Exam
Hearing Impairment Severity Scale
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Hearing Impairment Severity Scale
, Hearing Loss Classification
See Also
Hearing Loss
Sensorineural Hearing Loss
Conductive Hearing Loss
Hearing Test
Grading
Degree of
Hearing Loss
in better ear
Normal
Hearing
(<25 dB)
Can hear normal breathing or whispering from 5 feet (1.5 meters) away
Mild
Hearing Loss
(26-40 dB)
Difficult to hear soft speech, speech from a distance, quiet library sounds or speech over background noise
Moderate
Hearing Loss
(41-55 dB per Clark/CDC, 41-60 per WHO)
Difficulty
Hearing
regular speech (even at close distance) or refrigerator sound
Moderately Severe
Hearing Loss
(56-70 per Clark/CDC)
Extreme difficulty
Hearing
normal conversation
Severe
Hearing Loss
(71-90 dB per Clark/CDC, 61-80 per WHO)
Unable to hear most conversational speech, can only hear loud speech or loud sounds
Profound
Hearing Loss
(>91 dB per Clark/CDC, >81 per WHO)
Loud sounds (e.g. car horn, factory machines) may be heard primarily as vibrations
Resources
Hearing Impairment
Grades (WHO)
https://www.who.int/pbd/deafness/hearing_impairment_grades/en/
References
Clark (1981) ASHA 23(7):493-500 [PubMed]
Michels (2019) Am Fam Physician 100(2): 98-108 [PubMed]
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