Balance Control in Individuals with Hearing Impairment: A Systematic Review and Meta-Analysis

Zarei, Hamed; Norasteh, Ali Asghar; Lieberman, Lauren J; Ertel, Michael W.; Brian, Ali

doi:10.1159/000531428

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…Another interesting finding of this study is that the postural sway velocity of the children with SNHL increased as the assessments were carried out without visual cues, and when the width of the support base of these children's feet was reduced. These findings corroborate other studies that also observed that children with SNHL use the visual and somatosensory systems to compensate their vestibular and balance deficits [67,68], thus this highlights the importance of the visual and somatosensory systems for regulating postural control in childhood.…”

Section: Discussionsupporting

confidence: 91%

Postural Sway Velocity of Deaf Children with and without Vestibular Dysfunction

Melo,

Lemos,

Wiesiolek

et al. 2024

Sensors

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Background: Sensory information obtained from the visual, somatosensory, and vestibular systems is responsible for regulating postural control, and if damage occurs in one or more of these sensory systems, postural control may be altered. Objective: To evaluate and compare the postural sway velocity between children with normal hearing and with sensorineural hearing loss (SNHL), matched by sex and age group, and to compare the postural sway velocity between children with normal hearing and with SNHL, with and without vestibular dysfunction. Methods: Cross-sectional study that evaluated 130 children (65 with normal hearing and 65 with SNHL), of both sexes and aged between 7 and 11 years, from public schools of the city of Caruaru, Pernambuco state, Brazil. The postural sway velocity of the center of pressure (COP) was assessed by a force platform, in two directions, anteroposterior (AP) and mediolateral (ML)), in three positions, namely bipedal support with feet together and parallel (parallel feet (PF)), bipedal support with one foot in front of the other (tandem foot (TF)), and single-leg support (one foot (OF)), evaluated with the eyes open and closed. Results: Children with SNHL demonstrated greater postural sway velocity compared to children with normal hearing in all the positions evaluated, with significant differences in the AP direction, with the eyes open (PF: p = 0.001; TF: p = 0.000; OF: p = 0.003) and closed (PF: p = 0.050; TF: p = 0.005). The same occurred in the ML direction, with the eyes open (PF: p = 0.001; TF: p = 0.000; OF: p = 0.001) and closed (PF: p = 0.002; TF: p = 0.000). The same occurred in relation to vestibular function, where the children with SNHL with an associated vestibular dysfunction demonstrated greater postural sway velocity compared to children with normal hearing in all the positions evaluated, demonstrating significant differences in the AP direction, with the eyes open (TF: p = 0.001; OF: p = 0.029) and eyes closed (PF: p = 0.036; TF: p = 0.033). The same occurred in the ML direction, with the eyes open (TF: p = 0.000) and with the eyes closed (PF: p = 0.008; TF: p = 0.009). Conclusions: Children with SNHL demonstrated greater instability of postural control than children with normal hearing in all the directions assessed. Children with SNHL and an associated vestibular dysfunction demonstrated the greatest instability of postural control in this study.

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Section: Discussionsupporting

confidence: 91%