Factors Influencing the Acoustic-Immittance Characteristics of the Acoustic Reflex

1979 ◽  
Vol 22 (3) ◽  
pp. 480-499 ◽  
Author(s):  
Richard H. Wilson
Keyword(s):  
Middle Ear ◽  
Sound Pressure ◽  
Broadband Noise ◽  
Intensity Level ◽  
Ear Canal ◽  
Acoustic Reflex ◽  
Impedance Characteristics ◽  
Reflex Threshold ◽  
Acoustic Reflex Threshold ◽  
Tonal Stimuli

Measurements of the aural acoustic-immittance (admittance and impedance) characteristics of the middle-ear transmission system in humans during the quiescent (static) and reflexive states were made (N = 36) utilizing a signal-averaging technique. Three pure tones (750, 1000, and 2000 Hz) and broadband noise stimuli elicited the acoustic reflex in 2-dB steps at sound-pressure levels from 84–116 dB (tones) and 66–116 dB (noise) during ascending- and descending-intensity level runs. The contralateral middle-ear activity was monitored with a 220-Hz probe by digitizing the conductance and susceptance outputs of an admittance meter. A computer corrected for the ear-canal volume utilizing measurements made at ear-canal pressures of 0 and −350 daPa and then converted the conductance and susceptance values into admittance and impedance units. The results were reported in absolute and relative immittance units, including components, as a function of both stimulus sound-pressure level and intensity level above the acoustic-reflex threshold. The static immittance of the middle ear changed nonlinearly over time to lower admittance or higher impedance values. The influence of this static-immittance shift on the reflex magnitude was discussed. The largest mean reflex magnitude and the slowest rate of growth were observed with broadband noise, although eight of the 36 subjects demonstrated the largest reflex magnitude in response to one or more of the tonal stimuli. Although static-immittance values and acoustic-reflex thresholds were poorly correlated, the reflex magnitudes were proportional to static immittance. The variability of the reflex measures was similar to the variability of the static-immittance values. Finally, bi-directional changes in resistance during the reflexive state were observed and discussed.

scholarly journals Effect of Intensity Level and Speech Stimulus Type on the Vestibulo-Ocular Reflex

2019 ◽  
Vol 30 (09) ◽  
pp. 792-801 ◽  
Author(s):  
Mary Easterday ◽  
Patrick N. Plyler ◽  
James D. Lewis ◽  
Steven M. Doettl
Keyword(s):  
Repeated Measures ◽  
Vestibular Nuclei ◽  
Auditory Stimulation ◽  
Broadband Noise ◽  
Speech Stimulus ◽  
Intensity Level ◽  
Acoustic Reflex ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Acoustic Reflex Threshold

AbstractAccurate vestibulo-ocular reflex (VOR) measurement requires control of extravestibular suppressive factors such as visual fixation. Although visual fixation is the dominant suppressor and has been extensively studied, the mechanisms underlying suppression from nonvisual factors of attention and auditory stimulation are less clear. It has been postulated that the nonvisual suppression of the VOR is the result of one of two mechanisms: (1) activation of auditory reception areas excites efferent pathways to the vestibular nuclei, thus inhibiting the VOR or (2) cortical modulation of the VOR results from directed attention, which implies a nonmodality-specific process.The purpose of this research was to determine if the VOR is affected by the intensity level and/or type of speech stimulus.A repeated measures design was used. The experiment was single-blinded.Participants included 17 adults (14 females, three males) between the ages of 18–34 years who reported normal oculomotor, vestibular, neurological, and musculoskeletal function.Each participant underwent slow harmonic acceleration testing in a rotational chair. VOR gain was assessed at 0.02, 0.08, and 0.32 Hz in quiet (baseline). VOR gain was also assessed at each frequency while a forward running speech stimulus (attentional) or a backward running speech stimulus (nonattentional) was presented binaurally via insert earphones at 42, 62, and 82 dBA. The order of the conditions was randomized across participants. VOR difference gain was calculated as VOR gain in the auditory condition minus baseline VOR gain. To evaluate auditory efferent function, the medial olivocochlear reflex (MOCR) was assayed using transient-evoked otoacoustic emissions (right ear) measured in the presence and absence of broadband noise (left ear). Contralateral acoustic reflex thresholds were also assessed using a broadband noise elicitor. A three-way repeated measures analysis of variance was conducted to evaluate the effect of frequency, intensity level, and speech type on VOR difference gain. Correlations were conducted to determine if difference gain was related to the strength of the MOCR and/or to the acoustic reflex threshold.The analysis of variance indicated that VOR difference gain was not significantly affected by the intensity level or the type of speech stimulus. Correlations indicated VOR difference gain was not significantly related to the strength of the MOCR or the acoustic reflex threshold.The results were in contrast to previous research examining the effect of auditory stimulation on VOR gain as auditory stimulation did not produce VOR suppression or enhancement for most of the participants. Methodological differences between the studies may explain the discrepant results. The removal of an acoustic target from space to attend to may have prevented suppression or enhancement of the VOR. Findings support the hypothesis that VOR gain may be affected by cortical modulation through directed attention rather than due to activation of efferent pathways to the vestibular nuclei.

