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Bone-Conducted Responses Using the Parallel Auditory Brainstem Response Paradigm.

Melissa J Polonenko1, Ross K Maddox2

  • 1Department of Speech-Language-Hearing Sciences, University of Minnesota, Minneapolis, Minnesota, USA.

Ear and Hearing
|May 14, 2026
PubMed
Summary
This summary is machine-generated.

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Bone-conduction parallel auditory brainstem responses (pABR) are feasible for diagnosing hearing loss. This method provides similar waveforms to air-conduction pABR, advancing hearing diagnostics.

Area of Science:

  • Audiology and Neuroscience
  • Medical Imaging and Diagnostics

Background:

  • Auditory brainstem responses (ABRs) are crucial for diagnosing hearing loss in non-behavioral testers.
  • Parallel ABR (pABR) simultaneously assesses all frequencies (500-8000 Hz) in both ears.
  • Bone-conduction stimuli are essential for differentiating conductive from sensorineural hearing loss.

Purpose of the Study:

  • To confirm the feasibility of using bone-conduction stimuli with the parallel ABR (pABR) paradigm.
  • To evaluate the effectiveness of bone-conduction pABR for comprehensive hearing loss diagnosis.

Main Methods:

  • Young adults with normal hearing were recruited.
  • Two-channel ABRs were recorded using insert earphones (air-conduction) and a bone vibrator (bone-conduction) with contralateral masking.
Keywords:
Air conductionAuditory brainstem responseBone conductionElectroencephalographyNormal hearing

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  • Waveform morphology, including wave V latency and amplitude, was compared between air and bone conduction.

    • Main Results:

    • Bone-conduction pABR yielded waveforms similar to air-conduction pABR.
    • Stimulus artifact mitigation strategies effective for air conduction were also effective for bone conduction.
    • Bone-conducted responses at 8 kHz were weaker, consistent with physical limitations.

    Conclusions:

    • Bone-conduction pABR is feasible and provides comparable waveforms to air-conduction pABR.
    • This technique is a significant step towards using pABR for diagnosing all types of hearing loss.
    • Establishing dB nHL values for bone-conduction pABR is crucial for clinical translation.