Mode of recording and modulation frequency effects of auditory steady state response thresholds()

INTRODUCTION: The performance of auditory steady state response (ASSR) in threshold testing when recorded ipsilaterally and contralaterally, as well as at low and high modulation frequencies (MFs), has not been systematically studied. OBJECTIVE: To verify the influences of mode of recording (ipsilateral vs. contralateral) and modulation frequency (40 Hz vs. 90 Hz) on ASSR thresholds. METHODS: Fifteen female and 14 male subjects (aged 18–30 years) with normal hearing bilaterally were studied. Narrow-band CE-chirp(®) stimuli (centerd at 500, 1000, 2000, and 4000 Hz) modulated at 40 and 90 Hz MFs were presented to the participants’ right ear. The ASSR thresholds were then recorded at each test frequency in both ipsilateral and contralateral channels. RESULTS: Due to pronounced interaction effects between mode of recording and MF (p < 0.05 by two-way repeated measures ANOVA), mean ASSR thresholds were then compared among four conditions (ipsi-40 Hz, ipsi-90 Hz, contra-40 Hz, and contra-90 Hz) using one-way repeated measures ANOVA. At the 500 and 1000 Hz test frequencies, contra-40 Hz condition produced the lowest mean ASSR thresholds. In contrast, at high frequencies (2000 and 4000 Hz), ipsi-90 Hz condition revealed the lowest mean ASSR thresholds. At most test frequencies, contra-90 Hz produced the highest mean ASSR thresholds. CONCLUSIONS: Based on the findings, the present study recommends two different protocols for an optimum threshold testing with ASSR, at least when testing young adults. This includes the use of contra-40 Hz recording mode due to its promising performance in hearing threshold estimation.