Why Real Ear Measurements Are the Gold Standard in Hearing Aid Fitting

Real Ear Measurements ensure optimal hearing aid performance by precisely measuring sound levels reaching your eardrum, yet only 30% of providers use this essential technique.

Why Real Ear Measurements Are the Gold Standard in Hearing Aid Fitting

by Dr. Kevin Ivory

Real Ear Measurements ensure optimal hearing aid performance by precisely measuring sound levels reaching your eardrum, yet only 30% of providers use this essential technique.

Real ear measurements are a critical but often overlooked aspect of hearing aid fitting. Many practices skip this step, with only 30% of hearing care providers routinely performing these measurements. This verification process can make the difference between hearing aids that sit unused in a drawer and ones that provide meaningful improvement in your daily life.

Without performing real ear measurements, fitting hearing aids involves guesswork - similar to getting prescription glasses where the optometrist estimates your prescription rather than measuring it. The success of hearing aids depends greatly on how well they are programmed to meet each person's unique hearing needs. At Glendora Hearing Aids & Audiology, Dr. Kevin Ivory uses Real Ear Measurements (REMs) with every hearing aid fitting - a scientific approach used by less than 30% of hearing care providers nationwide.

What Are Real Ear Measurements?

Real Ear Measurements are precise measurements taken using a thin probe microphone placed in the ear canal alongside the hearing aid. This process allows us to measure the exact sound levels reaching your eardrum while wearing hearing aids. During the measurement, you listen to various recorded speech samples while we analyze the actual output of your hearing aids in real-time.

Think of getting prescription glasses - you wouldn't want your optometrist to guess at your prescription. Similarly, without Real Ear Measurements, fitting hearing aids involves estimation rather than precise verification. This can lead to hearing aids that don't provide optimal benefit.

Benefits of Real Ear Measurements

Research shows that hearing aid fittings using Real Ear Measurements lead to:

  • Superior outcomes in hearing ability
  • Higher patient satisfaction rates
  • Greater long-term benefit and usage Improved hearing in both quiet and noisy environments
  • Better speech understanding More accurate first-time fittings

The Scientific Process

When we perform Real Ear Measurements, we follow a systematic approach:

  1. A small microphone is carefully placed in your ear canal
  2. Various speech samples are played at different volumes
  3. The microphone measures exactly what sounds reach your eardrum
  4. Results are displayed on a screen in real-time
  5. Adjustments are made to match prescribed targets based on your hearing loss

This verification ensures your hearing aids provide appropriate amplification across all frequencies - not too much where sounds become uncomfortably loud, and not too little where speech remains difficult to understand.

Understanding Your Results

During the measurement, you'll see your results displayed on a screen showing different frequency ranges - from low to high pitched sounds. These measurements create a visual map of your hearing aids' performance compared to your prescription targets. This allows Dr. Ivory to make precise adjustments to match your specific hearing needs, rather than relying on manufacturer presets or estimated settings.

Maximizing Your Investment

Real ear measurements help ensure you get the most value from your hearing aids. Without this verification, even premium hearing aids may not deliver their full potential benefit. By verifying the output matches your prescription, we can be confident your devices are providing appropriate amplification across all frequencies that are important for speech understanding.

The Impact on Daily Life

When hearing aids are fit using Real Ear Measurements, you're more likely to experience clear communication in various situations. Whether you're having a one-on-one conversation in a quiet room or trying to follow discussions in a busy restaurant, properly verified hearing aids can make a significant difference.

Many patients who previously struggled with hearing aids despite having them adjusted multiple times find that Real Ear Measurements help resolve their difficulties. This is because the process takes the guesswork out of programming, replacing estimations with precise measurements.

Why Many Providers Don't Use REMs

Despite being considered best practice by every professional organization in hearing healthcare, many providers don't perform Real Ear Measurements. Some rely instead on manufacturers' predicted responses based on average ear canal sizes and shapes. However, since every ear canal is unique in size, shape, and acoustic properties, these predictions often fall short of providing optimal amplification.

The Role of Real Ear Measurements in Ongoing Care

Real Ear Measurements aren't just for initial fittings. They play a valuable role in ongoing care:

  • Verifying adjustments as your hearing changes
  • Confirming the performance of replacement hearing aids
  • Checking existing hearing aids from other providers
  • Ensuring consistent performance after repairs
  • Validating settings after software updates

Supporting Research and Evidence

Clinical studies demonstrate the value of Real Ear Measurements. Research shows that hearing aid fittings using REMs result in better outcomes compared to fittings without verification. Patients report improved speech understanding and greater satisfaction with their hearing aids when Real Ear Measurements are part of the fitting process.

Our Commitment to Best Practices

As a member of the Dr. Cliff network of audiology practices, we maintain strict adherence to best practices, including the use of Real Ear Measurements for every hearing aid fitting. Dr. Ivory never "guesses" at prescriptions, instead relying on scientific verification to ensure optimal outcomes.

Experience the Difference of Verified Fittings

If you currently wear hearing aids that weren't fit using Real Ear Measurements, we can evaluate their performance and make any necessary adjustments. Even if you received your hearing aids elsewhere, Dr. Ivory can perform Real Ear Measurements to optimize their settings for your specific hearing needs.

Schedule Your Appointment Today

Contact our office to learn more about how Real Ear Measurements can improve your hearing experience. Whether you're considering new hearing aids or want to optimize your current devices, Dr. Ivory and our team are ready to help you achieve the best possible hearing outcomes through proper verification and fitting. Call (626) 963-7200 to schedule your consultation at our Glendora office.

Written by
Reviewed by
Dr. Kevin H. Ivory
Audiologist & University Instructor
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Dr. Kevin Ivory, Au.D., CCC-A received his Bachelor of Arts (Psychology) Degree from the University of Wisconsin-Madison. He then went on to earn his Doctor of Audiology degree from Rush University Medical Center in Chicago, one of the top 10 audiology residential programs in the country.

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