scholarly journals Registration of assr-thresholds in free field stimulation in normal hearing persons. Our experience

2020 ◽  
Vol 19 (5) ◽  
pp. 63-67
Author(s):  
I. V. Naumova ◽  
◽  
A. V. Pashkov ◽  
I. V. Zelenkova ◽  
D. S. Klyachko ◽  
...  
Keyword(s):  
Steady State ◽  
Objective Assessment ◽  
Free Field ◽  
Normal Hearing ◽  
Diagnostic Methods ◽  
Field Stimulation ◽  
Steady State Response ◽  
State Response ◽  
Behavioral Thresholds ◽  
Auditory Steady State Response

Background: Currently, for an objective assessment of the thresholds of auditory sensitivity, one of the most popular diagnostic methods is the method of recording of auditory steady state response - the ASSR test. One of the primary uses of ASSR is to assess sound thresholds correlated with tonal threshold audiometry. Actually, there are no reliable criteria for the norm for this study with free field stimulation, in conditions close to the natural listening environment. The identification of these criteria will allow this method to be applied as a routine in patients who cannot be tested in the usual way using headsets or in-ear phones (headphones). Objective: To determine the correlation of the ASSR thresholds with free field stimulation and the responses of insert-transducers stimulation and values of tonal threshold audiometry in the free field in normally hearing individuals. Design: Behavioral thresholds in a free field were compared with the results of ASSR in 20 normally hearing adults (40 ears) with stimulus delivery both via insert-transducers and using a loudspeaker. Conclusion: The ASSR thresholds in normal hearing adults obtained by free field were comparable to the thresholds obtained with a stimulus through insert- transducers and the results of behavioral thresholds. The correction coefficients for measuring ASSR thresholds and behavioral thresholds in free field in normal hearing adults have been obtained.

The Auditory Steady State Response in Individuals with Neurological Insult of the Central Auditory Nervous System

2007 ◽  
Vol 18 (10) ◽  
pp. 826-845 ◽  
Author(s):  
Jennifer B. Shinn ◽  
Frank E. Musiek
Keyword(s):  
Hearing Loss ◽  
Steady State ◽  
Neurological Impairment ◽  
Control Group ◽  
Steady State Response ◽  
Hearing Sensitivity ◽  
State Response ◽  
Behavioral Thresholds ◽  
Auditory Steady State Response ◽  
Neurological Insult

The auditory steady state response (ASSR) has recently gained attention with respect to estimates of hearing sensitivity and configuration of hearing loss. The present investigation compared behavioral thresholds to estimated ASSR thresholds in subjects with confirmed CANS lesions to determine if this population can be accurately evaluated with ASSR techniques. Comparisons were made between the experimental group and a normal control group matched for age and hearing sensitivity. ASSR thresholds were obtained for the carrier frequencies of 500 and 2000 Hz with a 46 Hz modulation rate and compared to behavioral thresholds. Within and between group comparisons were made. The control group demonstrated strong correlation between their behavioral and estimated ASSR thresholds which significantly contrasted the neurological group. Additionally, individuals with neurological impairment of the CANS exhibited elevated thresholds that were on average 24 dB greater at 2000 Hz than their behavioral thresholds. These results suggest that individuals with neurological insult may appear as hearing impaired or having greater hearing loss than is actually present. As a result, the ASSR may demonstrate the potential to assist in the detection of CANS dysfunction. Las respuestas auditivas de estado estable (ASSR) han ganado atención recientemente con respecto a la estimación de la sensibilidad auditiva y la configuración de la pérdida auditiva. La presente investigación comparó los umbrales conductuales con umbrales estimados por ASSR en sujetos con lesiones CANS confirmadas para determinar si esta población podía ser evaluada con exactitud por medio de técnicas de ASSR. Las comparaciones se realizaron entre el grupo experimental y un grupo control normal ordenados por edad y sensibilidad auditiva. Los umbrales de los ASSR se obtuvieron por medio de frecuencias portadoras de 500 y 2000 Hz, con una tasa de modulación de 46 Hz y se compararon con los umbrales conductuales. Se realizaron comparaciones entre los grupos y dentro de un mismo grupo. El grupo de control mostró una fuerte correlación entre sus umbrales conductuales y los estimados por ASSR, que contrastó significativamente con el grupo neurológico. Adicionalmente, los individuos con un trastorno neurológico de CANS exhibieron umbrales elevados que fueron en promedio 24 dB más alto en 2000 Hz que sus umbrales conductuales. Estos resultados sugieren que los individuos con alteraciones neurológicas pueden lucir como alterados auditivamente o teniendo una pérdida auditiva mayor de la realidad. Como resultados, los ASSR puede demostrar el potencial para ayudar en la detección de la disfunción por CANS.

