How sacculo-collic function assessed by cervical vestibular evoked myogenic Potentials correlates with the quality of postural control in hearing impaired children?

Ionescu, E.; Reynard, Pierre Claude; Goulème, Nathalie; Becaud, Cécile; Spruyt, Karen; Ortega-Solis, José; Thai‐Van, Hung

doi:10.1016/j.ijporl.2019.109840

Cited by 13 publications

(18 citation statements)

References 26 publications

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“…Ionescu et al (2020) found balance performance was significantly worse in the groups with either unilateral or bilateral vestibular dysfunction compared with group with normal vestibular function. However, they did not find that balance performance was significantly different between children with unilateral and bilateral vestibular dysfunction.…”

Section: Discussionmentioning

confidence: 97%

A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss

et al. 2021

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Objectives:The objective of this study was to understand the functional impact of vestibular dysfunction on balance control in children with hearing loss. The vestibular system is an important contributor to maintaining balance. In adults, vestibular dysfunction is known to lead to unsteadiness and falls. Considerably less is known about the effects of vestibular dysfunction in children with hearing loss. Design:We conducted a systematic review in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included articles on children with hearing loss who underwent vestibular and balance testing. The Downs and Black checklist was used to assess the risk of bias.Results: A total of 20 articles were included in this systematic review, of which, 17 reported an association between vestibular dysfunction and balance abnormalities in children with hearing loss. Bias (as measured by the Downs and Black Checklist) was a concern, as most studies were nonblinded cohort studies or case series selected through convenience sampling. Conclusions:Research to date has predominantly found that children with concomitant hearing loss and vestibular impairment tend to perform more poorly on balance measures than either children with hearing loss and normal vestibular function or children with both normal-hearing and normal vestibular function. A standardized approach to assessing both vestibular function and balance would better characterize the impact of vestibular dysfunction in children with hearing loss at the population level.

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Section: Discussionmentioning

confidence: 97%

A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss

et al. 2021

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“…Several studies have also demonstrated a higher percentage of otolith dysfunction compared to semicircular canal dysfunction in hearing-impaired children due to the closer anatomical and embryological relationship between the otolith organs and the cochlea [36][37][38] . Furthermore, the results of the cVEMP strongly correlate with the motor performance of hearing-impaired children, as the otoliths detect linear and gravitational accelerations during translational movements 2,3,10 . The rationale for vestibular screening at the age of 6 months is the following: (1) the hearing loss is confirmed in the majority of the children by that age 39 , (2) gross motor milestones can already give an idea of the child's vestibular function 3 , and (3) most children have already developed sufficient head stabilisation due to sufficient development and control of neck musculature, which is fundamental for reliable cVEMP assessment 40 .…”

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confidence: 86%

“…Several studies in young children with a bilateral severe vestibular dysfunction have shown a reduced balance performance and a delayed acquisition of gross motor milestones (e.g. head stabilisation, sitting and independent walking) [1][2][3][4][5][6][7][8][9][10] . Vestibular dysfunction can also influence fine motor skills, as well as writing, reading and learning skills, and may even hamper the cognitive and socio-emotional development of children 1,[11][12][13][14][15][16][17] .…”

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confidence: 99%

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

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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.

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Section: Te S Ting Otolith Fun C Ti On With Ve S Tibul Ar E Voked Myo...mentioning

confidence: 99%

“…This means that with cervical VEMPs the reclining patient needs to lift his/her head and the background rectified sternomastoid EMG needs to be monitored to ensure it maintains an adequate level; with ocular VEMPs the patient must be able to keep looking up at least 20° during testing [28]. Some patients have selective impairment of otolith function [62], and while in some cases otolith impairment can contribute to postural imbalance [63,64], in others it can help postural recovery after acute peripheral vestibular loss [65]. Currently the main accepted clinical application of VEMPs is the diagnosis and evaluation of superior SCC dehiscence as a potential cause of sound‐ and pressure‐induced vertigo, imbalance or nystagmus [66–68].…”

Section: Testing Otolith Function With Vestibular Evoked Myogenic Pot...mentioning

confidence: 99%

Vestibular contributions to the Romberg test: Testing semicircular canal and otolith function

Hálmagyi

Curthoys

2021

Euro J of Neurology

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1795-1873), a founder of clinical neurology [1], is now remembered mostly for his postural test, in which patients with proprioceptive impairment are unable to stand with their feet together when their eyes are shut. His great textbook of neurology, published from 1840 onwards [2], was translated by the Anglo-German neurologist, Edward Sieveking [3] and published in English in 1853 [4]. Romberg's contributions identifying the role of proprioception in postural control were derived from clinical observations and autopsy pathology. He made clever deductions about the likely mechanisms responsible for normal postural stability and its disturbance. He wrote about vertigo [5,6], but even though he was a contemporary of Flourens (1794-1867), perhaps the first vestibular researcher [7], he did not recognize vertigo as a vestibular symptom.He mentions Flourens, but only in reference to his work on cerebellar rather than peripheral vestibular ablations. Details of how the vestibular system really works started to be

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How sacculo-collic function assessed by cervical vestibular evoked myogenic Potentials correlates with the quality of postural control in hearing impaired children?

Cited by 13 publications

References 26 publications

A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss

A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss

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

Vestibular contributions to the Romberg test: Testing semicircular canal and otolith function

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