Effect of hearing aids on static balance function in elderly with hearing loss

Negahban, Hossein; ali, Mahtab Bavarsad Cheshmeh; Nassadj, Gholamhossein

doi:10.1016/j.gaitpost.2017.07.112

Cited by 49 publications

(84 citation statements)

References 21 publications

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“…A group of 14 older, experienced bilateral hearing aid users were shown to remain stable for a longer period of time standing on a solid surface or on foam while wearing their hearing aids compared to without . A more recent study, again investigating a population wearing hearing aids, used variability of the center of pressure as a main outcome measure and reported similar results . Here, we include three individuals with bimodal hearing (one cochlear implant and one hearing aid).…”

Section: Discussionmentioning

confidence: 84%

“…14 A more recent study, again investigating a population wearing hearing aids, used variability of the center of pressure as a main outcome measure and reported similar results. 15 Here, we include three individuals with bimodal hearing (one cochlear implant and one hearing aid). Although our statistical power to draw comparisons for this subgroup is insufficient, principles of spatial hearing would suggest that two auditory inputs, regardless of the mode of hearing (bilateral vs. bimodal), are necessary for making use of spatial auditory landmarks.…”

Section: Discussionmentioning

confidence: 99%

“…Recent evidence has emerged showing that external auditory sources such as speaker arrays can contribute to maintaining balance, possibly by serving as fixed environmental reference points . Notably, this effect has been seen in hearing aid users, whose postural control becomes worse when they are not wearing their hearing aids, reducing their access to environmental sounds …”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12][13] Notably, this effect has been seen in hearing aid users, whose postural control becomes worse when they are not wearing their hearing aids, reducing their access to environmental sounds. 14,15 The effect of auditory inputs provided by cochlear implants on postural stability has not yet been examined to a similar extent. A recent case report found that a bilateral cochlear implant user was able to use sound provided by cochlear implant speech processors to improve balance during gait, as measured clinically by the Mini-Balance Evaluation System Test, a multimodal balance test including static (standing) and dynamic (moving) balance measures.…”

Section: Introductionmentioning

confidence: 99%

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The contribution of cochlear implants to postural stability

et al. 2017

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The contribution of cochlear implants to postural stability

et al. 2017

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“… 8 9 10 11 12 In adults and in the elderly with and without HL, changes in postural balance were also found in these populations. 6 13 14 The same is true for individuals with HL when fitted with a hearing aid 15 16 or cochlear implant users with good hearing performance. 17 18 However, these studies in the elderly did not compare this relationship between genders.…”

Section: Introductionmentioning

confidence: 87%

Posturographic Analysis in the Elderly with and without sensorineural Hearing Loss

Ciquinato

Doi

Silva

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Sensorineural hearing loss (SNHL) is a serious public health problem. Some evidence suggests a significant relationship between SNHL and balance disorders. The inability to maintain balance associated with SNHL while standing further increases the risk of falls among older people. Objective To investigate the association between SNHL on the postural balance in elderly individuals of both genders. Methods The sample consisted of 247 (166 women) physically independent elderly individuals, (mean age = 68.4 ± 6.0). The instruments used were the anamnesis and the pure tone audiometry for hearing loss, and for balance a force platform based in measures of center of pressure area and of sway velocity in the anteroposterior and mediolateral directions. Results Presence of hearing loss (HL) was observed in 68% of the participants. We observed a significant association between SNHL and characteristics of balance between the groups with and without HL for center of pressure (COP) area (p = 0.010), anteroposterior velocity (p = 0.001) and mediolateral velocity (p = 0.020). There was a significant difference between the gender groups for center of pressure area (p = 0.004), anteroposterior velocity (p = 0.001) and mediolateral velocity (p = 0.001) with better performance in the female group. Amongst men, there was a difference between the ones with HL and those without it, for COP area (p = 0.049). Conclusion In the present study, elderly individuals with SNHL exhibited more instability on the postural balance, and elderly men presented worse results in the test.

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Gait and Age‐Related Hearing Loss Interactions on Global Cognition and Falls

et al. 2021

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Objectives Age‐related hearing loss (ARHL) is considered a risk factor for cognitive impairment and falls. The association may be modulated by gait performance because ARHL is related to mobility decline, which strongly contributes to cognitive impairment and falls. We investigated the interactive effects of gait and ARHL on global cognition and falls among older adults. Study Design Retrospective cohort study. Methods The auditory acuity of 810 community‐dwelling older adults was measured using a pure‐tone average of hearing thresholds at 1,000 and 4,000 Hz in the better‐hearing ear. Participants were then stratified as follows: normal hearing, ≤25 dB; mild hearing loss (HL), >25 and ≤40 dB; and moderate to severe HL, >40 dB. Gait speed was assessed as an indicator of gait performance and fall occurrence within the previous year. Global cognition was determined using the Montreal Cognitive Assessment (MoCA) test. Results A total of 320 (39.5%) and 233 (28.8%) participants had mild and moderate to severe HL, respectively. Hierarchical multiple and logistic regression analyses showed interactions between gait performance and moderate hearing loss on both global cognition and the occurrence of falls. Specifically, older adults with moderate hearing loss who walked slowly showed lower MoCA scores and a higher incidence of falls, whereas those with decent gait speed did not show such a tendency. Conclusion Our results suggest that poor gait performance might modulate the effects of ARHL, leading to cognitive decline and falls. Poor cognitive performance and falls may be prevalent in older adults with ARHL, especially in those with slower gait and moderate hearing loss. Level of Evidence 3 Laryngoscope, 132:857–863, 2022

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Effect of hearing aids on static balance function in elderly with hearing loss

Cited by 49 publications

References 21 publications

The contribution of cochlear implants to postural stability

The contribution of cochlear implants to postural stability

Posturographic Analysis in the Elderly with and without sensorineural Hearing Loss

Gait and Age‐Related Hearing Loss Interactions on Global Cognition and Falls

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