Effects of Bilateral Hearing Aid Use on Balance in Experienced Adult Hearing Aid Users

McDaniel, D. Mike; Motts, Susan D.; Neeley, Richard A.

doi:10.1044/2017_aja-16-0071

Cited by 19 publications

(46 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…McDaniel [ 12 ] used a dynamic posturography platform (SOT) to compare aided vs. unaided hearing in 22 experienced HA users (a vage 68 yrs) and found no difference in SOT performance. They concluded that randomized, controlled trials (RCT) should be undertaken to get more insights.…”

Section: Resultsmentioning

confidence: 99%

Can hearing amplification improve presbyvestibulopathy and/or the risk-to-fall ?

Ernst

Basta

Mittmann

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose The decline of sensory systems during aging has been widely investigated and several papers have correlated the visual, hearing and vestibular systems and the consequences of their functional degeneration. Hearing loss and presbyvestibulopathy have been found to be positively correlated as is with the risk-to-fall. Material and methods The present study was therefore designed as systematic review (due to PRISMA criteria) which should correlate hearing amplification by hearing aids and/or cochlear implants with balance outcome. However, the literature review (Cochrane, PubMed) revealed ten paper (prospective, controlled trials and acute trials) with heterogenous patient popiulations and non-uniform outcome measures (i.e., gait analysis, questionnaires, postural stabilometry) so that no quantitative, statistical analysis could be performed. Results The qualitative analysis oft he identified studies showed that hearing amplification in the elderly improves spatio-temporal orientation (particularly with cochlear implants) and that the process of utilizing auditory information for balance control takes some time (i.e., the neuroplasticity-based, learning processes), usually some months in cochlear implantees. Discussion Hearing and balance function degenerate independently from each other and large interindividual differences require a separate neurotological examination of each patient. However, hearing amplification is most helpful to improve postural stability, particularly in the elderly. Future research should focus on controlled, prospective clinical trials where a standardized test battery covering the audiological and neurotological profile of each elderly patient pre/post prescription of hearing aids and/or cochlear implantation should be followed up (for at least 1 year) so that also the balance improvements and the risk-to-fall can be reliably assessed (e.g., by mobile posturography and standardized questionnaires, e.g., the DHI).

show abstract

Section: Resultsmentioning

confidence: 99%

Can hearing amplification improve presbyvestibulopathy and/or the risk-to-fall ?

Ernst

Basta

Mittmann

et al. 2020

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…The 8 studies included 4 cross-sectional studies [Lacerda et al, 2012;Rumalla et al, 2015;Shayman et al, 2017;McDaniel et al, 2018], 3 cross-sectional controlled studies [Vitkovic et al, 2016;Negahban et al, 2017;Maheu et al, 2019], and 1 prospective nonrandomized study [Weaver et al, 2017]. The characteristics of included studies are demonstrated in Table 1.…”

Section: Results Of Search Strategy and Description Of Studiesmentioning

confidence: 99%

“…Computerized posturography was used as objective measurement of static balance in 4 studies [Vitkovic et al, 2016;Negahban et al, 2017;McDaniel et al, 2018;Maheu et al, 2019], but the results are inconsistent. Out of a total of 41 patients with moderate hearing loss, McDaniel et al [2018] and Vitkovic et al [2016] did not find any significant difference on static balance between the aided and unaided performances (p = 0.124 and p > 0.05, respectively). Nevertheless, Vitkovic et al [2016] observed an improvement of static balance during the aided condition in presence of sound, compared to the trial without sound exposure (significant interaction between HAs trial and sound environment, p = 0.048).…”

Section: Objective Measurement Of Balance Static Balancementioning

confidence: 99%

The Influence of Hearing Aids on Balance Control: A Systematic Review

et al. 2020

View full text Add to dashboard Cite

Aim: To assess the current opinion on the effects of hearing loss treatment by hearing aids (HAs) and the benefits of HA use on imbalance. Methods: PRISMA-compliant systematic review was done, including observational studies in patients affected by mild to severe sensorineural hearing loss with HAs, investigating the benefits of HAs on balance. Electronic searches were performed through Medline, Cochrane, Embase, Web of Science, and Scopus. Results: A total of 200 patients in 8 studies were included in this systematic review. Four studies were cross-sectional, 3 cross-sectional controlled and 1 prospective nonrandomized study. Static and dynamic balance in the aided condition improved in patients assessed using clinical investigations including Romberg test and Functional Ambulation Performance/mini-BESTest, respectively. Variable outcomes were found measuring static and dynamic balance during the aided condition with objective tests (computerized posturography, Mobility Lab device). Improved quality of life outcomes and self-confidence were noted, while subjective measurements of balance had conflicting results. Conclusion: Although an improvement in balance in patients with HAs has been shown in certain conditions, the overall benefit is still unclear and it is only possible to speculate that HAs may also improve static, dynamic, or subjective perception of balance function in adults affected by hearing loss.

show abstract

“…The relationship between hearing aid use and injury prevention requires further study using welldefined and detailed measures of both hearing and hearing aid use, as prior work on this association has demonstrated mixed effects. 18,19 Understanding the association between hearing and falls is important for the inclusion of hearing loss and management in future falls prevention programs or analysis as hearing loss is commonly not included in prevention strategies 20 despite potentially being a prominent risk factor. Moreover, understanding how hearing aid use may modify the effectiveness of fall prevention programs has implications as a potential prevention strategy for reducing falls and improving health outcomes by geriatricians and primary care providers.…”

Section: Discussionmentioning

confidence: 99%

Self-Report Hearing and Injury or Falls in Older Adults from the National Health and Information Survey

et al. 2021

View full text Add to dashboard Cite

This article aims to investigate the association between hearing and nonfatal injury or falls in a nationally representative sample of adults from the National Health Interview Survey (NHIS) utilizing over 20 years of participant surveys. We conducted a pooled cross-sectional analysis of participant surveys (aged 50 years and older) from 1997 to 2017. Self-report hearing difficulty, history of injury over the last 3 months, reported injury from fall over the last 3 months, and reported reason for fall (including due to balance/dizziness) were collected. Using logistic regression, we investigated the odds of injury, injury from fall, and fall due to balance/dizziness by self-report hearing status. In secondary analysis, we investigated the odds of each outcome by reported hearing aid use. Models were adjusted for demographics, year of study, vision difficulty, diabetes, employment, and cardiovascular disease. Reported moderate or greater difficulty hearing demonstrated a significantly greater odds of injury (odds ratio [OR]: 1.29; 95% confidence interval [CI]: 1.18, 1.42) or fall due to balance/dizziness (OR: 1.26; 95% CI: 1.00, 1.60) compared with reported excellent/good hearing. A dose–response association was seen across levels of reported difficulty hearing for all outcomes. In this nationally representative study of adults aged 50 years and older, greater reported difficulty hearing was significantly associated with increased odds of injury and suggests greater odds of falls or fall due to balance/dizziness compared with reported good hearing. Results suggest hearing loss should be considered as a possible risk factor for both injury and fall prevention studies and programming in older adults.

show abstract

Effects of Bilateral Hearing Aid Use on Balance in Experienced Adult Hearing Aid Users

Cited by 19 publications

References 10 publications

Can hearing amplification improve presbyvestibulopathy and/or the risk-to-fall ?

Can hearing amplification improve presbyvestibulopathy and/or the risk-to-fall ?

The Influence of Hearing Aids on Balance Control: A Systematic Review

Self-Report Hearing and Injury or Falls in Older Adults from the National Health and Information Survey

Contact Info

Product

Resources

About