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低感觉水平下健康儿童言语诱发听觉脑干反应的重测信度

Test-retest reliability of speech-evoked auditory brainstem response in healthy children at a low sensation level.

作者信息

Zakaria Mohd Normani, Jalaei Bahram

机构信息

Audiology and Speech Pathology Programme, School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.

Department of Audiology, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Pediatr Otorhinolaryngol. 2017 Nov;102:28-31. doi: 10.1016/j.ijporl.2017.08.033. Epub 2017 Sep 1.

Abstract

OBJECTIVE

Auditory brainstem responses evoked by complex stimuli such as speech syllables have been studied in normal subjects and subjects with compromised auditory functions. The stability of speech-evoked auditory brainstem response (speech-ABR) when tested over time has been reported but the literature is limited. The present study was carried out to determine the test-retest reliability of speech-ABR in healthy children at a low sensation level.

METHODS

Seventeen healthy children (6 boys, 11 girls) aged from 5 to 9 years (mean = 6.8 ± 3.3 years) were tested in two sessions separated by a 3-month period. The stimulus used was a 40-ms syllable /da/ presented at 30 dB sensation level.

RESULTS

As revealed by pair t-test and intra-class correlation (ICC) analyses, peak latencies, peak amplitudes and composite onset measures of speech-ABR were found to be highly replicable. Compared to other parameters, higher ICC values were noted for peak latencies of speech-ABR.

CONCLUSION

The present study was the first to report the test-retest reliability of speech-ABR recorded at low stimulation levels in healthy children. Due to its good stability, it can be used as an objective indicator for assessing the effectiveness of auditory rehabilitation in hearing-impaired children in future studies.

摘要

目的

已在正常受试者和听觉功能受损的受试者中研究了由复杂刺激(如语音音节)诱发的听觉脑干反应。关于语音诱发听觉脑干反应(言语听觉脑干反应,speech-ABR)随时间测试的稳定性已有报道,但相关文献有限。本研究旨在确定低感觉水平下健康儿童言语听觉脑干反应的重测信度。

方法

对17名年龄在5至9岁(平均 = 6.8 ± 3.3岁)的健康儿童(6名男孩,11名女孩)进行了两次测试,两次测试间隔3个月。使用的刺激是在30 dB感觉水平呈现的40毫秒音节/da/。

结果

通过配对t检验和组内相关系数(ICC)分析发现,言语听觉脑干反应的峰潜伏期、峰振幅和复合起始测量值具有高度可重复性。与其他参数相比,言语听觉脑干反应峰潜伏期的ICC值更高。

结论

本研究首次报告了在健康儿童低刺激水平下记录的言语听觉脑干反应的重测信度。由于其良好的稳定性,在未来的研究中它可作为评估听力受损儿童听觉康复效果的客观指标。

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