Department of Audiology, Boys Town National Research Hospital, Omaha, NE, USA.
Boys Town National Research Hospital, Center for Childhood Deafness, Language and Learning, Omaha, NE, USA.
J Vestib Res. 2022;32(3):245-260. doi: 10.3233/VES-201556.
In adults, vestibular loss is associated with cognitive deficits; however, similar relationships have not been studied in children.
Evaluate the effect of vestibular loss on working memory and executive function in children with a cochlear implant (CCI) compared to children with normal hearing (CNH).
Vestibular evoked myogenic potential, video head impulse, rotary chair, and balance testing; and the following clinical measures: vision, hearing, speech perception, language, executive function, and working memory.
Thirty-eight CNH and 37 CCI participated (26 with normal vestibular function, 5 with unilateral vestibular loss, 6 with bilateral vestibular loss). Children with vestibular loss demonstrated the poorest balance performance. There was no significant reduction in working memory or executive function performance for either CCI group with vestibular loss; however, multivariate regression analysis suggested balance performance was a significant predictor for several working memory subtests and video head impulse gain was a significant predictor for one executive function outcome.
CCI with vestibular loss did not have significantly reduced working memory or executive function; however, balance performance was a significant predictor for several working memory subtests. Degree of hearing loss should be considered, and larger sample sizes are needed.
在成年人中，前庭功能丧失与认知缺陷有关；然而，类似的关系尚未在儿童中进行研究。
评估与正常听力（CNH）儿童相比，人工耳蜗植入（CCI）儿童前庭功能丧失对工作记忆和执行功能的影响。
前庭诱发肌源性电位、视频头脉冲、转椅和平衡测试；以及以下临床指标：视力、听力、言语感知、语言、执行功能和工作记忆。
38 名 CNH 和 37 名 CCI 参与者（26 名前庭功能正常，5 名单侧前庭功能丧失，6 名双侧前庭功能丧失）。前庭功能丧失的儿童平衡表现最差。前庭功能丧失的 CCI 组在工作记忆或执行功能方面没有明显下降；然而，多元回归分析表明，平衡表现是几个工作记忆子测试的显著预测因素，视频头脉冲增益是一个执行功能结果的显著预测因素。
人工耳蜗植入伴前庭功能丧失的儿童工作记忆或执行功能没有明显下降；然而，平衡表现是几个工作记忆子测试的显著预测因素。应考虑听力损失程度，并且需要更大的样本量。
