Audiology: Science to Practice

Fourth Edition

Steven Kramer, David K. Brown

Details: 487 pages, 2-Color, Softcover, 8.5" x 11"

ISBN13: 978-1-63550-346-3

© 2023 | Available

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With two new chapters, improved artwork, and significant updates made throughout, the fourth edition of Audiology: Science to Practice continues to be the most comprehensive textbook for audiology and hearing science courses, as well as for health care professionals wanting a better understanding of hearing science and audiology practices. It is written in a style that makes new or difficult concepts relatively easy to understand, while still providing more coverage of hearing and vestibular science and clinical audiology than other introductory texts.

Topics include information about the profession of audiology, acoustics, anatomy and physiology of the auditory and vestibular systems, preparing for the patient, otoscopy, pure-tone audiometry and speech measures, audiogram interpretations, masking, tympanometry, acoustic reflexes, wideband acoustic immittance, otoacoustic emissions, auditory brainstem responses, hearing screening, hearing aids, assistive listening aides, cochlear and other implantable devices, vestibular evaluation, descriptions of auditory and vestibular disorders, and aural rehabilitation. There is also a chapter on the roles of speech-language pathologists related to understanding and caring for persons with hearing and balance concerns. Where relevant, the material includes evidence-based practice.

New to the Fourth Edition

  • Two new chapters: Role of the Speech-Language Pathologist and Other Treatments and (Re)habilitation of Hearing and Balance Disorders
  • Many new beautifully drawn two-color anatomy and physiology illustrations
  • Black and white figures have been color-enhanced 
  • Several chapters were reorganized and updated to include vestibular anatomy, physiology, and vestibular disorders within the relevant auditory chapters
  • A separate chapter on vestibular evaluation and bedside screening
  • Many chapters expanded to provide information on environmental factors that affect the transmission of sound, signal-to-noise ratio, preparation for testing, cerumen management, assistive listening technology systems (HATS), and status of over-the-counter hearing aids 
  • Updated references and standards throughout

Key Features

  • Many illustrations to help clarify and expand on key concepts
  • Chapters begin with a list of learning objectives and end with key references
  • Punctuated with historical and informational set-aside boxes
  • An easy-to-read writing style to help students understand scientific concepts 
  • Key terms highlighted throughout with a comprehensive end-of-book glossary 
  • A PluralPlus companion website with PowerPoint lecture slides and an image bank for instructors, James Jerger’s chapter on the History of Audiology, and more

The authors have also created a companion study aid for students, Audiology Workbook, Fourth Edition



“This fourth edition is an introductory text to the field of audiology with in-depth content needed for the beginning student. The third edition was published in 2018. This new edition has updated content in all chapters and added two new chapters on treatment and the speech-language pathology role. 
This book offers comprehensive, yet introductory coverage for those with little to no background in audiology. It provides an introduction to and the history of audiology, hearing science, and clinical audiology…
The intended audience is undergraduate speech and hearing science majors (communication disorders), graduate speech-language pathology students, and doctoral audiology students…
Beginning the book with history of the profession and audiology as a career is a perfect introduction to this resource. The first line, "Welcome to the fascinating world of audiology!" demonstrates the readability and connection of the authors to the readers. The glossary words are highlighted in blue within the text. Instead of including definitions on the page, this provides a cleaner, less distracting read while still offering assistance of ready content to the readers. The book covers science, anatomy and physiology, diagnostic tests, pathologies, and therapy. 
Likely the best aspect of this text is the way the authors write directly to the student, which draws the readers in. As a professor of undergraduate and graduate audiology courses, I can attest that this is a very well-written, easy-to-understand and engaging text for students…”

–Lori J. Newport, AuD, Biola University, from Doody’s Reviews (May 2022)


PART I. Perspectives on the Profession of Audiology

Chapter 1. The Discipline of Audiology
Professional Organizations in the United States
Development of the Profession of Audiology

Chapter 2. Audiology as a Career
Education and Professional Credentials in the United States
What Do Audiologists Do?
Membership Demographics in the United States and Work Settings

PART II. Fundamentals of Hearing and Balance Science

Chapter 3. Properties of Sound and Speech Acoustics
Simple Vibrations and Sound Transmission
Other Factors That Affect Sound Propagation
Intensity and Pressure
Inverse Square Law
Audibility by Frequency
Complex Sounds
Signal-to-Noise Ratio
Acoustics of Speech

Chapter 4. Anatomy of the Auditory and Vestibular Systems
Overview and General Orientation 
Outer Ear 
Middle Ear 
Inner Ear
Neural Pathways

Chapter 5. Functions of the Auditory and Vestibular Systems
Air-to-Fluid Impedance Mismatch
Outer Ear 
Middle Ear 
Inner Ear (Cochlea)
Cochlear Nerve
Summary of the Auditory Transduction Process
Tuning Curves
Frequency Coding
Intensity Coding
Vestibular System

