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VEMP using a new low-frequency bone conduction transducer

Journal article
Authors B. Hakansson
K. J. F. Jansson
Tomas Tengstrand
L. Johannsen
Måns Eeg-Olofsson
C. Rigato
Elisabeth Dahlström
S. Reinfeldt
Published in Medical Devices-Evidence and Research
Volume 11
Pages 301-312
ISSN 1179-1470
Publication year 2018
Published at Institute of Neuroscience and Physiology
Institute of Clinical Sciences, Department of Otorhinolaryngology
Pages 301-312
Language en
Links dx.doi.org/10.2147/mder.s171369
Keywords vestibular investigation, air conduction, bone conduction, VEMP, cVEMP, oVEMP, evoked myogenic potentials, hearing-aid, vibration, sound, transmission, ovemps, head, acceleration, stimuli, design, Engineering
Subject categories Audiology

Abstract

Objective: A new prototype bone conduction (BC) transducer B250, with an emphasized low-frequency response, is evaluated in vestibular evoked myogenic potential (VEMP) investigations. The aim was to compare cervical (cVEMP) and ocular (oVEMP) responses using tone bursts at 250 and 500 Hz with BC stimulation using the B250 and the conventional B81 transducer and by using air conduction (AC) stimulation. Methods: Three normal subjects were investigated in a pilot study. BC stimulation was applied to the mastoids in cVEMP, and both mastoid and forehead in oVEMP investigations. Results: BC stimulation was found to reach VEMP thresholds at considerably lower hearing levels than in AC stimulation (30-40 dB lower oVEMP threshold at 250 Hz). Three or more cVEMP and oVEMP responses at consecutive 5 dB increasing mastoid stimulation levels were only obtained in all subjects using the B250 transducer at 250 Hz. Similar BC thresholds were obtained for both ipsilateral and contralateral mastoid stimulation. Forehead stimulation, if needed, may require a more powerful vibration output. Conclusion: Viable VEMP responses can be obtained at a considerably lower hearing level with BC stimulation than by AC stimulation. The cVEMP and oVEMP responses were similar when measured on one side and with the B250 attached to both ipsilateral and contralateral mastoids.

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