Related Experiment Video
Updated: Jun 2, 2026

Sound Source Localization Testing in Single-sided Deafness Following Bone Conduction Intervention
Published on: December 20, 2024
Effect of static force on bone conduction hearing thresholds and comfort
Laura E Toll1, Diana C Emanuel, Tomasz Letowski
1Chesapeake Ear Nose & Throat, P.A., Owings Mills, Maryland 21117, USA. lauratollaud@gmail.com
Objective:
To assess the effect of the static force of a bone vibrator on the results of bone conduction (BC) threshold measurements and comfort.
Design:
BC thresholds were determined for 40 participants using the standardized P-3333 headband and a leather adjustable headstrap with variable static forces (2.4, 3.4, 4.4, 5.4 N). Comfort ratings were examined using a five-point Likert scale.
Results:
Mean BC thresholds were within ± 2 dB across all conditions; differences may be considered small enough to be clinically insignificant. Participants experienced significantly greater discomfort with the P-3333 versus the adjustable headstrap. The mean static force of the P-3333 varied considerably and was higher in situ than the calibration standard of 5.4 N.
Conclusions:
The results suggest that future revisions of relevant international and national standards should address the use of an adjustable headstrap and a static force less than 5.4 N.
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