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A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus

Dissertation (MA (Audiology))--University of Pretoria, 2019.

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Other Authors: Biagio de Jager, Leigh
Format: Thesis
Language:English
Published: University of Pretoria 2024
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author2 Biagio de Jager, Leigh
author_browse Biagio de Jager, Leigh
author_facet Biagio de Jager, Leigh
collection Thesis
dc_rights_str_mv © 2021 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 (Audiology))--University of Pretoria, 2019.
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:39:57.392Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher University of Pretoria
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spelling oai:repository.up.ac.za:2263/97484 A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus Biagio de Jager, Leigh paige.tucker77@gmail.com Heinze, Barbara M. Tucker, Paige UCTD Auditory brainstem response Neuro-diagnostic Neurological ABR Dissertation (MA (Audiology))--University of Pretoria, 2019. Purpose: To compare LS CE-Chirp and click evoked neuro-diagnostic auditory brainstem responses (ABR) for the purpose of determining the preferable stimulus for assessment. This is necessary for the improvement of neural synchrony and compensation for the delay of the sound wave whilst it travels through the cochlea. This will facilitate more successful, efficient and effective neurological ABR assessments. Method: This was a within subject comparative, exploratory research design. Participants included 34 normal-hearing individuals (aged 18-25 years, mean age 22.12 years). A comparison was completed between the ABR wave formations evoked by the click and LS CE-Chirp stimuli at 80 dBnHL at stimulus repetition rate of 27.4 Hz and 61.1 Hz with maximum permissible residual noise levels of 40 nV. Results: The LS CE-Chirp evoked ABR displayed later absolute latencies and shorter interpeak latencies compared to the click-evoked ABR. Significantly larger amplitudes were consistent for the LS CE-Chirp wave formations (p<0.001) with the exception of the wave I for the rarefaction polarity. Residual noise levels were consistently higher for the LS CE-Chirp stimuli, however, there was no correlation present between the amplitudes and the comparative residual noise levels. Conclusions: The LS CE-chirp stimulus elicited considerably larger waveform amplitudes, which facilitate more accurate and timely ABR assessments compared to the click. The lack of correlation between amplitude and residual noise levels suggested independence of residual noise levels, and therefore were likely due to the increased neural synchrony inherent to the chirp stimuli. The click stimulus is still advocated for during neuro-diagnostic assessments as despite the larger LS CE-Chirp amplitudes, further research regarding the correlation with auditory-neural pathology is required before the routine use of the LS CE-Chirp stimulus can be advocated over the well-established click stimulus for neuro-diagnostic purposes. Speech-Language Pathology and Audiology MA (Audiology) Unrestricted Faculty of Humanities 2024-08-07T09:05:38Z 2024-08-07T09:05:38Z 2020-04 2019 Dissertation * A2020 http://hdl.handle.net/2263/97484 en © 2021 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 UCTD
Auditory brainstem response
Neuro-diagnostic
Neurological ABR
A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title_full A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title_fullStr A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title_full_unstemmed A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title_short A comparison of the LS CE-Chirp and click evoked auditory brainstem response stimuli for neuro-diagnostic assessment in order to determine the preferable stimulus
title_sort comparison of the ls ce chirp and click evoked auditory brainstem response stimuli for neuro diagnostic assessment in order to determine the preferable stimulus
topic UCTD
Auditory brainstem response
Neuro-diagnostic
Neurological ABR
url http://hdl.handle.net/2263/97484