Normative Behavioral Thresholds for Short Tone-Bursts
Although tone-bursts have been commonly used in auditory brainstem response (ABR) evaluations for many years, national standards describing normal calibration values have not been established. This study was designed to gather normative threshold data to establish a physical reference for tone-burst stimuli that can be reproduced across clinics and laboratories. More specifically, we obtained norms for 3-msec tone-bursts presented at two repetition rates (9.3/sec and 39/sec), two gating functions (Trapezoid and Blackman), and four frequencies (500, 1000, 2000, and 4000 Hz). Our results are specified using three physical references: dB peak sound pressure level, dB peak-to-peak equivalent sound pressure level, and dB SPL (fast meter response, rate = 50 stimuli/sec). These data are offered for consideration when calibrating ABR equipment. The 39/sec stimulus rate yielded tone-burst thresholds that were approximately 3 dB lower than the 9.3/sec rate. The improvement in threshold with increasing stimulus rate may reflect the ability of the auditory system to integrate energy that occurs within a time interval of 200 to 500 msec (temporal integration). The Trapezoid gating function yielded thresholds that averaged 1.4 dB lower than the Blackman function. Although these differences are small and of little clinical importance, the cumulative effects of several instrument and/or procedural variables may yield clinically important differences.
Abbreviations: ANSI = American National Standards Institute, IHS = Intelligent Hearing Systems, peSPL = peak equivalent sound pressure level, ppeSPL = peak-to-peak equivalent sound pressure level, pSPL = peak sound pressure level
KeywordsAuditory brainstem response - behavioral tone-burst thresholds - Blackman gating function - repetition rate - Trapezoid gating function
Artikel online veröffentlicht:
07. März 2022
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- American National Standards Institute. (1996). American National Standard Specifications for Audiometers. (ANSI S3.6–1996). New York: ANSI.
- Beattie RC. (1988). Interaction of click polarity, stimulus level, and repetition rate on the auditory brainstem response. Scand Audiol 17:99–109.
- Beattie RC, Boyd RL. (1985). Early/middle evoked potentials to tone bursts in quiet, white noise and notched noise. Audiology 24:406–419.
- Beattie RC, Moretti M, Warren V. (1984). Effects of rise–fall time, frequency, and intensity on the early/middle evoked response. J Speech Hear Disord 49:114–127.
- Beattie RC, Zipp JA, Schaffer CA, Silzel KL. (1992). Effects of sample size on the latency and amplitude of the auditory evoked reponse. Am J Otol 13:55–67.
- Beattie RC, Aleks LA, Abbott CL. (1994a). Effects of signal–to–noise ratio on the auditory brainstem response to 0.5 and 2 kHz tone bursts in broadband noise and highpass noise or notch noise. Seand. Audiol 23:211–223.
- Beattie RC, Thielen KM, Franzone DL. (1994b). Effects of signal-to-noise ratio on the auditory brainstem response to tone bursts in notch noise and broadband noise. Seand Audiol 23:47–56.
- Beattie RC, Garcia E, Johnson A. (1996a). Frequencyspecific auditory brainstem responses in adults with sensorineural hearing loss. Audiology 36:1–10.
- Beattie RC, Johnson A, Garcia E. (1996b). Frequencyspecific auditory brainstem responses in adults with normal hearing. Aust J Audiol 18:1–11.
- Beattie RC, Torre P. (1997). Effects of rise–fall time and repetition rate on the auditory brainstem response to 0.5 kHz and 1 kHz tone bursts using normal–hearing and hearing-impaired subjects. Seand Audiol 26:23–32.
- Békésy G. (1960). Experiments in Hearing. New York: McGraw–Hill.
- Burkhard R. (1984). Sound pressure level measurement and spectral analysis of brief acoustic transients. Electroencephalogr Clin Neurophysiol 57:83–91.
- Campbell KCM, Abbas PJ. (1987). The effect of stimulus repetition rate on the auditory brainstem response in tumor and nontumor patients. J Speech Hear Res 30:494–502.
- Coats AC, Martin J. (1977). Human auditory nerve action potentials and brainstem evoked response. Arch Otolaryngol Head Neck Surg 103:605–622.
- Conijn EG, Brocaar MP, van Zanten GA. (1993). Frequency-specific aspects of the auditory brainstem response threshold elicited by 1000–Hz filtered clicks in subjects with sloping cochlear hearing losses. Audiology 32:1–11.
- Davis H, Hirsh SK. (1979). A slow brain stem response for low frequency audiometry. Audiology 18:445–461.
- Davis H, Hirsh SK, Popelka GR, Formby C. (1984). Frequency selectivity and thresholds of brief stimuli suitable for electric response audiometry. Audiology 23:59–74.
- Debruyne F, Forrez G. (1982). On–effect in brainstem electric response audiometry—consequences for the use of tone–bursts. ORL J Otorhinolaryngol Relat Spec 44:36–42.
- Don M, Allen AR, Starr A. (1977). Effect of click rate on the latency of auditory brain stem responses in humans. Ann Otol 86:186–195.
- Durrant JD, Lovrinic JH. (1995). Bases of Hearing Science. 3rd Ed. Baltimore: Williams & Wilkins.
