Evidence map›Paper›PMID 27957612›Full record

ArticleJournal of the Association for Research in Otolaryngology : JARO2017

Aural Acoustic Stapedius-Muscle Reflex Threshold Procedures to Test Human Infants and Adults.

Douglas H Keefe, M Patrick Feeney, Lisa L Hunter, Denis F Fitzpatrick

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the Association for Research in Otolaryngology : JARO, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 46 citations in OpenAlex.

  1. Differentiating Middle Ear and Medial Olivocochlear Effects on Transient-Evoked Otoacoustic Emissions.Journal of the Association for Research in Otolaryngology : JARO · 2017
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Wideband Acoustic Reflex Measurement.Seminars in hearing · 2023
    Review
  10. Article
  11. Article
  12. Article
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  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Douglas H KeefeBoys Town National Research Hospital, 555 North 30th Street, Omaha, NE, 68131, USA. Douglas.Keefe@boystown.org.
M Patrick FeeneyNational Center for Rehabilitative Auditory Research, VA Portland Health Care System, 3710 SW US Veterans Hospital Road, Mail Stop NCRAR, Portland, OR, 97239, USA.
Lisa L HunterCincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Denis F FitzpatrickBoys Town National Research Hospital, 555 North 30th Street, Omaha, NE, 68131, USA.
Boys Town National Research Hospital · USCincinnati Children's Hospital Medical Center · USVA Portland Health Care System · US

Funding

Research Synergy CoreP30DC004662 · NIDCD · FATHER FLANAGAN'S BOYS' HOME · PI MOELLER, MARY PAT, MORLEY, BARBARA J · 2001 to 2015
$5.9M
WIDEBAND CLINICAL DIAGNOSIS AND MONITORING OF MIDDLE-EAR AND COCHLEAR FUNCTIONR01DC010202 · NIDCD · FATHER FLANAGAN'S BOYS' HOME · PI FEENEY, MARTIN PATRICK, HUNTER, LISA LEIGH · 2009 to 2013
$3.9M
NIDCD NIH HHS P30 DC004662NIDCD NIH HHS R01 DC010202
6 · The paper itself

Abstract

Power-based procedures are described to measure acoustic stapedius-muscle reflex threshold and supra-threshold responses in human adult and infant ears at frequencies from 0.2 to 8 kHz. The stimulus set included five clicks in which four pulsed activators were placed between each pair of clicks, with each stimulus set separated from the next by 0.79 s to allow for reflex decay. Each click response was used to detect the presence of reflex effects across frequency that were elicited by a pulsed broadband-noise or tonal activator in the ipsilateral or contralateral test ear. Acoustic reflex shifts were quantified in terms of the difference in absorbed sound power between the initial baseline click and the later four clicks in each set. Acoustic reflex shifts were measured over a 40-dB range of pulsed activators, and the acoustic reflex threshold was objectively calculated using a maximum 10 likelihood procedure. To illustrate the principles underlying these new reflex tests, reflex shifts in absorbed sound power and absorbance are presented for data acquired in an adult ear with normal hearing and in two infant ears in the initial and follow-up newborn hearing screening exams, one with normal hearing and the other with a conductive hearing loss. The use of absorbed sound power was helpful in classifying an acoustic reflex shift as present or absent. The resulting reflex tests are in use in a large study of wideband clinical diagnosis and monitoring of middle-ear and cochlear function in infant and adult ears.

Indexed as

Auditory ThresholdAcoustic StimulationAdultHearingHearing Loss, ConductiveHumansInfantInfant, NewbornReflex, Acousticabsorbed sound poweracoustic stapedius reflex thresholdnewborn hearingwideband

Identifiers

PMID27957612
PMCPMC5243268
OpenAlexW2565973767

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.