Comparison of auditory steady-state response and auditory brainstem response thresholds in children

Kathy R. Vander Werff, Carolyn J. Brown, Barbara A. Gienapp, Kelly M. Schmidt Clay

Research output: Contribution to journalArticlepeer-review

71 Scopus citations


Recently, auditory steady-state responses (ASSRs) have been proposed as an alternative to the auditory brainstem response (ABR) for threshold estimation. The goal of this study was to investigate the degree to which ASSR thresholds correlate with ABR thresholds for a group of sedated children with a range of hearing losses. Thirty-two children from the University of Iowa Hospitals and Clinics ranging in age from 2 months to 3 years and presenting with a range of ABR thresholds participated. Strong correlations were found between the 2000-Hz ASSR thresholds and click ABR thresholds (r =.96), the average of the 2000- and 4000-Hz ASSR thresholds and click ABR thresholds (r = .97), and the 500-Hz ASSR and 500-Hz toneburst ABR thresholds (r = .86). Additionally, it was possible to measure ASSR thresholds for several children with hearing loss that was great enough to result in no ABR at the limits of the equipment. The results of this study indicate that the ASSR may provide a reasonable alternative to the ABR for estimating audiometric thresholds in very young children.

Original languageEnglish (US)
Pages (from-to)227-235
Number of pages9
JournalJournal of the American Academy of Audiology
Issue number5
StatePublished - May 2002
Externally publishedYes


  • Auditory brainstem response
  • Auditory evoked responses
  • Auditory steady-state responses

ASJC Scopus subject areas

  • Speech and Hearing


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