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感音神经性听力损失儿童及青少年的步态表现

Gait performance of children and adolescents with sensorineural hearing loss.

作者信息

Melo Renato de Souza

机构信息

Post-Graduate Program on Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.

出版信息

Gait Posture. 2017 Sep;57:109-114. doi: 10.1016/j.gaitpost.2017.05.031. Epub 2017 Jun 3.

Abstract

BACKGROUND

Several studies have demonstrated that children with sensorineural hearing loss (SNHL) may exhibit balance disorders, which can compromise the gait performance of this population.

OBJECTIVE

Compare the gait performance of normal hearing (NH) children and those with SNHL, considering the sex and age range of the sample, and analyze gait performance according to degrees of hearing loss and etiological factors in the latter group.

METHOD

This is a cross-sectional study that assessed 96 students, 48 NH and 48 with SNHL, aged between 7 and 18 years. The Brazilian version of the Dynamic Gait Index (DGI) was used to analyze gait and the Mann-Whitney test for statistical analysis.

RESULTS

The group with SNHL obtained lower average gait performance compared to NH subjects (p=0.000). This was also observed when the children were grouped by sex female and male (p=0.000). The same difference occurred when the children were stratified by age group: 7-18 years (p=0.000). The group with severe and profound hearing loss exhibited worse gait performance than those with mild and moderate loss (p=0.048) and children with prematurity as an etiological factor demonstrated the worst gait performance.

CONCLUSION

The children with SNHL showed worse gait performance compared to NH of the same sex and age group. Those with severe and profound hearing loss and prematurity as an etiological factor demonstrated the worst gait performances.

摘要

背景

多项研究表明,感音神经性听力损失(SNHL)患儿可能存在平衡障碍,这会影响该群体的步态表现。

目的

比较听力正常(NH)儿童与SNHL儿童的步态表现,考虑样本的性别和年龄范围,并根据后者的听力损失程度和病因分析步态表现。

方法

这是一项横断面研究,评估了96名7至18岁的学生,其中48名NH儿童和48名SNHL儿童。使用巴西版动态步态指数(DGI)分析步态,并采用曼-惠特尼检验进行统计分析。

结果

与NH受试者相比,SNHL组的平均步态表现较低(p=0.000)。按女性和男性分组时也观察到这种情况(p=0.000)。按年龄组分层时,7至18岁儿童也出现了同样的差异(p=0.000)。重度和极重度听力损失组的步态表现比轻度和中度损失组更差(p=0.048),病因是早产的儿童步态表现最差。

结论

与同性别和年龄组的NH儿童相比,SNHL儿童的步态表现更差。重度和极重度听力损失以及病因是早产的儿童步态表现最差。

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