1
|
Eriksen ND, Hougaard DD. Age- and gender-specific normative data on computerized dynamic posturography in a cohort of Danish adults. Eur Arch Otorhinolaryngol 2022; 280:2191-2200. [PMID: 36326952 DOI: 10.1007/s00405-022-07706-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 10/12/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE Balance performance can be measured with a computerized dynamic posturography (CDP). Frequently used CDP protocols include the sensory organization test (SOT), motor control test (MCT) and adaptation test (ADT). The primary aim of this study was to produce normative data using the Bertec® Balance Advantage CDP on a cohort of healthy adults aged 20-79 years for the SOT, MCT and ADT. The secondary aim was to determine age- and gender-related differences. METHODS The study population of 120 participants were divided into age groups of 20-29, 30-39 years, etc., with an equal number of men and women in each group. Using the Bertec® CDP, the SOT, MCT and ADT protocols were performed. RESULTS SOT found that the 70-79 age group and men scored lower equilibrium scores (ES) on SOT4, and SOT6. Women had higher ES on SOT1. For the MCT, backward translation. latencies were higher for the 60 s and 70 s age groups. The 60 s age group had higher forward translation latencies. Women had lower latencies on all MCTs. For the ADT toes up test, the 70-79 age group scored higher sway energy. On the toes down test, higher sway energy was registered for the 50-79 age groups. Women had lower sway energy for both ADT's. CONCLUSION We have produced normative data for healthy adults aged 20-79 years for the SOT, MCT and ADT protocols using the Bertec® Balance Advantage CDP. Balance performance differences might be due to decline in visual acuity, presbyvestibulopathy and differences in body composition.
Collapse
Affiliation(s)
- Niklas D Eriksen
- Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
| | - Dan D Hougaard
- Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
- Balance & Dizziness Center, Department of Otolaryngology, Head and Neck Surgery and Audiology, Aalborg University Hospital, Aalborg, Denmark
| |
Collapse
|
2
|
Cochlear Implant Outcomes in Patients With Otosclerosis: A Systematic Review. Otol Neurotol 2022; 43:734-741. [PMID: 35861644 DOI: 10.1097/mao.0000000000003574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE This study aimed to establish hearing outcomes after cochlear implantation in patients with otosclerosis. MATERIALS AND METHODS We conducted a systematic review and narrative synthesis. Databases searched were as follows: MEDLINE, PubMed, Embase, Web of Science, Cochrane Collection, and ClinicalTrials.gov . No limits were placed on language or year of publication. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. RESULTS Searches identified 474 abstracts and 180 full texts, with 68 studies meeting the inclusion criteria and reporting outcomes in a minimum of 481 patients with at least 516 implants. Patient-reported outcome measures (PROMs) were reported in five studies involving 51 patients. Intraoperative adverse events/surgical approach details and preoperative radiological assessment were reported in 46 and 38 studies, respectively. The methodological quality of included studies was modest, predominantly consisting of case reports and noncontrolled case series with small numbers of patients. Most studies were Oxford Centre for Evidence Based Medicine grade IV. DISCUSSION Access to good rehabilitation support is essential to achieving the good hearing outcomes and PROMs that can be expected by 12 months after implantation in most cases. There was a significant association between the radiological severity of otosclerosis and an increase in surgical and postoperative complications. Postoperative facial nerve stimulation can occur and may require deactivation of electrodes and subsequent hearing detriment. CONCLUSIONS Hearing outcomes are typically good, but patients should be counseled on associated surgical complications that may compromise hearing. Modern diagnostic techniques may help to identify potentially difficult cases to aid operative planning and patient counseling. Further work is needed to characterize PROMs in this population.
Collapse
|
3
|
|
4
|
Ciquinato DSDA, Doi MY, Silva RAD, Oliveira MRD, Gil AWDO, Marchiori LLDM. Posturographic Analysis in the Elderly with and without sensorineural Hearing Loss. Int Arch Otorhinolaryngol 2020; 24:e496-e502. [PMID: 33133269 PMCID: PMC7593116 DOI: 10.1055/s-0040-1701271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 12/03/2019] [Indexed: 11/22/2022] Open
Abstract
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.
Collapse
Affiliation(s)
| | - Marcelo Yugi Doi
- Pitagoras Unopar University, Stricto Sensu Graduate Program in Rehabilitation Science UEL-UNOPAR, Londrina, Parana, Brazil
| | - Rubens A. da Silva
- Laboratory of Functional Evaluation and Human Motor Performance (LAFUP) – UNOPAR, Professional Master’s in Physical Exercise in Health Promotion, Londrina, Parana, Brazil
- Department des Sciences de la Sante, Programme de physiothéapie de l’Université McGill offert en extension – a l’Université du Québec à Chicoutimi (UQAC), Centre de recherche Intersectoriel en santé durable – UQAC, Laboratoire de recherche BioNR – UQAC, Saguenay, Québec, Canada
| | - Márcio Rogério de Oliveira
- Laboratory of Functional Evaluation and Human Motor Performance (LAFUP) – UNOPAR, Professional Master’s in Physical Exercise in Health Promotion, Londrina, Parana, Brazil
| | | | | |
Collapse
|
5
|
Peñeñory VM, Manresa-Yee C, Riquelme I, Collazos CA, Fardoun HM. Scoping Review of Systems to Train Psychomotor Skills in Hearing Impaired Children. SENSORS (BASEL, SWITZERLAND) 2018; 18:E2546. [PMID: 30081512 PMCID: PMC6111323 DOI: 10.3390/s18082546] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 07/30/2018] [Accepted: 07/31/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES The aim of this work is to provide a scoping review to compile and classify the systems helping train and enhance psychomotor skills in hearing impaired (HI) children. METHODS Based on an exhaustive review on psychomotor deficits in HI children, the procedure used to carry out a scoping review was: select keywords and identify synonyms, select databases and prepare the queries using keywords, analyze the quality of the works found using the PEDro Scale, classify the works based on psychomotor competences, analyze the interactive systems (e.g., sensors), and the achieved results. RESULTS Thirteen works were found. These works used a variety of sensors and input devices such as cameras, contact sensors, touch screens, mouse and keyboard, tangible objects, haptic and virtual reality (VR) devices. CONCLUSIONS From the research it was possible to contextualize the deficits and psychomotor problems of HI children that prevent their normal development. Additionally, from the analysis of different proposals of interactive systems addressed to this population, it was possible to establish the current state of the use of different technologies and how they contribute to psychomotor rehabilitation.
