A Novel Stimulation Paradigm for Obtaining Interfrequency Amplitude Ratio of Ocular Vestibular Evoked Myogenic Potentials

2019 ◽  
Vol 28 (2S) ◽  
pp. 422-427
Author(s):  
Niraj Kumar Singh ◽  
Prawin Kumar ◽  
Raghav Hira Jha
Keyword(s):  
Amplitude Ratio ◽  
High Sensitivity ◽  
Simultaneous Recording ◽  
Vestibular Evoked Myogenic Potentials ◽  
Oddball Paradigm ◽  
Testing Time ◽  
Retest Reliability ◽  
Test Retest Reliability ◽  
Stimulation Paradigm ◽  
Age Range

Purpose Interfrequency amplitude ratio (IFAR), the ratio of amplitude between ocular vestibular evoked myogenic potentials (oVEMPs) for tone bursts of 500 and 1000 Hz, aids in identification of Ménière's disease with high sensitivity and specificity. However, it requires recording of oVEMP for 2 frequencies, which doubles the time of recording. Use of simultaneous recording of responses for both frequencies could potentially bring down testing time. Simultaneous recording might be possible by modifying the oddball paradigm and using a ratio of 1:1 for the 2 frequencies. This might also reduce variation in oVEMP amplitude between frequencies due to changes in gaze angle between the recordings. However, it remains to be explored whether or not the use of modified oddball paradigm to record oVEMP (MoVEMP) will produce comparable responses to conventional sequential recording of oVEMP (CoVEMP) for obtaining IFAR. Hence, the study aimed to compare MoVEMP and CoVEMP on various measures of oVEMP. Method The study included 29 healthy adults in the age range of 18–30 years, 23 of which were used for validation and 6 for finding test–retest reliability. All participants underwent contralateral oVEMP recording using 500- and 1000-Hz tone bursts presented using MoVEMP and CoVEMP paradigms. Results Comparable outcomes on latencies, amplitude, and IFAR were obtained between CoVEMP and MoVEMP. Furthermore, MoVEMP took significantly lesser time per ear and also produced better test–retest reliability than CoVEMP. Conclusion MoVEMP is a quicker and more reliable clinical stimulation paradigm for obtaining IFAR than CoVEMP.

Test–Retest Reliability of Cervical and Ocular Vestibular Evoked Myogenic Potential With Simultaneous and Sequential Recording

2019 ◽  
Vol 28 (2S) ◽  
pp. 414-421 ◽  
Author(s):  
Anupriya E. ◽  
Kaushlendra Kumar
Keyword(s):  
Simultaneous Recording ◽  
Vestibular Evoked Myogenic Potentials ◽  
Testing Time ◽  
Simultaneous Methods ◽  
Vestibular Evoked Myogenic Potential ◽  
Good Test ◽  
Retest Reliability ◽  
Myogenic Potential ◽  
Recording Session ◽  
Test Retest Reliability

Purpose Simultaneous recording of cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials aids in reducing the testing time when compared to conventional sequential recordings. The purpose of this study was to examine the test–retest reliability of sequential and simultaneous acquisitions of cVEMP and oVEMP. Method cVEMP and oVEMP were recorded in 35 normal-hearing individuals. The cVEMP and oVEMP were obtained using sequential and simultaneous methods. The VEMP recordings were performed across 3 sessions. The 1st 2 recording sessions were consecutive with a gap of 5 min between sessions. The 3rd recording session was after a gap of 3–5 days. Results Both simultaneous and sequential recordings showed fair-to-good test–retest reliability for latencies and amplitude of cVEMP and oVEMP. Conclusion Simultaneous cVEMP and oVEMP recordings can be used to obtain fast VEMP recording with test–retest reliability comparable with that of sequential recording.

scholarly journals State-of-the-art assessment allows for improved vestibular evoked myogenic potential test-retest reliability

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Lydia Behtani ◽  
Maxime Maheu ◽  
Audrey Delcenserie ◽  
Mujda Nooristani ◽  
François Champoux
Keyword(s):  
State Of The Art ◽  
Vestibular Evoked Myogenic Potentials ◽  
Vestibular Evoked Myogenic Potential ◽  
Retest Reliability ◽  
Vestibular Assessment ◽  
Myogenic Responses ◽  
Neurologically Normal ◽  
Test Retest Reliability ◽  
The Impact ◽  
Potential Test

The goal of the present study was to evaluate the test-retest reliability values of myogenic responses using the latest guidelines for vestibular assessment. Twenty-two otologically and neurologically normal adults were assessed twice, on two different days. The analyses were carried out using interclass correlations. The results showed that the latest recommendations for vestibular assessment lead to test-retest reliability values that are as high, or greater, than those reported in previous studies. The results suggest that state-of-the-art testing, using the latest recommendations as well as electromyography control, improves reliability values of myogenic responses, more specifically for the cervical vestibular evoked myogenic potentials. The impact of small differences in experimental procedures on the reliability values of myogenic responses is also addressed.

