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Effects of Unilateral Cochlear Implantation on Balance Control and Sensory Organization in Adult Patients with Profound Hearing Loss.

Identifieur interne : 000832 ( Main/Exploration ); précédent : 000831; suivant : 000833

Effects of Unilateral Cochlear Implantation on Balance Control and Sensory Organization in Adult Patients with Profound Hearing Loss.

Auteurs : Cécile Parietti-Winkler [France] ; Alexis Lion [Luxembourg (pays)] ; Bettina Montaut-Verient [France] ; Rémy Grosjean [France] ; Gérome C. Gauchard [France]

Source :

RBID : pubmed:26583121

Descripteurs français

English descriptors

Abstract

Many studies were interested in the consequence of vestibular dysfunction related to cochlear implantation on balance control. This pilot study aimed to assess the effects of unilateral cochlear implantation on the modalities of balance control and sensorimotor strategies. Posturographic and vestibular evaluations were performed in 10 patients (55 ± 20 years) with profound hearing loss who were candidates to undergo unilateral multichannel cochlear implantation. The evaluation was carried out shortly before and one year after surgery. Posturographic tests were also performed in 10 age-matched healthy participants (63 ± 16 years). Vestibular compensation was observed within one year. In addition, postural performances of the patients increased within one year after cochlear implantation, especially in the more complex situations, in which sensory information is either unavailable or conflicting. Before surgery, postural performances were higher in the control group compared to the patients' group. One year after cochlear implantation, postural control was close to normalize. The improvement of postural performance could be explained by a mechanism of vestibular compensation. In addition, the recovery of auditory information which is the consequence of cochlear implantation could lead to an extended exploration of the environment possibly favoring the development of new balance strategies.

DOI: 10.1155/2015/621845
PubMed: 26583121
PubMed Central: PMC4637149


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Cochlear Implantation (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hearing Loss, Sensorineural (physiopathology)</term>
<term>Hearing Loss, Sensorineural (surgery)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pilot Projects (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Implantation cochléaire (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Projets pilotes (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Surdité neurosensorielle (chirurgie)</term>
<term>Surdité neurosensorielle (physiopathologie)</term>
<term>Épreuves vestibulaires (MeSH)</term>
<term>Équilibre postural (physiologie)</term>
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<term>Surdité neurosensorielle</term>
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<term>Aged</term>
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<term>Implantation cochléaire</term>
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<div type="abstract" xml:lang="en">Many studies were interested in the consequence of vestibular dysfunction related to cochlear implantation on balance control. This pilot study aimed to assess the effects of unilateral cochlear implantation on the modalities of balance control and sensorimotor strategies. Posturographic and vestibular evaluations were performed in 10 patients (55 ± 20 years) with profound hearing loss who were candidates to undergo unilateral multichannel cochlear implantation. The evaluation was carried out shortly before and one year after surgery. Posturographic tests were also performed in 10 age-matched healthy participants (63 ± 16 years). Vestibular compensation was observed within one year. In addition, postural performances of the patients increased within one year after cochlear implantation, especially in the more complex situations, in which sensory information is either unavailable or conflicting. Before surgery, postural performances were higher in the control group compared to the patients' group. One year after cochlear implantation, postural control was close to normalize. The improvement of postural performance could be explained by a mechanism of vestibular compensation. In addition, the recovery of auditory information which is the consequence of cochlear implantation could lead to an extended exploration of the environment possibly favoring the development of new balance strategies. </div>
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