Abstract:
BACKGROUND:The acoustic stapedial reflex (ASR) test provides useful information about the function of the auditory system. While it is frequently used with adults and children in a clinical setting, its use with young infants is limited. Presently, there are few data for neonates and inadequate research into the test-retest reliability of the ASR test. PURPOSE:This study aimed to establish normative data and evaluate the test-retest reliability of the ASR test in healthy neonates. RESEARCH DESIGN:A cross-sectional experimental design was used to establish ASR normative data and assess the test-retest reliability of ASR thresholds obtained from healthy neonates. STUDY SAMPLE:Sixty-eight full-term neonates with mean chronological age of 2.5 days (SD = 1.8 day), who passed the automated auditory brainstem response, transient evoked otoacoustic emission, and high frequency (1 kHz) tympanometry (HFT) tests. DATA COLLECTION AND ANALYSIS:One randomly selected ear from each neonate was tested using TEOAE (transient evoked otoacoustic emission), HFT, and ASR tests using a 1 kHz probe tone. ASR thresholds were elicited by presenting pure tones of 0.5, 2, and 4 kHz and broadband noise (BBN) separately to the test ear in an ipsilateral stimulation mode. The ASR procedure was repeated to acquire retest data within the same testing session. Descriptive statistics, χ2, and analysis of variance with repeated measures tests were used to analyze ASR data. RESULTS:All neonates exhibited ASR when stimulated by tonal stimuli or BBN. The mean ASRTs (acoustic stapedial reflex thresholds) for the 0.5, 2, and 4 kHz tones were 81.6 ± 7.9, 71.3 ± 7.9, and 65.4 ± 8.7 dB HL, respectively. The mean ASRT for the BBN was estimated to be smaller than 57.2 dB HL, given the limitation of the equipment. The 95th percentiles of the ASRT were 95, 85, 80, and 75 dB HL for the 0.5, 2, and 4 kHz and BBN, respectively. The test-retest reliability of the ASR test for all stimuli was high, with no significant difference in mean ASRTs across the test and retest conditions. Test-retest differences were within 10 dB for more than 91% of ASRT data across all stimuli. There was a slight trend of ASRTs being more repeatable in the medium ASRT range than in the higher or lower range. CONCLUSIONS:This study demonstrated that ASRTs obtained from healthy neonates were highly repeatable across test and retest sessions. Given the availability of normative data and the high test-retest reliability, the ASR test will be useful as a diagnostic tool in a battery of tests to evaluate the auditory function of neonates.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Kei Jdoi
10.3766/jaaa.23.1.5subject
Has Abstractpub_date
2012-01-01 00:00:00pages
46-56issue
1eissn
1050-0545issn
2157-3107journal_volume
23pub_type
临床试验,杂志文章abstract::Thirty-six parents of 106 children (34% response rate) born between March 2000 and February 2003 retrospectively completed the "Probe of Parents' Perceptions: An Early Hearing Detection and Intervention (EHDI) Outcome Measure" (PPP) assessing their participation in an emerging community-based newborn hearing screening...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,多中心研究
doi:10.3766/jaaa.17.3.6
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:The multiple auditory steady-state response (multiple ASSR) is a promising technique for determining thresholds for infants and children. However, there are few data for infants and young children with hearing loss where multiple-ASSR thresholds have been compared to frequency-specific gold standard (i.e., b...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.8.5
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Passive electrophysiological protocols, such as the middle latency response and speech auditory brainstem response, are often advocated in the objective assessment of central auditory processing disorder (CAPD). However, few established electrophysiological protocols exist for CAPD assessment that have patie...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.17047
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Complex working memory (WM) span tasks have been shown to predict speech-in-noise (SIN) recognition. Studies of complex WM span tasks suggest that, rather than indexing a single cognitive process, performance on such tasks may be governed by separate cognitive subprocesses embedded within WM. Previous resear...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.10.6
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Sentence understanding scores for patients with cochlear implants (CIs) when tested in quiet are relatively high. However, sentence understanding scores for patients with CIs plummet with the addition of noise. PURPOSE:To assess, for patients with CIs (MED-EL), (1) the value to speech understanding of two n...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16126
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Sloping hearing loss imposes limits on audibility for high-frequency sounds in many hearing aid users. Signal processing algorithms that shift high-frequency sounds to lower frequencies have been introduced in hearing aids to address this challenge by improving audibility of high-frequency sounds. PURPOSE:T...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.16157
更新日期:2017-10-01 00:00:00
abstract::The acoustic otoscope, originally called the acoustic reflectometer, was developed and produced by John and David Teele in the early 1980s. Since initial production, two different instrument versions have been developed by two separate companies. During the period of time in which the acoustic otoscope has been in pro...
