Department of Audiology, Faculty of Health Science, Ankara Yıldırım Beyazit University, Ankara, Turkey.
Department of Audiology, Ankara City Hospital, Ankara, Turkey.
Int J Artif Organs. 2021 Jun;44(6):440-445. doi: 10.1177/0391398820967367. Epub 2020 Nov 3.
The evaluation of the effects of age at cochlear implantation on balance in children.
Cross-sectional study.
Twenty children who received their cochlear implants (CI) before the chronologic age of 48 months (Early CI Group), and 20 children who received their CI at 48 months chronologic age or later (Late CI Group).
All children underwent Tandem Romberg (TR) test, Single-Leg stance (SLS) test, Pediatric Clinical Test of Sensory Interaction for Balance (P-CTSIB), Pediatric Balance scale (PBS) and Timed Up and Go (TUG) test.
The scores of TR, SLS and P-CTSIB and TUG tests and PBS were recorded. Mann Whitney test and Independent-samples -test were used to compare data between groups.
TR (eyes opened-EO), SLS (EO), PBS, and TUG scores and incidence in dizziness symptoms did not show significant differences between the groups ( > 0.05). Duration of TR and SLS tests (eyes closed-EC), P-CTSIB-positions 5, and 6 were significantly longer in the Early CI Group than the Late implanted group( < 0.05).
Although the age of cochlear implantation did not affect functional balance for children, it has been found to cause impaired balance performance in difficult static conditions and increased frequency of dizziness.
评估人工耳蜗植入年龄对儿童平衡的影响。
横断面研究。
20 名在 48 月龄前（早期人工耳蜗植入组）接受人工耳蜗植入的儿童和 20 名在 48 月龄或以上（晚期人工耳蜗植入组）接受人工耳蜗植入的儿童。
所有儿童均进行了串联 Romberg（TR）测试、单腿站立（SLS）测试、儿童感觉交互平衡临床测试（P-CTSIB）、儿童平衡量表（PBS）和计时起立行走（TUG）测试。
记录 TR、SLS 和 P-CTSIB 以及 TUG 测试和 PBS 的分数。采用 Mann Whitney 检验和独立样本 t 检验比较组间数据。
TR（睁眼）、SLS（睁眼）、PBS 和 TUG 评分以及头晕症状的发生率在两组之间无显著差异（>0.05）。早期人工耳蜗植入组的 TR 和 SLS 测试（闭眼）、P-CTSIB 姿势 5 和 6 的持续时间明显长于晚期植入组（<0.05）。
虽然人工耳蜗植入年龄并未影响儿童的功能性平衡，但发现其在困难的静态条件下会导致平衡表现受损，头晕的频率增加。