Acoustic Reflex as a Predictor of Middle Ear Effusion

1980 ◽  
Vol 89 (3_suppl) ◽  
pp. 196-199 ◽  
Author(s):  
Georges E. Freyss ◽  
Yves Manac'H ◽  
Philippe P. Narcy ◽  
Michel G. Toupet
Keyword(s):  
Nitrous Oxide ◽  
Middle Ear ◽  
Middle Ear Effusion ◽  
General Anesthetic ◽  
Comparative Efficacy ◽  
Acoustic Reflex ◽  
Reflex Threshold ◽  
Acoustic Reflex Threshold ◽  
Youden’S Index ◽  
Ear Effusion

The comparative efficacy of tympanometry and the acoustic reflex (threshold and supraliminal amplitude) in predicting the presence of fluid in the middle ear was studied just before myringotomy in 50 children (99 ears) prior to adenoidectomy. Impedance audiometry was carried out under a general anesthetic (ketamine and nitrous oxide) in 60%, and without anesthesia in 40% of the cases. The comparative efficacy of this test was assessed using objective criteria which were independent of the cut-off point between normal and abnormal groups. The prediction efficacy of acoustic reflex threshold and amplitude (Youden's index = 0.58) was superior to that of tympanometry peak amplitude and pressure (Youden's indexes = 0.29 and 0.36). The efficacy of the gradient was 0.41. Modifications due to anesthesia were not statistically significant for the whole group, but temporary abolition of the acoustic reflex at the start of anesthesia is probably related to the high percentage of false positives noted when the acoustic reflex is used alone in patients given a general anesthetic.

Temporal Integration of the Contralateral Acoustic Reflex Threshold for a 1000 Hz Tonal Activator and Its Age-Related Changes

2009 ◽  
Vol 20 (04) ◽  
pp. 225-228 ◽  
Author(s):  
Michele B. Emmer ◽  
Shlomo Silman ◽  
Carol A. Silverman ◽  
Harry Levitt
Keyword(s):  
Temporal Integration ◽  
Age Effect ◽  
Broadband Noise ◽  
Hearing Level ◽  
Acoustic Reflex ◽  
Hearing Sensitivity ◽  
Age Related ◽  
Main Effect ◽  
Reflex Threshold ◽  
Acoustic Reflex Threshold

Background: Previous research has noted an age effect on the temporal integration of the acoustic reflex for a noise activator. Purpose: To determine whether the age effect earlier noted for a noise activator will be noted for a tonal activator. Research Design: Comparison of ARTs of younger and older groups at activating stimulus durations of 12, 25, 50, 100, 200, 300, 500, and 1000 msec. Study Sample: Two groups of adults with normal-hearing sensitivity: one group of 20 young adults (ten males and ten females, ages 18–29 years, with a mean age of 24 years) and one group of 20 older adults (ten males and ten females, ages 59–75 years, with a mean age of 67.5 years). Results: A significant main effect for duration was obtained. That is, as the duration increased, the acoustic reflex threshold for the 1000 Hz tonal activator decreased. The interactions of duration × age group and duration × hearing level were not significant. There was a nonsignificant main effect (p = .889) for the between-subjects factor of age. Conclusion: Results contradict the findings for broadband noise.

The Effects of Aging on the Magnitude of the Acoustic Reflex

1981 ◽  
Vol 24 (3) ◽  
pp. 406-414 ◽  
Author(s):  
Richard H. Wilson
Keyword(s):  
Sound Pressure ◽  
Age Groups ◽  
Sampling Technique ◽  
Pressure Level ◽  
Broadband Noise ◽  
Individual Growth ◽  
Growth Data ◽  
Ear Canal ◽  
Acoustic Reflex ◽  
The Individual

