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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 Effects of Contralateral Acoustic Stimulation on Transient Evoked Otoacoustic Emissions

Download or read book Effects of Contralateral Acoustic Stimulation on Transient Evoked Otoacoustic Emissions written by Eric David Schramm and published by . This book was released on 1998 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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 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.

Book Effects of Contralateral  Ipsilateral  and Binaural Acoustic Stimulation of Transient Evoked Otoacoustic Emissions in an Aging Population

Download or read book Effects of Contralateral Ipsilateral and Binaural Acoustic Stimulation of Transient Evoked Otoacoustic Emissions in an Aging Population written by Kate Nielson and published by . This book was released on 2000 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Effect of the Auditory Efferents on Acoustic Distortion Products in Human Subjects

Download or read book The Effect of the Auditory Efferents on Acoustic Distortion Products in Human Subjects written by Deirdre Mary Williams and published by . This book was released on 1993 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Cochlea

    Book Details:
  • Author : Peter Dallos
  • Publisher : Springer Science & Business Media
  • Release : 2012-12-06
  • ISBN : 1461207576
  • Pages : 561 pages

Download or read book The Cochlea written by Peter Dallos and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: Knowledge about the structure and function of the inner ear is vital to an understanding of vertebrate hearing. This volume presents a detailed overview of the mammalian cochlea from its anatomy and physiology to its biophysics and biochemistry. The nine review chapters, written by internationally distinguished auditory researchers, provide a detailed and unified introduction to sound processing in the cochlea and the steps by which the ensuing signals are prepared for the central nervous system.

Book Auditory Efferent System  New Insights from Cortex to Cochlea

Download or read book Auditory Efferent System New Insights from Cortex to Cochlea written by Paul H. Delano and published by Frontiers Media SA. This book was released on 2016-09-06 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: The main function of the sensory systems is the transducing of external stimuli into bioelectrical signals, which are conducted through afferent pathways from sensory epithelia to the brain. However, it is known that descending projections are ubiquitous in the different sensory modalities, and in the case of auditory efferents connect the cerebral cortex with sensory receptor cells. Several functions have been attributed to the efferent system, including protection to acoustic trauma, unmasking of auditory stimuli in background noise, balance of interaural sensitivity and some cognitive functions like modulation of cochlear sensitivity during selective attention to auditory or visual stimuli. In addition there is evidence of a possible involvement of the efferent system in the etiology or treatment of some clinical pathologies like tinnitus. In this e-book, entitled “Auditory Efferent System: New Insights from Cortex to Cochlea”, we aimed to give an overview of the advances concerning the descending projections from the auditory cortex to subcortical nuclei and the olivocochlear system. In addition, different theoretical proposals of efferent functions are presented. We think that this e-book is an important contribution to the understanding of the efferent system in mammals, merging auditory-cortex literature with studies performed in the olivocochlear system.

Book The Efferent Auditory System

Download or read book The Efferent Auditory System written by Charles I. Berlin and published by Singular. This book was released on 1999 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: Six studies explore how signals going from the brain to parts of the auditory system helps the system perform a number of functions, including adapting to background noise and allowing transients and other brief stimuli to be properly coded. Studies include discussions of the olivocochlear system and protection from acoustic injury, ontogenetic and evolutionary evidence for the motoneuron nature of vestibular and cochlear efferents, de-recruitment by multiband compression in hearing aids, and clinical applications. The CD contains a brief video of hair cell control and damping.

Book Disorders of Peripheral and Central Auditory Processing

Download or read book Disorders of Peripheral and Central Auditory Processing written by Gastone G. Celesia and published by Elsevier Health Sciences. This book was released on 2013-12-12 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Physiology  Psychoacoustics and Cognition in Normal and Impaired Hearing

Download or read book Physiology Psychoacoustics and Cognition in Normal and Impaired Hearing written by Pim van Dijk and published by Springer. This book was released on 2016-04-14 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​The International Symposium on Hearing is a prestigious, triennial gathering where world-class scientists present and discuss the most recent advances in the field of human and animal hearing research. The 2015 edition will particularly focus on integrative approaches linking physiological, psychophysical and cognitive aspects of normal and impaired hearing. Like previous editions, the proceedings will contain about 50 chapters ranging from basic to applied research, and of interest to neuroscientists, psychologists, audiologists, engineers, otolaryngologists, and artificial intelligence researchers.​

Book Otoacoustic Emissions

    Book Details:
  • Author : Sumitrajit Dhar
  • Publisher : Plural Publishing
  • Release : 2018-03-01
  • ISBN : 194488386X
  • Pages : 313 pages

Download or read book Otoacoustic Emissions written by Sumitrajit Dhar and published by Plural Publishing. This book was released on 2018-03-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Otoacoustic Emissions: Principles, Procedures, and Protocols, Second Edition is a readable yet comprehensive source of information on otoacoustic emissions (OAEs). OAEs now play an important role in hearing screening and the clinical assessment of children and adults. The text begins with a succinct overview of OAEs and a historical description of their discovery and emergence as a clinical tool. Otoacoustic Emissions distills in 10 chapters the latest information on OAEs from basic research to clinical applications. The book is concise, but comprehensive, and covers the essentials of the subject from innovative and up-to-date perspectives. The second edition features updates across all chapters, including current research findings and changing perspectives on OAE taxonomy. Important information is highlighted with new and updated illustrations throughout the book. The material covered in the book is appropriate for intermediate and advanced students, and ideal for practicing audiologists. With a focus on practical information needed by the clinical audiologist and an eye to technological developments, authors Dhar and Hall provide an up-to-date, straightforward, and clinically focused source of information on OAEs.

Book Hearing Science and Hearing Disorders

Download or read book Hearing Science and Hearing Disorders written by M.E. Lutman and published by Academic Press. This book was released on 2014-06-28 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hearing Science and Hearing Disorders focuses on the nature of the processes in the inner ear and the nervous system that mediate hearing. Organized into eight chapters, this book first discusses the nature of speech communication, the extent of hearing problems, and the pathophysiology of hearing. Four core chapters follow, in which four areas of central importance to understanding hearing disorders and their effects are covered. These areas are assessment of auditory function, the scope for technological solutions, the nature of audio-visual speech perception, and the effects of deafness upon speech production. This book will be valuable to students; to academic and professional workers concerned with hearing, speech, and their disorders; and to scientifically or medically literate people in general.

Book Tinnitus  Pathophysiology and Treatment

Download or read book Tinnitus Pathophysiology and Treatment written by Aage R. Moller and published by Elsevier. This book was released on 2007-11-16 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding tinnitus and treating patients with tinnitus must involve many disciplines of basic science and clinical practice. The book provides comprehensive coverage of a wide range of topics related to tinnitus including its pathophysiology, etiology and treatment. The chapters are written by researchers and clinicians who are active in the areas of basic science such as neurophysiology and neuroanatomy and in clinical specialties of psychology, psychiatry, audiology and otolaryngology.* Comprehensive coverage of the pathology and cause of tinnitus including genetics * Hyperacusis, phonophobia and other abnormalities in perception of sounds * The role of neural plasticity in tinnitus