journal_title:Journal of the American Academy of Audiology
pub_type: 历史文章,杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract::In recent years, we have observed causes of congenital or early onset hearing disorders that had not been recognized or known to exist before. These include drugs passed to an as-yet unborn child. Principal among them is alcohol, but others, such as cocaine, are now also occupying our attention. This article reviews t...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:There is broad consensus that screening and diagnosis of permanent hearing loss in children must be embedded within a comprehensive, evidence-based, family-centered intervention program. Clinical practice guidelines (CPGs) for pediatric hearing assessment and hearing aid verification aim to reduce variabilit...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15064
更新日期:2016-03-01 00:00:00
abstract::Loudness discomfort levels (LDLs) were measured in dB HL and SPL at discrete frequencies between 500 to 4000 Hz on 31 hearing-impaired ears using TDH-50P and ER-3A earphones. The results revealed no significant differences in the measured sound pressure level (SPL) between the two earphones at all test frequencies. Ho...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract::Auditory brainstem responses were measured in response to 1000-Hz tone bursts from 115 patients with sensorineural hearing loss, presumably of cochlear origin. Mean wave V latencies and variability were comparable to those observed in normal hearing subjects for similar stimuli. The range of interaural differences in ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::This paper describes the listening habits and musical enjoyment of postlingually deafened adults who use cochlear implants. Sixty-five implant recipients (35 females, 30 males) participated in a survey containing questions about musical background, prior involvement in music, and audiologic success with the implant in...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Prior to undergoing vestibular function testing, it is not uncommon for clinicians to request that patients abstain from caffeine 24 hr prior to the administration of the tests. However, there is little evidence that caffeine affects vestibular function. PURPOSE:To evaluate whether the results from two test...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.3.5
更新日期:2014-03-01 00:00:00
abstract:PURPOSE:The purpose was to assess the proportion of patients seeking help for tinnitus and/or hyperacusis who have severe hyperacusis and to examine factors associated with severe hyperacusis. RESEARCH DESIGN:This was a retrospective cross-sectional study based on 362 consecutive patients who attended a National Healt...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.17015
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Previous research has shown that hearing aid wearers can successfully self-train their instruments' gain-frequency response and compression parameters in everyday situations. Combining hearing aids with a smartphone introduces additional computing power, memory, and a graphical user interface that may enable...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15099
更新日期:2016-10-01 00:00:00
abstract::The Fusion at Inferred Threshold (FIT) test is a clinically useful procedure for assessing air-conduction pure-tone thresholds in any ear that may not be tested by conventional procedures with masking. It has not been widely reported in the literature. This article describes the FIT test procedure and provides four ca...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract::This study describes audiologic methodology and results for evaluating potential ototoxicity in a phase I clinical trial of a new glycopeptide. This study was conducted under good clinical practices, which are regulated by the US Food and Drug Administration (FDA) (21 Code of Federal Regulations), and input from the F...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:In Sweden, there is a lack of evidence-based rehabilitation programs for hearing loss. The Active Communication Education program (ACE) has successfully been used in Australia and was translated and evaluated in a Swedish pilot study. The pilot study included 23 participants (age 87 yr). No statistically sig...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.9.7
更新日期:2014-10-01 00:00:00
abstract::The central auditory test results for three normal-hearing children who were initially diagnosed as having a central auditory processing disorder and learning disability are presented. They were referred to the authors for second-opinion consultations. Central auditory processing retesting was performed by the authors...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:Difficulty understanding speech in background noise is a common complaint of individuals with sensorineural hearing loss. Recent animal studies suggest this difficulty may be due, in part, to spiral ganglion cell degeneration related to aging or noise exposure. Although auditory brainstem response (ABR) thre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.14100
更新日期:2015-05-01 00:00:00
abstract::Turner syndrome is among the more common but less familiar syndromes that include sensorineural hearing loss and middle ear disease. This article provides a review of the syndrome, an illustrative case, and a review of specific issues relevant to audiologic management of patients with Turner syndrome. ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract::A 34-year-old female presented to our clinic with complaints of hearing loss, tinnitus, and severe rotational vertigo. A test battery including complete audiometric testing, auditory brainstem response (ABR) audiometry, electronystagmography (ENG), electrocochleography (ECoG), and dehydration testing was performed. Mo...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-11-01 00:00:00
abstract:BACKGROUND:A deficit in the processing of auditory information may underlie problems in understanding speech in the presence of background noise, degraded speech, and in following spoken instructions. Children with auditory processing disorders are challenged in the classroom because of ambient noise levels and maybe a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.26.4.4
更新日期:2015-04-01 00:00:00
abstract::A Macintosh computer-based audiometer (Virtual 320) was evaluated for reliability and validity of high-frequency (8-20 kHz) thresholds by comparison with a well documented laboratory high-frequency evaluation system (PARVA-HF). High-frequency earphones originally provided with the V320 for high-frequency testing requi...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::The masking-level difference (MLD) was investigated in children aged 3.9 to 9.5 years and in an adult control group in order to examine the development of the MLD with age. A three-alternative forced-choice adaptive tracking procedure was used for all listeners. MLDs were determined for a 500-Hz pure-tone signal prese...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
abstract::The purpose of this article is to report the audiologic and central auditory processing abilities of a 34-year-old male with a right temporal lobe tumor and a history of bilateral tumors of the temporal lobes. The patient was evaluated presurgical re-exploration and again at 2.5 months and 4 months postoperatively. Te...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1998-08-01 00:00:00
abstract::The effects of stimulus rate and gender on the auditory middle latency response (AMLR) waveforms were examined in 20 young adult male and female subjects. Four different repetition rates were presented to subjects (1.1/sec, 4.1/sec, 7.7/ sec, and 11.3/sec). Stimulus repetition rate had a significant effect on Pa laten...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Cochlear implant (CI) recipients experience difficulty understanding speech in noise. Remote-microphone technology that improves the signal-to-noise ratio is recognized as an effective means to improve speech recognition in noise; however, there are no published studies evaluating the potential benefits of a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15005
更新日期:2015-06-01 00:00:00
abstract::Measures of the sound pressure level (SPL) near the eardrum were determined at discrete frequencies between 500 and 4000 Hz on 50 ears using TDH-39P and ER-3A earphones with the attenuator of an audiometer fixed at 90 dB HL. Results revealed significant differences in the measured SPL between the two earphones at all ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract:BACKGROUND:We recently described a research study in which age-related changes in interaural asymmetry were elicited using the N400 of the auditory event-related potentials (AERP) (Davis et al, 2013). The N400 was the primary focus due to its sensitivity to various aspects of semantic processing (Kutas and Hillyard, 19...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.2.8
更新日期:2014-02-01 00:00:00