SISI (Short Increment Sensitivity Index)

SISI (Short Increment Sensitivity Index)

“SISI is a hearing test that evaluates a person’s ability to detect small changes in sound.”
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Audiometer

Audiometer: An audiometer is a device used to produce sounds at specific frequencies and levels. It is used to present the test sounds to the patient during the SISI hearing test.

Headphones

Headphones: Headphones are worn by the patient during the SISI hearing test to ensure that the sounds are presented directly to the ear being tested.
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Soundproof booth

Soundproof booth: A soundproof booth is a specially designed room that provides a quiet environment for the SISI hearing test. The booth helps to eliminate background noise that may interfere with the test.

Computer software

Computer software: Computer software may be used to control the presentation of the test sounds and record the patient’s responses during the SISI hearing test.

Calibration equipment

Calibration equipment: Calibration equipment is used to ensure that the test sounds are presented at the correct frequencies and levels during the SISI hearing test.
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Test protocol

Test protocol: The test protocol for the SISI hearing test includes specific instructions for the audiologist or technician administering the test, as well as guidelines for interpreting the results. The test protocol may be provided by the manufacturer of the audiometer or developed by the testing facility.

SISI (Short Increment Sensitivity Index)

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One

Prepare the patient: Explain the SISI hearing test to the patient and ensure they understand the instructions. Instruct the patient to wear the headphones and sit comfortably in the soundproof booth.

Two

Determine the starting intensity: Determine the patient's hearing threshold at a specific frequency using an audiometer. Set the intensity of the test tone to 20 dB above the patient's hearing threshold at that frequency.

Three

Present the test sound: Present the test tone to the patient for 100 milliseconds (ms) at the starting intensity.

Four

Present the comparison sound: Present a comparison tone, 1 dB louder than the test tone, to the patient for 100 ms immediately after the test tone.

Five

Ask the patient to identify the difference: Ask the patient to identify whether the second sound was louder or softer than the first sound. If the patient correctly identifies the change in intensity, increase the intensity of the test tone by 5 dB and repeat steps 3-5. If the patient does not correctly identify the change in intensity, repeat the test using the same starting intensity.

Six

Repeat the test: Repeat the test until the patient correctly identifies the change in intensity at least two times out of three presentations at a given intensity level. Record the final intensity level where the patient correctly identifies the change in intensity for each frequency tested. The results are then interpreted to determine the patient's sensitivity to small changes in sound.

SISI (Short Increment Sensitivity Index)

SISI hearing test can detect subtle hearing changes, helping diagnose certain auditory disorders accurately.

Frequently Asked Questions

The SISI (Short Increment Sensitivity Index) hearing test is a diagnostic test used to evaluate a person’s ability to detect subtle changes in sound intensity. During the test, the patient wears headphones and listens to a series of tones that increase in volume by a small amount. The patient is then asked to indicate whether they heard a change in the tone’s loudness. By measuring the patient’s ability to detect small changes in volume, the SISI test can help diagnose certain types of auditory disorders, such as auditory neuropathy spectrum disorder (ANSD) or other conditions affecting the auditory nerve.
A SISI (Short Increment Sensitivity Index) hearing test may be recommended for individuals who are experiencing hearing difficulties or who have been diagnosed with certain types of auditory disorders. Specifically, the SISI test may be useful in diagnosing conditions that affect the auditory nerve, such as auditory neuropathy spectrum disorder (ANSD). Additionally, the SISI test may be used in conjunction with other hearing tests to help determine the nature and severity of a person’s hearing loss. The test may be recommended for people of all ages, from infants to adults.
The SISI (Short Increment Sensitivity Index) hearing test can detect subtle changes in a person’s ability to detect changes in sound intensity, particularly in cases where the auditory nerve is affected. This test is particularly useful in diagnosing auditory neuropathy spectrum disorder (ANSD), a condition in which the inner ear is functioning properly, but the auditory nerve is not transmitting sound signals to the brain effectively. By measuring a person’s ability to detect small changes in sound intensity, the SISI test can help determine the extent and nature of a person’s hearing loss and can aid in developing an appropriate treatment plan. However, the SISI test has some limitations. It is not able to diagnose all types of hearing loss, and it may not be appropriate for everyone. The test requires the patient to be able to follow instructions and respond to auditory stimuli accurately, which may be difficult for some individuals, particularly young children or people with certain cognitive impairments. Additionally, the results of the SISI test must be interpreted by a trained audiologist, as they are dependent on a number of factors, including the patient’s age, hearing history, and the specific test parameters used.
The SISI (Short Increment Sensitivity Index) hearing test is generally not painful or uncomfortable. During the test, the patient wears headphones and listens to a series of tones that increase in volume by a small amount. The patient is then asked to indicate whether they heard a change in the tone’s loudness. While the test can be tedious and require focus, it should not cause discomfort. The length of the SISI hearing test varies depending on the specific test parameters used, the patient’s hearing history, and the audiologist’s goals for the evaluation. Typically, the test takes about 5 to 10 minutes to complete. However, the test may take longer if additional testing is needed or if the patient experiences difficulty following instructions.
The SISI (Short Increment Sensitivity Index) hearing test is different from other hearing tests, such as pure-tone audiometry, because it is specifically designed to detect changes in a person’s ability to detect subtle changes in sound intensity. In contrast, pure-tone audiometry measures a person’s ability to detect different frequencies of sound, typically using a series of tones that vary in pitch and loudness. During pure-tone audiometry, the patient wears headphones and listens to a series of tones at different frequencies and loudness levels. The patient is then asked to indicate when they can hear the tone. The results of the test are plotted on an audiogram, which shows the softest sounds a person can hear at different frequencies. In contrast, during the SISI hearing test, the patient listens to a series of tones that increase in volume by a small amount. The patient is then asked to indicate whether they heard a change in the tone’s loudness. By measuring the patient’s ability to detect small changes in volume, the SISI test can help diagnose certain types of auditory disorders, such as auditory neuropathy spectrum disorder (ANSD). Overall, while both tests evaluate a person’s ability to hear, they measure different aspects of auditory function and are used to diagnose different types of hearing disorders.
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