Collapse
Affiliation(s)
- Victor M Peñeñory
- Multimedia Engineering Program, University of San Buenaventura, Ave. 10 de Mayo, La Umbria, 760031 Cali, Colombia.
| | - Cristina Manresa-Yee
- Department of Mathematics and Computer Science, University of the Balearic Islands, Crta. Valldemossa km. 7.5, 07122 Palma, Spain.
| | - Inmaculada Riquelme
- Department of Nursing and Physiotherapy, Institute of Health Sciences Research, University of Balearic Islands, 07122 Palma, Spain.
| | - Cesar A Collazos
- Systems Program, University of Cauca, Cl. 5 No. 4⁻70, 190001 Popayan, Colombia, .
- King Abdulaziz University, Al Ehtifalat St, Al-Ruwais, 21589 Jeddah, Saudi Arabia.
| | - Habib M Fardoun
- Teaching Excellence Department, Ahlia University, Bld 41 Rd 18, Al Hoora 310, Bahrain.
| |
Collapse
|
6
|
Grasel S, Greters M, Goffi-Gomez MVS, Bittar R, Weber R, Oiticica J, Bento RF. P3 Cognitive Potential in Cochlear Implant Users. Int Arch Otorhinolaryngol 2018; 22:408-414. [PMID: 30357069 PMCID: PMC6197977 DOI: 10.1055/s-0037-1613687] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 09/03/2017] [Indexed: 11/16/2022] Open
Abstract
Introduction
The P3 cognitive evoked potential is recorded when a subject correctly identifies, evaluates and processes two different auditory stimuli.
Objective
to evaluate the latency and amplitude of the P3 evoked potential in 26 cochlear implant users with post-lingual deafness with good or poor speech recognition scores as compared with normal hearing subjects matched for age and educational level.
Methods
In this prospective cohort study, auditory cortical responses were recorded from 26 post-lingual deaf adult cochlear implant users (19 with good and 7 with poor speech recognition scores) and 26 control subjects.
Results
There was a significant difference in the P3 latency between cochlear implant users with poor speech recognition scores (G-) and their control group (CG) (
p
= 0.04), and between G- and cochlear implant users with good speech discrimination (G+) (
p
= 0.01). We found no significant difference in the P3 latency between the CG and G+. In this study, all G- patients had deafness due to meningitis, which suggests that higher auditory function was impaired too.
Conclusion
Post-lingual deaf adult cochlear implant users in the G- group had prolonged P3 latencies as compared with the CG and the cochlear implant users in the G+ group. The amplitudes were similar between patients and controls. All G- subjects were deaf due to meningitis. These findings suggest that meningitis may have deleterious effects not only on the peripheral auditory system but on the central auditory processing as well.
Collapse
Affiliation(s)
- Signe Grasel
- Department of Otolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Mario Greters
- Department of Otolaryngology, Pontifícia Universidade Católica de Campinas, Campinas, SP, Brazil
| | | | - Roseli Bittar
- Department of Otolaryngology, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Raimar Weber
- Department of Otorhinolaryngology, Complexo Hospitalar Edmundo Vasconcelos, São Paulo, SP, Brazil
| | - Jeanne Oiticica
- Department of Otolaryngology, Universidade de São Paulo, São Paulo, SP, Brazil
| | | |
Collapse
|
7
|
Melo JJ, Gibrin PCD, Marchiori LLDM. Vestibular dysfunction and postural balance in cochlear implant users: a narrative literature review. REVISTA CEFAC 2018. [DOI: 10.1590/1982-021620182019016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Cochlear implants directly stimulate nerve fibers and ganglion cells of the auditory nerve, which transform sound energy into low levels of electrical current, stimulating the remaining fibers of the auditory nerve in patients with severe to profound hearing loss, in order to provide the significant range of auditory sensation and speech comprehension. Due to the close relationship between cochlea and vestibular receptors, some patients may present vestibular and postural balance changes concomitantly after surgery. This study aimed to perform a narrative review of the main studies that relate vestibular symptoms in patients implanted in the last six years. The research was performed through the databases: SciELO, LILACS and PubMed, using associated descriptors for "cochlear implant", "vestibular dysfunction", "vertigo" and "balance", totalizing 21 studies that fitted the inclusion criteria. The results were described in a chronological order of publication, showing the main conclusions. Of the total studies analyzed, 18 related vestibular function to cochlear implant and only 3 studies did not find such a relationship. The literature characterize the effects of the cochlear implant on the vestibular system, however, the results are contradictory.
Collapse
|