PHOTO: Erin Piker

Erin G. Piker, Au.D., Ph.D., CCC-A

Assistant Professor



Education

  • Au.D. Vanderbilt University
  • Ph.D. Vanderbilt University

Research and Teaching Areas:

  • Vestibular physiology and diagnostics
  • Effects of aging on vestibular function and balance
  • Classes: Anatomy and physiology of the central auditory system, Pathophysiology of the auditory system, Vestibular physiology and testing, Aural rehabilitation

Research Laboratory

Publications (Last 5 years)

  • Piker EG, Jacobson GP. (2014) Self-report symptoms differ between younger and older dizzy patients. Otology and Neurotology, 35(5):873-879.
  • Jacobson GP, Piker EG, Watford KE, Gruenwald J, Wanna G, Rivas A. (2014) Concordance and   discordance between patient and healthcare provider on dizziness self-report measures.  American Journal of Otolaryngology, 35(6):779-783.
  • *Kahmke RR, Keeler JA, Garrison D, Piker EG, Tucci DL, Adkins HD, Kaylie DL. (2014) Vestibular testing data in migraine-associated vertigo. Otolaryngology Head and Neck Surgery, 151(1 Suppl):P99-P100.
  • *Chandramohan A, Wright J, Fernandez XD, Zhuang J, Lad E, Cousins S, Madden D, Piker E, Tucci D, Whitson H (2015) The Effect of Hearing on Cognitive Evaluation in Patients with Age-related Macular Degeneration. Journal of the American Geriatric Society, 63:S147-S147.
  • Piker EG, Baloh RW, Witsell DL, Garrison D, Lee WT. (2015) Assessment of the clinical utility of cVEMP and oVEMP testing in elderly patients. Otology and Neurotology. June 24 2015Epub ahead of print.
  • Piker EG, Garrison D, Kaylie DM, Tucci DL. (2015) Hospital Anxiety and Depression Scale: factor structure, internal consistency, and convergent validity in patients with dizziness. Audiology and Neurotology, 20:394-399.
  • Piker EG, Schulz K, Parham K, Vambutas A, Witsell D... Lee WT (2016) Variation in the use of vestibular diagnostic testing for patients presenting to otolaryngology clinics with dizziness. Otolaryngol Head Neck Surg, 155(1): 42 - 47.
  • *Patki AU, Ronen O, Kaylie DM, Frank-Ito DO, Piker EG (2016). Anatomic variations in temporal bones affect the intensity of nystagmus during warm caloric irrigation. Otol Neurotol, 37(8):1111 - 1116.
  • *Jong MA, Carpenter DJ, Kaylie DM, Piker EG, Frank-Ito DO (2017). Temporal bone anatomy characteristics in superior semicircular canal dehiscence. Journal of Otology, 12(4), 185 – 191.
  • Jacobson, G.P., Piker, E.G., Grantham, S.L., English, L.T. (2018). Age predicts the absence of caloric-induced vertigo. Journal of Otology, 13(1), pp. 5 – 9.
  • *Carpenter, D., Piker, E.G., Frank-Ito, D.O. (2018). Pilot study to investigate the relationship between temporal bone anatomy and caloric asymmetry. American Journal of Audiology, 27, pp. 110 – 120.
  • *Burnette, E., Piker, E.G. (2018). Reevaluating order effects in the binaural bithermal caloric test. American Journal of Audiology, 27, pp. 104 – 109.
  • *Makowiec, K.F, Piker, E.G, Jacobson, G.P., Roberts, R.A. (2018), Ocular and cervical vestibular evoked myogenic potentials in patients with vestibular migraine, Otology & Neurotology. 39(7):e561-e567.
  •  Piker, E.G., Jacobson, G.P., Makowiec, K.F., Atabek, P.M. (2018). The medial canthus reference electrode is not electrically indifferent to the ocular vestibular evoked myogenic potential. Otology & Neurotology.Dec;39(10):e1069-e1077.
  • Jacobson, G. P. Piker, E. G., Hatton, K., Watford, K. E., Trone, T., McCaslin, D.L., Bennett, M.L., Rivas, A., Haynes, D.S., Roberts, R.A. (2019). Development and preliminary findings of the Dizziness Symptom Profile. Ear & Hearing. May/June;40(3):568-576.
  • Piker, E.G., Romero, D.R. (IN PRESS). Diabetes and the Vestibular System., Seminars in Hearing.
  • Jacobson, G. P., Piker, E. G; Hatton, K., Roberts, R. A. (2019). A factor analytic assessment of the English language translation of the neuropsychological vertigo inventory (NVI). Manuscript submitted for publication.
  • Piker, E.G., Jacobson, G., Wang, Y., Smith, K., Romero, D. (2019). The clinical significance of the failure to perceive vertigo in the post-caloric period despite a robust caloric response. Manuscript submitted for publication. 
  • *Romero, D., Piker, E.G., Nelson, S., Gray, L. (2019). Magnitude estimation of angular acceleration and displacement during sinusoidal harmonic acceleration. Manuscript submitted for publication.
  • Clinard, C., Piker, E.G., et al. (2019). Maximum output and low-frequency limitations of B71 and B81 clinical bone vibrators: implications for vestibular evoked potentials. Manuscript submitted for publication.

