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Contra reflexes--2nd Correction

David Barnkow barnkow at wsu.edu
Wed Jan 13 00:51:02 EST 1999


Jeff,
I agree with you.  I've found literature advocating both ways.  I instruct
my students to avoid the problem by making statements just as you describe.
 I justify my "flexibilty" on this issue by saying two paths can arrive at
the same location.  The underlying goal in my mind is, "Can the audiologist
confidently and correctly state, or rule out, a specific site-of-lesion."
And frankly, my uncle had the right attitude.  He would say, "I don't care
if you stand on your head and gargle peanut butter, as long as you get it
right."

David Barnkow

At 09:11 AM 1/12/99 -0800, you wrote:
>"Jae Utke" <jae1969 at hotmail.com> wrote:
>
>>I will get this right this time! As practicing audiologists, I'm sure 
>>you will agree with me on this point: I will never forget Reflex 
>>Testing!
>
>>Here I go again: This time I know the pathways are correct, I just made 
>>a mistake in the probe/stimulus placement. 
>
>>Right Ipsi: Stimulus (tone) in Right ear, Probe in Right ear.
>>Left Contra: Stimulus in Left Ear, Probe in Right ear.
>>Left Ipsi: Stimulus in Left Ear, Probe in Left ear.
>>Right Contra: Stimulus in Right ear, Probe in Left ear.
>
>I won't try to confuse anyone, but from my understanding, the "Contra"
>nomenclature can mean contralateral stimulation, or contralateral
>detection, depending on how you define your terms.
>
>Ipsilateral (Right or Left) is always the same, probe and eliciting
>stimulus always in the same ear.
>
>Contralateral Right can be
>- Eliciting stimulus in the right with probe in the left
>OR
>- Probe in the right and eliciting stimulus in the left.
>
>It all depends on how and who taught you acoustic reflex nomenclature...
>
>My advice is this, when I use the term "Contra Right", it should signify
>that the eliciting stimulus is in the right ear.  That way, you can use the
>clearer term:
>
>Contra Right (probe left)
>OR
>Contra Left (probe right)
>
>Jeff
>
>
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