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Vestibular (dys)function in children with sensorineural hearing loss: a systematic review
Evi Verbecque1,2, Tessa Marijnissen1, Niels De Belder1
1a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.
International Journal of Audiology
|March 8, 2017
Summary
Vestibular dysfunction is common in children with sensorineural hearing loss (SNHL). While several tests show significant differences, their sensitivity and specificity vary, requiring further research with larger sample sizes.
Area of Science:
- Pediatrics
- Audiology
- Neurology
Background:
- Vestibular dysfunction is a recognized comorbidity in children with sensorineural hearing loss (SNHL).
- Accurate assessment of vestibular function is crucial for comprehensive diagnosis and management in pediatric audiology.
Purpose of the Study:
- To review the prevalence of vestibular dysfunction in children with SNHL.
- To classify dysfunction based on applied tests and evaluate their sensitivity and specificity.
Main Methods:
- Systematic literature search across PubMed, Web of Science, and Embase.
- Adherence to Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines.
- Methodological quality assessment using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
Main Results:
- Vestibular function significantly differs between children with SNHL and normal hearing (p < 0.05).
- Sensitivity and specificity varied across tests: Rotational Chair Test (RCT), Vestibular Evoked Myogenic Potentials (VEMP), Dynamic Visual Acuity, and Head Impulse Test.
- For example, Dynamic Visual Acuity showed 88-100% sensitivity and 69-100% specificity compared to RCT.
Conclusions:
- Current evidence on the sensitivity and specificity of vestibular tests in children with SNHL is limited by methodological shortcomings.
- Future research necessitates adequate sample sizes (subgroups > 30) to establish reliable diagnostic accuracy.
Keywords:
Childrencochlear implantprevalencesensitivity and specificitysensorineural hearing lossvestibular function testvestibular lossMore Related Videos
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