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Pediatric Visual Reinforcement Audiometry (VRA)
https://www.childrens.com/specialties-services/treatments/visual-reinforcement-audiometry#:~:text=Visual%20reinforcement%20audiometry%20%28VRA%29%20is%20a%20test%20that,months%20to%20around%202%20to%203%20years%20old.
An evaluation of the cross-check principle using visual ...
https://pubmed.ncbi.nlm.nih.gov/20211123/
An evaluation of the cross-check principle using visual reinforcement audiometry, otoacoustic emissions, and tympanometry. The results suggest that the cross-check principle is effective when employing VRA, OAE, and tympanometry to rule out or determine the degree, type, and configuration of hearing loss in infants.
Evaluation of a behavioral audiometry simulator for ...
https://pubmed.ncbi.nlm.nih.gov/7858304/
Evaluation of a behavioral audiometry simulator for teaching visual reinforcement audiometry. Eight audiology students with little or no visual reinforcement audiometry (VRA) experience each performed a VRA test on an infant. Four of the students received approximately 5 hours of behavioral audiometry simulator (BAS) training, and 1 week later, after the first VRA test, all …
Pediatric Visual Reinforcement Audiometry (VRA)
https://www.childrens.com/specialties-services/treatments/visual-reinforcement-audiometry
Visual reinforcement audiometry (VRA) is a test that allows an audiologist to assess hearing in infants and toddlers too young for normal tests. VRA relies on behavioral conditioning to train very young kids to respond to sounds. It is designed for children aged 6 months to around 2 to 3 years old. VRA uses a machine called an audiometer to test a child's hearing threshold levels.
Hearing Evaluation - Hear to Learn
http://www.heartolearn.org/communities/webinar_docs/Webinar%208_Visual%20Reinforcement%20Audiology_25Oct17.pdf
Visual Reinforcement Audiometry (VRA) Goal: to assess the lowest volume levels of sound a child can hear Method: • A sound is presented • Child turns head to sound • Child receives visual reinforcement: (e.g., illuminated light, animated toy, etc.) Duration: • 45 minutes (or multiple appointments) Age: 6-36 months old
Using visual reinforcement audiometry in the assessment …
https://journals.lww.com/thehearingjournal/Fulltext/2002/11000/Using_visual_reinforcement_audiometry_in_the.6.aspx
Visual reinforcement audiometry (VRA) can be used to obtain behavioral thresholds for pure-tone stimuli that approximate adult values. 20,21 VRA capitalizes on a child's natural instinct to respond to auditory stimuli by turning toward the stimuli.
The Audiologic Assessment of the Young Pediatric …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4172161/
Visual Reinforcement Audiometry. Suzuki and Ogiba (1961) first described an operant conditioning technique called Conditioned Orientation Reflex (COR). Liden and Kankkunen (1969) introduced the term Visual Reinforcement Audiometry (VRA), and introduced variations of the COR technique. The VRA term has taken on a more generic meaning from the original …
Billing and Coding for Pediatric Audiology Services
https://www.asha.org/Practice/reimbursement/coding/Billing-and-Coding-for-Pediatric-Audiology-Services/
What CPT codes should I use for behavioral pediatric audiologic evaluations using visual reinforcement audiometry (VRA) and conditioning play audiometry (CPA) test techniques? 92579 (VRA) and 92582 (CPA) are codes that describe specific, independent pediatric test procedures. These codes are currently valued as stand-alone procedure codes and are not "add-on" or …
Clinical Guidance Document Assessment of Hearing in ...
https://www.audiology.org/wp-content/uploads/2021/05/Clin-Guid-Doc_Assess_Hear_Infants_Children_1.23.20-1.pdf
observation, Visual Reinforcement Audiometry (VRA), and Conditioned Play Audiometry (CPA), are described in detail. The use of a team testing approach for Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA) may be helpful in some circumstances, such as when testing children who have developmental delays.
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