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Reference ranges and stability of auditory and vestibular measures in a comprehensive assessment battery for traumatic brain injury.

Identifieur interne : 000197 ( Main/Curation ); précédent : 000196; suivant : 000198

Reference ranges and stability of auditory and vestibular measures in a comprehensive assessment battery for traumatic brain injury.

Auteurs : Anna Meehan ; Andrew Lewandowski ; Kayla Deru ; Donald Hebert ; Lindell K. Weaver

Source :

RBID : pubmed:31394594

Descripteurs français

English descriptors

Abstract

Background

Audiology clinics have many tools available to evaluate auditory and vestibular complaints. However, many tools lack established normative ranges across the life span. We conducted this study to establish reference ranges across the life span for audiology/vestibular measures commonly used to evaluate patients with traumatic brain injury.

Materials and Methods

In this repeated measures study, 75 adults, ages 18-65 years, without a history of traumatic brain injury, underwent robust auditory/vestibular evaluations three times over six months, including rotational chair, videonystagmography, computerized dynamic posturography, vestibular evoked myogenic potentials, and retinal fundoscopy.

Results

Age effect was notable for transient evoked otoacoustic emissions, pure-tone audiometry, auditory brainstem response, auditory middle latency response, and auditory-steady state response at 4000 hertz (Hz). Older participants (50-65 years) were more likely to have delayed latency horizontal saccades, positional nystagmus, slowed lower-extremity motor control responses, and delayed latency ocular vestibular evoked myogenic potentials. Low to mid-frequency horizontal (0.003-4 Hz) and mid-frequency vertical (1-3 Hz) vestibulo-ocular reflex, otolith-mediated reflexes, dynamic visual acuity and balance measures were generally not influenced by age. Females had larger static subjective visual testing offset angles, longer cervical vestibular evoked myogenic potential P1 latency, faster velocity horizontal saccades, and quicker motor control latency for large backward translations than age-matched males.

Conclusion

These reference ranges can be used to discern impairment within the auditory and vestibular pathway following traumatic brain injury in young to middle-aged adults.

ID

TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT01925963.


