Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review

Melo, Renato de Souza; Lemos, Andréa; Paiva, Giselle Souza de; Ithamar, Lucas; Lima, Marília C.; Eickmann, Sophie Helena; Ferraz, Karla Mônica; Belian, Rosalie Barreto

doi:10.1016/j.ijporl.2019.109650

Cited by 36 publications

(22 citation statements)

References 96 publications

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“…Children with other neurodevelopmental problems such as cerebral palsy or stroke have been shown to have better motor rehabilitation and recovery of function than adults, due to neuroplasticity (Johnston 2009;Reid et al 2015), but we do not know if this is true in children with hearing loss. A prior systematic review by Melo et al (2019) showed vestibular rehabilitation likely improved the balance and posturomotor control in children with sensorineural hearing loss, but Melo et al reported that the current literature is of low quality. It is suspected that children can compensate more efficiently due to increased brain plasticity, leading to a lower prevalence of balance problems (Mundkur 2005;Kolb & Gibb 2011).…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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

et al. 2021

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“…Hence, a modified VRT program, named pediatric balance therapy with special modifications in exercises, was developed for children with vestibular disorders, in accordance to the whole balance system [14] . Also, Melo et al (2019) [15] stated that Vestibular rehabilitation is a therapeutic resource applied to patients with balance disorders of vestibular origin and its proposal is based on the central mechanisms of neuroplasticity, known as adaptation, habituation and substitution, whose final objective is vestibular compensation. The exercises used in vestibular rehabilitation aim at improving vestibulovisual interaction during cephalic movements, optimizing static and dynamic postural stability under conditions that produce conflicting sensory information.…”

Section: Discussionmentioning

confidence: 99%

Effect of vestibular rehabilitation therapy on visual and motor functions in children with dyspraxia

Ellatif¹,

Shoukry²,

Maksoud³

et al. 2021

PJMHS

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Purpose: To investigate the effect of vestibular rehabilitation therapy program on the visual and motor functions in children with dyspraxia. Method: Twelve children with dyspraxia from both genders, aged from 4 to 12 years, are included in this study. All of them had movement dyspraxia affecting their ability to stand and walk alone according to chick list of developmental dyspraxia. Also, they had level 2 or 3 of visual function level. They received vestibular rehabilitation therapy program in addition to traditional physical therapy program, for three times/ week, for three months. Visual and gross motor functions were assessed before and after three months of treatment using Hoyt's levels of visual function and Peabody Developmental Motor Scale (PDMS- 2) respectively. Results: Results showed highly significant improvement in visual function level and gross motor functions for the study group when comparing it's results before and after three months of treatment (P ≤ 0.05) Conclusion: Vestibular rehabilitation therapy program is an effective modality for improving visual and motor functions in children with dyspraxia. Key words: Dyspraxia, motor functions, Vestibular Rehabilitation Therapy program, visual functions

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“…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]. Sensorimotor experiences reliably enhance dendritic branching, synaptic density, and neurogenesis [16].…”

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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Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review

Cited by 36 publications

References 96 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

Effect of vestibular rehabilitation therapy on visual and motor functions in children with dyspraxia

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

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