Novel Ultrasonographic Thickness and Strength Assessments of the Flexor Digitorum: A Reliability Analysis

2021 ◽  
Vol 36 (4) ◽  
pp. 269-278
Author(s):  
Christos I Ioannou ◽  
Franziska L Hodde-Chriske ◽  
Marios N Avraamides ◽  
Eckart Altenmüller
Keyword(s):  
High Sensitivity ◽  
Extensor Digitorum ◽  
Retest Reliability ◽  
Custom Made ◽  
Smallest Detectable Change ◽  
The Mean ◽  
The Right ◽  
Flexor Digitorum ◽  
Clinical Conditions ◽  
Test Retest Reliability

OBJECTIVES: Clinical conditions such as focal dystonia often require the assessment of atrophy and weakness of the finger muscles. However, due to a lack of well-established protocols, the current investigation focused on assessing the reliability of thickness and strength assessments of the flexor digitorum (FD) muscle, including both the superficialis and profundus components. As a secondary assessment, the reliability of the strength measurement of the extensor digitorum muscle was examined as well. METHODS: Different thickness measurements of the FD were taken via ultrasonography and averaged to estimate the mean thickness of the FD. Likewise, individual finger strength measurements taken by a custom-made finger pressure device were averaged to compute the mean strength of the flexor and extensor digitorum muscles. Test-retest reliability of the above measurements performed at two different time points (about 6 months apart) were examined on the right and left hands of 10 participants. RESULTS: Findings indicated excellent test-retest reliability (ICC > 0.92) for the mean thickness assessment of the FD and mean strength of the flexor and extensor digitorum for both dominant and non-dominant hands. The standard error of measurement was ≤4.3% for all three mean assessments, indicating high sensitivity. Likewise, the smallest detectable change was also sufficiently small for the mean thickness and mean strength of the flexor digitorum (≤5.1%) and moderately small (≤12%) for the strength of the extensor digitorum. CONCLUSIONS: Results indicated an excellent relative and absolute reliability, for both hands, for the mean thickness and strength assessments of the flexor digitorum muscle and for the mean strength of the extensor digitorum (measured for both hands). These measurements can be used for future investigations and can contribute to the establishment of more precise methods for assessing the muscles in the forearms which serve the hand.

Reliability and Validity of the Ohwaki-Kohs Tactile Block Design Test for the Blind

1986 ◽  
Vol 58 (2) ◽  
pp. 375-380 ◽  
Author(s):  
Handré J. Brand ◽  
Marietha J. Pieterse ◽  
Michèle Frost
Keyword(s):  
Construct Validity ◽  
Internal Consistency ◽  
Block Design ◽  
Reliability And Validity ◽  
Validity And Reliability ◽  
Retest Reliability ◽  
Blind Children ◽  
Test Retest Reliability ◽  
Age Range

The Ohwaki-Kohs Tactile Block Design Test for the Blind was administered to 147 white blind children, 91 boys and 56 girls with an age range of 5 to 19 yr., for the purpose of ascertaining the validity and reliability of the test. The test satisfied certain basic requirements with regard to test-retest reliability, internal consistency, and construct validity.

scholarly journals Test-Retest Reliability of the King-Devick Test in an Adolescent Population

2017 ◽  
Vol 52 (5) ◽  
pp. 439-445 ◽  
Author(s):  
Tyler J. Oberlander ◽  
Bernadette L. Olson ◽  
Lee Weidauer
Keyword(s):  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Cross Sectional Study ◽  
Testing Time ◽  
Cross Sectional ◽  
Healthy Adolescent ◽  
Retest Reliability ◽  
Intraclass Correlation Coefficients ◽  
Adolescent Population ◽  
Test Retest Reliability

Context:  The King-Devick (KD) test is a screening tool designed to assess cognitive visual impairments, namely saccadic rhythm, postconcussion. Test-retest reliability of the KD in a healthy adolescent population has not yet been established. Objective:  To investigate the overall test-retest reliability of the KD among a sample of healthy adolescents. Additionally, we sought to determine if sex and age influenced reliability. Design:  Cross-sectional study. Setting:  Secondary school. Patients or Other Participants:  Sixty-eight healthy adolescents, 41 boys (age = 15.4 ± 1.9 years) and 27 girls (age = 15.4 ± 1.9 years). Main Outcome Measure(s):  Participants completed the KD (version 1) at 3 testing sessions (days 1, 30, and 45) following standard instructions. We recorded total time to complete the reading of 3 cards for each participant during each testing session. Two-way random-effects intraclass correlation coefficients (ICCs) using single measurements repeated over time and repeatability coefficients were calculated. Linear mixed models were used to determine whether differences existed at each testing time and to examine whether changes that took place among visits were different by sex or age. Results:  Adolescents who completed the KD demonstrated acceptable reliability (ICC = 0.81; 95% confidence interval = 0.73, 0.87); however, the repeatability coefficient was large (±8.76 seconds). The sample demonstrated improvements between visits 1 and 2 (mean ± standard error = 4.3 ± 0.5 seconds, P < .001) and between visits 2 and 3 (2.4 ± 0.5 seconds, P < .001) for a total improvement of 6.9 seconds over 3 tests. No significant visit-by-sex or visit-by-age interactions were observed. Conclusions:  Despite the ICC being clinically acceptable, providers using the KD test for serial assessment of concussion in adolescents should be cautious in interpreting the results due to a large learning effect. Incorporating multiple measures can ensure accurate detection of sport concussion.

