The Journal of International
Advanced Otology
Original Article

Comparison of Tone Burst, Click and Chirp Stimulation in Vestibular Evoked Myogenic Potential Testing in Healthy People


Department of Otorhinolaryngology, Recep Tayyip Erdoğan University Faculty of Medicine, Rize, Turkey

J Int Adv Otol 2015; 11: 33-35
DOI: 10.5152/iao.2015.927
Read: 2197 Downloads: 849 Published: 03 September 2019


OBJECTIVE: Vestibular evoked myogenic potential (VEMP) is a clinical test used in the diagnosis of vestibular diseases. VEMP uses several stimulants to stimulate the vestibular system and measure myogenic potentials. The aim of this study was to compare the effects of tone burst, click, and chirp stimulation in VEMP on the latency and amplitude of myogenic potentials.


MATERIALS and METHODS: We compared the results of 78 ears from 39 volunteers. We measured the sternocleidomastoid muscle potential of each ear following a 500-Hz tone burst, click, and chirp stimulation while in a sitting position and evaluated the latency and amplitude.


RESULTS: The tone burst stimulus resulted in waves with longer latency (15.8±1.9 ms) but higher amplitude (35.9±17.1 µV) compared with the other stimuli, and the chirp stimulus resulted in waves with shorter latency (9.9±2.4 ms) but lower amplitude (33±18.6 µV) (p<0.001). The VEMP asymmetry ratio did not significantly differ.


CONCLUSION: Because the amplitudes and latencies of different stimuli significantly differ, further studies including more patients and stimulus types are needed to obtain standardized VEMP protocols. 

EISSN 2148-3817