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August 24, 2026International Journal of Audiology0 citations

Ocular vestibular evoked myogenic potentials: a comparison of 500 Hz toneburst and narrowband CE-Chirp stimuli in older children

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JMJared MollFMFaheema Mahomed‐AsmailTRTarryn Marisca Reddy

Key Points

  • To compare ocular vestibular evoked myogenic potential (oVEMP) response parameters between 500 Hz narrowband CE-Chirp and 500 Hz toneburst stimuli in pediatric participants.
  • Conducted a within-subject cross-sectional study evaluating 36 participants aged 7 to 18 years, grouped into cohorts aged 7–13 years (n=18) and 14–18 years (n=18).
  • Delivered 500 Hz narrowband CE-Chirp and 500 Hz toneburst stimuli via air conduction at 95 dB nHL using a chin electrode montage to record response rate, N1/P1 latency, N1-P1 amplitude, and asymmetry ratio.
  • The 500 Hz narrowband CE-Chirp elicited higher oVEMP response rates (97% and 94% across the two age cohorts) than the 500 Hz toneburst.
  • Narrowband CE-Chirp stimuli produced significantly larger N1-P1 amplitudes than toneburst stimuli, with no significant difference in asymmetry ratios between stimulus types for either age group.

Abstract

OBJECTIVE: To compare ocular vestibular evoked myogenic potential (oVEMP) response parameters in children using a 500 Hz narrowband CE-Chirp stimulus versus a 500 Hz toneburst stimulus. DESIGN: A within-subject cross-sectional design was employed. Response rate, N1 latency, P1 latency, N1-P1 amplitude and asymmetry ratio were measured for each ear for both 500 Hz NB CE-Chirp stimulus and 500 Hz TB. Stimuli were presented at 95 dB nHL via air conduction using the chin electrode montage. STUDY SAMPLE: Thirty-six participants (18 males, 18 females) aged 7 to 18 years were included. Participants were grouped into 7 to 13 years (18 participants) and 14 to 18 years (18 participants), respectively. RESULTS: Higher oVEMP response rates (97% and 94%) were obtained for both age groups for 500 Hz NB CE-Chirp when compared to 500 Hz TB. The 500 Hz NB CE-Chirp resulted in significantly larger N1-P1 amplitudes than the 500 Hz TB. Asymmetry ratio showed no significant difference between stimuli types for both age groups. CONCLUSION: The 500 Hz NB CE-Chirp stimulus is a promising option in clinical use for oVEMP testing, allowing easier and faster detection of oVEMP waveforms, than with the 500 Hz TB. However, toneburst and chirp stimuli may differ in calibration and bandwidth, and these differences require further investigation prior to clinical adoption of the 500 Hz NB CE-Chirp stimulus for oVEMPs in children.

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Cite This Study

Moll et al. (2026) studied this question.

synapsesocial.com/papers/6a8c23d1bca056c88e6dfe5ahttps://doi.org/10.1080/14992027.2026.2713970
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