PubMed: 31394594

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pubmed:31394594

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Anna Meehan
<affiliation>
<nlm:affiliation>Lovelace Biomedical and Environmental Research Institute, Albuquerque, New Mexico U.S.</nlm:affiliation>
<wicri:noCountry code="subField">New Mexico U.S.</wicri:noCountry>
</affiliation>
Andrew Lewandowski
<affiliation>
<nlm:affiliation>Emmes, Rockville, Maryland U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Maryland U.S.</wicri:noCountry>
</affiliation>
Kayla Deru
<affiliation>
<nlm:affiliation>Division of Hyperbaric Medicine, Intermountain Medical Center, Murray, Utah and Intermountain LDS Hospital, Salt Lake City, Utah U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Utah U.S.</wicri:noCountry>
</affiliation>
Donald Hebert
<affiliation>
<nlm:affiliation>Emmes, Rockville, Maryland U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Maryland U.S.</wicri:noCountry>
</affiliation>
Lindell K. Weaver
<affiliation>
<nlm:affiliation>Division of Hyperbaric Medicine, Intermountain Medical Center, Murray, Utah and Intermountain LDS Hospital, Salt Lake City, Utah U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Utah U.S.</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:affiliation>Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Utah U.S.</wicri:noCountry>
</affiliation>
Lindell K. Weaver
<affiliation>
<nlm:affiliation>Department of Medicine, University of Utah School of Medicine, Salt Lake City, Utah U.S.</nlm:affiliation>
<wicri:noCountry code="subField">Utah U.S.</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Audiometry, Evoked Response (standards)</term>
<term>Audiometry, Pure-Tone (standards)</term>
<term>Brain Injuries, Traumatic (complications)</term>
<term>Brain Injuries, Traumatic (physiopathology)</term>
<term>Evoked Potentials, Auditory, Brain Stem (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fundus Oculi (MeSH)</term>
<term>Hearing Tests (methods)</term>
<term>Hearing Tests (standards)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Motor Activity (MeSH)</term>
<term>Nystagmus, Physiologic (MeSH)</term>
<term>Otoscopy (methods)</term>
<term>Postural Balance (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Reference Values (MeSH)</term>
<term>Reflex, Acoustic (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Saccades (MeSH)</term>
<term>Sex Factors (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Vestibular Evoked Myogenic Potentials (MeSH)</term>
<term>Vestibular Function Tests (methods)</term>
<term>Vestibular Function Tests (standards)</term>
<term>Visual Acuity (MeSH)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Activité motrice (MeSH)</term>
<term>Acuité visuelle (MeSH)</term>
<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Audiométrie tonale (normes)</term>
<term>Audiométrie électroencéphalographique (normes)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Facteurs temps (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fond de l'oeil (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Lésions traumatiques de l'encéphale (complications)</term>
<term>Lésions traumatiques de l'encéphale (physiopathologie)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus physiologique (MeSH)</term>
<term>Otoscopie (méthodes)</term>
<term>Potentiels évoqués auditifs du tronc cérébral (MeSH)</term>
<term>Potentiels évoqués vestibulaires myogéniques (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Réflexe stapédien (MeSH)</term>
<term>Saccades (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tests auditifs (méthodes)</term>
<term>Tests auditifs (normes)</term>
<term>Valeurs de référence (MeSH)</term>
<term>Épreuves vestibulaires (méthodes)</term>
<term>Épreuves vestibulaires (normes)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<term>Brain Injuries, Traumatic</term>
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<term>Hearing Tests</term>
<term>Otoscopy</term>
<term>Vestibular Function Tests</term>
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<term>Tests auditifs</term>
<term>Épreuves vestibulaires</term>
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<term>Audiométrie tonale</term>
<term>Audiométrie électroencéphalographique</term>
<term>Tests auditifs</term>
<term>Épreuves vestibulaires</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Lésions traumatiques de l'encéphale</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Brain Injuries, Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Audiometry, Evoked Response</term>
<term>Audiometry, Pure-Tone</term>
<term>Hearing Tests</term>
<term>Vestibular Function Tests</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Evoked Potentials, Auditory, Brain Stem</term>
<term>Female</term>
<term>Fundus Oculi</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motor Activity</term>
<term>Nystagmus, Physiologic</term>
<term>Postural Balance</term>
<term>Prospective Studies</term>
<term>Reference Values</term>
<term>Reflex, Acoustic</term>
<term>Rotation</term>
<term>Saccades</term>
<term>Sex Factors</term>
<term>Time Factors</term>
<term>Vestibular Evoked Myogenic Potentials</term>
<term>Visual Acuity</term>
<term>Young Adult</term>
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<term>Activité motrice</term>
<term>Acuité visuelle</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs sexuels</term>
<term>Facteurs temps</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Fond de l'oeil</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lésions traumatiques de l'encéphale</term>
<term>Mâle</term>
<term>Nystagmus physiologique</term>
<term>Potentiels évoqués auditifs du tronc cérébral</term>
<term>Potentiels évoqués vestibulaires myogéniques</term>
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<term>Réflexe stapédien</term>
<term>Saccades</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">
