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Published on: August 30, 2019
2015 Section on Pediatrics Knowledge Translation Lecture: Pediatric Vestibular-Related Impairments
Rose Marie Rine1, Elizabeth Dannenbaum, Joanne Szabo
1Specialty Therapy Source, LLC (Dr Rine), Jacksonville, Florida; Vestibular Rehabilitation Program (Ms Dannenbaum), Jewish Rehabilitation Hospital, Laval, and McGill University, Quebec, Canada; Arizona State School for the Deaf and Blind (Dr Szabo), Tucson, Arizona.
Insights
Vestibular system impairments in children are underidentified, impacting development. Collaboration between researchers and clinicians is crucial for identifying deficits and implementing effective interventions for better outcomes.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Audiology
Background:
- Vestibular system impairments in children are often overlooked.
- Approximately 10% of US children under 21 experience these issues, affecting reading, motor skills, and posture.
Purpose of the Study:
- To address the underidentification of vestibular deficits in children.
- To explore strategies for collaboration between researchers and clinicians.
- To facilitate the development and implementation of optimal interventions for pediatric vestibular dysfunction.
Main Methods:
- Discussion of knowledge translation principles.
- Analysis of barriers, challenges, and opportunities in clinical-research collaboration.
- Review of current evidence on vestibular evaluation and intervention efficacy.
Main Results:
- Current research progress in pediatric vestibular disorders is slow.
- Effective evaluation methods and interventions exist but require wider implementation.
- Collaboration is key to bridging the gap between research findings and clinical practice.
Conclusions:
- Enhanced collaboration is needed to identify vestibular deficits in children.
- Optimizing interventions will minimize the negative impact of vestibular hypofunction.
- Joint efforts are essential to ensure children with vestibular dysfunction benefit from advancements.
Key Points:
Until recently, the incidence and effect of vestibular system impairments in children has been grossly underidentified and thus not addressed. Because of incidence reports (approximately 10% of the US population younger than 21 years) and evidence of the efficacy of evaluation methods and interventions, researchers and clinicians are focusing on development of optimal interventions to enhance function, thus minimizing the negative effect of vestibular hypofunction on reading, motor development, and postural control. However, research progress has been slow. How can clinicians and researchers collaborate so that (1) vestibular deficits and related impairments can be identified in children, and (2) optimal interventions can be identified and implemented so that children with peripheral and/or central vestibular dysfunction can benefit?
Summary:
Our participation in knowledge translation is presented, to include discussion of possible barriers, challenges, and opportunities for facilitating collaboration and joint efforts of clinical and research practice.
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