AudiologyOnline Phone: 800-753-2160


GSI - Product Lineup - March 2024

Rotary Chair Testing in the Pediatric Population: High Gain

Maureen Valente, PhD

March 2, 2009

Share:

Question

In pediatric vestibular evaluation, is there any clinical significance of high gain during rotary chair testing?

Answer

That's a very good question. I haven't seen indications of this in the literature, although literature in this area is quite sparse. I personally haven't seen clinical significance here, although one of my recent studies did indicate that children may demonstrate higher overall gain measures than adults, at least at some test frequencies. Certainly with high gain and strong output, one may begin to consider a hyperactive system, but I am not aware of an evidence-based correlate there with this population. For example, I haven't seen a high gain measure that would correlate with clinical findings such as a hyperactive system, motion sickness, or other clinical entity. I would be interested in hearing more about such findings and there's an idea for a nice research study in there somewhere!

This Ask the Expert question was based on information in the recorded course, "Pediatric Vestibular Evaluation",

Maureen Valente, Ph.D., earned her Bachelor of Science and Master of Science degrees in Speech and Hearing Science from the University of Illinois in Champaign-Urbana. She spent her Clinical Fellowship Year in the Chicago area, in the office of G.E. Shambaugh, M.D. Subsequent work experiences included private practice and medical settings in the Kansas City and Omaha areas, including employment at Boys Town National Research Hospital in Omaha. After moving to the St. Louis area, Dr. Valente was employed as a full-time faculty member for 18 years at Saint Louis University. She graduated with her Doctor of Philosophy degree in Speech and Hearing Sciences from Washington University in St. Louis. Shortly thereafter, she was delighted to accept a position as the Director of Audiology Studies within the Program in Audiology and Communication Sciences (PACS) at Washington University School of Medicine. She carries a joint appointment within PACS and as an Assistant Professor within the university's Department of Otolaryngology. Areas of interest include development of Au.D. education, diagnostic audiology, auditory processing disorders and vestibular evaluation in the pediatric patient.


Maureen Valente, PhD

Director of Audiology Studies, Washington University School of Medicine


Related Courses

Improving EHDI with CAEPs: Clinical Assessment of the Cortical Auditory Evoked Potential in Children with Hearing Loss
Presented by Elizabeth Musgrave, AuD, CCC-A
Recorded Webinar
AudiologyOnline

Presenter

Elizabeth Musgrave, AuD, CCC-A
Course: #31492Level: Intermediate1 Hour
  'Very pragmatic presentation regarding the clinical applications of cortical auditory evoked potentials and the value in using this procedure for the assessment of infants and children'   Read Reviews
This course will provide an overview of cortical auditory evoked potentials, current research, benefits and limitations to using CAEPs in a busy clinic, and several case studies.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Simple and Evidence-Based ABR Protocol for Infant Hearing Assessment
Presented by James Hall, PhD
Recorded Webinar
Natus

Presenter

James Hall, PhD
Course: #33939Level: Intermediate1 Hour
  'Easy to understand and follow along with a more complex subject area'   Read Reviews
This presentation offers practical evidence-based information on auditory brainstem response (ABR) that can be applied clinically in the accurate diagnosis of infant auditory dysfunction. The presentation reviews test parameters and protocols for efficient single channel air- and bone-conduction ABR measurement plus the role of auditory steady state response (ASSR). Strategies and technical advances are described for performing a complete frequency-specific ABR assessment in 30 minutes or less, and combining ABR with other objective auditory procedures (otoacoustic emissions and aural immittance measurement), for successful infant hearing assessment in natural sleep.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Infant ABR: Protocols, Diagnosis, and Intervention, presented in partnership with Cincinnati Children's
Presented by Sara Kallini, AuD, Erin Pinsky, AuD, CCC-A
Recorded Webinar
AudiologyOnline

Presenters

Sara Kallini, AuDErin Pinsky, AuD, CCC-A
Course: #28052Level: Intermediate1.5 Hours
  'I felt it was a great foundational refresher with updates to teach me new things'   Read Reviews
This course discusses clinical applications of infant ABR from diagnosis to intervention in a pediatric hospital setting. This webinar will include an overview of protocols, populations, equipment, and a wide variety of case studies. This course is presented in partnership with Cincinnati Children's.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Update on Auditory Evoked Responses: Evidence-Based ABR Protocol for Infant Hearing Assessment
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #27299Level: Intermediate1 Hour
  'Good explanation of the testing parameters of ABR for infant hearing screening'   Read Reviews
A clinically feasible and effective protocol for infant hearing assessment with ABR is described. Research findings support all recommended stimulus and acquisition parameters. This course is open captioned.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 27890.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Update on Auditory Evoked Responses: Value of Chirp Stimuli in ABR/ASSR Measurement
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #27300Level: Intermediate1 Hour
  'THe examples shown the chirp evoked ABR wave V and how they compare to click evoked ABR waveforms'   Read Reviews
In this course chirp stimuli are described and their rationale for clinical application is discussed. Data are presented in support of the use of chirp versions of click and tone burst stimuli in ABR and ASSR assessment of infants and young children. This course is open captioned.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 27885, "Auditory Evoked Responses for Infant Hearing Assessment Series". Course 27885 contains recordings of all three events from our 2016 series on Auditory Evoked Responses for Infant Hearing Assessment. ABA Tier 1 CEUs can be earned only when all modules are completed as part of course 27885.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.