Soylemez Emre, Ertugrul Suha, Dogan Erkan
Department of Audiology, Karabuk University Training and Research Hospital, Karabuk, Turkey.
Department of Otorhinolaryngology, Karabuk University, Faculty of Medicine, Karabuk, Turkey.
Int J Pediatr Otorhinolaryngol. 2019 Jan;116:75-78. doi: 10.1016/j.ijporl.2018.10.034. Epub 2018 Oct 23.
To evaluate the balance skills and falling risk in children with a congenital bilateral profound sensorineural hearing loss (CBPSNHL).
25 children with CBPSNHL and healthy 25 children with similar age and gender were included in the study. The flamingo balance test, the tandem stance test, and the one-leg standing test were performed to assess the patients' static balance skills. The pediatric balance scale (PBS) was used to evaluate the dynamic balance. Visual analog scale (VAS) was applied to the patients assess the frequency of falls.
The flamingo balance test, the tandem stance test, and the one-leg standing test in the children with CBPSNHL were all significantly worse than the control group. Although the scores of PBS in patients with CBPSNHL were significantly lower than the control group (p < 0.001), the results of both groups were consistent with a low risk of falls. There was no significant difference between the VAS scores indicating the frequency of falls among the groups (p = 0.552).
Static and dynamic balance skills of the children with CBPSNHL are significantly impaired compared to their healthy peers. Children with CBPSNHL also have a lower risk of falling just like their healthy peers and there is no significant difference between their falling frequencies. Balance skills of children with CBPSNHL can be assessed quickly and effectively on a hard floor (eyes closed), with a tandem standing test or a one-leg standing test.
评估先天性双侧重度感音神经性听力损失(CBPSNHL)儿童的平衡技能和跌倒风险。
本研究纳入了25名CBPSNHL儿童以及25名年龄和性别相仿的健康儿童。进行火烈鸟平衡测试、串联站立测试和单腿站立测试,以评估患者的静态平衡技能。使用儿童平衡量表(PBS)评估动态平衡。应用视觉模拟量表(VAS)让患者评估跌倒频率。
CBPSNHL儿童的火烈鸟平衡测试、串联站立测试和单腿站立测试均明显差于对照组。虽然CBPSNHL患者的PBS得分明显低于对照组(p<0.001),但两组结果均显示跌倒风险较低。各小组间表明跌倒频率的VAS得分无显著差异(p = 0.552)。
与健康同龄人相比,CBPSNHL儿童的静态和动态平衡技能明显受损。CBPSNHL儿童与健康同龄人一样跌倒风险也较低,且跌倒频率无显著差异。在硬地面(闭眼)上,通过串联站立测试或单腿站立测试,可以快速有效地评估CBPSNHL儿童的平衡技能。