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Related Experiment Video

Updated: Feb 22, 2026

Electrophysiological Measurement of Noxious-evoked Brain Activity in Neonates Using a Flat-tip Probe Coupled to Electroencephalography
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Neonate auditory brainstem response repeatability with controlled force gauge bone-conducted stimulus delivery.

Andrew Stuart1, Hannah M Dorothy1

  • 1a Department of Communication Sciences and Disorders , East Carolina University , Greenville , USA.

International Journal of Audiology
|September 19, 2017
PubMed
Summary

A new force gauge ensures consistent bone-conducted auditory brainstem responses (ABRs) in newborns. This tool improves the reliability of ABR testing for neonates and infants.

Keywords:
Auditory brainstem responsebone conductionchirpnewbornreliability

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Area of Science:

  • Audiology
  • Neuroscience
  • Pediatrics

Background:

  • Auditory brainstem responses (ABRs) are crucial for assessing infant hearing.
  • Accurate stimulus delivery is vital for reliable ABR measurements.
  • Bone-conducted stimuli offer an alternative for ABR testing in neonates.

Purpose of the Study:

  • To evaluate the feasibility and repeatability of neonate ABRs using a novel hand-held force gauge.
  • To determine if controlled applied force improves ABR measurement consistency.

Main Methods:

  • A repeated measures test-retest design was used with 27 healthy neonates.
  • A 4000 Hz bone-conducted CE-Chirp stimulus evoked ABRs.
  • A prototype hand-held force gauge ensured consistent coupling force for the bone vibrator.

Main Results:

  • No significant differences in ABR wave V latencies or amplitudes were found between intra- and intertester conditions.
  • High reliability (Cronbach's α = .95) was observed for wave V latencies.
  • Moderate reliability (Cronbach's α = .43) was found for wave V amplitudes.

Conclusions:

  • A hand-held applied force gauge provides a reliable method for delivering controlled bone-conducted stimuli.
  • This technology enhances the consistency of ABR assessments in neonates and infants.
  • The findings support the use of force-controlled devices for standardized infant hearing screening.