High-frequency semicircular canal deficit affects postural control in hearing-impaired children

Eur Ann Otorhinolaryngol Head Neck Dis. 2021 Sep;138(4):235-239. doi: 10.1016/j.anorl.2020.10.006. Epub 2020 Oct 15.

Abstract

Objectives: The present study aimed to analyse the impact of vestibulo-ocular reflex (VOR) gain deficit on postural control (PC) in children with sensorineural hearing loss.

Methods: A retrospective study included 55 children with sensorineural hearing loss between 4 and 17 years of age. The Video Head Impulse Test (vHIT®) was used to assess semicircular canal function. PC was assessed on the Balance Quest® posturographic platform testing sensory organisation.

Results: Spatial and temporal postural parameters (area and mean speed of centre of pressure oscillation, spectral power index) in the OKN-U condition (optokinetic with unstable platform) were significantly better in children with than without VOR deficit.

Conclusion: Posturographic exploration in the OKN-U condition can screen for semicircular canal deficit in hearing-impaired children. VOR deficit also seems to predict PC deficit.

Keywords: Hearing-impaired children; Postural control; Posturographic assessment; Semicircular canal deficit; Vestibulo-ocular reflex; Video Head Impulse Test.

MeSH terms

  • Child
  • Head Impulse Test*
  • Hearing
  • Humans
  • Postural Balance*
  • Retrospective Studies
  • Semicircular Canals