scholarly journals An integrative approach for pediatric auditory neuropathy spectrum disorders: revisiting etiologies and exploring the prognostic utility of auditory steady-state response

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Pei-Hsuan Lin ◽  
Chuan-Jen Hsu ◽  
Yin-Hung Lin ◽  
Yi-Hsin Lin ◽  
Shu-Yu Yang ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Steady State ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Auditory Neuropathy ◽  
Steady State Response ◽  
Distortion Product ◽  
State Response ◽  
Behavioral Thresholds ◽  
Auditory Steady State Response

Abstract Auditory neuropathy is an important entity in childhood sensorineural hearing loss. Due to diverse etiologies and clinical features, the management is often challenging. This study used an integrative patient-history, audiologic, genetic, and imaging-based approach to investigate the etiologies and audiologic features of 101 children with auditory neuropathy. Etiologically, 48 (47.5%), 16 (15.8%), 11 (10.9%), and 26 (25.7%) children were categorized as having acquired, genetic, cochlear nerve deficiency-related, and indefinite auditory neuropathy, respectively. The most common causes of acquired and genetic auditory neuropathy were prematurity and OTOF mutations, respectively. Patients with acquired auditory neuropathy presented hearing loss earlier (odds ratio, 10.2; 95% confidence interval, 2.2–47.4), whereas patients with genetic auditory neuropathy had higher presence rate of distortion product otoacoustic emissions (odds ratio, 10.7; 95% confidence interval, 1.3–85.4). In patients with different etiologies or pathological sites, moderate to strong correlations (Pearson’s r = 0.51–0.83) were observed between behavioral thresholds and auditory steady-state response thresholds. In conclusion, comprehensive assessments can provide etiological clues in ~75% of the children with auditory neuropathy. Different etiologies are associated with different audiologic features, and auditory steady-state responses might serve as an objective measure for estimating behavioral thresholds.

scholarly journals Measurement of Thresholds Using Auditory Steady-State Response and Cochlear Microphonics in Children with Auditory Neuropathy

2019 ◽  
Vol 30 (08) ◽  
pp. 672-676 ◽  
Author(s):  
Ping Lu ◽  
Yue Huang ◽  
Wen-Xia Chen ◽  
Wen Jiang ◽  
Ni-Yi Hua ◽  
...  
Keyword(s):  
Steady State ◽  
Normal Hearing ◽  
Auditory Neuropathy ◽  
High Signal ◽  
Steady State Response ◽  
Cochlear Microphonics ◽  
Behavioral Threshold ◽  
State Response ◽  
Auditory Steady State Response ◽  
The Difference

AbstractThe detection of precise hearing thresholds in infants and children with auditory neuropathy (AN) is challenging with current objective methods, especially in those younger than six months of age.The aim of this study was to compare the thresholds using auditory steady-state response (ASSR) and cochlear microphonics (CM) in children with AN and children with normal hearing.The thresholds of CM, ASSR, and visual reinforcement audiometry (VRA) tests were recorded; the ASSR and VRA frequencies used were 250, 500, 1000, 2000, and 4000 Hz.The participants in this study were 15 children with AN (27 ears) (1–7.6 years, median age 4.1 years) and ten children with normal hearing (20 ears) (1–8 years, median age four years).The thresholds of the three methods were compared, and histograms were used to represent frequency distributions of threshold differences obtained from the three methods.In children with normal hearing, the average CM thresholds (84.5 dB) were significantly higher than the VRA thresholds (10.0–10.8 dB); in children with AN, both CM and VRA responses were seen at high signal levels (88.9 dB and 70.6–103.4 dB, respectively). In normal children, the difference between mean VRA and ASSR thresholds ranged from 17.5 to 30.3 dB, which was significantly smaller than the difference seen between the mean CM and VRA thresholds (71.5–72.3 dB). The correlation between VRA and ASSR in children with normal hearing ranged from 0.38 to 0.48, whereas no such correlation was seen in children with AN at any frequency (0.03–0.19).Our results indicated that ASSR and CM were poor predictors of the conventional behavioral threshold in children with AN.

Relationship between loudness growth function and auditory steady-state response in normal-hearing subjects

2008 ◽  
Vol 235 (1-2) ◽  
pp. 105-113 ◽  
Author(s):  
Mikaël Ménard ◽  
Stéphane Gallégo ◽  
Christian Berger-Vachon ◽  
Lionel Collet ◽  
Hung Thai-Van
Keyword(s):  
Steady State ◽  
Growth Function ◽  
Normal Hearing ◽  
Steady State Response ◽  
State Response ◽  
Auditory Steady State Response ◽  
Loudness Growth
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