Book Chapters (Last 5 years)

  • Piker EG, Garrison, D. (2014). Clinical Neurophysiology of the Vestibular System, In J. Katz (Ed), Clinical Handbook of Audiology, 7th Edition, (pp. 381-398). Philadelphia, PA: Lippincott Williams and Wilkins.
  • Jacobson GP, Shepard NT, McCaslin DL, Piker EG (2014).  Eye movement recording techniques. In G. P. Jacobson & N. Shepard (Eds.), Balance Function Assessment and Management, 2nd Edition, (pp. 99 – 116). San Diego, CA: Plural Publishing.
  • Jacobson GP, Newman CW, Piker EG. (2014)  Assessing dizziness health related quality of life. In G. P. Jacobson & N. Shepard (Eds.), Balance Function Assessment and Management, 2nd Edition, (pp. 163 – 208). San Diego, CA: Plural Publishing.
  • Jacobson GP, McCaslin DL, Piker EG, Gruenwald J, Grantham L, Tegel L. (2014) Topological localization of vestibular system impairment. In G.P. Jacobson & N.Shepard (Eds.) Balance Function Assessment and Management, 2nd Edition, (613 – 630). San Diego, CA: Plural Publishing.
  • Piker, E.G., Jacobson, G.P., Newman, C.W. (IN PRESS). Assessing dizziness-related quality of life. In G.P Jacobson & N.T. Shepard (Eds.), Balance Function Assessment and Management. San Diego, CA: Plural Publishing.
  • Jacobson, G.P, Piker, E.G., Roberts, R., McCaslin, D., Ramadan, N. (IN PRESS). Topological localization of vestibular system impairment. In G.P Jacobson & N.T. Shepard (Eds.), Balance Function Assessment and Management. San Diego, CA: Plural Publishing.

Conference Presentations (Last five years)

