음향반사역치의 주파수 특이성을 고려한 정상역치의 규준
Normative Data for Frequency Specificity of Acoustic Reflex Thresholds
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Although acoustic reflex thresholds (ART) have widely used to screen and diagnose auditory lesions, they are confined only for measurements in low probe tone. The present study provides normative adults data based on various frequencies of both probe tone and stimuli, and thus extends to discuss any possible clinical application as frequency specificity. Methods: A total of 104 young listeners with normal hearing (53 female and 51 male) participated. After completing hearing screening tests, they performed the ART measurement in twelve conditions consisted of 3 probe tones (e.g., 226, 678, 1,000 Hz) and 4 stimulus frequencies (e.g., 500, 1,000, 2,000, 4,000 Hz). Individual’s thresholds were obtained at each condition and were statistically compared. Results: All data were recorded within the normal range proposed in the classic ART measurement. Interestingly, thresholds conducted at the probe tone of 678 Hz were slightly higher than those of the other probe tones regardless of a kind of the stimulus frequencies. Also, all probe tones had the highest ART at 4,000 Hz. Conclusion: We obtained the differentiated ART normalize data depending on frequency specificity. In the following study, patients with various pathologies should be applied using same probe tones and their data could be compared in terms of sensitivity and specificity.
Abstract
Purpose: Although acoustic reflex thresholds (ART) have widely used to screen and diagnose auditory lesions, they are confined only for measurements in low probe tone. The present study provides normative adults data based on various frequencies of both probe tone and stimuli, and thus extends to discuss any possible clinical application as frequency specificity. Methods: A total of 104 young listeners with normal hearing (53 female and 51 male) participated. After completing hearing screening tests, they performed the ART measurement in twelve conditions consisted of 3 probe tones (e.g., 226, 678, 1,000 Hz) and 4 stimulus frequencies (e.g., 500, 1,000, 2,000, 4,000 Hz). Individual’s thresholds were obtained at each condition and were statistically compared. Results: All data were recorded within the normal range proposed in the classic ART measurement. Interestingly, thresholds conducted at the probe tone of 678 Hz were slightly higher than those of the other probe tones regardless of a kind of the stimulus frequencies. Also, all probe tones had the highest ART at 4,000 Hz. Conclusion: We obtained the differentiated ART normalize data depending on frequency specificity. In the following study, patients with various pathologies should be applied using same probe tones and their data could be compared in terms of sensitivity and specificity.
참고문헌 (23)
- American National Standards Institute, "ANSI", ASA S3.39: 1987(R2012). Specifications for Instruments to Measure Aural Acoustic Impedance and Admittance (Aural Acoustic Immittance), 1987
- Baldwin, M., "Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy", International Journal of Audiology, 45(7), pp.417~427 (2006)
- Beattie, R. C., "Otoadmittance : Normative values, procedural variables, and reliability", Ear and Hearing, 1(1), pp.21~27 (1975)
- Bennett, M. J., "Multiple probe frequency acoustic reflex measurements", Scandinavian Audiology, 8(4), pp.233~239 (1979)
- Counter, S. A., "Acoustic middle ear muscle reflex protection against magnetic coil impulse noise", Acta Oto-Laryngologica, 113(4), pp.483~488 (1993)
- Himelfarb, M. Z., "Tympanometry in normal neonates", Journal of Speech, Language, and Hearing Research, 22(1), pp.179~191 (1979)
- Holte, L., "Developmental changes in multifrequency tympanograms", Audiology, 30(1), pp.1~24 (1991)
- Jerger, J., "Clinical experience with impedance audiometry", Archives of Otolaryngology, 92(4), pp.311~324 (1970)
- Keefe, D. H., "Maturation of the middle and external ears : Acoustic power-based responses and reflectance tympanometry", Ear and Hearing, 17(5), pp.361~373 (1996)
- Lu, J., "Impedance audiometry with 3-probe frequency", Zhonghua Er Bi Yan Hou Ke Za Zhi, 26(5), pp.281~283 (1991)
- Marchant, C. D., "Objective diagnosis of otitis media in early infancy by tympanometry and ipsilateral acoustic reflex thresholds", The Journal of Pediatrics, 109(4), pp.590~595 (1986)
- Margolis, R. H., "Multifrequency tympanometry in normal adults", Ear and Hearing, 14(6), pp.408~413 (1993)
- Margolis, R. H., "Wideband reflectance tympanometry in normal adults", The Journal of the Acoustical Society of America, 106(1), pp.265~280 (1999)
- Margolis, R. H., "Multifrequency tympanometry and histopathology in chinchillas with experimentally produced middle ear pathologies", Acta Oto-Laryngologica, 118(2), pp.216~225 (1998)
- Mazlan, R., "High frequency immittance findings : Newborn versus six-week-old infants", International Journal of Audiology, 46(11), pp.711~717 (2007)
- Mukerji, S., "Auditory brainstem circuits that mediate the middle ear muscle reflex", Trends in Amplification, 14(3), pp.170~191 (2010)
- "Acoustic Reflexes Elicited Through 678 and 1.000 Hz Probe-Tone in Adults without Auditory Complaint" (2005)[URL]
- Peterson, J. L., "Some static characteristics of the stapedial muscle reflex", Audiology, 11(1-2), pp.97~114 (1972)
- Rawool, V. W., "Effect of probe frequency and gender on click-evoked ipsilateral acoustic reflex thresholds", Acta Oto-Laryngologica, 118(3), pp.307~312 (1998)
- Sprague, B. H., "Tympanometric and acoustic-reflex studies in neonates", Journal of Speech and Hearing Research, 28(2), pp.265~272 (1985)
- Swanepoel, de W., "High frequency immittance for neonates : A normative study", Acta Oto-Laryngologica, 127(1), pp.49~56 (2007)
- Wiley, T. L., "Acoustic-immittance measures in normal ears", Journal of Speech and Hearing Research, 30(2), pp.161~170 (1987)
- Wilson, R. H., "Threshold and growth of the acoustic reflex", The Journal of the Acoustical Society of America, 63(1), pp.147~154 (1978)