Abstract
On a Balance Master computerized force plate static and dynamic postural control was measured in 24 severe hearing-impaired patients before and after CI surgery, and 19 healthy adults in a prospective study. The test battery consisted of the modified clinical test of sensory interaction on balance, the Rhythmic Weight Shift, the Walk Across, and the Tandem Walk test. Postural control was significantly worse in CI candidates than in healthy adults. In contrast, caloric testing of the vestibular organ was normal in the majority of CI candidates and remained normal after CI surgery. Static and dynamic standing balance parameters remained unchanged after CI surgery for the vast majority of parameters. Male gender and age >51 years were negative risk factors in some balance tasks. The static and dynamic standing balance performance seemed to improve to some degree with longer time interval before the CI surgery. Postural control was impaired but not complained of in many CI candidates before CI surgery and remained impaired after CI surgery although caloric testing is normal in most patients.
Similar content being viewed by others
References
Black FO, Wall C III, O’Leary DP, Bilger RC, Wolf RV (1978) Galvanic disruption of vestibulospinal postural control by cochlear implant devices. J Otolaryngol 7:519–527
Eisenberg LS, Nelson JR, House WF (1982) Effects of the single-electrode cochlear implant on the vestibular system of the profoundly deaf adult. Ann Otol Rhinol Laryngol 91:47–54
Vibert D, Hausler R, Kompis M, Vischer M (2001) Vestibular function in patients with cochlear implantation. Acta Otolaryngol Suppl 545:29–34. doi:10.1080/000164801750388063
Buchman CA, Joy J, Hodges A, Telischi FF, Balkany TJ (2004) Vestibular effects of cochlear implantation. Laryngoscope 114:1–22. doi:10.1097/00005537-200410001-00001
Enticott JC, Tari S, Koh SM, Dowell RC, O’Leary SJ (2006) Cochlear implant and vestibular function. Otol Neurotol 27:824–830. doi:10.1097/01.mao.0000227903.47483.a6
Filipo R, Patrizi M, La Gamma R et al (2006) Vestibular impairment and cochlear implantation. Acta Otolaryngol 126:1266–1274. doi:10.1080/00016480600678789
Todt I, Basta D, Ernst A (2008) Does the surgical approach in cochlear implantation influence the occurrence of postoperative vertigo? Otolaryngol Head Neck Surg 138:8–12. doi:10.1016/j.otohns.2007.09.003
Jongkees LB (1968) Electronystagmography: its use and usefulness. Ann Otol Rhinol Laryngol 77:733–739
Viccaro M, Mancini P, La Gamma R et al (2007) Positional vertigo and cochlear implantation. Otol Neurotol 28:764–767. doi:10.1097/MAO.0b013e318064e8d4
Fina M, Skinner M, Goebel JA et al (2003) Vestibular dysfunction after cochlear implantation. Otol Neurotol 24:234–242. doi:10.1097/00129492-200303000-00018 discussion 242
Cushing SL, Chia R, James AL, Papsin BC, Gordon KA (2008) A test of static and dynamic balance function in children with cochlear implants: the vestibular olympics. Arch Otolaryngol Head Neck Surg 134:34–38. doi:10.1001/archoto.2007.16
Suarez H, Angeli S, Suarez A et al (2007) Balance sensory organization in children with profound hearing loss and cochlear implants. Int J Pediatr Otorhinolaryngol 71:629–637. doi:10.1016/j.ijporl.2006.12.014
Kos MI, Degive C, Boex C, Guyot JP (2007) Professional occupation after cochlear implantation. J Laryngol Otol 121:215–218
Hirschfelder A, Grabel S, Olze H (2008) The impact of cochlear implantation on quality of life: the role of audiologic performance and variables. Otolaryngol Head Neck Surg 138:357–362. doi:10.1016/j.otohns.2007.10.019
Enticott JC, Vitkovic JJ, Reid B, O’Neill P, Paine M (2008) Vestibular rehabilitation in individuals with inner-ear dysfunction: a pilot study. Audiol Neurootol 13:19–28. doi:10.1159/000107434
Conflict of interest statement
The authors indicate that they have no a financial relationship with any organization or company mentioned in the manuscript. The research was not sponsored by a third party.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kluenter, HD., Lang-Roth, R. & Guntinas-Lichius, O. Static and dynamic postural control before and after cochlear implantation in adult patients. Eur Arch Otorhinolaryngol 266, 1521–1525 (2009). https://doi.org/10.1007/s00405-009-0936-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-009-0936-5