Pediatric Noise

16 February 2022
10 mins

What is the pediatric noise stimulus?

Pediatric noise is a special noise stimuli that can be used as an alternative for pure tones, warble tones and narrow band noise. The use of pediatric noise is useful during sound field testing and visual reinforcement audiometry (VRA) as it helps to avoid standing waves as well as maintain the child’s interest during testing. In additional it is useful in other assessments, which requires narrow band noise such as pitch matching and minimum masking level. Pediatric noise addresses the two problems related to the use of narrow band noise.


1. Pediatric noise is calibrated in dB Hearing Level

In comparison, the narrow band noise is calibrated for effective masking of tonal sounds of the same dial setting. Practically speaking it means that the narrow band noise is a few dB louder than what is required for threshold measurements.


2. The shape of pediatric noise makes it frequency specific

While the plateau of the pediatric noise and narrow band noise are of the same width, the pediatric noise has very steep slopes, 100dB/octave vs. 12dB/octave respectively. In case of sloping hearing losses, the use of pediatric noise will not result in off-frequency listening.

Below graph illustrates the shape of the pediatric noise at 1000Hz.

Graph with dB as a function of kHz. The curve itslef ascends from -100 dB to -60 dB, and the slope is even more steep from -60 dB to its peak at 1 kHz. It then descends with the same shape, although across a wider range of frequencies. 0,6 octaves are marked with an arrow between 1 and 2 kHz. 2 octaves are marked with an arrow between 1 and slightly over 4 kHz.


Required equipment

  • Headphones, insert phones or free field setup (FF)
  • AC40


How to select pediatric noise

Ped noise can be run ad stand-alone on the audiometer or via Diagnostic Suite.

Test overview in Diagnostic Suite, with 'PED' marked in orange for channels 1 and 2.

  1. On the standalone device, press Tests and use the wheel to select PED: pediatric noise. When in the PED test screen, the channel 1 Warble button will flash slowly, to indicate that the stimulus used is the pediatric noise. While using this protocol, the audiometer allows toggling from pediatric noise to tone, warble tone and back to pediatric noise. Note: If operated through Diagnostic Suite, pediatric noise (PED) will be available from the main tone screen in the selection of input.
  1. Conduct threshold evaluation using the pediatric noise for the desired audiometric evaluation method.



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