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Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults

Dissertation (MA (Communication Pathology))--University of Pretoria, 2001.

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Other Authors: Hugo, Rene
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Hugo, Rene
author_browse Hugo, Rene
author_facet Hugo, Rene
collection Thesis
dc_rights_str_mv © 2001, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MA (Communication Pathology))--University of Pretoria, 2001.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:39:10.429Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/30001 Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults Hugo, Rene upetd@up.ac.za Swanepoel, De Wet Audiometry evoked reponse Hearing Dichotic listening tests UCTD Dissertation (MA (Communication Pathology))--University of Pretoria, 2001. Audiologists are reliant on objective audiometric procedures to predict auditory sensitivity in difficult-to-test populations. A technique to estimate frequency-specific hearing thresholds in a time-efficient way for difficult-to-test populations, who are unable to provide behavioural responses, has long been the hope of audiologists. The auditory brainstem response (ABR) has dominated the field of objective electrophysiological audiometry for the past three decades. Although it provides a useful method of estimating auditory sensitivity, it presents with its own set of limitations. Recently the auditory steady state response (ASSR) has demonstrated promise of addressing the limitations of the ABR as it is an evoked response uniquely suited to frequency-specific measurement. An optimised version of the ASSR, the dichotic multiple frequency (MF) ASSR, has been proposed as a time-efficient way of evaluating different frequencies simultaneously in both ears. The aim of this study was to evaluate the clinical usefulness of the dichotic MF ASSR technique for estimating pure tone behavioural thresholds at 0.5, 1, 2, and 4 kHz, compared to a 0.5 kHz tone burst and broadband click ABR protocol in a sample of normal hearing adults (56 ears). A comparative experimental research design was selected in order to compare thresholds obtained with the different procedures. The results indicated that both the dichotic MF ASSR and a 0.5 kHz tone burst and broadband click ABR protocol provided a reasonable estimation of PT behavioural thresholds in a time-efficient manner for a group of normal hearing subjects. The click ABR did, however, present with 1, 2, and 4 kHz PT threshold estimations that were almost 50 % closer than that of the dichotic MF ASSR according to the mean and normal deviation. This increased accuracy and reliability of the click ABR is however compromised by its lack of frequency-specificity. In the low frequency region of 0.5 kHz, the tone burst ABR and dichotic MF ASSR evidenced estimations of the pure tone threshold that were, on average, very similar. The tone burst ABR, however, presented with a mean threshold slightly (3 dB) closer to the pure tone threshold than the dichotic MF ASSR. The 0.5 kHz dichotic MF ASSR presented with a smaller range of normal deviation in the estimation of pure tone thresholds which suggested a more reliable measure than the 0.5 kHz tone burst ABR. The dichotic MF ASSR evaluation provided eight thresholds (4/ear) in 23 minutes on average compared to 25 minutes on average required by the ABR protocol to evaluate 4 thresholds (2/ear). This research concluded that the dichotic MF ASSR is useful for estimating frequency-specific pure tone thresholds reasonably well in a time-efficient manner but that this technique should be used in a test-battery alongside the ABR. Both the dichotic MF ASSR and the ABR comprise unique qualities that can be combined in a cross-check principle approach in order to provide complementary information that will verify results obtained with each procedure. Speech-Language Pathology and Audiology Unrestricted 2013-09-07T17:32:55Z 2005-12-02 2013-09-07T17:32:55Z 2002-04-01 2001 2005-12-01 Dissertation Swanepoel, DCDeW 2001, Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem response protocol in normal hearing adults, MCommunication Pathology dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/30001 > H746/ag http://hdl.handle.net/2263/30001 http://upetd.up.ac.za/thesis/available/etd-12012005-100458/ © 2001, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Audiometry evoked reponse
Hearing
Dichotic listening tests
UCTD
Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title_full Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title_fullStr Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title_full_unstemmed Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title_short Estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
title_sort estimating pure tone behavioural thresholds with the dichotic multiple frequency auditory steady state response compared to an auditory brainstem reponse protocol in normal hearing adults
topic Audiometry evoked reponse
Hearing
Dichotic listening tests
UCTD
url http://hdl.handle.net/2263/30001
http://upetd.up.ac.za/thesis/available/etd-12012005-100458/