Original Research

A comparison of the SISI and the stapedius reflex test in the differential diagnosis of cochlear pathology

Linda Block
South African Journal of Communication Disorders | Journal of the South African Speech and Hearing Association: Vol 23, No 1 | a390 | DOI: https://doi.org/10.4102/sajcd.v23i1.390 | © 2019 Linda Block | This work is licensed under CC Attribution 4.0
Submitted: 15 November 2016 | Published: 31 December 1976

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Linda Block, Forest Town School for Cerebral Palsied Children, Johannesburg, South Africa

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Previous research has cast doubt on the reliability and validity of the SISI in the differential diagnosis of cochlear pathology. This study further evaluates this test by comparing it to the Stapedius Reflex Test, a test of recruitment and cochlear pathology. Two groups of 10 subjects each were selected (36 ears). The first had cochlear pathology as detected by the reflex test, and the second, the control group, had normal ears. The results revealed that the SISI was significantly inferior to the reflex test in the detection of cochlear pathology. Possible modifications of the SISI are suggested.


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