Postural control during dual task in adolescent cochlear implant users under on/off-device conditions

Zahra Nadimi; Mansoureh  Adel Ghahraman; Ghassem Mohammadkhani; Reza Hoseinabadi; Shohreh Jalaie; Kazem Malmir; Maliheh Mazaheryazdi; Hesamaldin Emamdjomeh

doi:10.18502/avr.v30i3.6532

Zahra Nadimi Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Mansoureh Adel Ghahraman Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Ghassem Mohammadkhani Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Reza Hoseinabadi Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Shohreh Jalaie School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Kazem Malmir Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
Maliheh Mazaheryazdi Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Hesamaldin Emamdjomeh ENT and Head and Neck Research Center and Department, Hazrat Rasoul Hospital, The Five Senses Institute, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/avr.v30i3.6532

Abstract

Background and Aim: Vestibular system has several anatomical connections with cognitive regions of the brain. Vestibular disorders have negative effects on cognitive performance. Hearing-impaired patients, particularly cochlear implant users, have concomitant vestibular disorders. Previous studies have shown that attention assigned to postural control decreases while performing a cognitive task (dual task) in hearing-impaired children. Since the vestibular system and postural control performance develop around 15−16 years of age, the aim of this study was to compare postural control performance during dual task in adolescent boys with normal hearing and cochlear implant (CI) users with congenital hearing-impairment.

Methods: Postural control was assessed in twenty 16−19 year old cochlear implant boys and 40 normal hearing peers with force plate. The main outcomes were displacement in posterior- anterior and medial-lateral planes, and mean

speed with and without cognitive task and under on/off-device conditions. Caloric test was performed for CI users in order to examine the peripheral vestibular system.

Results: Ninety-five percent of CI users showed caloric weakness. There were no significant differences in postural control parameters between groups. All performances deteriorated in the foam pad condition compared to the hard surface in all groups. Total mean velocity significantly increased during dual task in normal hearing group and in CI users with off-device.

Conclusion: Although CI users had apparent vestibular disorders, their postural control in both single and dual-task conditions was identical to the normal peers. These effects can be attributed to the vestibular compensation that takes place during growing.

Keywords: Balance; postural control; dual task; congenital hearing loss; cochlear implant