Dichotic multiple-frequency auditory steady-state responses in evaluating the hearing thresholds of occupational noise-exposed workers
An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of di...
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| Published in | The Kaohsiung journal of medical sciences Vol. 27; no. 8; pp. 330 - 335 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
China (Republic : 1949- )
Elsevier B.V
01.08.2011
John Wiley & Sons, Inc John Wiley and Sons Inc Wiley |
| Subjects | |
| Online Access | Get full text |
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| Abstract | An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20
±
8
dB, 16
±
9
dB, 12
±
9
dB, and 11
±
12
dB above the thresholds of the PTA for 500
Hz, 1,000
Hz, 2,000
Hz, and 4,000
Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated (
r
=
0.77–0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. |
|---|---|
| AbstractList | An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple‐frequency auditory steady‐state responses (Mf‐ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise‐induced hearing impairment. Thresholds of pure‐tone audiometry (PTA) and Mf‐ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf‐ASSRs and PTA were determined. The results showed that, on average, Mf‐ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf‐ASSRs were 20 ± 8 dB, 16 ± 9 dB, 12 ± 9 dB, and 11 ± 12 dB above the thresholds of the PTA for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz, respectively. The thresholds of the PTA and the Mf‐ASSRs were significantly correlated (r = 0.77–0.89). We found that the measurement of Mf‐ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise‐induced hearing impairment. Mf‐ASSR can be a valuable aid in the adjustment of compensation cases. An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20 ± 8 dB, 16 ± 9 dB, 12 ± 9 dB, and 11 ± 12 dB above the thresholds of the PTA for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated ( r = 0.77–0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20±8dB, 16±9dB, 12±9dB, and 11±12dB above the thresholds of the PTA for 500Hz, 1,000Hz, 2,000Hz, and 4,000Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated (r=0.77-0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20±8dB, 16±9dB, 12±9dB, and 11±12dB above the thresholds of the PTA for 500Hz, 1,000Hz, 2,000Hz, and 4,000Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated (r=0.77-0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases.An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20±8dB, 16±9dB, 12±9dB, and 11±12dB above the thresholds of the PTA for 500Hz, 1,000Hz, 2,000Hz, and 4,000Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated (r=0.77-0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20±8 dB, 16±9 dB, 12±9 dB, and 11±12 dB above the thresholds of the PTA for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated (r=0.77–0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple‐frequency auditory steady‐state responses (Mf‐ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise‐induced hearing impairment. Thresholds of pure‐tone audiometry (PTA) and Mf‐ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf‐ASSRs and PTA were determined. The results showed that, on average, Mf‐ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf‐ASSRs were 20 ± 8 dB, 16 ± 9 dB, 12 ± 9 dB, and 11 ± 12 dB above the thresholds of the PTA for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz, respectively. The thresholds of the PTA and the Mf‐ASSRs were significantly correlated ( r = 0.77–0.89). We found that the measurement of Mf‐ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise‐induced hearing impairment. Mf‐ASSR can be a valuable aid in the adjustment of compensation cases. Abstract An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies of a conventional audiogram is needed to resolve the medicolegal aspects of an occupational hearing injury. This study evaluated the use of dichotic multiple-frequency auditory steady-state responses (Mf-ASSR) to predict the hearing thresholds in workers exposed to high levels of noise. The study sample included 34 workers with noise-induced hearing impairment. Thresholds of pure-tone audiometry (PTA) and Mf-ASSRs at four frequencies were assessed. The differences and correlations between the thresholds of Mf-ASSRs and PTA were determined. The results showed that, on average, Mf-ASSR curves corresponded well with the thresholds of the PTA contours averaged across subjects. The Mf-ASSRs were 20 ± 8 dB, 16 ± 9 dB, 12 ± 9 dB, and 11 ± 12 dB above the thresholds of the PTA for 500 Hz, 1,000 Hz, 2,000 Hz, and 4,000 Hz, respectively. The thresholds of the PTA and the Mf-ASSRs were significantly correlated ( r = 0.77–0.89). We found that the measurement of Mf-ASSRs is easy and potentially time saving, provides a response at all dichotic multiple frequencies of the conventional audiogram, reduces variability in the interpretation of the responses, and correlates well with the behavioral hearing thresholds in subjects with occupational noise-induced hearing impairment. Mf-ASSR can be a valuable aid in the adjustment of compensation cases. |
