs. 28.4%, P<0.005; 81.3% vs. 54.5%, P<0.005; 12.5% vs. 5.7%, P=0.195; 41.7% vs. 2.3 (...) The Necessity of the Simple Tests for Diabetic Peripheral Neuropathy in Type 2 Diabetes Mellitus Patients without Neuropathic Symptoms in Clinical Practice Early recognition and appropriate management of diabetic peripheral polyneuropathy (DPNP) is important. We evaluated the necessity of simple, non-invasive tests for DPNP detection in clinical practice. We enrolled 136 randomly-chosen patients with type 2 diabetes mellitus and examined them with the 10-g Semmes-Weinstein monofilament

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2018 Diabetes & metabolism journal

19. The ability of clinical tests to diagnose stress fractures: a systematic review and meta-analysis

The ability of clinical tests to diagnose stress fractures: a systematic review and meta-analysis The ability of clinical tests to diagnose stress fractures: a systematic review and meta-analysis The ability of clinical tests to diagnose stress fractures: a systematic review and meta-analysis Schneiders AG, Sullivan SJ, Hendrick PA, Hones BD, McMaster AR, Sugden BA, Tomlinson C CRD summary This review concluded that the results did not support the specific use of ultrasound or tuning forks (...) excluded. Studies had to be published as full reports before June 2011 to be eligible for inclusion. Most studies included both men and women with average age ranging from 19 to 31 years, where reported. Participants included soldiers or military basic trainees, athletes, and runners with symptoms of stress fracture of the tibia or fibula or knee pain. Index tests assessed were ultrasound (most used a 3cm head and intensity up to 2.0W/cm 2 , 30 second application, where reported) or tuning fork (128Hz

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2012 DARE.

20. Use of the Nine Holes Peg Test in Multiple Sclerosis: Participation of Elementary Neurological Components in the Functional Evaluation of Manual Dexterity

fork applied to the styloid radial process. Position of the evaluated: elbow to the body with forearms horizontal and the wrist in neutral position. Stimulate the tuning fork and apply it to the styloid process of the radius. Ask the patient to say when he no longer feels the vibration. Repeat 3 times for each hand. Device: Sermes and Weinstein test Instrumental, quantitative method of tactile pressure sensation (dermal contact at constant pressure) using monofilaments. The monofilaments bend when (...) a JAMAR hand dynamometer Tuned fork result [ Time Frame: 1 year ] Vibratory sensibility testing Sermes and Weinstein test [ Time Frame: 1 year ] Tactile pressure sensation testing Weber test [ Time Frame: 1 year ] Evaluate the discrimination of 2 motionless points Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn

2017 Clinical Trials

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