Various forms of play conditioning have been used extensively by audiologists and otologists in conjunction with the hearing evaluation of young children. The object of this approach is to have the child associate the presentation of a pure tone with some type of familiar, pleasant activity, such as the dropping of a wooden block into a container or the placing of a ring upon a peg.
Extended testing sessions often require a shift in technique in order to maintain the child's attention.
A number of variations on this type of procedure have appeared in the literature. The "Peep-Show" of Dix and Hallpike,1 the "Pediacoumeter" of Guilford and Haug,3 and the "Toby Tester"4 are a few applications of this approach. Although each device has its relative merit, the otologist and the audiologist may seek means of testing involving less expense and/or complexity in construction and installation.
SULLIVAN RF, MILLER MH, POLISAR IA. The Portable Pup-Show: A Further Modification of the Pup-Show. Arch Otolaryngol. 1962;76(1):49–51. doi:10.1001/archotol.1962.00740050053010
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