child plays with colorful education color toys

Since the third year of age children acquire the ability to actively participate in the tests. As a result, it is possible to carry the next type of research method with conditioned play audiometry.

Conditioned Play Audiometry is a test to determine the hearing threshold in the way of air and bone in a range of frequencies in children under 6.


What is conditioned play audiometry performed for? 

The aim of the test is to determine the threshold of hearing, ie. the minimum volume that the patient hears. The test result is the graph – audiogram hearing threshold curve for air and bone conduction, on the basis of which it is possible to determine the size of the hearing loss.

How is the CPA performed??

Conditioned play audiometry is completely non-invasive. This test is performed in audiometric headphones (separately for the right ear and left) in a form of play, in which the child to the signal heard in the handphones performs a specific action (i.e. builds a tower of blocks, puts the pads on handles, throws a toy into a container)

This is a test that requires cooperation and a good contact with the child.

  •     the test is painless and non-invasive.
  •     takes around 20-50 minutes
  •     needs proper acoustic environment
  •     requires appealing to the child’s support, used in the test-play


The test result of conditioned play audiometry is an audiogram, which is a curve of a hearing threshold for air conduction. The audiogram is the basis of the diagnostics.


Conditioned play audiometry:


Due to the typical for this type of research element of amusement, conditioned play audiometry is a typical test designed for children. It is possible to determine the threshold of hearing in children who do not yet understand the principle of the test with conventional pure tone audiometry. In addition to diagnostic testing is much-loved by children.

Conditioned play audiometry in children under 6 years of age is a diagnostic test in case of suspicion of hearing disorders, concentration and auditory attention disorders, speech therapy, as well as for control after infection or inflammation of the outer or middle ear and third adenoid’s diagnostics. 

Author: Aleksandra Stojak