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Tuning fork test vs rinne8/30/2023 ![]() A normal Rinne test in the contralateral ear may indicate sensorineural hearing loss. If the Weber test lateralizes to an ear in which the Rinne test is normal, perform the Rinne test in the opposite ear.An abnormal Rinne test (bone is better than air conduction) may indicate conductive loss if the Weber test also lateralizes to that side.Together, the Weber and Rinne tests can help determine if the patient’s hearing loss is conductive or sensorineural in nature. Abnormal result is observed when sound is at least equally loud or louder when the fork is placed on the bone compared to when it is held next to the ear (i.e., bone is better than air conduction).Īnalyzing Results of the Weber and Rinne Tests Together (Weber, 2022).Normal result is observed when the vibrating fork positioned near the ear is louder and lasts twice as long than when placed on the mastoid bone (i.e., air conduction is better than bone conduction).When the patient can no longer hear the vibration on the mastoid process, move the vibrating tuning fork near the external auditory canal and ask the patient to tell you when the sound can no longer be heard.Ask the patient to cover the other ear with their hand and to report when the sound can no longer be heard.Using a 512-Hz tuning fork, strike the tines on your forearm just in front of your elbow and place the stem of the fork on the mastoid bone behind the ear.This comparison also helps to assess unilateral hearing loss. The Rinne test helps to discerns sound transmitted through air versus sound transmitted through bone. Rinne Test (Kong & Fowler, 2022 Weber, 2022) Symmetrical conductive hearing loss is observed if the patient does not exhibit lateralization.Unilateral conductive hearing loss is observed if the patient hears the sound louder (lateralizes) in the affected or “bad” ear. ![]()
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