Diagnosing Hearing Loss in Infants Through Electrophysiologic Measures

Audiology

Intermediate

Self-Study

10h

Continuing Education

1.00 AAA CEUs
10.00 AG Bell CEUs
1.00 ASHA CEUs

Register until Dec. 30, 2026

Join to Get Started!

It's free and easy to join the Hearing First community.

Help & Support

See All FAQs

Course Overview
Course Outline

Course Overview

Reliable and valid hearing thresholds cannot be determined with behavioral audiologic measures in infants until they are at least five to six months of age. Also, some children with neurodevelopmental and other disabilities are unable to provide threshold-level responses during behavioral audiologic assessment. In these cases, electrophysiologic measures may be used to evaluate the auditory function of infants and young children and estimate hearing thresholds. This learning session will provide an overview of the fundamentals of auditory evoked response measures including the neurophysiologic and electroacoustic principles underlying auditory evoked responses measures. This session will summarize a clinical protocol for the completion of auditory brainstem response (ABR) measures and auditory steady state response (ASSR) assessments. This session will also provide a summary of contemporary stimulus and acquisition parameters and analysis methods designed to optimize the ability to evaluate the auditory function of infants via the use of auditory evoked response measurements. This session will also discuss the cross-check principle as it relates to the use of multiple electrophysiologic measures of auditory function (e.g., ABR, ASSR, distortion product otoacoustic emission assessment, middle ear measurements).

Course Timeline

30 Days

Primary Audience

AuD Professionals

Key Outcomes

Describe the physiologic principles underlying the production of an ABR and cochlear microphonic response and acquisition parameters commonly found in pediatric ABR assessment.
Describe at least two stimulus parameters commonly used in pediatric ABR and will describe contemporary ABR systems including at least three modern techniques designed to optimize stimulus properties, response acquisition, or response analysis.
Describe analysis of ABR waveforms and will describe at least three components of a clinical protocol to complete ABR assessment in infants and young children.
Describe at least three techniques used to analyze ASSR responses.

Course Outline

Electrophysiologic Measures of Auditory Function
2h 53m
[embed:36efd594-647a-47a1-9350-90a1e89aac01:804c74b5-1d52-487c-b2a8-0e9d89c24cdb:title=Learning%20Content&duration=6780&itemdetails=%3Cul%3E%0A%3Cli%3EOverview%2C%20Electrophysiologic%20Measures%20vs.%20Objective%20Measures%20%7C%2025m%3C%2Fli%3E%0A%3Cli%3EAuditory%20Evoked%20Responses%3A%20Anatomy%20and%20Physiology%20%7C%2052m%3C%2Fli%3E%0A%3Cli%3EWaveform%20Acquisition%20Approaches%20to%20Extract%20Auditory%20Evoked%20Potentials%3A%20Basic%20to%20Advanced%20%7C%2036m%3C%2Fli%3E%0A%3C%2Ful%3E]

[embed:36efd594-647a-47a1-9350-90a1e89aac01:0d8a0760-3fdd-4e5c-8802-a6853562c0d5:title=Live%20Session%20Recording&duration=3600&itemdetails=]
Learning Content
1h 53m
- Overview, Electrophysiologic Measures vs. Objective Measures | 25m
- Auditory Evoked Responses: Anatomy and Physiology | 52m
- Waveform Acquisition Approaches to Extract Auditory Evoked Potentials: Basic to Advanced | 36m
Live Session Recording
1h
Pediatric ABRs: Advanced Waveform Acquisition and Analysis
2h 24m
[embed:36efd594-647a-47a1-9350-90a1e89aac01:4e91161f-074b-46e8-9414-9cab474cee34:title=Learning%20Content&duration=4980&itemdetails=%3Cul%3E%0A%3Cli%3EABR%20Stimulus%20Parameters%20%7C%2053m%3C%2Fli%3E%0A%3Cli%3EABR%20Waveform%20Analysis%20%7C%2030m%3C%2Fli%3E%0A%3C%2Ful%3E]

[embed:36efd594-647a-47a1-9350-90a1e89aac01:439abd5f-c1a8-4f3c-803c-dc8071b74804:title=Live%20Session%20Recording&duration=3660&itemdetails=]
Learning Content
1h 23m
- ABR Stimulus Parameters | 53m
- ABR Waveform Analysis | 30m
Live Session Recording
1h 1m
ABR Analysis and Best Practice Protocols
2h 13m
[embed:36efd594-647a-47a1-9350-90a1e89aac01:e1195bb6-5207-4b9c-8599-6a1fde2331bf:title=Learning%20Content&duration=4380&itemdetails=%3Cul%3E%0A%3Cli%3EClinical%20Protocol%20for%20the%20Completion%20of%20ABR%20Assessment%20in%20Infants%20%7C%2073m%3C%2Fli%3E%0A%3C%2Ful%3E]

