Predictive Factors for Vestibular Loss in Children With Hearing Loss

Janky, Kristen L.; Thomas, Megan L. A.; High, Robin; Schmid, Kendra K.; Ogun, Oluwaseye Ayoola

doi:10.1044/2017_aja-17-0058

Cited by 35 publications

(41 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As already mentioned, this study also focussed on a different target population, including both normal-hearing and hearing-impaired infants. Moreover, the already discussed lower participation rate in this study may imply that parents, who were concerned about vestibular or motor deficiencies in their child, were more likely to participate, which may possibly lead to a higher percentage of vestibular (mainly saccular) dysfunction in the study sample 57 .…”

Section: Discussionmentioning

confidence: 81%

Vestibular Infant Screening (VIS)–Flanders: results after 1.5 years of vestibular screening in hearing-impaired children

Martens

Dhooge

Dhondt

et al. 2020

Sci Rep

View full text Add to dashboard Cite

Due to the close anatomical relationship between the auditory and vestibular end organs, hearing-impaired children have a higher risk for vestibular dysfunction, which can affect their (motor) development. Unfortunately, vestibular dysfunction often goes unnoticed, as vestibular assessment in these children is not standard of care nowadays. To timely detect vestibular dysfunction, the Vestibular Infant Screening–Flanders (VIS–Flanders) project has implemented a basic vestibular screening test for hearing-impaired infants in Flanders (Belgium) with a participation rate of 86.7% during the first year and a half. The cervical Vestibular Evoked Myogenic Potentials (cVEMP) test was applied as vestibular screening tool to map the occurrence of vestibular (mainly saccular) dysfunction in this population. At the age of 6 months, 184 infants were screened. No refers on vestibular screening were observed in infants with permanent conductive hearing loss. In infants with permanent sensorineural hearing loss, a cVEMP refer rate of 9.5% was observed. Failure was significantly more common in infants with severe-profound compared to those with mild-moderate sensorineural hearing loss (risk ratio = 9.8). Since this is the first regional study with a large sample size and successful participation rate, the VIS–Flanders project aims to set an example for other regions worldwide.

show abstract

Section: Discussionmentioning

confidence: 81%

Vestibular Infant Screening (VIS)–Flanders: results after 1.5 years of vestibular screening in hearing-impaired children

Martens

Dhooge

Dhondt

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…In our opinion, the aided behavior audiometry potentially represented the ability to perceive sounds and to some extent could predict the effect of the intervention, which were rarely mentioned in other studies. Certainly, in addition to the factors we mentioned above, a variety of possible causes for developmental deficits has been explored including: hearing device, age at hearing aids, the etiology of deaf, parental behaviors such as overprotection, and so on [30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive developments in deaf children aged 6 months to 6 years

Zhang

Yang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background. In the early stages of life, auditory input and communication are essential for acquisition of speech, cognition, behavior and social development. While so far the development evaluation of deaf children has not been given much attention. This study was design to evaluate the comprehensive developments of young children with severe or profound hearing loss and explore the effect of age on developments. Methods. 500 children with severe or profound hearing loss (287 boys, 26.00±18.89 months, range 6-72 months) were recruited in this study. The developments of children were assessed by Gesell development schedules. All the children were divided into three groups according to age: infancy (6-12months), toddler (12-36months) and preschool (36-72months). Developments were evaluated and compared among the different age group. Results: Compared with the normal developmental criteria, deaf children had overall development delay and only 50 (10%) reached the normal developmental level. The delay occurred in full-dimensional developments including gross motor, fine motor, adaptability, language, and social skill, the normal developmental rates of which were 42.0%, 24.8%, 27.4%, 4.2%, and 14.0%, respectively. For the five aspects developments, Pearson’s correlation showed that they were statistically significant correlated with each other (all p<0.001). Then, the developments among the different age group were compared and found that developments got worse with age (p<0.001). Apart from age, the results of multiple regression reveled that behavior audiology with hearing aids was negative correlated with the developments (p<0.05). Conclusions. Deaf children could have overall developmental delay. Language development was the worst, followed by social skills and adaptability, and gross motor development, followed by fine motor, was the best. The older the deaf children, the more obvious the lag behind of development.Keywords : young; children; deaf; comprehensive development; early.

show abstract

“…These measures include the modified clinical test of sensory integration on balance, the bedside head thrust test, the Emory clinical vestibular chair test, the dynamic visual acuity test, single-leg stance, tandem standing, age of gross motor attainment, and severity of hearing loss. [74][75][76][77] See Table 2 for a summary of how these screening measures can be used. If the child has a positive score for any of the measures, vestibular loss would be suspected and vestibular testing recommended.…”

Section: Screening Measuresmentioning

confidence: 99%

“…Timing is stopped if they take a step, move hands from hips or open eyes DVA, dynamic visual acuity; ECVCT, Emory clinical vestibular chair test; HTT, head thrust test; mCTSIB, modified clinical test of sensory integration on balance. Christy et al75 b Oyewumi et al76 c Janky et al81…”

mentioning

confidence: 99%

Quantitative Vestibular Function Testing in the Pediatric Population

Janky

Rodriguez

2018

Semin Hear

View full text Add to dashboard Cite

Quantitative tests of vestibular function include the caloric test, cervical and ocular vestibular evoked myogenic potential (VEMP), rotary chair, and head impulse test, either at the bedside or utilizing video head impulse test (vHIT). The purpose of this article is to provide an overview of how to perform these tests in children, including which tests are recommended based on the child's age and any modifications or considerations that can be made. A variety of clinical measures have been recommended as screening measures for vestibular loss, which will be reviewed. Symptom questionnaires designed to assess the functional impact of dizziness and vestibular loss in children will also be discussed. If a child complains of dizziness or if vestibular loss is suspected (either by case history or positive screening measure), vestibular function testing is warranted. For vestibular function testing, children aged 0 to 2 years typically receive rotary chair, cervical VEMP, and vHIT if a remote system is available. For children aged 3 to 7 years, vHIT, cervical VEMP, and ocular VEMP are completed, and for children aged 8+ years, vHIT, caloric testing if vHIT is normal, and cervical and ocular VEMP are completed. For all children, modifications to testing can be made, as needed.

show abstract

Predictive Factors for Vestibular Loss in Children With Hearing Loss

Cited by 35 publications

References 34 publications

Vestibular Infant Screening (VIS)–Flanders: results after 1.5 years of vestibular screening in hearing-impaired children

Vestibular Infant Screening (VIS)–Flanders: results after 1.5 years of vestibular screening in hearing-impaired children

Comprehensive developments in deaf children aged 6 months to 6 years

Quantitative Vestibular Function Testing in the Pediatric Population

Contact Info

Product

Resources

About