Changes in cochlear function related to acoustic stimulation of cervical vestibular evoked myogenic potential stimulation

Strömberg, Anna-Karin; Olofsson, Åke; Westin, Magnus; Duan, Maoli; Stenfelt, Stefan

doi:10.1016/j.heares.2015.12.022

Cited by 17 publications

(17 citation statements)

References 25 publications

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“…Consistent with Krause et al (2013), Stromberg et al (2016) did not find significant reduction in measurable hearing thresholds after exposure but found a reduction in DPOAE amplitude over a larger range of frequencies. Stromberg et al (2016) found a DPOAE reduction (2.1 dB) following cVEMP evaluation that was equivalent to half the reduction caused by exposure to the maximally allowed occupational noise for an 8-hr work day as reported by Reuter et al (2007) and Aranda de Toro et al (2010). Most recently, Mattingly et al (2015) report a case study of sudden permanent bilateral sensorineural hearing loss after cVEMP and oVEMP testing with stimulation intensities ranging between 128 and 135 dB pSPL.…”

supporting

confidence: 59%

“…Several studies have investigated the potential adverse effects of VEMP testing on cochlear function (Krause et al, 2013;Mattingly et al, 2015;Stromberg et al, 2016). Krause et al (2013) measured cochlear function using distortion product otoacoustic emissions (DPOAE) before and after standard cVEMP testing (500-Hz tone burst, 133 dB SPL, no measurement in peak sound pressure level [pSPL] provided) and audiometry 24 hr following VEMP exposure.…”

mentioning

confidence: 99%

“…While the authors described no significant threshold shifts in the postexposure audiometry, they noted a significant decrease (0.5-3 dB) in DPOAE levels from 4000 to 6000 Hz after exposure, which was greater in those with subjective complaints of hearing symptoms. Stromberg et al (2016) focused their investigation on the effect of repeated low-frequency (500 Hz, 130 dB peSPL) tone-burst cVEMP stimulation by measuring DPOAEs at 750 and 3000 Hz, as well as pre/postexposure audiometry. The authors found a significant reduction in DPOAEs at 750 Hz (0.5-1.35 dB) and at 3000 Hz (1.6-2.1 dB) after exposure.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Safe Use of Acoustic Vestibular-Evoked Myogenic Potential Stimuli: Protocol and Patient-Specific Considerations

Portnuff

Kleindienst

2017

J Am Acad Audiol

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supporting

confidence: 59%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Safe Use of Acoustic Vestibular-Evoked Myogenic Potential Stimuli: Protocol and Patient-Specific Considerations

Portnuff

Kleindienst

2017

J Am Acad Audiol

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“…In adults, changes in cochlear function and an increase in otologic symptoms have been reported post-VEMP. [40][41][42][43] Because children have smaller ear canal volume (ECV) and may require more repetitions of stimuli to see a reliable response compared with adults, they could be at an even greater risk for unsafe sound exposure during traditional VEMP testing. 44 However, modifications to VEMP testing for the pediatric population can improve the reliability, clinical efficiency, and safety of the test procedure.…”

Section: Quantitative Tests Of Vestibular Functionmentioning

confidence: 99%

Quantitative Vestibular Function Testing in the Pediatric Population

Janky

Rodriguez

2018

Semin Hear

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Quantitative tests of vestibular function include the caloric test, cervical and ocular vestibular evoked myogenic potential (VEMP), rotary chair, and head impulse test, either at the bedside or utilizing video head impulse test (vHIT). The purpose of this article is to provide an overview of how to perform these tests in children, including which tests are recommended based on the child's age and any modifications or considerations that can be made. A variety of clinical measures have been recommended as screening measures for vestibular loss, which will be reviewed. Symptom questionnaires designed to assess the functional impact of dizziness and vestibular loss in children will also be discussed. If a child complains of dizziness or if vestibular loss is suspected (either by case history or positive screening measure), vestibular function testing is warranted. For vestibular function testing, children aged 0 to 2 years typically receive rotary chair, cervical VEMP, and vHIT if a remote system is available. For children aged 3 to 7 years, vHIT, cervical VEMP, and ocular VEMP are completed, and for children aged 8+ years, vHIT, caloric testing if vHIT is normal, and cervical and ocular VEMP are completed. For all children, modifications to testing can be made, as needed.

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“…For example, temporary reduction in distortion-product-otoacoustic-emission (DPOAE) levels has been found after VEMP measurements for acoustic stimulation with peak levels close to 130 dB pSPL. 6 Also, sensitive individuals, such as those affected by tinnitus or hyperacusis, can experience high levels of discomfort. Because of this, recent studies have tested alternative types of stimuli, such as low-frequency tone bursts 7 and continuous tonal stimulation with sinusoidal amplitude modulation (SAM) at low rates.…”

Section: Introductionmentioning

confidence: 99%

On the Effectiveness of airborne infrasound in eliciting vestibular-evoked myogenic responses

Jurado

Marquardt

2019

Journal of Low Frequency Noise, Vibration and Active Control

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The use of airborne infrasound and other stimuli to elicit (cervical) vestibular-evoked myogenic potentials (cVEMPs) was studied to address the common proposition that infrasound may efficiently stimulate the vestibular system, an effect which may underlie the so-called wind-turbine syndrome. cVEMPs were measured for both ears of 15 normal-hearing subjects using three types of airborne sound stimulation: (1) 500-Hz tone bursts (transient); (2) 500-Hz sinusoidally amplitude-modulated tones at a 40-Hz rate (SAM); and (3) low-frequency and infrasound pure tones (LF/IS). The two former stimulation types served as control and allowed a systematic comparison with (3). It was found that SAM stimulation is effective and appears to be comparable to transient stimulation, as was previously observed in a yet small number of studies. Although the vestibular system is reported to be highly sensitive to low-frequency mechanical vibration, airborne LF/IS stimulation at ∼80–90-phon loudness levels did not elicit significant saccular vestibular responses.

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Changes in cochlear function related to acoustic stimulation of cervical vestibular evoked myogenic potential stimulation

Cited by 17 publications

References 25 publications

Safe Use of Acoustic Vestibular-Evoked Myogenic Potential Stimuli: Protocol and Patient-Specific Considerations

Safe Use of Acoustic Vestibular-Evoked Myogenic Potential Stimuli: Protocol and Patient-Specific Considerations

Quantitative Vestibular Function Testing in the Pediatric Population

On the Effectiveness of airborne infrasound in eliciting vestibular-evoked myogenic responses

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