The University of West Alabama





Athletic Training & Sports Medicine Center

AH 323 Evaluation of Athletic Injuries I Laboratory
Facial Injuries Assessment

 

Special Tests for Assessing Injuries to the Face, Ears, and Teeth

SKILL

ANATOMICAL
LOCATION

TESTING PROCEDURE

MATERIALS NEEDED

SPECIAL NOTES

MOUSE OVER PICTURE TO VIEW CLIP

Jaw Reflex     Reflex hammer    
Chvostek Test          
Nasal Occlusion          
Whispered Voice Test The examiner would whisper into the outer ear of the patient. 1.Mask hearing in 1 ear with finger.
2.Stand 12-24" away
3.Whisper 1 or 2 syllable words very softly.
4. Ask pt. to repeat spoken words.
5. If not heard, repeat with increasing loudness.
6.Repeat for other ear.
7. Should be 50% correct in responses.
     
Ticking Watch Test The examiner places a ticking watch on the outside of ear. 1. Position non-electric watch 6" from ear.  
2. Slowly move toward ear to be tested
3. Ask pt. to tell when ticking is heard.
4. Measure distance to give some idea of pt.'s ability to hear high-frequency sound.
Mechanical watch    
Weber Test The examiner will be conducting the test on the midline of pt.'s head. 1.Place base of vibrating tuning fork on midline vertex of pt.'s head.
2.Ask pt. if sound is heard equally well in both ears or better in 1 ear.
3. If sound is lateralized, which ear?
4. Repeat while occluding 1 ear with finger.
5. Should be heard better in occluded ear.
Tuning fork    
Rinne Test The examiner will be conducting the test on the mastoid bone behind the ear. 1. Place base of vibrating tuning fork against pt.'s mastoid bone.
2. Examiner counts/times interval with watch.
3. Ask pt. to tell when sound is no longer heard & examiner notes # of seconds.
4. Examiner quickly positions a still-vibrating tine 0.5 to 0.8" from auditory canal & ask pt. to tell when sound is no longer heard.
5. Compare # of seconds sound heard by bone conduction & by air conduction.
6. Air-conducted sound should be heard twice as long as bone-conducted sound.
Tuning fork    
Schwabach Test The examiner tests the mastoid bone behind the ear in this test 1. Compare pt.'s & examiner's hearing by bone conduction.
2. Examiner alternately places vibrating tuning fork against pt.'s & examiner's mastoid process until sound is no longer heard by one.
3. Should hear for equal amounts of time.
Tuning fork    
Auditory Canal Examination     Otoscope    

 

         

 

         

 

         

Last Updated: Tuesday, January 20, 2009

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