Sabir Ohud A, Johnson Eric G, Hafiz Ammar E, Nelson Rhonda N, Hudlikar Mitali, Sheth Isha, Daher Noha S
Department of Physical Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Physical Therapy, Loma Linda University, California, USA.
Int J Pediatr. 2021 Feb 13;2021:6688991. doi: 10.1155/2021/6688991. eCollection 2021.
Ear infections in children often cause abnormal postural stability. However, the long-term effects of recurrent ear infections on postural stability have not been investigated.
The purpose of this study was to examine the long-term effects of multiple ear infections on pediatric postural stability.
Forty children aged 10-12 years were divided into two groups (18 participants with a history of tympanostomy tubes and/or 3 or more ear infections prior to age five and 22 participants without a history of tympanostomy tubes and/or 0-2 ear infections prior to age five). Computerized Stability Evaluation Test (SET) and noncomputerized postural stability were measured for all participants.
A significant difference was found in median postural stability scores in the SET during a tandem stance on an unstable surface between the two groups (median (minimum, maximum) of 9.1 (1.4, 11.4) versus 5.8 (1.7, 12.8), = 0.04). In addition, there was a significant difference in median Pediatric Balance Scale scores between participants with versus without ear infection (54 (47, 56) versus 56 (55, 56), = 0.001).
Results suggest that children ages 10-12 with a history of tympanostomy tubes and/or 3 or more ear infections prior to age five have decreased postural stability.
儿童耳部感染常导致姿势稳定性异常。然而，复发性耳部感染对姿势稳定性的长期影响尚未得到研究。
本研究的目的是探讨多次耳部感染对儿童姿势稳定性的长期影响。
40名10 - 12岁儿童被分为两组（18名有鼓膜置管史和/或5岁前有3次或更多耳部感染史的参与者，以及22名无鼓膜置管史和/或5岁前有0 - 2次耳部感染史的参与者）。对所有参与者进行计算机化稳定性评估测试（SET）和非计算机化姿势稳定性测量。
两组在不稳定表面上进行串联站立时，SET中的姿势稳定性中位数得分存在显著差异（中位数（最小值，最大值）分别为9.1（1.4，11.4）和5.8（1.7，12.8），P = 0.04）。此外，有耳部感染与无耳部感染的参与者在儿科平衡量表中位数得分上存在显著差异（54（47，56）和56（55，56），P = 0.001）。
结果表明，有鼓膜置管史和/或5岁前有3次或更多耳部感染史的10 - 12岁儿童姿势稳定性下降。
