Effects of Body Position on Cochlear Function in Infants: An Otoacoustic Emission Study

Arash Bayat1,2, Nader Saki3,4, Golshan Mirmomeni4

  • 1Department of Audiology, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Insights

The upright position yields the best results for measuring distortion-product otoacoustic emissions (DPOAEs) in infants. This finding is crucial for accurate infant hearing assessments.

Area of Science:

  • Pediatric Audiology
  • Otoacoustic Emissions
  • Infant Hearing Assessment

Background:

  • Otoacoustic Emissions (OAEs) are commonly measured in infants across various body positions.
  • Limited data exists on how body position non-pathologically affects OAE clinical results.
  • Understanding these effects is vital for reliable infant audiological evaluations.

Purpose of the Study:

  • To investigate the impact of different body positions on the inner ear function of infants.
  • To determine the optimal body position for recording distortion-product otoacoustic emissions (DPOAEs) in infants.

Main Methods:

  • An analytical cross-sectional study involving sixty normally hearing infants.
  • Distortion-product otoacoustic emissions (DPOAEs) were measured in supine, side-lying, and upright positions.
  • DPOAE amplitude and signal-to-noise ratio (SNR) were recorded across frequencies from 1500 to 6000 Hz.

Main Results:

  • Significantly higher mean DPOAE amplitude and SNR were observed in the upright position compared to supine and side-lying positions (p < 0.05).
  • These differences were most notable in the higher frequency range (3000-6000 Hz).
  • No statistically significant effects of gender or ear asymmetry on DPOAEs were found.

Conclusions:

  • The upright position is recommended as the optimal position for assessing DPOAEs in infants.
  • This standardization can improve the reliability and accuracy of infant hearing screening.
  • Further research may explore the physiological reasons for position-dependent DPOAE variations.
Abstract