A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss.
A Systematic Review on the Association Between Vestibular Dysfunction and Balance Performance in Children With Hearing Loss.
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DOI：
10.1097/aud.0000000000001131
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Riska KM
中科院分区：
文献类型：
--
作者：
Singh A;Heet H;Guggenheim DS;Lim M;Garg B;Bao M;Smith SL;Garrison D;Raynor EM;Lee JW;Wrigley J;Riska KM
这项研究的目的是了解前庭功能障碍对听力损失儿童平衡控制的功能影响。前庭系统是维持平衡的重要因素。在成年人中，已知前庭功能障碍会导致不稳定和摔倒。关于前庭功能障碍对听力损失儿童的影响，我们知之甚少。我们按照系统评价和荟萃分析指南的首选报告项目进行了系统评价。我们收录了关于接受前庭和平衡测试的听力损失儿童的文章。唐斯和布莱克检查表被用来评估偏见的风险。本次系统性综述共纳入20篇文献，其中17篇报道了听力损失儿童前庭功能障碍与平衡异常之间的关系。偏差(由唐斯和布莱克清单衡量)是一个令人担忧的问题，因为大多数研究都是通过方便抽样选择的非盲群组研究或病例系列。迄今为止的研究主要发现，伴有听力损失和前庭功能障碍的儿童在平衡测量方面的表现往往比听力损失和前庭功能正常的儿童或听力正常和前庭功能正常的儿童更差。一种评估前庭功能和平衡的标准化方法将更好地表征在人群水平上前庭功能障碍对听力损失儿童的影响。
The objective of this study was to understand the functional impact of vestibular dysfunction on balance control in children with hearing loss. The vestibular system is an important contributor to maintaining balance. In adults, vestibular dysfunction is known to lead to unsteadiness and falls. Considerably less is known about the effects of vestibular dysfunction in children with hearing loss. We conducted a systematic review in concordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. We included articles on children with hearing loss who underwent vestibular and balance testing. The Downs and Black checklist was used to assess the risk of bias. A total of 20 articles were included in this systematic review, of which, 17 reported an association between vestibular dysfunction and balance abnormalities in children with hearing loss. Bias (as measured by the Downs and Black Checklist) was a concern, as most studies were non-blinded cohort studies or case series selected through convenience sampling. Research to date has predominantly found that children with concomitant hearing loss and vestibular impairment tend to perform more poorly on balance measures than either children with hearing loss and normal vestibular function or children with both normal hearing and normal vestibular function. A standardized approach to assessing both vestibular function and balance would better characterize the impact of vestibular dysfunction in children with hearing loss at the population level.