<p>
<b>Background</b>
</p>
<p>Audiology clinics have many tools available to evaluate auditory and vestibular complaints. However, many tools lack established normative ranges across the life span. We conducted this study to establish reference ranges across the life span for audiology/vestibular measures commonly used to evaluate patients with traumatic brain injury.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Materials and Methods</b>
</p>
<p>In this repeated measures study, 75 adults, ages 18-65 years, without a history of traumatic brain injury, underwent robust auditory/vestibular evaluations three times over six months, including rotational chair, videonystagmography, computerized dynamic posturography, vestibular evoked myogenic potentials, and retinal fundoscopy.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Results</b>
</p>
<p>Age effect was notable for transient evoked otoacoustic emissions, pure-tone audiometry, auditory brainstem response, auditory middle latency response, and auditory-steady state response at 4000 hertz (Hz). Older participants (50-65 years) were more likely to have delayed latency horizontal saccades, positional nystagmus, slowed lower-extremity motor control responses, and delayed latency ocular vestibular evoked myogenic potentials. Low to mid-frequency horizontal (0.003-4 Hz) and mid-frequency vertical (1-3 Hz) vestibulo-ocular reflex, otolith-mediated reflexes, dynamic visual acuity and balance measures were generally not influenced by age. Females had larger static subjective visual testing offset angles, longer cervical vestibular evoked myogenic potential P1 latency, faster velocity horizontal saccades, and quicker motor control latency for large backward translations than age-matched males.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Conclusion</b>
</p>
<p>These reference ranges can be used to discern impairment within the auditory and vestibular pathway following traumatic brain injury in young to middle-aged adults.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>ID</b>
</p>
<p>TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT01925963.</p>
</div>
</front>
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<AbstractText Label="Background" NlmCategory="UNASSIGNED">Audiology clinics have many tools available to evaluate auditory and vestibular complaints. However, many tools lack established normative ranges across the life span. We conducted this study to establish reference ranges across the life span for audiology/vestibular measures commonly used to evaluate patients with traumatic brain injury.</AbstractText>
<AbstractText Label="Materials and Methods" NlmCategory="UNASSIGNED">In this repeated measures study, 75 adults, ages 18-65 years, without a history of traumatic brain injury, underwent robust auditory/vestibular evaluations three times over six months, including rotational chair, videonystagmography, computerized dynamic posturography, vestibular evoked myogenic potentials, and retinal fundoscopy.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">Age effect was notable for transient evoked otoacoustic emissions, pure-tone audiometry, auditory brainstem response, auditory middle latency response, and auditory-steady state response at 4000 hertz (Hz). Older participants (50-65 years) were more likely to have delayed latency horizontal saccades, positional nystagmus, slowed lower-extremity motor control responses, and delayed latency ocular vestibular evoked myogenic potentials. Low to mid-frequency horizontal (0.003-4 Hz) and mid-frequency vertical (1-3 Hz) vestibulo-ocular reflex, otolith-mediated reflexes, dynamic visual acuity and balance measures were generally not influenced by age. Females had larger static subjective visual testing offset angles, longer cervical vestibular evoked myogenic potential P1 latency, faster velocity horizontal saccades, and quicker motor control latency for large backward translations than age-matched males.</AbstractText>
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<AbstractText Label="ID" NlmCategory="UNASSIGNED">TRIAL REGISTRATION: https://clinicaltrials.gov/ct2/show/NCT01925963.</AbstractText>
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<MeshHeading>
<DescriptorName UI="D009760" MajorTopicYN="N">Nystagmus, Physiologic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D038781" MajorTopicYN="N">Otoscopy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012016" MajorTopicYN="N">Reference Values</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012022" MajorTopicYN="N">Reflex, Acoustic</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012399" MajorTopicYN="N">Rotation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012438" MajorTopicYN="N">Saccades</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D058585" MajorTopicYN="N">Vestibular Evoked Myogenic Potentials</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
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<DescriptorName UI="D014792" MajorTopicYN="N">Visual Acuity</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N"> auditory </Keyword>
<Keyword MajorTopicYN="N"> normative data </Keyword>
<Keyword MajorTopicYN="N"> otolith </Keyword>
<Keyword MajorTopicYN="N"> vestibular </Keyword>
<Keyword MajorTopicYN="N"> vestibulo-ocular reflex </Keyword>
</KeywordList>
<CoiStatement>The authors of this paper declare no conflicts of interest exist with this submission.</CoiStatement>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="entrez">
<Year>2019</Year>
<Month>8</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed">
<Year>2019</Year>
<Month>8</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2019</Year>
<Month>11</Month>
<Day>9</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">31394594</ArticleId>
</ArticleIdList>
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