scholarly journals Extended reliability measures for the fast method of schroeder-phase masking

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Sarah Rahmat ◽  
Nur Afiqah Amirullah ◽  
Greg A. O’Beirne
Keyword(s):  
Normal Hearing ◽  
Hearing Impaired ◽  
Testing Time ◽  
Fast Method ◽  
Reliability Measures ◽  
Good Test ◽  
Retest Reliability ◽  
Significant Difference ◽  
Test Retest Reliability ◽  
Good Agreement

Introduction: Schroeder-phase masking test has been found to be highly useful in providing information on the cochlea phase response that was not previously discovered. Conventional Three Alternative Forced Choice (3AFC) method of conducting Schroeder phase masking takes a long testing time (around 45 minutes) and could possibly limit the valuable information that may be gathered from this test. A faster Schroeder-phase masking method which is able to cut down almost 80% of the testing time has been developed, and has been proven reliable for normal hearing population. This study aims to extend the reliability measures to hearing impaired population. Methods: This is an observational study involving 10 normal hearing and 6 sensorineural hearing loss subjects. Schroeder phase masking functions were measured at 500 Hz, 1 kHz and 2 kHz (75 dB A) using the conventional and fast methods to find the agreement between two methods. The fast method was measured in two sessions to find the test–retest reliability. Results: The fast method showed; i) good agreement with the conventional 3 AFC method-no significant difference of masked thresholds between two methods at majority of the tested conditions (p>0.05), ii) good test retest reliability- no significant difference of masked thresholds between two sessions (p>0.05). Conclusions: Proven to be a reliable method in both normal hearing and hearing impaired population, the faster method could potentially facilitate more Schroeder phase masking experiments in investigating the fundamental of sound processing and auditory perception.

scholarly journals Tone Burst Masseter Vestibular Evoked Myogenic Potentials: Normative Values and Test–Retest Reliability

2021 ◽  
Author(s):  
Sangu Srinivasan Vignesh ◽  
Niraj Kumar Singh ◽  
Krishna Rajalakshmi
Keyword(s):  
Research Design ◽  
Intraclass Correlation ◽  
Tone Burst ◽  
Peak Amplitude ◽  
Vestibular Evoked Myogenic Potentials ◽  
Normative Values ◽  
Asymmetry Ratio ◽  
Vestibular Evoked Myogenic Potential ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Background Masseter vestibular evoked myogenic potential (mVEMP) is a recent tool for the assessment of vestibular and trigeminal pathways. Though a few studies have recorded mVEMP using click stimuli, there are no reports of these potentials using the more conventional VEMP eliciting stimuli, the tone bursts. Purpose The aim of the study is to establish normative values and determine the test–retest reliability of tone burst evoked mVEMP. Research Design The research design type is normative study design. Study Sample Forty-four healthy participants without hearing and vestibular deficits in the age range of 18 to 50 years participated in the study. Data Collection and Analysis All participants underwent mVEMP testing using 500 Hz tone-burst stimuli at 125 dB peSPL. Ten participants underwent second mVEMP testing within 1 month of the initial testing to estimate the test–retest reliability. Results Tone burst mVEMP showed robust responses in all participants. There were no significant ear and sex differences on any mVEMP parameter (p > 0.05); however, males had significantly higher EMG normalized peak-to-peak amplitude than females. Intraclass correlation coefficient (ICC) values of tone burst mVEMP showed excellent test–retest reliability (ICC >0.75) for ipsilateral and contralateral p11 latency, ipsilateral EMG normalized p11-n21 peak to peak amplitude, and amplitude asymmetry ratio. Fair and good test–retest reliability (0.4 < ICC > 0.75) was observed for ipsilateral and contralateral n21 latency, contralateral EMG normalized peak-to-peak amplitude, and amplitude asymmetry ratio. Conclusion Tone burst mVEMP is a robust and reliable test for evaluating the functional integrity of the vestibulomasseteric reflex pathway.

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