Understanding Standard Procedure in Auditory Brainstem Response: Importance of Normative Data

Abstract

The auditory brainstem response (ABR) is a noninvasive test that measures neural activity in response to auditory stimuli. Racial differences in head shape have provided strong evidence for specific normative data and accurate device calibration. International standards emphasize the need for standardized procedures and references. This study aimed to outline the standard procedure and related normative ABR values. Standard procedures were performed according to International Electrotechnical Commission (IEC) standards. Five studies from two countries were included to compare the normative values of the ABR. The dataset from the National Standard Reference Data Center (NSRDC) was used as reference. Normative values were described in terms of stimuli, latency, and amplitude. For click stimuli, the latency of the ABR showed different patterns across populations, such as those from Korea and the USA. Although the latencies reported by the NSRDC and for Koreans were relatively short, those reported for USA populations were longer. Using clicks, it was shown that the USA population had the largest ABR amplitude compared to those reported for the other two datasets. For Wave V latency using tone bursts, a similar pattern was identified with click stimuli. Frequency-specific trends were also observed. Although there is a lack of ABR datasets, the information and insights of the present study could be utilized as standard guidelines in research on ABR.

Keywords: Auditory brainstem response; Hearing tests; Normative data; Standardization.

Fig. 1.

Block diagram of the auditory brainstem responses device.

Fig. 2.

Latency of auditory brainstem response using click stimuli for a series of waveforms across the countries.

Fig. 3.

Amplitude of auditory brainstem response using click stimuli for a series of waveforms across the countries.

Fig. 4.

Latency of auditory brainstem response using tone burst stimuli for a series of frequencies across the countries.