- Eggermont JJ. (1982). The inadequacy of click–evoked auditory brainstem responses in audiological applications. Ann N Y Acad Sei 388:707–709.
- Fjermedal O, Laukli E. (1989). Low–level 0.5 and 1 kHz auditory brainstem responses. Seand Audiol 18:177–183.
- Fowler CG, Noffsinger D. (1983). Effects of stimulus repetition rate and frequency on the auditory brainstem response in normal, cochlear-impaired, and VIII nerve/brainstem-impaired subjects. J Speech Hear Res 26;560–567.
- Garner WR, Miller GA. (1947). The masked threshold of pure tones as a function of duration. J Exp Psychol 37:293–303.
- Glattke TJ. (1983). Short–Latency Auditory Evoked Potentials—Fundamental Bases & Clinical Applications. Baltimore: University Park Press.
- Gorga MP. (1999). Predicting auditory sensitivity from the auditory brainstem response measurements. Semin Hear 20(0:29–42.
- Gorga MP, Beauchaine KA, Reiland JK, Worthington DW, Javel E. (1984). Effects of stimulus duration on ABR thresholds and on behavioral thresholds. J Acoust Soc Am 76:616–619.
- Gorga MP, Thornton AR. (1989). The choice of stimuli for ABR measurements. Ear Hear 10:217–230.
- Hall JW. (1992). Handbook of Auditory Evoked Responses. Needham Heights, MA: Allyn and Bacon.
- Hayes D, Jerger J. (1982). Auditory brainstem response (ABR) to tone–pips: results in normal and hearing– impaired subjects. Seand Audiol 11:133–142.
- Hood LJ, Berlin CI. (1986). Auditory Evoked Potentials. Austin, TX: PRO–ED.
- Intelligent Hearing Systems. (1994). System Manual. Miami, FL: IHS.
- Jacobson JT, Hyde ML (1985). An introduction to auditory evoked potentials. In: Katz J, ed. Handbook of Clinical Audiology. 3rd Ed. Baltimore: Williams & Wilkins, 496–533.
- Kileny P. (1981). The frequency specificity of tone–pip evoked auditory brain stem responses. Ear Hear 2:270–275.
- Kileny PR, Magathan MG. (1987). Predictive value of ABR in infants and children with moderate to profound hearing impairment. Ear Hear 8:217–221.
- Oates P, Stapells DR. (1998). Auditory brainstem response estimates of the pure–tone audiogram: current status. Semin Hear 19(1):61–84.
- Picton TW, Woods DL, Baribeau–Braun J, Healey TMG. (1977). Evoked potential audiometry. J Otolaryngol 6:90–119.
- Picton TW, Stapells DR, Campbell KB. (1981). Auditory evoked potentials from the human cochlea and brainstem. J Otolaryngol 10(Suppl 9):1–41.
- Purdy SC, Abbas PJ. (1989). Auditory brainstem response audiometry using linearly and Blackman gated tonebursts. ASHA 31:115–116.
- Robier TC, Fabry DA, Leek MR, Van Summers WV. (1992). Improving the frequency specificity of the auditory brain stem response. Ear Hear 13:223–227.
- Silman S, Silverman CA. (1991). Auditory Diagnosis: Principles and Applications. New York: Academic Press.
- Sininger YS, Don M. (1989). Effects of click rate and electrode orientation on threshold of the auditory brainstem response. J Speech Hear Res 32:880–886.
- Stapells DR, Oates P. (1997). Estimation of the pure–tone audiogram by the auditory brainstem response: a review. Audiology Neuro–Otol 2:257–280.
- Stapells DR, Picton TW, Smith A. (1982). Normal hearing threshold for clicks. J Acoust Soc Am 72:74–79.
- Stapells DR, Picton TW, Perez–Abalo M, Read D, Smith A. (1985). Frequency specificity in evoked potential audiometry. In: Jacobson JT, ed. The Auditory Brainstem Response. San Diego: College–Hill Press, 147–177.
- Stapells DR, Picton TW, Durieux–Smith A, Edwards CG, Moran LM. (1990). Thresholds for short–latency audi– tory–evoked potentials to tones in notched noise innormal–hearing and hearing–impaired subjects. Audiology 29:262–274.
- Watson CS, Gengel RW. (1969). Signal duration and signal frequency in relation to auditory sensitivity. J Acoust Soc Am 46:989–997.
- Weber BA. (1994). Auditory brainstem response: threshold estimation and auditory screening. In: Katz J, ed. Handbook of Clinical Audiology. 4th Ed. Baltimore: Williams & Wilkins, 375–386.
- Wright HN. (1978). Brief tone audiometry. In: Katz J, ed. Handbook of Clinical Audiology. 2nd Ed. Baltimore: Williams & Wilkins, 218–232.
- Yagi T, Kaga K. (1979). The effect of click repetition rate on the latency of the auditory evoked brain stem response and its clinical use for a neurological diagnosis. Arch Otorhinolaryngol 222:91–97.
- Yost WA, Klein AJ. (1979). Thresholds of filtered transients. Audiology 18:17–23.
- Zerlin S, Naunton RF. (1975). Physical and auditory specifications of third–octave clicks. Audiology 14:135–143.
- Zwislocki JJ. (1960). Theory of temporal auditory summation. J Acoust Soc Am 32:1046–1060.