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To the Editor: We agree with Dr. Walsh that the heel of the shoe is not the best means of activating the tuning fork, but it is frequently necessary to strike the alloy tuning forks rather firmly—especially the 2,058-cps fork. Activating the forks by striking them with a hard rubber hammer might be more suitable.
The Rinne test can be performed by having the patient compare either the duration or the loudness that the tone is heard via air conduction and bone conduction. If the Rinne test was being performed in patients with recruitment, the results of the test would vary depending on the method used. In our study, patients with recruitment were not used, therefore, it would not have mattered which method of performing the Rinne test was employed.