Engineering and the Environment, University of Southampton

• Stimulate your interest in, and enthusiasm for, the fundamentals of clinical neuroscience practice • Facilitate the development of your understanding of the basic clinical tests of neurosensory function, how they work, why we use them and what their limitations are. The theoretical underpinning of many tests is considered in greater depth during the Physiological and Psychophysical Measurement and Basic Neurosensory Perception modules. Practical understanding of these tests is developed concurrently during the Clinical measurement and treatment module. • Facilitate the development of your ability to apply this understanding to the interpretation of test results, such as in the context of various neurosensory disorders explored during the Applied anatomy physiology and pathophysiology module. The application of understanding is also developed in the Clinical measurement and treatment module. • Encourage you to take a critical, evidence-based approach to your clinical practice

By the end of this the module, it is intended that you will be able to: A. Explain the rationale, the general principles and theoretical basis, and the clinical utility of the following neurosensory tests for use with adult patients, with reference to evidence (e.g. basic science, professional standards, best-practice guidelines and published research): • Otoscopy • Weber and Rinne tuning fork tests • Pure-tone audiometry (PTA) • Tympanometry • Acoustic reflex test • Click-evoked otoacoustic emission (OAE) test. Visual acuity testing eeg recording and interpretation eeg waveform analysis visual evoked responses visual contrast resolution measurement fudus analysis Glaucoma assessment B. Explain the principal sources of measurement and clinical uncertainty associated with these tests, their impact on the interpretation of the results and the strengths and limitations of approaches to manage these sources of error, with reference to evidence. An important example is cross-hearing and its prevention with masking. C. Evaluate critically the results of the individual tests, and integrate critically results across all tests, with consideration to measurement and clinical uncertainty, leading to potential interpretations, identification of key outstanding uncertainties and recommendations for further testing as appropriate, with reference to theory and evidence. D. Explain the results of these tests that may be associated with common neurosensory system pathologies and explain how the results are related to any neurosensory system loss associated with the pathology, with reference to theory and evidence. E. Demonstrate appropriate and consistent use of terminology, scientific conventions, scientific language and methods for presenting and reporting test results.

Activities Learning outcomes addressed • Lectures A–E • Facilitated group work on case scenarios A–E • Unfacilitated group work on case scenarios A–E • Unfacilitated group work on Neurosensory Assessment Results Portfolio (NARP) A–E • Formative assignments on definitions of terminology, interpretation of isolated test results and case scenarios A–E

Core text

BSA Recommended Procedures, , BSA

ISVR protocol for pure-tone audiometry, , ISVR