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Recommended Audiological Test Battery Following Combat Noise Exposure: A Clinical Approach.

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Title: Recommended Audiological Test Battery Following Combat Noise Exposure: A Clinical Approach.
Authors: Chordekar, Shai1 shaic@ariel.ac.il, Brand, Devora2,3, Leiderman Badash, Orit Svetlana2, Adelman, Cahtia2,3, Fraenkel, Rachel2,3, Horev, Nitza4,5, Ben Horin, Anat2,3,4, Fink, Nir1
Source: Journal of Speech, Language & Hearing Research. Jan2026, Vol. 69 Issue 1, p286-306. 21p.
Subject Terms: *Auditory perception testing, *Audiometry, Medical protocols, Medical history taking, Noise-induced deafness, Medical care of veterans, Evoked potentials (Electrophysiology), War, Psychology of military personnel, Otoacoustic emissions, Emotional trauma, Early diagnosis, Brain injuries, Patient monitoring
Abstract: Purpose: The purpose of this study was to establish a standardized, evidencebased audiological protocol for evaluating combat-exposed personnel and civilians. This comprehensive test battery emphasizes early detection, detailed assessment, and practical clinical implementation. This protocol addresses the current gap in assessment approaches for combat-related hearing injuries. Method: This protocol represents a comprehensive audiological assessment framework for combat noise exposure based on evidence-based practice developed by a working group of clinical audiologists. The protocol integrates a specialized form for documenting combat noise exposure history, conventional audiometry (0.25-8.0 kHz), extended high-frequency audiometry (9.0-20.0 kHz), otoacoustic emissions, immittance testing, and auditory evoked potentials. The recommended testing sequence begins with a comprehensive medical history intake followed by otoscopic examination, with the subsequent assessment order determined by clinician judgment and patient capacity. The interpretation criteria account for combat noise exposure characteristics, including blast effects and confounding factors such as traumatic brain injury and psychological trauma. This protocol enables auditory dysfunction detection even when standard audiometric results appear normal, facilitating a more accurate assessment of combat-related hearing impairment and early detection. Conclusions: This protocol advances the current clinical practice by providing a standardized and comprehensive approach for evaluating combat noise-induced auditory dysfunction. The test battery's integration of multiple assessment tools and specific interpretation guidelines enhances the clinicians' ability to detect and monitor auditory changes following combat noise exposure. The protocol's emphasis on early detection and practical implementation guidelines supports clinical decision-making and long-term monitoring strategies. While this protocol advances the current practice of evaluating combat-related auditory dysfunction, validation studies in military and clinical settings are required to establish its effectiveness. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Recommended Audiological Test Battery Following Combat Noise Exposure: A Clinical Approach.
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  Data: <searchLink fieldCode="AR" term="%22Chordekar%2C+Shai%22">Chordekar, Shai</searchLink><relatesTo>1</relatesTo><i> shaic@ariel.ac.il</i><br /><searchLink fieldCode="AR" term="%22Brand%2C+Devora%22">Brand, Devora</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Leiderman+Badash%2C+Orit+Svetlana%22">Leiderman Badash, Orit Svetlana</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Adelman%2C+Cahtia%22">Adelman, Cahtia</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Fraenkel%2C+Rachel%22">Fraenkel, Rachel</searchLink><relatesTo>2,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Horev%2C+Nitza%22">Horev, Nitza</searchLink><relatesTo>4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Ben+Horin%2C+Anat%22">Ben Horin, Anat</searchLink><relatesTo>2,3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Fink%2C+Nir%22">Fink, Nir</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jan2026, Vol. 69 Issue 1, p286-306. 21p.
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  Data: *<searchLink fieldCode="DE" term="%22Auditory+perception+testing%22">Auditory perception testing</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+history+taking%22">Medical history taking</searchLink><br /><searchLink fieldCode="DE" term="%22Noise-induced+deafness%22">Noise-induced deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+of+veterans%22">Medical care of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Evoked+potentials+%28Electrophysiology%29%22">Evoked potentials (Electrophysiology)</searchLink><br /><searchLink fieldCode="DE" term="%22War%22">War</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+military+personnel%22">Psychology of military personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Otoacoustic+emissions%22">Otoacoustic emissions</searchLink><br /><searchLink fieldCode="DE" term="%22Emotional+trauma%22">Emotional trauma</searchLink><br /><searchLink fieldCode="DE" term="%22Early+diagnosis%22">Early diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+monitoring%22">Patient monitoring</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The purpose of this study was to establish a standardized, evidencebased audiological protocol for evaluating combat-exposed personnel and civilians. This comprehensive test battery emphasizes early detection, detailed assessment, and practical clinical implementation. This protocol addresses the current gap in assessment approaches for combat-related hearing injuries. Method: This protocol represents a comprehensive audiological assessment framework for combat noise exposure based on evidence-based practice developed by a working group of clinical audiologists. The protocol integrates a specialized form for documenting combat noise exposure history, conventional audiometry (0.25-8.0 kHz), extended high-frequency audiometry (9.0-20.0 kHz), otoacoustic emissions, immittance testing, and auditory evoked potentials. The recommended testing sequence begins with a comprehensive medical history intake followed by otoscopic examination, with the subsequent assessment order determined by clinician judgment and patient capacity. The interpretation criteria account for combat noise exposure characteristics, including blast effects and confounding factors such as traumatic brain injury and psychological trauma. This protocol enables auditory dysfunction detection even when standard audiometric results appear normal, facilitating a more accurate assessment of combat-related hearing impairment and early detection. Conclusions: This protocol advances the current clinical practice by providing a standardized and comprehensive approach for evaluating combat noise-induced auditory dysfunction. The test battery's integration of multiple assessment tools and specific interpretation guidelines enhances the clinicians' ability to detect and monitor auditory changes following combat noise exposure. The protocol's emphasis on early detection and practical implementation guidelines supports clinical decision-making and long-term monitoring strategies. While this protocol advances the current practice of evaluating combat-related auditory dysfunction, validation studies in military and clinical settings are required to establish its effectiveness. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2025_JSLHR-25-00284
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 21
        StartPage: 286
    Subjects:
      – SubjectFull: Auditory perception testing
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Medical history taking
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      – SubjectFull: Noise-induced deafness
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      – SubjectFull: Medical care of veterans
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      – SubjectFull: Evoked potentials (Electrophysiology)
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      – SubjectFull: War
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      – SubjectFull: Psychology of military personnel
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      – SubjectFull: Otoacoustic emissions
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      – SubjectFull: Emotional trauma
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      – SubjectFull: Early diagnosis
        Type: general
      – SubjectFull: Brain injuries
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      – SubjectFull: Patient monitoring
        Type: general
    Titles:
      – TitleFull: Recommended Audiological Test Battery Following Combat Noise Exposure: A Clinical Approach.
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            – D: 01
              M: 01
              Text: Jan2026
              Type: published
              Y: 2026
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