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ASSR
Physiologic Measures 2
28
Audiology
Graduate
10/31/2018

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Term
An auditory evoked potential that is ___-___ to the amplitude or frequency modulations in a steady-state signal
Definition
phase-locked
Term
-Neural response elicited by the steady-state signal reflects the ___ of stimulus modulation
-First described in ___ (Galambos, Makeig, and Talmachoff) as the 40 Hz response
-We use a 40 Hz modulation sequence-measuring brain response at ___ Hz
Definition
rate; 1981; 40
Term
-Cohen et al, 1991 proved that ASSR could be reliably recorded in adults during various states of ___ when testing at higher stimulation/modulation rates (>70 Hz)
-Sustained response that maintains ___ and ___ over extended stimulus presentation
Definition
arousal; amplitude; phase
Term
-Response occurs when presentation rate of a stimulus is fast enough to create ___ responses to the stimulus
-Typically analyzed in the ___ domain using automated detection algorithms rather than in the time domain by reading the waveforms
Definition
overlapping; frequency
Term
Advantages:
-Frequency specific signals employed for estimation of ___ sensitivity at audiometric frequencies
-Can be used for ___ conduction and ___ conduction
-Intensity levels can go as high as ___ dB HL
-___ response detection and analysis
-Clinical devices ___
Definition
auditory; air; bone; 120; Automated; available
Term
-Requires ___ state of arousal-not deep sedation
-Influenced by ___ ___ and anesthesia
-Artifact in ___ conduction testing
-Absence of a response may be due to either ___ ___ or ___ ___
Definition
quiet; deep sedation; bone; hearing loss; auditory neuropathy
Term
pure-tone modulated at a specific rate at a specific depth
Definition
Steady-state acoustic signal
Term
___ frequency, ____ frequency, and modulation ___ for each steady-state signal
Definition
carrier; modulation; depth
Term
the modulation of a radio or other wave by variation of its frequency, especially to carry an audio signal
Definition
frequency modulation
Term
the modulation of a wave by varying its amplitude, used chiefly as a means of radio broadcasting, in which an audio signal is combined with a carrier wave.
Definition
Amplitude modulation
Term
Frequency and amplitude modulation
Definition
mixed modulation
Term
uses one carrier frequency tone to one ear using one modulation frequency
Definition
Single frequency
Term
uses multiple carrier frequency tones each with a different modulation rate.
Definition
Multiple frequency
Term
Multiple Frequency:
-can be presented to one ear or both ears simultaneously as long as each carrier tone has a ___ modulation frequency
Definition
unique
Term
Computerized technique for separating a complex waveform consisting of multiple frequencies into its individual frequency components
Definition
Fast Fourier Transform Analysis
Term
Phase Coherence:
-Related to the ___ to ___ ratio
-Two wave sources are perfectly coherent if they have a constant ___ difference and the same ___
-The state in which two signals maintain a ___ ___ relationship with each other or with a third signal that can serve as a reference for each
Definition
signal to noise; phase; frequency; fixed phase
Term
Statistical method that is applied in ASSR testing to estimate the probability that the amplitude of an ASSR found at a particular modulation frequency is statistically different from the energy found at the surrounding frequencies that are attributed to the ongoing electroencephalography noise
Definition
F-Test
Term
Response:
-Best response to ___ depths of modulation (__% versus __%) and to ___ carrier frequencies (___ Hz versus ___ Hz)
-Best modulation frequency is related to ___ and listener’s state of ___
-Awake adults: __ Hz modulation rate elicits most robust response
-Asleep adults and infants: Higher modulation (__ Hz) rates provide the most robust response
Definition
higher; 90 (fast); 20 (slow); lower; 500; 2000; age; arousal; 40; 80
Term
NEURAL GENERATORS:
-Vary depending on the ___ rate
-High modulation frequencies evoke responses primarily from ___ regions (greater than 60 to 80 Hz) midbrain or pontine and the superior olivary complex or cochlear nucleus
-Rates between 20 and 60 Hz evoke responses from ___ ___ ___, ___ ___, and ___
-Low modulation frequencies (rates below 20 Hz) evoke responses primarily from ___ regions of the auditory system
-Changes in ___ settings can suppress contributions from specific underlying neural generators
Definition
modulation; subcortical; primary auditory cortex, auditory midbrain, and thalamus; cortical; filter
Term
What is the electrode montage for ASSR?
Definition
-Usually same as ABR
-Fpz=ground
-Fz or Cz=non-inverting (placed in jumper)
-A1 and A2=inverting left and right respectively
Term
Response Parameters:
what measurements are included?
Definition
Presence, robustness, and latency
Term
PRESENCE/DETECTION:
-Algorithm based on probability that the response is ___ at the frequency modulation
-Probability (usually p< __)
-Repeated use of the F-test for each sample can ___ likelihood of response
-Bonferroni correction can be used to compensate for ___ ___ Or, each measure can be anaylzed separately to reduce probability of ___ ___ detection
-Phase coherence
Definition
present; 0.05; increase; statistical error; false response
Term
AMPLITUDE/ROBUSTNESS-Magnitude of detected response:
-measured in frequency domain as ___ amplitude or ___ to ___ ratio amplitude
-amplitude depends on ___, subject ___, and response detection ___ used to record the response
-___ than other AEPs
Definition
absolute; signal to noise; stimulus; state; algorithm; smaller
Term
Latency:
-Can be estimated only by converting response ___ to latency
-Phase is a ___ measure
-Response recorded in time domain, then converted to the frequency domain by ___ ___ ___
-Stimulus frequency components in the FFT can be transformed into ___ units with amplitude and phase
-Is latency usually measured?
Definition
phase; circular; FFT; vector; no
Term
What are some subject variable?
Definition
Age, sleep, and attention
Term
Accuracy:
-Primary application is ___ ___ estimation
-Excellent ___-___ reliability for single frequency and multi-frequency stimulation
-Accuracy not influenced by ___ or ___ of sensorineural hearing loss
-Can be influenced by ___ environment
Definition
behavioral threshold; test-retest; shape; degree; test
Term
Bone Conduction:
-Fairly good predictors of behavioral BC thresholds ___-___ Hz
-Low frequency BC-ASSR thresholds ___ with age
-No significant effect of BC ___ method
-BC placement on ___ or ___ bone gives best BC threshold Ipsilateral recording gives best BC threshold
Definition
1000-4000; increase; coupling; mastoid; temporal
Term
Prior to Testing-3 Important Criteria:
1. ___ otoscopic exam
2.___ tympanogram
3. ___ neural transmission through the auditory brainstem pathway (ABR present at high intensity)
Definition
Normal; Normal; Present
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