PART III. Evaluation of the Auditory and Vestibular Systems

Chapter 6. Preparation for Testing and Pure-Tone Audiometry
Preparation for Testing 
Case History
Pure-Tone Audiometry
Test Environment
Air Conduction Versus Bone Conduction Testing
Obtaining Pure-Tone Thresholds
Variables Influencing Thresholds
Variations with Young Children or Difficult-to-Test Populations

Chapter 7. Audiogram Interpretation
Describing Audiograms
Other Audiogram Situations to Consider
Pure-Tone Average
Decibel of Sensation Level

Chapter 8. Speech Audiometry
Speech Testing Equipment and Calibration
Speech Threshold Measures
Word Recognition Score
Interpreting Word Recognition Scores
Speech-in-Noise Tests
Variations with Young Children or Difficult-to-Test Populations

Chapter 9. Masking for Pure-Tone and Speech Audiometry
Interaural Attenuation
Making Decisions on When to Mask
How to Mask for Air Conduction Pure-Tone Thresholds (Plateau Method)
How to Mask for Bone Conduction Pure-Tone Thresholds (Plateau Method)
Summary of Pure Tone Masking Steps 
Masking Examples for Pure-Tone Thresholds
Masking for Speech Audiometry

Chapter 10. Immittance
Immittance Concepts
Wideband Acoustic Immittance
Acoustic Reflex Threshold
Acoustic Reflex Decay

Chapter 11. Auditory Evoked Physiologic Responses
Otoacoustic Emissions
Auditory Brainstem Responses
Auditory Steady-State Responses

Chapter 12. Screening for Hearing Loss
Historical and Current Practice Guidelines
Hearing Identification Programs
Screening the Hearing of Newborns
School Age Children
Screening Outcomes and Efficacy

Chapter 13. Vestibular Evaluation and Screening
Basic Test Battery
Other Vestibular Tests
Office/Bedside Screening

Chapter 14. Disorders of Hearing and Balance 
Describing Hearing Disorders
Outer Ear 
Middle Ear 
Inner Ear (Cochlear) Acquired
Auditory Nerve and Central Nervous System 
Nonorganic (Functional) Hearing Loss
Vestibular System

PART IV. Treatment/Management of Hearing Problems

Chapter 15. Hearing Aids 
H. Gustav Mueller
Hearing Aid Dispensing
Workflow for the Selection and Fitting of Hearing Aids
Assessment of Hearing Aid Candidacy—Step 1
Treatment Planning—Step 2
Selection and Fitting of Hearing Aids—Step 3
Basic Hearing Aid Styles
Hearing Aid Programming
Verification—Step 4
Orientation—Step 5
Validation—Step 6
Hearing Assistive Technology Systems

Chapter 16. Implantable Devices
Bone-Anchored Implant
Middle Ear Implant
Cochlear Implant
Auditory Brainstem Implant

Chapter 17. Other Treatments and (Re)habilitation of Hearing and Balance Disorders
Cerumen Management
Aural Habilitation
Aural Rehabilitation
Vestibular Rehabilitation

Chapter 18. Role of the Speech-Language Pathologist 
Prevention and Wellness
Modalities, Technology, and Instrumentation
Population and Systems



Steven Kramer

Steven Kramer, PhD, is Professor Emeritus in the School of Speech, Language, and Hearing Sciences at San Diego State University, where he has been a faculty member and administrator since 1985. He served as the department chair from 1990 to 2001 and as the Co-director of the Audiology Doctoral (AuD) Program, offered jointly by San Diego State University (SDSU) and the University California San Diego (UCSD), from 2003 to 2016. He obtained his master’s and doctoral degrees in audiology and hearing science from the University of Florida. He was a licensed and certified audiologist for about 40 years. Before his appointment at SDSU, he was a clinical faculty member at the University of Texas Medical Branch in Galveston, Texas. He has taught a wide array of courses at the graduate and undergraduate levels, including hearing science, diagnostics, medical audiology, evoked potentials, and psychoacoustics.

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David K. Brown

David K. Brown, PhD, has been Professor in the School of Audiology at Pacific University since it enrolled its first students in 2012. He is also the Director of the Audiology Simulation Lab (SIMLab) at Pacific. Previously, he was Director of Audiological Research for Cincinnati Children's Hospital Medical Center and Assistant Professor in the Departments of Otolaryngology and Communication Sciences and Disorders at the University of Cincinnati. For over 35 years, he has been a licensed and certified audiologist specializing in pediatrics. He teaches courses at both the graduate and undergraduate level in the areas of acoustics, anatomy and physiology, audiometry, cochlear implants, evoked potentials, otoacoustic emissions, pediatrics, and research fundamentals.

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Science to Practice, Fourth Edition comes with access to supplementary student and instructor materials on a PluralPlus companion website.

To access the student materials, you must register the access code printed on the inside front cover of your textbook on the companion website.

To access the instructor materials, you must contact Plural Publishing, Inc. to be verified as an instructor and receive your access code.

    Tel: 866-758-7251 (toll free) or 858-492-1555

*Note for students: If you have purchased this textbook used or have rented it, your access code will not work if it was already redeemed by the original buyer of the book. Plural Publishing does not offer replacement access codes for used or rented textbooks. 

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