Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review

Several studies have demonstrated that children with sensorineural hearing loss (SNHL) exhibit postural instabilities, as well as balance and gait disorders, due to the vestibular dysfunction that they are prone to display as a consequence of inner ear injury. Thus, some experiments have proposed ve...

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Bibliographic Details
Published in:	International journal of pediatric otorhinolaryngology Vol. 127; p. 109650
Main Authors:	Melo, Renato S., Lemos, Andrea, Paiva, Giselle S., Ithamar, Lucas, Lima, Marília C., Eickmann, Sophie Helena, Ferraz, Karla Mônica, Belian, Rosalie Barreto
Format:	Journal Article
Language:	English
Published:	Ireland Elsevier B.V 01-12-2019
Subjects:	Child Deaf Exercise Therapy Gait Hearing Loss, Sensorineural - complications Hearing Loss, Sensorineural - rehabilitation Humans Motor skills disorders Physical therapy modalities Postural Balance Posture Randomized Controlled Trials as Topic Vestibular diseases Vestibular Diseases - etiology Vestibular Diseases - rehabilitation Walking Walking Vestibular diseases Motor skills disorders Physical therapy modalities Deaf Posture
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Summary:	Several studies have demonstrated that children with sensorineural hearing loss (SNHL) exhibit postural instabilities, as well as balance and gait disorders, due to the vestibular dysfunction that they are prone to display as a consequence of inner ear injury. Thus, some experiments have proposed vestibular rehabilitation exercises programs as a treatment to improve these motor skills in children with SNHL. Assess the evidence quality of the trials that used vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with SNHL. This is a systematic review that surveyed articles in nine databases, published up to July 4, 2019, in any language, using the following inclusion criteria: (1) Randomized or quasi-randomized controlled trials. (2) Participants of both groups with clinical diagnosis of SNHL, aged up to 12 years old, with no physical problems, cognitive or neurological impairments, except the vestibular dysfunction. (3) Using vestibular rehabilitation exercises programs to improve the following outcomes: postural control, balance and/or gait. Six experiments, including 153 children, met the inclusion criteria of this systematic review. Two randomized controlled trials (45 children) on the postural control exhibited low evidence quality and four others; three randomized and controlled trials (90 children) on the balance and one quasi-randomized (18 children) on the gait demonstrated very low evidence quality, respectively. There is promising evidence that vestibular rehabilitation exercises programs improve the postural control, balance and gait of children with SNHL. However, due to the methodological limitations of the trials and low quality of current evidence on this topic, the trials results analyzed by this systematic review should be interpreted with caution. Due to the low quality of evidence observed in this review, we suggest that new trials be proposed on this topic, with better methodological quality, to prove the effectiveness of vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with SNHL.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	0165-5876 1872-8464
DOI:	10.1016/j.ijporl.2019.109650