Optimum stimulus for eliciting masseter vestibular-evoked myogenic potential: a comparative exploration with three different acoustic stimuli

Abstract

ObjectiveTo compare the EMG rectified amplitude, absolute latencies, interpeak interval, and Interaural asymmetry parameters of masseter vestibular-evoked myogenic potential (mVEMP) elicited using clicks, 500 Hz tone bursts, and 500 Hz NB CE-chirps.MethodTwenty-five young healthy adults in the age range of 18–27 years participated for the study. mVEMP was recorded using three different acoustic stimuli i.e., clicks, 500 Hz tone bursts, and 500 Hz NB CE-chirps. mVEMP was recorded at an intensity of 125 dB peSPL with 5.1/s repetition rate. The potentials were recorded ipsilaterally using zygomatic electrode montage and were filtered between 0.1 and 3000 Hz. EMG rectification of the responses was made prior to analysis.ResultsThe latencies of P1 and N1 were significantly earlier for chirps then followed by click and tone bursts. The EMG rectified amplitude was significantly larger for the potentials obtained using chirps followed by tone bursts and then the clicks. Masseter VEMP obtained using chirps had significantly larger interpeak interval than tone bursts and clicks. The mean amplitude asymmetry ratio was greater in the potentials obtained using chirps than the other two stimuli.ConclusionThe present study reveals that 500 Hz NB CE-chirps tend to produce mVEMP with larger response amplitude and earlier latencies and thus are considered better and constructive stimuli compared to clicks and tone bursts.