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EVOKED POTENTIALS (ABR) STACKED

Bio-Logic Nav Pro Stacked ABR
 
A New Tool to Assist in the Assessment of Auditory Nervous System Abnormalities Standard ABR measures have been used by clinicians as a tool to assist in the assessment of auditory nervous system abnormalities for the past 25 years. Stacked ABR is a modification of standard ABR. It involves collection of data using click stimuli mixed with high-pass masking noise, calculation and alignment of derived band waveforms and calculation of the Stacked ABR.

The stacked auditory brainstem response test procedure displays activity from virtually all auditory nerve fibers rather than just a subset.

Generating the Stacked ABR requires the derived–band and Stacked ABR methods. A click stimulus is used to activate the whole cochlea and the resulting response is separated into five frequency bands by using high-pass masking. The ABRs representing these five frequency bands are called derived-band ABRs and are used in constructing the Stacked ABR.

The Stacked ABR is constructed by time shifting the derived-band waveforms so that the peak latencies of wave V in each band coincide and then adding together these shifted derived-band waveforms. The Stacked ABR amplitude reflects the synchronous activity of essentially all activated neural elements in the auditory nerve. The elimination of any significant amount of this neural activity by an abnormality will result in a reduction in the Stacked ABR amplitude.

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