Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

5-9-2024

Document Type

Dissertation

Degree Name

Doctor of Audiology (AuD)

Department

Department of Communication Sciences and Disorders

Advisor(s)

Erin G. Piker

Christopher G. Clinard

Melissa Garber

Abstract

Cervical vestibular evoked myogenic potentials (cVEMP) measure function of the saccule and inferior vestibular nerve by evoking inhibitory electromyogram (EMG) responses from the sternocleidomastoid muscle using short duration stimulation. Previous research has shown that cVEMP amplitude increases relative to EMG target level and latency remains constant, yet there is little to no research demonstrating the relationship between EMG target level and cVEMP threshold. The objective of this study is to determine the effects of EMG activation on cVEMP thresholds and assess whether patients who generate larger tonic EMG during cVEMP testing have lower cVEMP thresholds. cVEMPs were recorded in 20 young, healthy participants between the ages of 19 to 27 years old using 500 Hz Blackman-gated tonebursts. Recordings were obtained to threshold in 5 EMG target level conditions: 150 µV, 100 µV , 50 µV , 30 µV , and 10 µV. The results of this study suggest that there is not a statistically significant effect of EMG target level on visually detected cVEMP thresholds.

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