Ebrahimi Amir Abbas, Jamshidi Ali Ashraf, Movallali Guita, Rahgozar Mehdi, Haghgoo Hojjat Allah
Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Department of Physical Therapy, Iran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2017 Nov;55(11):683-689.
The purpose of this study was to determine the effect of vestibular rehabilitation therapy program on the sensory organization of deaf children with bilateral vestibular dysfunction. This cross-sectional and analytic study was conducted on 24 students between the age of 7 and 12 years (6 girls and 18 boys) with the profound sensorineural hearing loss (PTA>90 dB). They were assessed through the balance subtest in Bruininks-Oseretsky test of motor proficiency (BOTMP). For children which the total score of the balance subtest was 3 standard deviation lower than their peers with typical development, vestibular function testing was completed pre-intervention. Posturography Sensory organization testing (SOT) was completed pre- and post-intervention with SPS (Synapsys, Marseille, France). Children with bilateral vestibular impairment were randomly assigned to either the exercise or control group. Exercise intervention consisted of compensatory training, emphasizing enhancement of visual and somatosensory function, and balance training. The exercise group entered in vestibular rehabilitation therapy program for 8 weeks. The children initially participating in the control group were provided the exercise intervention following the post-test. Based on the results there was significant difference in condition 5 and 6, areas of limits of stability (LOS), vestibular ratio and global score in posturography at the end of the intervention, but there was no significant difference in the control group in posturography (P<0.05). The results indicated that testing of vestibular, and postural control function, as well as intervention for deficiencies identified, should be included in deaf children rehabilitation program.
本研究的目的是确定前庭康复治疗方案对双侧前庭功能障碍的聋童感觉统合的影响。这项横断面分析研究针对24名年龄在7至12岁之间（6名女孩和18名男孩）的重度感音神经性听力损失（PTA>90 dB）学生开展。通过布吕尼inks - 奥塞雷茨基运动能力测试（BOTMP）中的平衡子测试对他们进行评估。对于平衡子测试总分比发育正常的同龄人低3个标准差的儿童，在干预前完成前庭功能测试。使用SPS（法国马赛的Synapsys公司）在干预前后完成姿势描记法感觉统合测试（SOT）。双侧前庭功能受损的儿童被随机分配到运动组或对照组。运动干预包括代偿性训练，重点是增强视觉和躯体感觉功能以及平衡训练。运动组参加为期8周的前庭康复治疗方案。最初参与对照组的儿童在测试后接受运动干预。根据结果，干预结束时姿势描记法中条件5和6、稳定极限区域（LOS）、前庭比率和总体评分存在显著差异，但对照组在姿势描记法中无显著差异（P<0.05）。结果表明，聋童康复方案应包括前庭和姿势控制功能测试以及对所发现缺陷的干预。