  • *Denotes Student Presenter

    Jacobson GP, Piker EG (2014). Concordance and discordance between healthcare providers and patients on patient self-report measures of dizziness. Podium presentation at the annual American Balance Society Meeting in Scottsdale, AZ, March 5, 2014.
  • Piker EG, Garrison D (2014) Update on cVEMP and oVEMP testing in superior canal dehiscence. Invited presentation at the annual meeting of the North Carolina Academy of Audiology, Raleigh, NC, September 20, 2014.
  • *Kahmke RR, Keeler JA, Garrison D, Piker EG, Tucci DL, Adkins HD, Kaylie DL. (2014) Vestibular testing data in migraine-associated vertigo. Oral presentation at annual AAO-HNSF meeting in Orlando, FL, September 23, 2014.
  • Unrein SC, Piker EG, Tucci DL, Kaylie DM. (2014). Changes in hearing perception with electrical stimulation in users with Meniere’s Disease: A case series.  Oral presentation at annual American Cochlear Implant Alliance meeting in Nashville, TN, December 11, 2014.
  • *Chandramohan A, Wright J, Fernandez XD, Zhuang J, Lad EM, Cousins S, Madden D, Piker EG, Tucci DL, Whitson HE. (2015). The effect of hearing on cognitive evaluation in patients with age-related macular degeneration. Presidential Poster presented at the annual American Geriatrics Society meeting in National Harbor, MD, May 15 – 17, 2015.
  • Piker EG. (2015). Vestibular test utilization in the assessment of dizzy patients. Invited presentation at the Creating Healthcare Excellence through Education and Research (CHEER) coordinator training workshop, Alexandria, VA, August 6 – 8, 2015.
  • *Carpenter DA, Piker EG, Kaylie DM, Frank-Ito D. (2016). Investigating the role of temporal bone anatomy on caloric stimulation. Poster presented at the annual American Auditory Society meeting in Scottsdale, AZ, March 3-5, 2016.
  • *Patki AU, Ronen O, Kaylie DM, Frank-Ito DO, Piker EG (2016). “Anatomic variations in temporal bones affect the intensity of nystagmus during warm caloric irrigation.” Podium presentation at annual American Otological Society meeting in Chicago, IL, May 21, 2015.
  • Piker EG, Carpenter D, Frank-Ito DO. (2016). “Computational study of the relationship between temporal bone anatomy and caloric asymmetry.” Poster presentation at annual American Otological Society meeting in Chicago, IL, May 21, 2015.
  • Piker EG (2016). “The caloric test: using the newest technology to better understand our oldest vestibular test. Invited presentation at the Ruth Symposium in Audiology and Hearing Science in Harrisonburg, VA, October 15, 2016.
  • Piker, E.G. “Welcome to Audiology.” Keynote speaker at the 11th annual Student Academy of Audiology White Coat Ceremony honoring the class of 2020, Harrisonburg, VA (September 2016).
  • Piker, E.G. “Is this patient compensated?” Invited presentation at the Vestibular Grand Rounds at the American Academy of Audiology annual meeting, Indianapolis, IN (April 2017).
  • Piker, E.G. “Minimal detectable change of the caloric test”. Podium presentatin at the annual meeting of the American Balance Society, Scottsdale, AZ. (March 2018).
  • Piker, E.G., Jacobson, G.P., Makowiec, K., Krolewicz, S., Atabek, P. “Is a medial canthus reference electrode electrically indifferent to the oVEMP?”Poster presented at the annual meeting of the American Balance Society, Scottsdale, AZ. (March 2018).
  • Jacobson, G.P., Piker, E.G. “The development of the Dizziness Symptom Profile (DSP): Preliminary Findings”Poster presented at the annual meeting of the American Balance Society, Scottsdale, AZ. (March 2018).
  • *Makowiec, K., Piker, E.G., Jacobson, G.P., Roberts. R. “VEMPS and Vestibular Migraine: Is there a connection?”Poster presented at the annual meeting of the American Balance Society, Scottsdale, AZ. (March 2018).
  • *Fleck, K., Piker, E.G. “Does EMG monitoring during a cVEMP matter?” Mentored Student Poster presented at the James Madison University Honors Symposium, Harrisonburg VA. (April 2018).
  • *Thorne, A. Clinard, C. Piker, E. “Amplitude-modulated cervical vestibular evoked myogenic potentials (AMcVEMPs): Preliminary Findings” Mentored Student Poster presented at the Ruth Symposium in Audiology and Hearing Science, Harrisonburg, VA, October 2018
  • *Atabek, P., Piker, E. “Effects of age and middle ear resonance on the frequency tuning of the cVEMP and oVEMP” Mentored Student Poster presented at the Ruth Symposium in Audiology and Hearing Science, Harrisonburg, VA, October 2018
  • Piker, E.G. (2019, February). Clinical significance of the failure to perceive vertigo in post-caloric period despite robust caloric responses. Poster presented at the annual meeting of the American Balance Society, Scottsdale, AZ.
  • *Romero, D.R., Piker, E.G., Clinard, C.G., Thorne, A. (2019, February). Comparison of bone-conduction cervical VEMPs across different transducers.  Podium presentation at the annual meeting of the American Balance Society, Scottsdale, AZ.
  • *Van De Wyngaerde, K., Lee, M., Jacobson, G.P., McCaslin, D.L., Pasupathy, K., Piker, E.G., Romero-Brufau, S. (2019, February). The component structure of the Dizziness Handicap Inventory (DHI): A Reappraisal. Podium presentation at the annual meeting of the American Balance Society, Scottsdale, AZ.
  • *Thorne, A., Clinard, C., Piker, E. (2019, March). Effects of tonic muscle activation on amplitude-modulated cervical VEMPs (AMcVEMPs), Poster presented at the annual meeting of the American Auditory Society, Scottsdale, AZ
  • *Weist, A., Piker, E.G., Irons, J. (2019, March). Induction of nocebo effects by verbal suggestions during the caloric test. Poster presented at the SHAV 2019 Conference, Richmond, VA
  • *Morales, B., Piker, E.G., Atabek, P., O’Donoghue, C., Meixner, C. (2019, March). The feasibility of standardized cognitive assessments for vestibular patients. Poster presented at the SHAV 2019 Conference, Richmond, VA
  • *Romero, D.R., Piker, E.G., Clinard, C.G., Thorne, A. (2019, March). Comparison of bone-conduction cervical VEMPs across different transducers.  Poster presented at the annual meeting of the American Academy of Audiology, Columbus, OH.
  • *Romero, D.R., Piker, E.G., Clinard, C.G., Thorne, A. (2019, April). Comparison of bone-conduction cervical VEMPs across different transducers.  Poster presented at the JMU Showcase of Graduate Scholarship and Creative Activity, Harrisonburg, VA.
  • *Murray, B., Piker, E.G. (2019, April). Do EMG monitoring and amplitude normalization reduce cVEMP variability in a pediatric population? Poster presented at the JMU Honors Symposium, Harrisonburg, VA.
  • *Jones, E., Piker, E.G. (2019, Aprl). Cervical vestibular-evoked myogenic potentials (cVEMPs): Differentiation of inter-neck EMG symmetry between children and adults. Poster presented at the JMU Honors Symposium, Harrisonburg, VA.
  •  *Morales, B., Piker, E.G., Atabek, P., O’Donoghue, C., Meixner, C. (2019, April). The feasibility of standardized cognitive assessments for vestibular patients. Poster presented at the JMU Honors Symposium, Harrisonburg, VA.

