Two different loudspeaker arrangements are currently used when perform
ing Visual Reinforcement Audiometry (VRA). In the one arrangement, the
loudspeakers are mounted on separate movable arms and positioned 15 c
m from each ear. In the other, the loudspeakers are rigidly mounted cl
ose to their respective picture monitor at a distance of 50-70 cm from
the child. In the present study, these two arrangements were compared
by measuring real-ear sound pressure levels and actual sound held con
ditions. It was shown that a predominantly monaural stimulation was be
st achieved by using the 15-cm position, but also that the measurement
s were significantly more affected by small head movements when using
this close position. When assessing the acoustics as well as practical
aspects, it was concluded that loudspeakers mounted beside the pictur
e monitors at a distance of 50-70 cm from the child makes a generally
appropriate arrangement for VRA.