Static and dynamic posture control in postlingual cochlear implanted patients: effects of dual-tasking, visual and auditory inputs suppression
Identifieur interne : 000843 ( Main/Exploration ); précédent : 000842; suivant : 000844Static and dynamic posture control in postlingual cochlear implanted patients: effects of dual-tasking, visual and auditory inputs suppression
Auteurs : Laurence Bernard-Demanze [France] ; Jacques Léonard [France] ; Michel Dumitrescu [France] ; Renaud Meller [France] ; Jacques Magnan [France] ; Michel Lacour [France]Source :
- Frontiers in Integrative Neuroscience [ 1662-5145 ] ; 2014.
Abstract
Posture control is based on central integration of multisensory inputs, and on internal representation of body orientation in space. This multisensory feedback regulates posture control and continuously updates the internal model of body's position which in turn forwards motor commands adapted to the environmental context and constraints. The peripheral localization of the vestibular system, close to the cochlea, makes vestibular damage possible following cochlear implant (CI) surgery. Impaired vestibular function in CI patients, if any, may have a strong impact on posture stability. The simple postural task of quiet standing is generally paired with cognitive activity in most day life conditions, leading therefore to competition for attentional resources in dual-tasking, and increased risk of fall particularly in patients with impaired vestibular function. This study was aimed at evaluating the effects of postlingual cochlear implantation on posture control in adult deaf patients. Possible impairment of vestibular function was assessed by comparing the postural performance of patients to that of age-matched healthy subjects during a simple postural task performed in static (stable platform) and dynamic (platform in translation) conditions, and during dual-tasking with a visual or auditory memory task. Postural tests were done in eyes open (EO) and eyes closed (EC) conditions, with the CI activated (ON) or not (OFF). Results showed that the postural performance of the CI patients strongly differed from the controls, mainly in the EC condition. The CI patients showed significantly reduced limits of stability and increased postural instability in static conditions. In dynamic conditions, they spent considerably more energy to maintain equilibrium, and their head was stabilized neither in space nor on trunk: they behaved dynamically without vision like an inverted pendulum while the controls showed a whole body rigidification strategy. Hearing (prosthesis on) as well as dual-tasking did not really improve the dynamic postural performance of the CI patients. We conclude that CI patients become strongly visual dependent mainly in challenging postural conditions, a result they have to be awarded of particularly when getting older.
Url:
DOI: 10.3389/fnint.2013.00111
PubMed: 24474907
PubMed Central: 3893730
Affiliations:
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Bernard-Demanze</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Integrative and Adaptive Neurosciences Laboratory, UMR 7260 CNRS/Aix-Marseille University</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Service d'ORL et Chirurgie de la Face et du Cou, Assistance Publique Hopitaux de marseille, CHU Nord</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Leonard, Jacques" sort="Leonard, Jacques" uniqKey="Leonard J" first="Jacques" last="Léonard">Jacques Léonard</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Integrative and Adaptive Neurosciences Laboratory, UMR 7260 CNRS/Aix-Marseille University</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Dumitrescu, Michel" sort="Dumitrescu, Michel" uniqKey="Dumitrescu M" first="Michel" last="Dumitrescu">Michel Dumitrescu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Integrative and Adaptive Neurosciences Laboratory, UMR 7260 CNRS/Aix-Marseille University</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Meller, Renaud" sort="Meller, Renaud" uniqKey="Meller R" first="Renaud" last="Meller">Renaud Meller</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Service d'ORL et Chirurgie de la Face et du Cou, Assistance Publique Hopitaux de marseille, CHU Nord</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Magnan, Jacques" sort="Magnan, Jacques" uniqKey="Magnan J" first="Jacques" last="Magnan">Jacques Magnan</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Service d'ORL et Chirurgie de la Face et du Cou, Assistance Publique Hopitaux de marseille, CHU Nord</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author><author><name sortKey="Lacour, Michel" sort="Lacour, Michel" uniqKey="Lacour M" first="Michel" last="Lacour">Michel Lacour</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Integrative and Adaptive Neurosciences Laboratory, UMR 7260 CNRS/Aix-Marseille University</institution><country>Marseille, France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea></wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Integrative Neuroscience</title><idno type="eISSN">1662-5145</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Posture control is based on central integration of multisensory inputs, and on internal representation of body orientation in space. This multisensory