Reception refers to the level at which the patient can hear speech is present, discrimination refers to the level at which the patient can discriminate between words, while recognition refers to the level at which the patient can recognize and recall the word. There is a variety of tests available with speech testing with the basic speech audiometry being an assessment of the reception, discrimination and recognition of speech. Speech audiometry employs speech signals and can be used to examine the processing ability and if it is affected by disorders of the middle ear, cochlea, auditory nerve, brainstem pathway, and auditory centers of the cortex. Here speech testing becomes a strong test tool in the assessment of the problem the patient faces. Most people acquiring hearing aids report trouble hearing speech, or more often trouble hearing speech in noise.
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