AudiologyOnline Phone: 800-753-2160


Neuromod Devices - Your Partner for Tinnitus - September 2021

What is the Sequence of Stimuli when Performing ABR for Infant Hearing Assessment?

James W. Hall III, PhD

June 17, 2013

Share:

Question

When performing an ABR with an infant for the purpose of hearing assessment, I first use a click stimulus.  To get frequency-specific information, would you recommend next using chirp stimuli or tone bursts?

Answer

In my opinion, the sequence of stimuli to use for ABR measurement in infants and young children is: 1) click, 2) tone burst (TB), and 3) chirp stimuli to refine auditory threshold.

Maybe someday we will go directly to chirp stimuli at moderate to low intensity levels, bypassing conventional TB stimuli. The problem with that approach is that chirp stimuli lose their effectiveness for intensity levels above about 60 dB nHL. If the click ABR was entirely normal (threshold of 20 dB or better), then you could go to chirp stimulation at less than 60 dB. However, if there was a moderate or severe hearing loss at any frequency by ABR measures, it would still be necessary to use conventional tone bursts or the ASSR to estimate threshold.

For an in-depth discussion of this topic, please view Dr. Hall’s recorded course on AudiologyOnline, Application of ABR in Objective Assessment of Infant Hearing


james w hall iii

James W. Hall III, PhD

James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience. He received his Ph.D. in audiology from Baylor College of Medicine under the direction of James Jerger.  During his career, Dr. Hall has held clinical and academic audiology positions at major medical centers. Dr. Hall now holds appointments as Professor at Salus University and the University of Hawaii, and as Extraordinary Professor at the University of Pretoria South Africa. Dr. Hall is the author of over 160 peer-reviewed journal articles, monographs, or book chapters, and nine textbooks including the 2014 Introduction to Audiology Today and the 2015 eHandbook of Auditory Evoked Responses.

 


Related Courses

Update on Auditory Evoked Responses: Evidence-Based ABR Protocol for Infant Hearing Assessment
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #27299Level: Intermediate1 Hour
  'Very informative and concise, the presenter stayed on topic and had helpful visuals'   Read Reviews
A clinically feasible and effective protocol for infant hearing assessment with ABR is described. Research findings support all recommended stimulus and acquisition parameters. This course is open captioned.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 27890.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Update on Auditory Evoked Responses: Value of Chirp Stimuli in ABR/ASSR Measurement
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #27300Level: Intermediate1 Hour
  'This was a wonderful course'   Read Reviews
In this course chirp stimuli are described and their rationale for clinical application is discussed. Data are presented in support of the use of chirp versions of click and tone burst stimuli in ABR and ASSR assessment of infants and young children. This course is open captioned.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 27885, "Auditory Evoked Responses for Infant Hearing Assessment Series". Course 27885 contains recordings of all three events from our 2016 series on Auditory Evoked Responses for Infant Hearing Assessment. ABA Tier 1 CEUs can be earned only when all modules are completed as part of course 27885.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Auditory Evoked Responses for Infant Hearing Assessment
Presented by James W. Hall III, PhD, Susan Small, PhD
Recorded Webinar
AudiologyOnline

Presenters

James W. Hall III, PhDSusan Small, PhD
Course: #27890Level: Intermediate3 Hours
  'clinical relevancy'   Read Reviews
This modular course reviews hearing assessment for infants and young children using ABR. An evidence-based protocol as well as chirp and brief-tone bone-conducted stimuli are discussed.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Rethinking Your Audiology Test Battery
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #29608Level: Intermediate3 Hours
  'Learning the background of why we do the clinical tests we do was helpful'   Read Reviews
This course reviews the evidence and rationale for creating individualized audiologic diagnostic and screening test batteries with an emphasis on maximizing diagnostic value and enhancing clinical efficiency. It provides practical information for audiologists to review their protocols and implement value-added changes.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

A New Research-Based Protocol for Childhood Hearing Screening
Presented by James W. Hall III, PhD, Samantha Kleindienst Robler, AuD, PhD
Text/Transcript
AudiologyOnline

Presenters

James W. Hall III, PhDSamantha Kleindienst Robler, AuD, PhD
Course: #39856Level: Intermediate1 Hour
  'Course material was presented in an easy-to-understand manner and relevant for clinical audiologists, who provide care to the pediatric population'   Read Reviews
This text-based course covers the research, rationale, and protocol for hearing screening of preschool and young school-age children using a combination of two objective measures of auditory function, DPOAEs + tympanometry.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.