Aural acoustic-immittance (admittance and impedance) measurements during the quiescent and reflexive states were made using a computer sampling technique on 18 subjects with normal hearing in each of two age groups (< 30 years and > 50 years). Seven pure-tones (250–6000 Hz) and broadband-noise stimuli served to elicit the acoustic reflex at sound-pressure levels from 84–116 dB (tones) and 66–116 dB (noise) in 2-dB steps during ascending and descending runs. The contralateral middle-ear activity, was monitored with a 220-Hz probe by digitizing the conductance and susceptance outputs of an acoustic-admittance meter. The computer corrected for the immittance characteristics of the ear-canal volume by utilizing measurements made at an ear-canal pressure of -350 daPa and then by converting the conductance and susceptance values into admittance and impedance units. The results are reported as the immittance change between the quiescent and reflexive states as a function of both the activator sound-pressure level and the activator-pressure level above the reflex threshold. There were no significant differences between the static-immittance values for the two groups, Although acoustic-reflex thresholds for the two groups were the same in the low- to mid-frequency region (250–2000 Hz), the reflex thresholds for the > 50-years group were elevated significantly ( 8 dB) for 4000 Hz, 6000 Hz, and noise activators. In all conditions, the magnitude of the acoustic reflex was substantially smaller for the > 50-years group as compared with the < 30-years group. The variability of the reflex magnitude was large for both groups of subjects. Saturation of the individual growth functions, which was frequency dependent, occurred twice as often with the > 50-years group as with the < 30-years group. The relationship between the magnitude changes in conductance and susceptance from the quiescent to the reflexive state was the same for the two groups. Finally, the magnitude differences among the reflex-growth data were not related to differences in static immittance.

scholarly journals Identifying Otosclerosis with Aural Acoustical Tests of Absorbance, Group Delay, Acoustic Reflex Threshold, and Otoacoustic Emissions

2017 ◽  
Vol 28 (09) ◽  
pp. 838-860 ◽  
Author(s):  
Douglas H. Keefe ◽  
Kelly L. Archer ◽  
Kendra K. Schmid ◽  
Denis F. Fitzpatrick ◽  
M. Patrick Feeney ◽  
...  
Keyword(s):  
Middle Ear ◽  
Otoacoustic Emissions ◽  
Group Delay ◽  
Surgical Intervention ◽  
Broadband Noise ◽  
Positive Pressure ◽  
Control Group ◽  
Corrective Surgery ◽  
Ear Canal ◽  
Reflex Threshold

AbstractOtosclerosis is a progressive middle-ear disease that affects conductive transmission through the middle ear. Ear-canal acoustic tests may be useful in the diagnosis of conductive disorders. This study addressed the degree to which results from a battery of ear-canal tests, which include wideband reflectance, acoustic stapedius muscle reflex threshold (ASRT), and transient evoked otoacoustic emissions (TEOAEs), were effective in quantifying a risk of otosclerosis and in evaluating middle-ear function in ears after surgical intervention for otosclerosis.To evaluate the ability of the test battery to classify ears as normal or otosclerotic, measure the accuracy of reflectance in classifying ears as normal or otosclerotic, and evaluate the similarity of responses in normal ears compared with ears after surgical intervention for otosclerosis.A quasi-experimental cross-sectional study incorporating case control was used. Three groups were studied: one diagnosed with otosclerosis before corrective surgery, a group that received corrective surgery for otosclerosis, and a control group.The test groups included 23 ears (13 right and 10 left) with normal hearing from 16 participants (4 male and 12 female), 12 ears (7 right and 5 left) diagnosed with otosclerosis from 9 participants (3 male and 6 female), and 13 ears (4 right and 9 left) after surgical intervention from 10 participants (2 male and 8 female).Participants received audiometric evaluations and clinical immittance testing. Experimental tests performed included ASRT tests with wideband reference signal (0.25–8 kHz), reflectance tests (0.25–8 kHz), which were parameterized by absorbance and group delay at ambient pressure and at swept tympanometric pressures, and TEOAE tests using chirp stimuli (1–8 kHz). ASRTs were measured in ipsilateral and contralateral conditions using tonal and broadband noise activators. Experimental ASRT tests were based on the difference in wideband-absorbed sound power before and after presenting the activator. Diagnostic accuracy to classify ears as otosclerotic or normal was quantified by the area under the receiver operating characteristic curve (AUC) for univariate and multivariate reflectance tests. The multivariate predictor used a small number of input reflectance variables, each having a large AUC, in a principal components analysis to create independent variables and followed by a logistic regression procedure to classify the test ears.Relative to the results in normal ears, diagnosed otosclerosis ears more frequently showed absent TEOAEs and ASRTs, reduced ambient absorbance at 4 kHz, and a different pattern of tympanometric absorbance and group delay (absorbance increased at 2.8 kHz at the positive-pressure tail and decreased at 0.7–1 kHz at the peak pressure, whereas group delay decreased at positive and negative-pressure tails from 0.35–0.7 kHz, and at 2.8–4 kHz at positive-pressure tail). Using a multivariate predictor with three reflectance variables, tympanometric reflectance (AUC = 0.95) was more accurate than ambient reflectance (AUC = 0.88) in classifying ears as normal or otosclerotic.Reflectance provides a middle-ear test that is sensitive to classifying ears as otosclerotic or normal, which may be useful in clinical applications.

