Department of Speech-Language-Hearing, The University of Kansas, Lawrence, Kansas 66160, USA.
Ear Hear. 2012 Mar-Apr;33(2):239-49. doi: 10.1097/AUD.0b013e3182321da4.
To determine whether common approaches to setting stimulus parameters influence the depth of fine structure present in the distortion product otoacoustic emission (DPOAE) response. Because the presence of fine structure has been suggested as a possible source of errors, if one of the common parametric approaches results in reduced fine-structure depth, it may be preferred over other approaches.
DPOAE responses were recorded in a group of 21 subjects with normal hearing for 1/3-octave intervals surrounding 3 f2s (1, 2, and 4 kHz) at three L2s (30, 45, and 55 dB SPL). For each f2 and L2 combination, L1 and f2/f1 were set according to three commonly used parametric approaches. These included a simple approach, the approach recommended by Kummer et al., and the approach described by Johnson et al. These three approaches primarily differ in the recommended relationship between L1 and L2. For each parametric approach, DPOAE fine structure was evaluated by varying f2 in small steps. Differences in DPOAE level and DPOAE fine-structure depth across f2, L2, and the various stimulus parameters were evaluated using repeated-measures analysis of variance.
As expected, significant variations in DPOAE level were observed across the three parametric approaches. For stimulus levels #45 dB SPL, the simple stimuli resulted in lower DPOAE levels than were observed for other approaches. An unexpected finding was that stimulus parameters developed by Johnson et al., which were believed to produce higher DPOAE levels than other approaches, produced the lowest DPOAE levels of the three approaches when f2 = 4 kHz. Significant differences in fine-structure depth were also observed. Greater fine-structure depth was observed with the simple parameters, although this effect was restricted to L2 # 45 dB SPL. When L2 = 55 dB SPL, all three parametric approaches resulted in equivalent fine-structure depth. A significant difference in fine-structure depth across the 3 f2s was also observed. The interval surrounding 2 kHz was associated with greater fine-structure depth than the intervals surrounding 1 and 4 kHz.
The simple stimulus parameters resulted in more fine structure than the other parametric approaches; however, this effect was restricted to L2 # 45 dB SPL. At the moderate stimulus levels used in most clinical applications of DPOAEs (L2 = 55 dB SPL), all three approaches resulted in similar fine-structure depths. These findings suggest that manipulating stimulus parameters, particularly the L1, L2 relationship, is not an effective technique for reducing fine structure, except at the lowest stimulus levels, and that all the common parameters result in equivalent fine structure for moderate stimulus levels. These results also suggest that the stimulus parameters used in future studies of the clinical implications of fine structure may be relatively unimportant, unless stimulus levels #45 dB SPL will be evaluated.
确定刺激参数的常见方法是否会影响失真产物耳声发射(DPOAE)响应中存在的精细结构的深度。因为精细结构的存在被认为是可能的误差源之一,如果其中一种常见的参数方法导致精细结构深度降低,那么它可能比其他方法更受欢迎。
对于听力正常的 21 名受试者,在 3 个 L2(30、45 和 55 dB SPL)下,记录了围绕 3 f2(1、2 和 4 kHz)的 1/3 倍频程间隔的 DPOAE 响应。对于每个 f2 和 L2 组合,根据三种常用的参数方法设置 L1 和 f2/f1。这些方法主要包括一种简单的方法、Kummer 等人推荐的方法和 Johnson 等人描述的方法。这三种方法主要在 L1 和 L2 之间的建议关系上有所不同。对于每种参数方法,通过在小步长范围内改变 f2 来评估 DPOAE 精细结构。通过重复测量方差分析评估了 across f2、L2 和各种刺激参数的 DPOAE 水平和 DPOAE 精细结构深度的差异。
正如预期的那样,在三种参数方法之间观察到 DPOAE 水平的显著变化。对于刺激水平为#45 dB SPL,与其他方法相比,简单刺激产生的 DPOAE 水平较低。一个意想不到的发现是,Johnson 等人开发的刺激参数被认为比其他方法产生更高的 DPOAE 水平,但当 f2 = 4 kHz 时,这些参数产生的 DPOAE 水平却是三种方法中最低的。精细结构深度也存在显著差异。虽然这种影响仅限于 L2 # 45 dB SPL,但简单参数观察到更大的精细结构深度。当 L2 = 55 dB SPL 时,三种参数方法均导致精细结构深度相等。在 3 f2 之间也观察到精细结构深度的显著差异。与 1 和 4 kHz 相比,围绕 2 kHz 的间隔与更大的精细结构深度相关。
与其他参数方法相比,简单刺激参数产生的精细结构更多;然而,这种影响仅限于 L2 # 45 dB SPL。在 DPOAE 大多数临床应用中使用的中等刺激水平(L2 = 55 dB SPL)下,所有三种方法都导致相似的精细结构深度。这些发现表明,除了在最低刺激水平外,操纵刺激参数,特别是 L1、L2 关系,并不是一种有效的减少精细结构的技术,并且所有常见的参数在中等刺激水平下都会产生等效的精细结构。这些结果还表明,在精细结构的临床意义的未来研究中使用的刺激参数可能相对不重要,除非将评估#45 dB SPL 的刺激水平。