Kelly Andrew, Liu Zhaobo, Leonard Shanna, Toner Fearghal, Adams Mark, Toner Joseph
a Royal Victoria Hospital , Belfast , Northern Ireland.
Cochlear Implants Int. 2018 Jan;19(1):22-25. doi: 10.1080/14670100.2017.1379180. Epub 2017 Sep 26.
To assess the vestibular function of children who had unilateral and bilateral cochlear implants compared with a control group of otherwise healthy children who had not been implanted.
Observational case-control study.
Posturography was carried out in the form of a Modified Clinical Test of Sensory Interaction on Balance using a Wii Balance Board and the Vestio App on an iPod Touch. Thirty children in total were tested, 10 children in each cohort. Results in the form of root mean square calculations were available for each child.
Results showed a significant difference in the vestibular function of implanted children and the non-implanted control group (P < 0.05). As expected, children in all groups had more difficulty maintaining posture with their eyes closed on a compliant surface (P < 0.05). Thirty per cent of children with bilateral and 10% with unilateral cochlear implants were unable to complete testing.
Our study demonstrates posturography as an inexpensive, easily operated tool that can be used to assess paediatric vestibular function. It showed a significant difference between the control group and the implanted groups. Further work prompted by this study will include interval post-operative testing to more accurately assess the effect that implantation has on vestibular function.
评估单侧和双侧人工耳蜗植入儿童的前庭功能，并与未植入的健康儿童对照组进行比较。
观察性病例对照研究。
采用改良的平衡感觉交互临床测试，使用Wii平衡板和iPod Touch上的Vestio应用程序进行姿势描记法测试。总共测试了30名儿童，每个队列10名儿童。以均方根计算形式得出的结果适用于每个儿童。
结果显示植入儿童与未植入对照组在前庭功能上存在显著差异（P < 0.05）。正如预期的那样，所有组的儿童在顺应性表面上闭眼保持姿势时都更困难（P < 0.05）。30%的双侧人工耳蜗植入儿童和10%的单侧人工耳蜗植入儿童无法完成测试。
我们的研究表明姿势描记法是一种廉价、易于操作的工具，可用于评估儿童前庭功能。它显示了对照组与植入组之间的显著差异。这项研究引发的进一步工作将包括术后间隔测试，以更准确地评估植入对前庭功能的影响。