Awards/Other

  • 2007    Vanderbilt University Capstone Research Award
  • 2008    Preparation of Tomorrow’s Leaders in Pediatric Audiology and Early Intervention Scholarship  (Grant #H325D050047)
  • 2008    The Hearing Journal’s Best of Audiology Literature pick for Piker et al. 2008 article
  • 2008    The Hearing Journal’s Best of Audiology Literature pick for Jacobson et al. 2008 article
  • 2009    Mentored Doctoral Student Research Poster Session Award, National meeting of American Auditory Society
  • 2010    Mentored Doctoral Student Research Poster Session Award, National meeting of American Auditory Society
  • 2012    Mentored Doctoral Student Research Poster Session Award, National meeting of American Auditory Society
  • 2012    James Jerger Award for Excellence in Student Research, National meeting of the American Academy of Audiology
  • 2013    Mentoring for Junior Faculty and Clinician Scientists in Communication Disorders program; Mentors: Robert Baloh, MD and Walter Lee, MD (funding through NIDCD U24 DC012079) 
  • 2013    National Institute of Health (NIH) Loan Repayment Program Award recipient
  • 2014    Journal of the American Academy of Audiology Editor’s Award for outstanding contributions to the peer review process
  • 2014    American Speech-Language-Hearing Association Lessons for Success fellowship award, grant writing workshop (funding through NIDCD U24 DC007835)
  • 2014    New Investigator Award, American Academy of Audiology and the American Academy of Audiology Foundation
  • 2016    Clinical Preceptor of the Year Award from the University of North Carolina
  • 2017    National Institute of Health (NIH) Loan Repayment Program Award recipient (renewal application)
  • 2017    1st Year Faculty Recognition Award, James Madison University, Office of Sponsored Programs
  • 2018    1st Time External Funding Award Recipient, James Madison University, Office of Sponsored Programs
  • 2019    Early Career Audiologist Award, American Academy of Audiology