Reliability and interrelations of seven proxy measures of cochlear synaptopathy

Guest, Hannah and Munro, Kevin and Prendergast, Garreth and Plack, Christopher John (2019) Reliability and interrelations of seven proxy measures of cochlear synaptopathy. Hearing Research, 375. pp. 34-43. ISSN 0378-5955

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Investigations of cochlear synaptopathy in living humans rely on proxy measures of auditory nerve function. Numerous procedures have been developed, typically based on the auditory brainstem response (ABR), envelope-following response (EFR), or middle-ear-muscle reflex (MEMR). Validation is challenging, due to the absence of a gold-standard measure in humans. Some metrics correlate with synaptic survival in animal models, but translation between species is not straightforward; measurements in humans are likely to reflect greater error and greater variability from non-synaptopathic sources. The present study assessed the reliability of seven measures, as well as testing for correlations between them. Thirty-one young women with normal audiograms underwent repeated measurements of ABR wave I amplitude, ABR wave I growth, ABR wave V latency shift in noise, EFR amplitude, EFR growth with stimulus modulation depth, MEMR threshold, and an MEMR across-frequency difference measure. Intraclass correlation coefficients for ABR wave I amplitude, EFR amplitude, and MEMR threshold ranged from 0.85 to 0.93, suggesting that such tests can yield highly reliable results, given careful measurement techniques. The ABR and EFR difference measures exhibited only poor-to-moderate reliability. No significant correlations, nor any consistent trends, were observed between the various measures, providing no indication that these metrics reflect the same underlying physiological processes. Findings suggest that many proxy measures of cochlear synaptopathy should be regarded with caution, at least when employed in young adults with normal audiograms.

Item Type:
Journal Article
Journal or Publication Title:
Hearing Research
Uncontrolled Keywords:
?? cochlear synaptopathyhidden hearing lossauditory brainstem reponseenvelope-following responsemiddle-ear-muscle reflexsensory systems ??
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Deposited On:
23 Jan 2019 09:00
Last Modified:
22 Nov 2023 00:39