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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/11138

Title: Relationship Between Sensorineural Hearing Loss and Vestibular and Balance Function in Children
Authors: Cushing, Sharon Lynn
Advisor: Gordon, Karen A.
Department: Medical Science
Keywords: Vestibular Function
Sensorineural Hearing Loss
Cochlear Implantation
Pediatric
Issue Date: 30-Jul-2008
Abstract: Similarities between the peripheral auditory and vestibular systems suggest that children with sensorineural hearing loss (SNHL) may demonstrate vestibular and balance impairments. This hypothesis was studied in 40 children with severe to profound SNHL and unilateral cochlear implants (CI). Vestibular function was assessed with caloric, rotational, and vestibular evoked myogenic potential (VEMP) testing; balance was assessed with standardized static and dynamic tests. Horizontal semicircular canal function was abnormal in 53% (17/32) with caloric, and 39% (14/36) with rotational stimulation. Saccular function was absent bilaterally in 5/26 (19%) and unilaterally in 5/26 (19%) with VEMP. Balance abilities were significantly poorer (μ=12.9±5(SD)) than normal hearing controls (μ=17±5(SD); p=0.0006) and correlated best with horizontal canal function from rotational stimulation (p=0.004;R2=0.24). SNHL from meningitis was associated with worse balance function than other etiologies. Vestibular and balance dysfunction occurred in >1/3 of children with SNHL and CI, and is highly dependent on etiology.
URI: http://hdl.handle.net/1807/11138
Appears in Collections:Master
Institute of Medical Science - Master theses

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