Aural Acoustic-Immittance Measurements

1981 ◽  
Vol 46 (4) ◽  
pp. 413-421 ◽  
Author(s):  
Richard H. Wilson ◽  
Janet E. Shanks ◽  
Therese M. Velde
Keyword(s):  
Sound Pressure ◽  
Broadband Noise ◽  
Intensity Level ◽  
Growth Data ◽  
Acoustic Reflex ◽  
Individual Subject ◽  
Acoustic Admittance ◽  
Sound Pressure Levels ◽  
Pure Tones ◽  
The Individual

Bilateral measurements of the aural acoustic-immittance characteristics of the middle-ear transmission systems of 48 subjects were made with an acoustic-admittance meter. The measurements, including static acoustic-immittance, acoustic-reflex thresholds, and acoustic-reflex growth functions, were made using a 220-Hz probe. The contralateral reflex data for three pure tones (500, 1000, and 2000 Hz) and for broadband noise were acquired in 2-dB steps at sound-pressure levels from 84–116 dB (tones) and 66–116 dB (noise) during ascending- and descending-intensity level runs. For all acoustic-immittance measurements, right ear and left ear comparisons were made and found not to be significantly different. The individual subject data then were expressed as the absolute differences between ears. In this manner normative inter-aural immittance differences were defined. The peak static immittance data were analyzed in terms of median inter-aural differences and upper 80% cut-off values. The 80% range for normal immittance values were smaller for a within subject versus an across subject comparison. For acoustic-reflex thresholds, a disparity between ears of >10 dB was suggested as indicative of an abnormality in the auditory mechanism. Finally, the reflex-growth data indicated mean inter-aural absolute differences that ranged to .040–.043 acoustic mmhos (300–400 acoustic ohms) at the higher reflex activator sound-pressure levels.

Effects of External Ear Canal Pressure on the Middle-Ear Muscle Reflex Threshold

1974 ◽  
Vol 17 (3) ◽  
pp. 526-530 ◽  
Author(s):  
Frederick N. Martin ◽  
Sherry Coombes
Keyword(s):  
Tympanic Membrane ◽  
Middle Ear ◽  
External Auditory Canal ◽  
Acoustic Impedance ◽  
Normal Hearing ◽  
Air Pressure ◽  
External Ear ◽  
Ear Canal ◽  
Acoustic Reflex ◽  
Reflex Threshold

Twenty normal-hearing individuals served as subjects in an experiment designed to determine the relationships between positive and negative air pressure in the external auditory canal and the intensity required to elicit the acoustic reflex. Pressure was varied from +240 to −240 mm H 2 O. Changes in the magnitude of acoustic impedance were measured on an acoustic impedance meter and displayed graphically on a Y-T recorder. As air pressure was varied in the canal and the tympanic membrane was displaced from its position of greatest compliance, systematic increases in the intensity required to elicit the reflexes were noted. The magnitude of the differences was smaller than might have been anticipated, not exceeding a mean of 5.1 dB at −240 mm H 2 O.

Effects of Alcohol on the Acoustic Reflex Threshold

2008 ◽  
Vol 4 (1) ◽  
pp. 48-51
Author(s):  
Mee-Hye Park ◽  
Hyun-Woo Kyun ◽  
Boo-Eem Kim
Keyword(s):  
Acoustic Reflex ◽  
Reflex Threshold ◽  
Acoustic Reflex Threshold

Some effects of signal bandwidth and spectral density on the acoustic‐reflex threshold in the elderly

1989 ◽  
Vol 86 (5) ◽  
pp. 1783-1789 ◽  
Author(s):  
John J. Jakimetz ◽  
Shlomo Silman ◽  
Maurice H. Miller ◽  
Carol Ann Silverman
Keyword(s):  
Spectral Density ◽  
The Elderly ◽  
Acoustic Reflex ◽  
Reflex Threshold ◽  
Acoustic Reflex Threshold
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