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Book Test Retest Reliability of Tone Burst Evoked Otoacoustic Emissions

Download or read book Test Retest Reliability of Tone Burst Evoked Otoacoustic Emissions written by 陳霞 and published by . This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Test Retest Reliability of Distortion Product Otoacoustic Emissions in the High Frequency Range

Download or read book Test Retest Reliability of Distortion Product Otoacoustic Emissions in the High Frequency Range written by Hoi-Yee Iris Ng and published by . This book was released on 2017-01-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Test-retest Reliability of Distortion Product Otoacoustic Emissions in the High Frequency Range" by Hoi-yee, Iris, Ng, 伍凱怡, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Abstract of dissertation entitled Test-retest Reliability of Distortion Product Otoacoustic Emissions in the High Frequency Range submitted by NG, Hoi-Yee Iris for the degree of Master of Science in Audiology at the University of Hong Kong in May 2002 In the current research study, distortion product otoacoustic emissions (DPOAEs) were measured in 35 young Chinese adults (61 ears) with normal audiometric thresholds using an ILO96 OAE system with the default DP-gram protocols as well as user-defined DP spectrum protocols in the high frequency range. Two series of retest were conducted 20 minutes and an average of 15 days later, and the resolution setting for the DP-gram measurements was varied between 1 to 8 points per octave in each test series. Transient evoked otoacoustic emissions (TEOAEs) were also recorded in each test series for comparison purposes. Test-retest partial correlation and standard error of measurement (SEM) were computed to reflect the test-retest reliability of the OAE amplitudes, noise floor and signal-to-noise ratio. Results suggested that OAE amplitudes in the default frequency range (1 to 6 kHz) between test and retest were highly correlated with an average correlation coefficient of 0.85 and SEM was found to be an average of 2.4 dB, while signal-to-noise ratio and noise floor yielded lower correlation coefficients and higher SEMs. OAE amplitudes in the higher frequency range of 6.5 to 7 kHz were also significantly correlated between test and retest (correlation coefficient ranged from 0.74 to 0.80) with SEM from 2.7 to 3.5 dB. Yet DPOAEs at 8 kHz were present with a positive signal-to-noise ratio in only one-third of ears, were less test-retest correlated, and the amplitude revealed a high SEM of 5 dB. No apparent difference was demonstrated among various resolution settings and between short- and long- term retest. This implies that DPOAEs in the high frequency range (6.5 to 7 kHz) could be a potential clinical tool for monitoring cochlear functioning in cases such as exposure to ototoxic medication or noise. vii DOI: 10.5353/th_b2701474 Subjects: Otoacoustic emissions Hearing - Measurement

Book Establishing the Test Retest Reliability of Contralateral Auditory Suppression of Transient Evoked Otoacoustic Emissions in a Cohort of Healthy Individuals

Download or read book Establishing the Test Retest Reliability of Contralateral Auditory Suppression of Transient Evoked Otoacoustic Emissions in a Cohort of Healthy Individuals written by Indika Pradeepa Kumari Gunasena Mahawattage and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In clinical practice, Transient Evoked Otoacoustic Emissions (TEOAE) are used to assess hearing impairments in several cohorts. The TEOAE can be evoked in healthy cochlea by presenting a brief auditory stimulus in the form of a series of clicks. Similarly, TEOAE signals can be suppressed in the ipsilateral ear by presenting an alternative sound to the contralateral ear through stimulation of either the medial olivo-cochlear (MOC) reflex or acoustic reflex (AR). The suppression effect results from either due to attenuation of the otoacoustic emissions generation through the activation of MOC reflex or due to the obliteration of their transmission by the activation of middle ear muscle reflex (acoustic reflex). In individuals that suffer from brain injury, such as a concussion, the neuronal pathways that enable CASTEOAE may be disturbed which in turn will restrict the ability to generate TEOAEs and to invoke the contralateral suppression effect. Moreover, since a person performing the test cannot manipulate TEOAE signals, the technique could provide an objective measure of concussion status and severity. The following study was designed to measure the test-retest reliability of the CASTEOAE as a first step in establishing the CASTEOAE phenomenon as an evaluation tool for concussion assessment. A convenience sample of 30 healthy individuals, 16-50 years of age completed the CASTEOAE test on two separate occasions, using a 14-day between test interval. The MOC reflex was activated using broadband noise of 60 dB SPL while the Acoustic Reflex was elicited by presenting a broadband noise of 80 dB SPL to the contralateral ear. The OAE amplitudes were recorded across 5 half octave bands in each ear. The test-retest reliability was estimated with the intraclass correlation coefficient procedure using a one-way random effects model for n=30, k (trials)=2. Confidence intervals for the Intraclass Correlation Coefficients (ICCs) and measures of homogeneity of variance were also calculated for each condition. The reliability estimates for CASTEOAE test scores were calculated for TEOAE scores with and without contralateral suppression (Primary measures) of the MOC reflex and separately for the acoustic reflex. The ICCs of the total OAE responses for both MOC reflex and acoustic reflex demonstrated as high as 0.9 in both ears and the ICCs of the fractional octave band for the MOC reflex ranged from 0.6 (left ear @1000 Hz) to 0.95 (right ear @ 4000 Hz), and 0.75 (left ear @1000 Hz) to 0.97 (right ear @ 4000 Hz) for the AR. This data suggests that the MOC and AR reflexes were each significantly repeatable upon test and retest in the sample. In addition, CASTEOAE suppression of the acoustic reflex was greater than MOC reflex suppression; and each participant showed unique TEOAE distribution pattern across the 5 half octave frequency bands, which were consistent over time. The results support the use of the CASTEOAE test as a reliable non-invasive approach to evaluate the functional status of the auditory efferent system and its neural connections with the rest of the brain and the use of this stable and objective measure as a clinical tool to assess a concussion injury.

