Physical examination maneuver

Physical Exam

Weber Test

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How to Perform

Strike a 512 Hz tuning fork and place its base on the midline of the skull — the vertex or the middle of the forehead (the upper central incisors may also be used). Ask the patient whether the sound is heard equally in both ears or louder in one ear. Normally the sound is perceived centrally or equally in both ears; the test is abnormal when it lateralizes (is heard louder on one side).

How to Interpret

Showing all 2 findings

Hearing Impairment

Weber test lateralizes to one ear
Rule in
InconclusiveWide CI
Rule out
InconclusiveWide CI
Evidence:ModerateResearch in progress
Weber lateralizes to the poorer-hearing ear at 512 Hz
Rule in
Very helpfulNo CI
Rule out
Somewhat helpfulNo CI
Evidence:ModerateResearch in progress

References

Research in progress on one or more findings above; ratings may change.

  • Bagai A, Thavendiranathan P, Detsky AS. Does this patient have hearing impairment? JAMA. 2006;295(4):416-428. PMID: 16434632.
  • Kelly EA, Li B, Adams ME. Diagnostic Accuracy of Tuning Fork Tests for Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2018;159(2):220-230. doi:10.1177/0194599818770405. PMID 29661046.
  • Kelly EA, Li B, Adams ME. Diagnostic Accuracy of Tuning Fork Tests for Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2018;159(2):220-230. doi:10.1177/0194599818770405. PMID: 29661046.

Research last updated September 9, 2026.