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DOI: 10.1055/a-2036-0510
Comparison of Multifrequency Narrow-Band CE-Chirp and Tone Burst Evoked Cervical Vestibular Evoked Myogenic Potentials

Abstract
Background Cervical vestibular evoked myogenic potentials (cVEMPs) are inhibitory myogenic responses that have commonly been elicited using a variety of stimuli. Yet the comparison of the effects of multifrequency tone bursts and narrow-band Claus Elberling chirps (NB CE-chirps) on cVEMPs has never been studied in homogeneous age groups.
Purpose The present study focused on comparing the effect of multifrequency NB CE-chirps and tone bursts on the various parameters of cVEMP responses in normal-hearing younger adults.
Research Design A within-group study design was applied, and purposive sampling was utilized for the collection of the data sample.
Study Sample The present study involved the elicitation of NB CE-chirp and tone burst–evoked cVEMPs across four-octave frequencies in 25 normal-hearing younger adults.
Results NB CE-chirp and tone burst evoked cVEMPs were found to have a 100% response rate for all frequencies except 4,000 Hz. Across frequencies, P1 and N1 latencies were seen to be significantly shorter for NB CE-chirps than tone bursts at 500 Hz and 1,000 Hz stimulation. No differences were seen in the P1N1 amplitudes and interaural asymmetry ratio between the two stimuli across all four-octave frequencies. Furthermore, we found a significantly higher number of ears tuned to NB CE-chirps than tone bursts at 500 Hz.
Conclusions Comparative differences in the latencies of cVEMP responses between and within stimuli could be due to the variation in stimuli duration. Also, the difference in amplitudes across stimulation frequencies might have resulted due to the predominance of saccular responses at lower mechanical resonance frequencies. Thus, the tuning was also seen at 500 Hz and was relatively higher for NB CE-chirps than tone bursts.
Publikationsverlauf
Eingereicht: 25. Dezember 2022
Angenommen: 10. Februar 2023
Accepted Manuscript online:
15. Februar 2023
Artikel online veröffentlicht:
27. September 2024
© 2024. American Academy of Audiology. This article is published by Thieme.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
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References
- 1 Rauch SD. Vestibular evoked myogenic potentials. Curr Opin Otolaryngol Head Neck Surg 2006; 14 (05) 299-304
- 2 Wu HJ, Shiao AS, Yang YL, Lee GS. Comparison of short tone burst-evoked and click-evoked vestibular myogenic potentials in healthy individuals. J Chin Med Assoc 2007; 70 (04) 159-163
- 3 Colebatch JG, Halmagyi GM, Skuse NF. Myogenic potentials generated by a click-evoked vestibulocollic reflex. J Neurol Neurosurg Psychiatry 1994; 57 (02) 190-197
- 4 Chen G, Zhao X, Yu G, Jian H, Li Y, Xu G. Otolith dysfunction in recurrent benign paroxysmal positional vertigo after mild traumatic brain injury. Acta Otolaryngol 2019; 139 (01) 18-21
- 5 El-Badry MM, Gamal R, Fawzy A. Evaluation of saccular and inferior vestibular nerve function in children with auditory neuropathy spectrum disorder. Eur Arch Otorhinolaryngol 2018; 275 (12) 2925-2931
- 6 Ogawa Y, Otsuka K, Inagaki T. et al. Comparison of cervical vestibular evoked potentials evoked by air-conducted sound and bone-conducted vibration in vestibular Schwannoma patients. Acta Otolaryngol 2018; 138 (10) 898-903
- 7 Meyer N, Vinck B, Heinze B. cVEMPs: a systematic review and meta-analysis. Int J Audiol 2015; 54 (03) 143-151
- 8 Ocal FCA, Karacayli C, Coban VK, Satar B. Can narrow band chirp stimulus shake the throne of 500 Hz tone burst stimulus for cervical vestibular myogenic potentials?. J Audiol Otol 2021; 25 (02) 98-103
- 9 Akin FW, Murnane OD. Vestibular evoked myogenic potentials: preliminary report. J Am Acad Audiol 2001; 12 (09) 445-452 , quiz 491