[embed:36efd594-647a-47a1-9350-90a1e89aac01:8de60d55-5f28-4b5b-a810-bf0179125432:title=Live%20Session%20Recording&duration=3600&itemdetails=]
Learning Content
1h 13m
- Clinical Protocol for the Completion of ABR Assessment in Infants | 73m
Live Session Recording
1h
ABR, ASSR, Middle Ear Measures, OAEs, CAERs, and the Cross Check Principle
2h 43m
[embed:36efd594-647a-47a1-9350-90a1e89aac01:a637c402-4c7a-4f4b-a013-dd7049cdfbcd:title=Learning%20Content&duration=6540&itemdetails=%3Cul%3E%0A%3Cli%3EAuditory%20Steady%20State%20Response%20%28ASSR%29%20%7C%2059m%3C%2Fli%3E%0A%3Cli%3ECross-check%20Principle%2C%20Otoacoustic%20Emissions%20and%20Middle%20Ear%20Measurements%2C%20Cortical%20Auditory%20Evoked%20Response%20Measurement%20%7C%2050m%3C%2Fli%3E%0A%3C%2Ful%3E]

[embed:36efd594-647a-47a1-9350-90a1e89aac01:71e6453f-a7a5-4f1f-848f-89f0069c5322:title=Live%20Session%20Recording&duration=3240&itemdetails=]
Learning Content
1h 49m
- Auditory Steady State Response (ASSR) | 59m
- Cross-check Principle, Otoacoustic Emissions and Middle Ear Measurements, Cortical Auditory Evoked Response Measurement | 50m
Live Session Recording
54m

Featuring

Jace Wolfe
PhD, CCC-A
View Profile

Jace Wolfe, Ph.D., is the Senior Vice President of Innovation at the Oberkotter Foundation. He is author of the textbook entitled “Cochlear Implants: Audiologic Management and Considerations for Implantable Hearing Devices,” and he is co-editor (with Carol Flexer, Jane Madell, and Erin Schafer) of the textbooks “Pediatric Audiology: Diagnosis, Technology, and Management, Third Edition” and “Pediatric Audiology Casebook, Second Edition.” He is also a co-author of the textbook entitled “Programming Cochlear Implants, Third Edition,” and he has published over 130 book chapters and articles in peer-reviewed and trade journals. His areas of interests are pediatric hearing healthcare, pediatric amplification and cochlear implantation, personal remote microphone technology, and signal processing for children.

Financial Disclosures: Dr. Jace Wolfe receives compensation from the Oberkotter Foundation as Senior Vice President of Innovation.

Non-financial Disclosures: Dr. Jace Wolfe is co-author of “Contemporary Protocol for Frequency-specific ABR Assessment in Infants and Young Children” In Auditory Electrophysiology: A Clinical Guide, 2nd edition, (eds. Samuel R. Atcherson, Tina M. Stoody). Thieme Medical Publishers, Inc. New York, NY.

Learning with Hearing First

Simple and straightforward — so you can focus on learning!

Getting Started

This is your central hub where you can stay up to date with the latest announcements, information, and your progress in this course. Helpful reminders will also keep you on track!

Learn More

Your Learning Progress

Wrapping Up

The Hearing First learning experiences are designed to foster the understanding and application of the science and art of audiology and LSL practice. The opinions and comments of facilitators and learners in these learning experiences are theirs and not necessarily the viewpoints shared by Hearing First. As a reminder, Hearing First Learning Experiences are governed by and subject to the Hearing First Terms of Use, Privacy Policy, and Community Code of Conduct, and we encourage all Community Members participating in a Hearing First Learning Experience to review our policies regularly. Hearing First provides free learning experiences to its community members, offering links to open-access resources (handouts, articles, videos) for educational purposes. While we've exercised our right to access and share these resources for charitable and educational use, we make no representations or assume liability regarding your rights. Please familiarize yourself with the publisher's copyright notices, restrictions, and requirements, and note that republishing is solely at your discretion. [ Read More ]

Hearing First is approved by the AG Bell Academy for Listening and Spoken Language to offer Continuing Education Hours for Listening and Spoken Language Specialist (LSLS) certification. This program has been approved for a maximum of 10.00 CEUs. AG Bell Academy approval of this course is based on information shared by the approved provider. Views shared by the presenter(s) may not necessarily reflect the views of the AG Bell Academy for Listening and Spoken Language either in part or whole.

Hearing First is approved by the American Academy of Audiology to offer Academy CEUs for this activity. The program is worth a maximum of 1.00 CEUs. Academy approval of this continuing education activity is based on course content only and does not imply endorsement of course content, specific products, or clinical procedure, or adherence of the event to the Academy's Code of Ethics. Any views that are presented are those of the presenter/CE Provider and not necessarily of the American Academy of Audiology.

Hearing First Intermediate Level
1.00 ASHA CEUs

ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products or clinical procedures.