Prevalence of Vestibular Dysfunction in Children With Neurological Disabilities: A Systematic Review

Ghai, Shashank; Hakim, Mireille; Dannenbaum, Elizabeth; Lamontagne, Anouk

doi:10.3389/fneur.2019.01294

Cited by 10 publications

(9 citation statements)

References 68 publications

(115 reference statements)

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“…42 Epidemiologic evidence in children with hearing loss suggests that anywhere from 15% to 85% of children with congenital or early-onset hearing loss may have vestibular impairment. 17,18 This systematic review sought to summarize the impact of vestibular dysfunction on developmental milestones in children with hearing loss.…”

Section: Discussionmentioning

confidence: 99%

“…19 Estimates of the prevalence of concomitant vestibular dysfunction among children with sensorineural hearing loss range from 15% to 85%. 12,13,17,18,20 This wide range may be due to differences in defining what constitutes vestibular dysfunction, as discussed previously, or it could be due to variation in testing methods or interpretation of test results. Some etiologies of hearing loss may be associated with different rates of vestibular dysfunction or concomitant neurologic and/or visual problems predisposing to balance problems.…”

mentioning

confidence: 99%

“…It may be expected that congenital/early acquired sensorineural hearing loss would have high rates of co‐occurring vestibular dysfunction given anatomic and embryologic connections, as well as closely related physiology 19 . Estimates of the prevalence of concomitant vestibular dysfunction among children with sensorineural hearing loss range from 15% to 85% 12,13,17,18,20 . This wide range may be due to differences in defining what constitutes vestibular dysfunction, as discussed previously, or it could be due to variation in testing methods or interpretation of test results.…”

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confidence: 99%

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Vestibular Dysfunction and Gross Motor Milestone Acquisition in Children With Hearing Loss: A Systematic Review

Singh

Raynor

Lee

et al. 2021

Otolaryngol.--head neck surg.

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Objective To describe the impact of vestibular dysfunction on gross motor development in children with hearing loss. Data Sources MEDLINE (PubMed), Embase (Elsevier), Web of Science (Clarivate), and the Cumulative Index of Nursing and Allied Health Literature (EBSCO). Review Methods A systematic review was reported in concordance with the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Articles on children with hearing loss who underwent at least 1 instrumented measure of vestibular function and had gross motor milestones assessed were included. The Downs and Black checklist was used to assess risk of bias and methodological quality. Results Eleven articles were included in the systematic review. Three articles stratified quantitative results of gross motor milestone acquisition by severity of vestibular impairment. Over half of studies were case series published within the last 5 years. This systematic review showed that children with hearing loss and severe, bilateral vestibular dysfunction demonstrate delayed gross motor milestones. However, it was difficult to draw conclusions on whether milder forms of vestibular dysfunction significantly affect gross motor milestone acquisition in children with hearing loss. The reason is that most studies were of low to moderate quality, used different assessment methods, and contained results that were descriptive in nature. Conclusions This emerging area would benefit from future research, such as higher-quality studies to assess vestibular function and gross motor milestones. This would allow for better characterization of the impacts of vestibular impairment, especially milder forms, in children with hearing loss.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Vestibular Dysfunction and Gross Motor Milestone Acquisition in Children With Hearing Loss: A Systematic Review

Singh

Raynor

Lee

et al. 2021

Otolaryngol.--head neck surg.

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“…Usually, the sensorimotor training is submitted to children with developmental coordination disorder (DCD) [11] as well as to children with attentional or motor difficulties [12]. In children with neurological or neurodevelopmental conditions, vestibular disorders may be comorbid with the primary condition [13]. Research on motor impairments has suggested that children with ASD have substantial deficits in basic motor control skills, as well as specific impairments in praxis [14]; that being the reason why it could be useful a vestibular rehabilitation to improve postural control, balance and gait [15].…”

Section: Discussionmentioning

confidence: 99%

A Sample Case of Treatment of a Preadolescent with Pervasive Developmental Disorder in Milan in 2013

Marco¹,

Matteo²,

Alberto³

et al. 2020

Act Scie Paedia

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The aim of the study is to evaluate the effects of a model of therapeutic intervention, called Integrated Psychosomatic Model, based on a sensorimotor training to improve cognitive performance and perceptual abilities in a single case of Autism Spectrum Disorder (ASD). Methods: In order to evaluate the effectiveness of the treatment specifically addressed to the body, which lasted weekly for 4 months plus a one-year follow-up, the therapists carried out psychometric evaluations in six different time points (T0, T1, T2, T3, T4, T5).To evaluate the level of development of the subject in relation to cognition, motility, and maladjusted behavior we used PEP3, and to evaluate the body changes for what concerns the perceptive abilities the TPV. Results:The results of the treatment based on a bodily mediation showed a striking improvement in all the composite scores of PP3; on the contrary, for what concerns the body changes, the TPV showed a significant increase of the visual-motor integration index which increases from "very poor" to "in the average". The follow-up data (T4) after four months confirmed the achieved scores, therefore strengthening the affective-cognitive and motor abilities gained by the subject during the treatment. Conclusion:The evaluation of the intervention confirms, for those subjects with a compromised symbolic-visual elaboration and mediation, the effectiveness of using the body as a changing instrument in psychotherapy.

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“…Stimulation of the vestibular system, which contributes to balance, may reduce balance deficits in people with CP. A recent systematic review [ 7 ] reported that 48% of children with spastic CP had vestibular dysfunction as measured through cervical vestibular evoked myogenic potential (cVEMP) [ 8 ] thus vestibular nerve stimulation interventions warrant investigation in people with CP.…”

Section: Introductionmentioning

confidence: 99%

Acceptability and feasibility of a vestibular nerve stimulation headset protocol in children with cerebral palsy

McConnell

Topley

McKeown³

et al. 2022

BMC Pediatr

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Background Research suggests electrical Vestibular Nerve Stimulation (VeNS) may improve balance for people with neurological impairments. This study aimed to assess the feasibility and acceptability of a VeNS headset protocol in children with cerebral palsy (CP). Methods Children aged 5–18 years with ambulant CP, their parents, and healthcare professionals were recruited via social media. Children completed a battery of balance tests and wore a sham VeNS headset one hour per day for four weeks. Perspectives on the balance tests and headset were ascertained from children, parents and healthcare professionals using semi-structured interviews. Interview data were analysed thematically. Results Two families and four healthcare professionals participated. Balance outcome measures were fully completed and deemed acceptable. Adherence with wearing the headset was 89–100% but discomfort with self-adhesive electrodes was reported. Four themes emerged from interview data: headset issues, perceptions about VeNS, the importance of balance, and modifications for future study. Conclusions Although the VeNS headset had high acceptability, the volunteer sample was small, potentially suggesting limited interest in VeNS as a treatment for children with CP, or reluctance to trial a ‘non-active’ headset. Recruitment via clinicians known to the family and use of an ‘active’ headset may increase participation in future research.

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Prevalence of Vestibular Dysfunction in Children With Neurological Disabilities: A Systematic Review

Cited by 10 publications

References 68 publications

Vestibular Dysfunction and Gross Motor Milestone Acquisition in Children With Hearing Loss: A Systematic Review

Vestibular Dysfunction and Gross Motor Milestone Acquisition in Children With Hearing Loss: A Systematic Review

A Sample Case of Treatment of a Preadolescent with Pervasive Developmental Disorder in Milan in 2013

Acceptability and feasibility of a vestibular nerve stimulation headset protocol in children with cerebral palsy

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