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Communication Sciences and Disorders

James Madison University

Theses/Dissertations

EMG

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Role Of Emg Monitoring On Cvemp Testing In Preschool Age Children, Brenna Murray May 2023

Role Of Emg Monitoring On Cvemp Testing In Preschool Age Children, Brenna Murray

Dissertations, 2020-current

While cervical vestibular evoked myogenic potential (cVEMP) testing has largely been studied and practiced on the adult population, less is known about the best practices for performing cVEMPs on a pediatric population, especially in young children under the age of 5 years. Further, very young children (i.e., 2-3 years) often prefer to sit with their caregiver during the testing, yet there is very little data on how much electromyographic (EMG) activity a child generates if in a seated position as opposed to a supine position. The purpose of this study was to assess the role of EMG on cVEMP recordings …


Objective Detection Of Vestibular Evoked Myogenic Potentials, Daniel J. Romero May 2021

Objective Detection Of Vestibular Evoked Myogenic Potentials, Daniel J. Romero

Dissertations, 2020-current

Cervical and ocular vestibular evoked myogenic potentials (cVEMPs and oVEMPs, respectfully) are considered objective tests of vestibular function measured using surface electromyography (EMG). In addition, VEMPs are visually detected by an examiner, often requiring a high level of stimulation to the ear to easily visualize a waveform plotted across time. However, a high level of stimulation, like those used during routine VEMP testing, is problematic since it has been shown to be unsafe in children when compared to adults. Visual interpretation can also vary between examiners in cases of reduced vestibular function or when the level of required muscle contraction …


Do Emg Monitoring And Amplitude Normalization Reduce Cvemp Variability In A Pediatric Population?, Brenna Murray May 2019

Do Emg Monitoring And Amplitude Normalization Reduce Cvemp Variability In A Pediatric Population?, Brenna Murray

Senior Honors Projects, 2010-2019

Untreated balance disorders can cause anxiety, social withdrawal, and even slow motor development in children, making early and accurate diagnosis crucial to patient care. One of the leading tests for the diagnosis of balance disorders is known as the cervical vestibular evoked myogenic potential (cVEMP) test. The cVEMP test is the only clinically available tool that assesses the integrity of the organ of balance known as the saccule and its afferent pathway through the inferior vestibular nerve. The test is noninvasive and easy to administer, making patient diagnosis quick and effective rendering it crucial in the assessment of vestibular function …


Cervical Vestibular-Evoked Myogenic Potentials (Cvemps): "Differentiation Of Inter-Neck Emg Symmetry Between Children And Adults", Ellen Jones May 2019

Cervical Vestibular-Evoked Myogenic Potentials (Cvemps): "Differentiation Of Inter-Neck Emg Symmetry Between Children And Adults", Ellen Jones

Senior Honors Projects, 2010-2019

A cervical Vestibular-Evoked Myogenic Potential (cVEMP) is one of the few objective vestibular diagnostic tests available for pediatric populations. This test evaluates the functionality of the saccule end organ through an inhibitory reflex on the sternocleidomastoid (SCM) muscle that inhibits the level of electromyographic (EMG) activity (Wiener-Vacher, 2013). Because the saccule response is measured as an inhibition of EMG in the SCM, it is imperative that the SCM have a tonic contraction prior to eliciting the response and that the contraction of the SCM is equal on the right and left sides. It is generally accepted that young, healthy adults …