Book ESTABLISHING THE TEST RETEST RELIABILITY OF CONTRALATERAL AUDITORY SUPPRESSION OF TRANSIENT EVOKED OTO ACOUSTIC EMISSIONS IN A COHORT OF NORMAL HEALTHY INDIVIDUALS FOR THE PURPOSE OF DEVELOPING AN EVALUATION TOOL FOR CONCUSSION

Download or read book ESTABLISHING THE TEST RETEST RELIABILITY OF CONTRALATERAL AUDITORY SUPPRESSION OF TRANSIENT EVOKED OTO ACOUSTIC EMISSIONS IN A COHORT OF NORMAL HEALTHY INDIVIDUALS FOR THE PURPOSE OF DEVELOPING AN EVALUATION TOOL FOR CONCUSSION written by Indika Mahawattage and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In clinical practice, transient evoked otoacoustic emissions (TEOAE) are used to assess hearing impairments in several cohorts. The TEOAE can be evoked in healthy cochlea by presenting a brief auditory stimulus in the form of a series of clicks. Similarly, TEOAE signals can be suppressed in the ipsilateral ear by presenting an alternative sound to the contralateral ear through stimulation of either the medial olivo-cochlear (MOC) reflex or acoustic reflex (AR). The suppression effect results from either due to attenuation of the otoacoustic emissions generation by the cochlear outer hair cells through the activation of MOC reflex or due to the obliteration of their transmission by the activation of middle ear muscle reflex (Acoustic Reflex). In individuals that suffer a brain injury, such as a concussion, the neuronal pathways that enable CASTEOAE may be disturbed which in turn will restrict the ability to invoke the contralateral suppression effect. Moreover, since a person performing the test cannot manipulate TEOAE signals, the technique could provide an objective measure of concussion status and severity.The following study was designed to measure the test-retest reliability of the CASTEOAE as a first step in establishing the CASTEOAE phenomenon as an evaluation tool for concussion assessment. A convenience sample of 30 healthy individuals, 16-50 years of age completed the CASTEOAE test on two separate occasions, using a 14-day between test interval. The MOC reflex was activated using broadband noise of 60 dB SPL while the Acoustic Reflex was elicited by presenting a broadband noise of 80 dB SPL to the contralateral ear. The OAE amplitudes were recorded across 5 half octave bands in each ear. Test-retest reliability was estimated with the intraclass correlation coefficient procedure using a one-way random effects model for n=30, k (trials)=2. Confidence intervals for the intraclass correlation coefficients (ICCs) and measures of homogeneity of variance were also calculated for each condition. Reliability estimates for CASTEOAE test scores were calculated for the TEOAE scores with and without contralateral suppression (Primary measures) of the MOC reflex and separately for the Acoustic Reflex. ICCs of the Total OAE responses for both MOC reflex and Acoustic reflex demonstrated as high as 0.9 in both ears and the ICCs of the fractional octave band for the MOC reflex ranged from 0.6 (left ear @1000 Hz) to 0.95 (right ear @ 4000 Hz), and 0.75 (left ear @1000 Hz) to 0.97 (right ear @ 4000 Hz) for the AR. These data suggest that the MOC and AR reflexes were each significantly repeatable upon test and retest in the sample. In addition, CASTEOAE test suppression of the acoustic reflex was greater than MOC reflex suppression; and each participant showed unique TEOAE distribution patterns across the 5 frequency half octave bands, which were consistent over time. The results support the use of the CASTEOAE test as a reliable non-invasive approach to evaluate the functional status of the auditory efferent system and its neural connections with the rest of the brain and the use of this stable and objective measure as a clinical tool to assess a concussion injury.

