Clinical Study

Cervical Vestibular-Evoked Myogenic Potentials: Norms and Protocols

Table 3

VEMP protocols.

AuthorCountryPositionActive/positive/noninvertingReference/invertingGroundStimulusIntensityNo. of stimuliEMG level

Isaradisaikul 2012 (referred to this study)ThailandSitting, head turnedMidpoint of the SCMThe sternal notchThe foreheadSTBs of 500 Hz98 dBnHL (120 dBSPL)20030–75 μV
Kerdsiri 2010 [15]ThailandRecumbent, head raised and turnedThe sternum Upper 1/3 of the SCM muscleThe foreheadSTBs of 500 Hz105 dBnHL (125 dBSPL)80–15050–300 μV
Janky 2009 [16]USASitting, head turnedThe SCMThe manubrium of the sternumThe foreheadSTBs of 500 Hz
Rarefaction clicks
123 dBSPL (80 dBnHL)
119 dBSPL (90 dBnHL)
20045 mmHg (cuff)
Maes 2009 [17]BelgiumSitting, head turned Midpoint of the SCMThe sternoclavicular junctionThe foreheadSTBs of 500 Hz 95 dBnHL (130 dBSPL)25640 mmHg (cuff)
Isaradisaikul 2008 [18]USARecumbent, head raised and turnedThe sternumMidpoint of the SCMThe foreheadSTBs of 500 Hz110  dBHL (115.5 dBSPL)10040–150 μV
Wu 2007 [19]TaiwanSupine, head raisedUpper half of the SCMThe sternal notchThe foreheadSTBs of 500 Hz/ Rarefaction clicks95 dBnHL20050 μV
Kelsch 2006 [20]USASupine, head raisedMidpoint of the SCMThe ipsilateral upper sternumThe contralateral neckalternating clicks90 dBnHL150NA
Wang 2006 [21]TaiwanSupine, head raised then turnedUpper half of the SCMLateral end of the upper sternumNASTBs of 500 Hz95  dBHL20050–200 μV
Basta 2005 [9]GermanyHead turnedMidpoint of the SCMThe sternumThe foreheadSTBs of 500 Hz115 dBSPLNA50–200 μV
Su 2004 [22]TaiwanSupine, head raisedUpper half of the SCMLateral end of the upper sternumNARarefaction clicks 95 dBnHL12850–200 μV
Wang 2004 [23]TaiwanSupine, head raisedUpper half of the SCMLateral end of the upper sternumNASTBs of 500 Hz105 dBHL20050–200 μV
Cheng 2003 [24]TaiwanSupine, head raisedUpper half of the SCMLateral end of the upper sternumNASTBs of 500 Hz/ Rarefaction clicks 95 dBnHL12850–200 μV
Wang 2003 [25]TaiwanSupine, head raisedUpper half of the SCMLateral end of the upper sternumNASTBs of 500 Hz95 dBnHL20050–200 μV
Brantberg 2001 [26]SwedenSupine, head raised The most Prominent part of the SCMMidpoint of the clavicleThe uppermost part of the sternumRarefaction clicks100 dBnHL128NA
Ochi 2001 [14]JapanHead turnedUpper half of the SCMUpper edge of the sternumThe foreheadRarefaction clicks95 dB50NA
Welgampola 2001 [27]AustraliaRecumbent, head raisedUpper 1/3 of the SCMMedial ends of the claviclesThe sternumRarefaction clicks100 dBnHL256NA
Wu 1999 [10]TaiwanSupine, head raisedUpper half of the SCMLateral end of the sternumNASTBs of 500 Hz95 dBnHL200NA