VEMP using a new low-frequency bone conduction transducer
Artikel i vetenskaplig tidskrift, 2018

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.

vestibular investigation

oVEMP

bone conduction

air conduction

VEMP

cVEMP

Författare

Bo Håkansson

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Karl-Johan Fredén Jansson

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Tomas Tengstrand

Göteborgs universitet

Leif Johannsen

Ortofon A/S

Mans Eeg-Olofsson

Göteborgs universitet

Cristina Rigato

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Elisabeth Dahlstrom

Göteborgs universitet

Sabine Reinfeldt

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Medical Devices: Evidence and Research

1179-1470 (ISSN)

Vol. 11 301-312

Ämneskategorier

Annan medicinteknik

Oto-rhino-laryngologi

Medicinsk apparatteknik

DOI

10.2147/MDER.S171369

PubMed

30233258

Mer information

Senast uppdaterat

2018-10-10