| Audience | Academic |
| Author | Chen, Shun-Sheng Ho, Chi-Kung Lu, Sheng-Nan Hsu, Ruey-Fen Lin, Hsiu-Fen |
| AuthorAffiliation | 5 Department of Occupational & Environmental Medicine, Kaohsiung Medical University Chung‐Ho Memorial Hospital, Kaohsiung, Taiwan 2 Graduate Institute of Occupational Safety and Health, Kaohsiung Medical University, Kaohsiung, Taiwan 6 Department of Ophthalmology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan 4 Department of Neurology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan 3 Department of Occupational Medicine, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan 1 Department of Otolaryngology, E‐DA Hospital, I‐Shou University, Kaohsiung, Taiwan |
| AuthorAffiliation_xml | – name: 1 Department of Otolaryngology, E‐DA Hospital, I‐Shou University, Kaohsiung, Taiwan – name: 4 Department of Neurology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan – name: 3 Department of Occupational Medicine, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan – name: 2 Graduate Institute of Occupational Safety and Health, Kaohsiung Medical University, Kaohsiung, Taiwan – name: 6 Department of Ophthalmology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan – name: 5 Department of Occupational & Environmental Medicine, Kaohsiung Medical University Chung‐Ho Memorial Hospital, Kaohsiung, Taiwan |
| Author_xml | – sequence: 1 givenname: Ruey-Fen surname: Hsu fullname: Hsu, Ruey-Fen organization: Department of Otolaryngology, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan – sequence: 2 givenname: Shun-Sheng surname: Chen fullname: Chen, Shun-Sheng organization: Department of Neurology, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan – sequence: 3 givenname: Sheng-Nan surname: Lu fullname: Lu, Sheng-Nan organization: Department of Occupational Medicine, Chang Gung Memorial Hospital–Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan – sequence: 4 givenname: Chi-Kung surname: Ho fullname: Ho, Chi-Kung email: rfhsu2@gmail.com organization: Graduate Institute of Occupational Safety and Health, Kaohsiung Medical University, Kaohsiung, Taiwan – sequence: 5 givenname: Hsiu-Fen surname: Lin fullname: Lin, Hsiu-Fen organization: Graduate Institute of Occupational Safety and Health, Kaohsiung Medical University, Kaohsiung, Taiwan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21802644$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1007_s00405_013_2830_4 crossref_primary_10_1016_j_ergon_2015_01_002 crossref_primary_10_1016_j_heares_2016_12_008 crossref_primary_10_1111_coa_12448 |
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| Keywords | Noise-induced hearing impairment Objective audiometry Auditory-evoked response Medicolegal |
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| Snippet | An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all frequencies... Abstract An objective, fast, and reasonably accurate assessment test that allows for easy interpretation of the responses of the hearing thresholds at all... |
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| SubjectTerms | Acoustic Stimulation Adult Analysis Audiometry Audiometry, Evoked Response - methods Audiometry, Pure-Tone - instrumentation Audiometry, Pure-Tone - methods Auditory evoked response Auditory Threshold - physiology Care and treatment Deafness, Noise induced Diagnosis Dichotic Listening Tests - methods Evoked Potentials, Auditory - physiology Female Hearing - physiology Hearing Loss, Sensorineural - diagnosis Hearing Loss, Sensorineural - etiology Hearing Loss, Sensorineural - pathology Humans Internal Medicine Male Management Medicolegal Middle Aged Noise, Occupational - adverse effects Noise-induced hearing impairment Objective audiometry Occupational health and safety Original Risk factors |
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| Title | Dichotic multiple-frequency auditory steady-state responses in evaluating the hearing thresholds of occupational noise-exposed workers |
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