feedback regulates posture control and continuously updates the internal model of body's position which in turn forwards motor commands adapted to the environmental context and constraints. The peripheral localization of the vestibular system, close to the cochlea, makes vestibular damage possible following cochlear implant (CI) surgery. Impaired vestibular function in CI patients, if any, may have a strong impact on posture stability. The simple postural task of quiet standing is generally paired with cognitive activity in most day life conditions, leading therefore to competition for attentional resources in dual-tasking, and increased risk of fall particularly in patients with impaired vestibular function. This study was aimed at evaluating the effects of postlingual cochlear implantation on posture control in adult deaf patients. Possible impairment of vestibular function was assessed by comparing the postural performance of patients to that of age-matched healthy subjects during a simple postural task performed in static (stable platform) and dynamic (platform in translation) conditions, and during dual-tasking with a visual or auditory memory task. Postural tests were done in eyes open (EO) and eyes closed (EC) conditions, with the CI activated (ON) or not (OFF). Results showed that the postural performance of the CI patients strongly differed from the controls, mainly in the EC condition. The CI patients showed significantly reduced limits of stability and increased postural instability in static conditions. In dynamic conditions, they spent considerably more energy to maintain equilibrium, and their head was stabilized neither in space nor on trunk: they behaved dynamically without vision like an inverted pendulum while the controls showed a whole body rigidification strategy. Hearing (prosthesis on) as well as dual-tasking did not really improve the dynamic postural performance of the CI patients. We conclude that CI patients become strongly visual dependent mainly in challenging postural conditions, a result they have to be awarded of particularly when getting older.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Azulay, J P" uniqKey="Azulay J">J. P. Azulay</name></author><author><name sortKey="Mesure, S" uniqKey="Mesure S">S. Mesure</name></author><author><name sortKey="Amblard, B" uniqKey="Amblard B">B. Amblard</name></author><author><name sortKey="Pouget, J" uniqKey="Pouget J">J. Pouget</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baltes, P B" uniqKey="Baltes P">P. B. Baltes</name></author><author><name sortKey="Baltes, M M" uniqKey="Baltes M">M. M. 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Vischer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vuillerme, N" uniqKey="Vuillerme N">N. Vuillerme</name></author><author><name sortKey="Nafati, G" uniqKey="Nafati G">G. Nafati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wulf, G" uniqKey="Wulf G">G. Wulf</name></author><author><name sortKey="Mcnevin, N" uniqKey="Mcnevin N">N. McNevin</name></author><author><name sortKey="Shea, C H" uniqKey="Shea C">C. H. Shea</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yardley, L" uniqKey="Yardley L">L. Yardley</name></author><author><name sortKey="Gardner, M" uniqKey="Gardner M">M. Gardner</name></author><author><name sortKey="Bronstein, A" uniqKey="Bronstein A">A. Bronstein</name></author><author><name sortKey="Davies, R" uniqKey="Davies R">R. Davies</name></author><author><name sortKey="Buckwell, D" uniqKey="Buckwell D">D. Buckwell</name></author><author><name sortKey="Luxon, L" uniqKey="Luxon L">L. Luxon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Young, L R" uniqKey="Young L">L. R. Young</name></author><author><name sortKey="Bernard Demanze, L" uniqKey="Bernard Demanze L">L. Bernard-Demanze</name></author><author><name sortKey="Dumitrescu, M" uniqKey="Dumitrescu M">M. Dumitrescu</name></author><author><name sortKey="Magnan, J" uniqKey="Magnan J">J. Magnan</name></author><author><name sortKey="Borel, L" uniqKey="Borel L">L. Borel</name></author><author><name sortKey="Lacour, M" uniqKey="Lacour M">M. Lacour</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country></list><tree><country name="France"><noRegion><name sortKey="Bernard Demanze, Laurence" sort="Bernard Demanze, Laurence" uniqKey="Bernard Demanze L" first="Laurence" last="Bernard-Demanze">Laurence Bernard-Demanze</name></noRegion><name sortKey="Bernard Demanze, Laurence" sort="Bernard Demanze, Laurence" uniqKey="Bernard Demanze L" first="Laurence" last="Bernard-Demanze">Laurence Bernard-Demanze</name><name sortKey="Dumitrescu, Michel" sort="Dumitrescu, Michel" uniqKey="Dumitrescu M" first="Michel" last="Dumitrescu">Michel Dumitrescu</name><name sortKey="Lacour, Michel" sort="Lacour, Michel" uniqKey="Lacour M" first="Michel" last="Lacour">Michel Lacour</name><name sortKey="Leonard, Jacques" sort="Leonard, Jacques" uniqKey="Leonard J" first="Jacques" last="Léonard">Jacques Léonard</name><name sortKey="Magnan, Jacques" sort="Magnan, Jacques" uniqKey="Magnan J" first="Jacques" last="Magnan">Jacques Magnan</name><name sortKey="Meller, Renaud" sort="Meller, Renaud" uniqKey="Meller R" first="Renaud" last="Meller">Renaud Meller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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