Book Spectral and Temporal Characteristics of Tone burst Evoked Otoacoustic Emissions

Download or read book Spectral and Temporal Characteristics of Tone burst Evoked Otoacoustic Emissions written by Roger Warwick Winton and published by . This book was released on 1993 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Using Swept Tones to Evoke Stimulus Frequency Otoacoustic Emissions with In situ Calibration

Download or read book Using Swept Tones to Evoke Stimulus Frequency Otoacoustic Emissions with In situ Calibration written by Shixiong Chen and published by . This book was released on 2012 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Otoacoustic emissions (OAEs) are soft sounds generated by the inner ear and can be recorded within the ear canal. Since OAEs can reflect the functional status of the inner ear, OAE measurements have been widely used for hearing loss screening in the clinic. However, there are limitations in current clinical OAE measurements, such as the restricted frequency range, low efficiency and inaccurate calibration. In this dissertation project, a new method of OAE measurement which used a swept tone to evoke the stimulus frequency OAEs (SFOAEs) was developed to overcome the limitations of current methods. In addition, an in-situ calibration was applied to equalize the spectral level of the swept-tone stimulus at the tympanic membrane (TM). With this method, SFOAEs could be recorded with high resolution over a wide frequency range within one or two minutes. Two experiments were conducted to verify the accuracy of the in-situ calibration and to test the performance of the swept-tone SFOAEs. In experiment I, the calibration of the TM sound pressure was verified in both acoustic cavities and real ears by using a second probe microphone. In addition, the benefits of the in-situ calibration were investigated by measuring OAEs under different calibration conditions. Results showed that the TM pressure could be predicted correctly, and the in-situ calibration provided the most reliable results in OAE measurements. In experiment II, a three-interval paradigm with a tracking-filter technique was used to record the swept-tone SFOAEs in 20 normal-hearing subjects. The test-retest reliability of the swept-tone SFOAEs was examined using a repeated-measure design under various stimulus levels and durations. The accuracy of the swept-tone method was evaluated by comparisons with a standard method using discrete pure tones. Results showed that SFOAEs could be reliably and accurately measured with the swept-tone method. Comparing with the pure-tone approach, the swept-tone method showed significantly improved efficiency. The swept-tone SFOAEs with in-situ calibration may be an alternative of current clinical OAE measurements for more detailed evaluation of inner ear function and accurate diagnosis.

Book Test retest Reliability of Distortion Product Otoacoustic Emissions

Download or read book Test retest Reliability of Distortion Product Otoacoustic Emissions written by David Martin Pfingstgraef and published by . This book was released on 1993 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Test retest Reliability of Distortion Product Otoacoustic Emission Threshold Levels and the Effects of Recording Parameters

Download or read book Test retest Reliability of Distortion Product Otoacoustic Emission Threshold Levels and the Effects of Recording Parameters written by Jeffrey W. Switzer and published by . This book was released on 1995 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Test retest Reliability of Input output Function Distortion Product Otoacoustic Emissions

Download or read book Test retest Reliability of Input output Function Distortion Product Otoacoustic Emissions written by Catherine G. Miller and published by . This book was released on 1998 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Hearing Loss

    Book Details:
  • Author : National Research Council
  • Publisher : National Academies Press
  • Release : 2004-12-17
  • ISBN : 0309092965
  • Pages : 321 pages

Download or read book Hearing Loss written by National Research Council and published by National Academies Press. This book was released on 2004-12-17 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.

Book DPOAEs Test retest Reliability with Varying L1 L2 Ratios in Normal Hearing Individuals

Download or read book DPOAEs Test retest Reliability with Varying L1 L2 Ratios in Normal Hearing Individuals written by Koren R. Wasilka and published by . This book was released on 1999 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: The reliability of distortion product otoacoustic emissions (DPOAEs) using various stimulus intensity levels was evaluated on the ears of 30 young adult volunteers with normal hearing and normal middle ear function. The purpose was to determine if test-retest reliability of DPOAEs varies on individuals with normal hearing when two test parameters, intensity level and L1/L2 ratio, are changed.

Book Suppression of Otoacoustic Emissions Evoked by Simultaneously Presented Tone Bursts

Download or read book Suppression of Otoacoustic Emissions Evoked by Simultaneously Presented Tone Bursts written by Edward Charles Killan and published by . This book was released on 2013 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Otoacoustic Emissions

    Book Details:
  • Author : Martin S. Robinette
  • Publisher : Thieme
  • Release : 2011-01-01
  • ISBN : 1604066296
  • Pages : 468 pages

Download or read book Otoacoustic Emissions written by Martin S. Robinette and published by Thieme. This book was released on 2011-01-01 with total page 468 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new edition of a best-selling text with a CD-ROM by Dr. David Kemp The new edition of the best-selling Otoacoustic Emissions: Clinical Applications provides a thorough review of the complex physiology of the ear and clinical applications of the latest research on otoacoustic emissions. The book features new chapters on such important topics as middle ear function enhanced by reflectance measurements and the use of otoacoustic emissions as a preclinical measure of susceptibility to hearing loss. Accompanying the book is a CD-ROM developed by Dr. David Kemp, Ph.D., which contains animations, movies, and interviews. The CD-ROM serves as an indispensable aid to both teaching and reviewing key concepts. From physiological phenomena to diagnostic and clinical applications, this book is a complete reference on otoacoustic emissions that will provide graduates in audiology and residents in otolaryngology and otology with all the essential information needed for research and professional practice.