- 10 Viciana D, Lopez-Escamez JA. Short tone bursts are better than clicks for cervical vestibular-evoked myogenic potentials in clinical practice. Eur Arch Otorhinolaryngol 2012; 269 (07) 1857-1863
- 11 Isaradisaikul S, Navacharoen N, Hanprasertpong C, Kangsanarak J. Cervical vestibular-evoked myogenic potentials: norms and protocols. Int J Otolaryngol 2012; 2012: 913515
- 12 Elberling C, Don M. A direct approach for the design of chirp stimuli used for the recording of auditory brainstem responses. J Acoust Soc Am 2010; 128 (05) 2955-2964
- 13 Rodrigues GR, Ramos N, Lewis DR. Comparing auditory brainstem responses (ABRs) to toneburst and narrow band CE-chirp in young infants. Int J Pediatr Otorhinolaryngol 2013; 77 (09) 1555-1560
- 14 Mat Q, Deggouj N, Duterme JP, Tainmont S, Lelubre C, Manto M. Using narrow band CE-chirps to elicit cervical vestibular evoked myogenic potentials. Ear Hear 2022; 43 (03) 941-948
- 15 Reddy TM, Heinze B, Biagio-de Jager L, Maes L. Cervical and ocular vestibular evoked myogenic potential: a comparison of narrowband chirp, broadband chirp, tone burst and click stimulation. Int J Audiol 2022; 25: 1-8
- 16 Lodha V, Neupane AK. Multifrequency narrowband chirp evoked cervical vestibular myogenic potentials: evaluation of responses in normal-hearing young adults. Am J Audiol 2022; 31 (04) 1191-1201
- 17 Piker EG, Jacobson GP, Burkard RF, McCaslin DL, Hood LJ. Effects of age on the tuning of the cVEMP and oVEMP. Ear Hear 2013; 34 (06) e65-e73
- 18 Rodriguez AI, Thomas MLA, Janky KL. Air-conducted vestibular evoked myogenic potential testing in children, adolescents, and young adults: thresholds, frequency tuning, and effects of sound exposure. Ear Hear 2019; 40 (01) 192-203
- 19 Basta D, Todt I, Ernst A. Characterization of age-related changes in vestibular evoked myogenic potentials. J Vestib Res 2007; 17 (2-3): 93-98
- 20 Jongkees LBW, Maas JPM, Philipszoon AJ. Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo. Pract Otorhinolaryngol (Basel) 1962; 24 (02) 65-93
- 21 Sandhu JS, Low R, Rea PA, Saunders NC. Altered frequency dynamics of cervical and ocular vestibular evoked myogenic potentials in patients with Ménière's disease. Otol Neurotol 2012; 33 (03) 444-449
- 22 Akin FW, Murnane OD, Proffitt TM. The effects of click and tone-burst stimulus parameters on the vestibular evoked myogenic potential (VEMP). J Am Acad Audiol 2003; 14 (09) 500-509 , quiz 534–535
- 23 Özdek A, Bayır O, Tatar EÇ, Korkmaz MH. Comparison of tone burst versus logon stimulation for vestibular evoked myogenic potentials. Eur Arch Otorhinolaryngol 2012; 269 (05) 1425-1429
- 24 Wang BC, Liang Y, Liu XL. et al. Comparison of chirp versus click and tone pip stimulation for cervical vestibular evoked myogenic potentials. Eur Arch Otorhinolaryngol 2014; 271 (12) 3139-3146
- 25 Shore SE, Nuttall AL. High-synchrony cochlear compound action potentials evoked by rising frequency-swept tone bursts. J Acoust Soc Am 1985; 78 (04) 1286-1295
- 26 Özgür A, Çelebi Erdivanlı Ö, Özergin Coşkun Z. et al. Comparison of tone burst, click and chirp stimulation in vestibular evoked myogenic potential testing in healthy people. J Int Adv Otol 2015; 11 (01) 33-35
- 27 McCaslin DL, Fowler A, Jacobson GP. Amplitude normalization reduces cervical vestibular evoked myogenic potential (cVEMP) amplitude asymmetries in normal subjects: proof of concept. J Am Acad Audiol 2014; 25 (03) 268-277
- 28 Interacoustics. Additional Information Eclipse. D-0120572 – B -- 2019/03. 2019: 239
- 29 Singh NK, Apeksha K. The effect of rise/fall time of 500 Hz short tone bursts on cervical vestibular evoked myogenic potential. J Vestib Res 2014; 24 (01) 25-31
- 30 Park HJ, Lee IS, Shin JE, Lee YJ, Park MS. Frequency-tuning characteristics of cervical and ocular vestibular evoked myogenic potentials induced by air-conducted tone bursts. Clin Neurophysiol 2010; 121 (01) 85-89