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.

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.

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: This dissertation, "Test-retest Reliability of Tone-burst Evoked Otoacoustic Emissions" by 陳霞, Har, Chan, 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. DOI: 10.5353/th_b3125100 Subjects: Otoacoustic emissions Auditory evoked response Audiometry, Evoked response

Download or read book Test retest Reliability of Distortion Product Otoacoustic Emissions in the High Frequency Range written by and published by . This book was released on 2002 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: (Uncorrected OCR) 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 IL096 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 mo.

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.

Download or read book Child Anxiety Disorders written by Deborah C. Beidel and published by Routledge. This book was released on 2011-03-01 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood anxiety disorders represent one of the most common psychological disorders found among the general population. They can be serious, distressful, and functionally impairing, so much so that there has been an explosion of interest in their treatment, primarily from pharmacological and cognitive-behavioral perspectives. Addressing these perspectives is the Second Edition of Child Anxiety Disorders. Beidel and Alfano pay close attention to new pharmacological and psychological interventions as well as multi-center trials that compare single and combined treatment modalities. Additionally, they include new case studies, sections on stability of childhood fears and the longitudinal course of anxiety disorders, and a new chapter on sleep and anxiety disorders. Written on the cusp of newly published information and studies, Child Anxiety Disorders is relevant, informative, and indispensible.

Download or read book Tinnitus Retraining Therapy written by Pawel J. Jastreboff and published by Cambridge University Press. This book was released on 2008-10-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tinnitus and oversensitivity to sound are common and hitherto incurable, distressing conditions that affect a substantial number of the population. Pawel Jastreboff's discovery of the mechanisms by which tinnitus and decreased sound tolerance occur has led to a new and effective treatment called Tinnitus Retraining Therapy (TRT). Audiologists, ENT specialists, psychologists and counsellors around the world currently practise this technique, with very high success rates. TRT, the treatment developed by the authors from the model, has already proved to be the most effective and most widely practised worldwide. This book presents a definitive description and justification for the Jastreboff neurophysiological model of tinnitus, outlining the essentials of TRT, reviewing the research literature justifying their claims, and providing an expert critique of other therapeutic practices.

Download or read book Assessment and Management of Central Auditory Processing Disorders in the Educational Setting written by Teri James Bellis and published by Plural Publishing. This book was released on 2011-06-15 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book takes a comprehensive look at the basic principles underlying central auditory processing disorders (CAPD) and the screening, assessment, and management of these disorders in school-age children. It focuses on the practical application of scientific theory in an easy to read, clinically applicable format. It also includes step-by-step assessment tips, normative data, methods of test interpretation, development and implementation of management plans, and integration of central auditory information. Learning and communication profiles are also included to provide a comprehensive picture of CAPD assessment and management.

Download or read book Progressive Tinnitus Management written by James Henry and published by Plural Publishing. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying DVD contains ... "'Managing your tinnitus.'"--P. vi.

Download or read book Hearing written by Stanley A. Gelfand and published by CRC Press. This book was released on 2004-09-28 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: Brimming with more than more than 1700 references, this reader-friendly and extensively revised Fourth Edition will prove invaluable to instructors and students alike-providing a unified approach to the anatomical, physiological, and perceptual aspects of audition with updated chapters on the latest developments in the field.

Download or read book The Auditory Steady State Response written by Rance, Gary and published by Plural Publishing. This book was released on 2008-02-01 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for auditory clinicians and researchers alike, this is the first monograph on this important area of auditory science that traces the international research effort from its origins in the 1970s to the present day. Comprising contributions from experts in a range of disciplines including auditory physiology, engineering, medicine and audiology, the book presents comprehensive and authoritative coverage of the generation and recording of the ASSR and the clinical applications of the response.

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.​

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.

Download or read book Scan C written by Robert W Keith and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

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

Download or read book Cognitive Behavioral Therapy for Tinnitus written by Eldré W. Beukes and published by Plural Publishing. This book was released on 2020-10-28 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many individuals afflicted with tinnitus, the condition causes substantial distress. While there is no known cure for tinnitus, cognitive behavioral therapy (CBT) can offer an effective strategy for managing the symptoms and side effects of chronic tinnitus. Cognitive Behaviorial Therapy for Tinnitus is the first book to provide comprehensive CBT counseling materials specifically developed for the management of tinnitus. This valuable professional book has two primary purposes: to provide clinical guidelines for audiologists who are offering CBT-based counseling for tinnitus and to provide self-help materials for individuals with tinnitus. In addition, these materials may be of interest to researchers developing evidence-based therapies for tinnitus. The book is structured into three sections. Section A provides background information about the theoretical aspects of CBT and some practical tips on how to use this book. Section B provides the CBT counseling, or self-help materials, which can be used by both audiologists and those with tinnitus. Finally, Section C provides some supplementary materials for clinicians that can aid monitoring and engagement of individuals experiencing tinnitus during the course of intervention. Key Features: * The CBT materials contained in this text have been tested in numerous clinical trials across the globe (Australia, Germany, Sweden, United Kingdom, and the United States) both as self-help book chapters and self-help materials delivered via the Internet. * The counseling materials are presented at minimum reading grade level (U.S. 6th grade level) to maximize reader engagement. * The authors of this book have extensive experience in the management of tinnitus, offering useful insights for clinicians and those with tinnitus. * Includes expert advice videos for each chapter to facilitate its adoption to clinical practice.

Download or read book Occupational Hearing Loss written by Robert Thayer Sataloff and published by CRC Press. This book was released on 2006-04-24 with total page 1007 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written in clear and accessible language, Occupational Hearing Loss provides a comprehensive overview of the hazards of occupational noise exposure, causes of hearing loss, testing of hearing, criteria to distinguish occupational hearing loss, and more. This third edition features expanded discussion of topics such as autoimmune inner ear disease and diagnosing occupational hearing loss. It includes new chapters on auditory evoked potentials, sudden sensorineural hearing loss, malignancies of the ear, otologic complications of scuba diving, and hearing in dogs. This text also contains updated and revised material on auditory processing disorders, systemic causes of hearing loss, and more.