Electrically Evoked Stapedial Reflex Threshold: A Procedure.

Objective measures, such as the electrically evoked stapedial reflex threshold (ESRT), are critical components of optimal cochlear implant (CI) programming. Recent data suggest, however, that ESRT measurements are not commonly used by audiologists when programming CIs (Hemmingson & Messersmith, 2017...

Descripción completa

Detalles Bibliográficos
Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 3; no. 9; pp. 4 - 13
Autores principales: Messersmith, Jessica J., Entwisle, Lavin, Stout, Agelia
Formato: algorithm tables/charts tracings Journal Article
Publicado: American Speech-Language-Hearing Association 2018
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134067271&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 134067271
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        2381473X
        KTSD
      jtl: Perspectives of the ASHA Special Interest Groups
      issn: 2381473X
      maglogo: N
    pubinfo:
      dt: 2018
      vid: 3
      iid: 9
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
    artinfo:
      ui:
        134067271
        134067271
        134067271
        10.1044/persp3.SIG9.4
        134067271
      ppf: 4
      ppct: 9
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Electrically Evoked Stapedial Reflex Threshold: A Procedure.
      aug:
        au:
          Messersmith, Jessica J.
          Entwisle, Lavin
          Stout, Agelia
        affil: University of South Dakota, Vermillion, SD
      sug:
        subj:
          Electric Stimulation Methods
          Stapedius Physiology
          Reflex, Acoustic Evaluation
          Auditory Threshold
          Comfort
          Cochlear Implant Programming
          Electric Stimulation Equipment and Supplies
          Audiologists Education
          Deafness Surgery
          Speech Perception
          Deafness Psychosocial Factors
          Loudness Perception
          Ear Physiology
          Acoustic Impedance Tests
      ab: Objective measures, such as the electrically evoked stapedial reflex threshold (ESRT), are critical components of optimal cochlear implant (CI) programming. Recent data suggest, however, that ESRT measurements are not commonly used by audiologists when programming CIs (Hemmingson & Messersmith, 2017). Potential reasons for limited use of these measures may be limited knowledge of the procedure for completing the measures and limited knowledge of how to apply results to programming. Clinically, ESRT is observed as a change in the static admittance of the ear canal in response to electrical stimulation through the CI; this deflection can be observed using the decay setting on an immitance bridge. ESRT is defined as the lowest amount of electrical stimulation that results in a 0.02 deflection from baseline (Gelfand, 2002). ESRT has been found to align closely to behaviorally measured upper comfort levels (e.g., C/M levels in the manufacturer software) and, as such, can assist in determining appropriate C/M levels during programming (Lira de Andrade et al., 2014; Stephan & Welzl-Müller, 2000). The purpose of this article is to describe a procedure for completing and applying ESRT measures, an objective measure that correlates to C/M levels, to CI programming.
      pubtype: Academic Journal
      doctype:
        algorithm
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N