Towards improved measurements of bone conduction auditory brainstem responses in infants and adults: mitigation of stimulus artefact.

Objective: To reduce the amplitude of stimulus artefacts present in bone conduction auditory brainstem response (BC ABR) measurements. Design: Electromagnetic shielding was applied to the surface of a clinical BC transducer. A foam pad was also placed on the shielded mastoid-contacting plate of the...

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Publicado en:International Journal of Audiology Vol. 64; no. 10; pp. 1055 - 1063
Autores principales: Hunsaker, Aoi A., Uhler, Kristin M., Walker, Kerry A., Greene, Nathaniel T., Brown, Andrew D.
Formato: research tables/charts tracings Journal Article
Publicado: Taylor & Francis Ltd Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Taylor & Francis Ltd
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        10.1080/14992027.2025.2465767
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        atl: Towards improved measurements of bone conduction auditory brainstem responses in infants and adults: mitigation of stimulus artefact.
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        au:
          Hunsaker, Aoi A.
          Uhler, Kristin M.
          Walker, Kerry A.
          Greene, Nathaniel T.
          Brown, Andrew D.
        affil: Department of Speech & Hearing Sciences, University of Washington, Seattle, WA, USA
      sug:
        subj:
          Hearing Loss, Sensorineural Diagnosis
          Audiometry Methods
          Audiometry Methods
          Evoked Potentials, Auditory, Brainstem
          Bone Conduction Equipment and Supplies
          Artifacts
          Quality Improvement
          Human
          Funding Source
          Electromagnetics
          Transducers
          Electrophysiology
          Descriptive Statistics
          Paired T-Tests
          Wilcoxon Signed Rank Test
          Fisher's Exact Test
          Child
          Adult
          Child: 6-12 years
          Adult: 19-44 years
      ab: Objective: To reduce the amplitude of stimulus artefacts present in bone conduction auditory brainstem response (BC ABR) measurements. Design: Electromagnetic shielding was applied to the surface of a clinical BC transducer. A foam pad was also placed on the shielded mastoid-contacting plate of the transducer. Acoustic impacts of these modifications were evaluated using an artificial mastoid. Unmodified and modified (shielding with pad) transducers were then used to elicit BC ABRs in adults and infants. Stimulus artefact amplitudes were compared across transducers. Study sample: Six adults (24–42 years old) and 13 typically developing infants (mean age 48.77 days) with no sensorineural hearing loss. Results: Shielding alone slightly decreased acoustic transducer output above approximately 1000 Hz. The addition of a foam pad largely negated this loss, while lower-frequency (500–1000 Hz) acoustic transducer output was slightly increased. The modified transducer produced significantly less stimulus artefact, although variation across subjects was also evident. In a clinical setting, Wave V was detected at similar rates for both transducers. Conclusion: While artefact was not eliminated, direct attenuation of artefact amplitude (versus software-based mitigation strategies) could simplify BC ABR and other evoked potential measurement protocols and support more stringent artefact rejection criteria to yield more informative recordings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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        Journal Article
      ougenre: Article
    language: English
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