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Related Experiment Video

Updated: Jun 13, 2025

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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The Effect of Cochlear Implant Stimulation on Postural Control.

Fazıl Necdet Ardıç1, Funda Tümkaya1, Alev Atıgan2

  • 1Department of Otorhinolaryngology, Pamukkale University School of Medicine, Denizli, Türkiye.

Turkish Archives of Otorhinolaryngology
|September 11, 2024
PubMed
Summary

Cochlear implant electrical stimulation can positively impact postural control, especially when listening to music. This study investigated the effects on balance in adult cochlear implant users.

Keywords:
Cochlear implantfall riskhearing implantpostural balancepostural controlposturography

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Area of Science:

  • Neuroscience
  • Audiology
  • Biomedical Engineering

Background:

  • Contradictory findings exist regarding cochlear implantation's effect on postural control.
  • Factors like vestibular loss and electrode insertion trauma can influence balance.
  • This study isolates the impact of electrical stimulation from the cochlear implant itself.

Purpose of the Study:

  • To investigate the effect of electrical stimulation from a cochlear implant on postural control.
  • To measure changes in postural stability, fall risk, and sensory integration.
  • To compare balance performance with the implant off, on, and on with music.

Main Methods:

  • Thirty-three adult unilateral cochlear implant users participated.
  • Posturography assessed postural stability (GSI), fall risk (FRI), and sensory integration (m-CTSIB).
  • Tests were conducted with the implant off, on, and on with music.

Main Results:

  • No significant group differences were found for GSI, FRI, or m-CTSIB.
  • Individual data showed positive effects of cochlear implant stimulation on postural control.
  • When music was played, GSI, FRI, and m-CTSIB improved by 39%, 24%, and 24% respectively.
  • Age correlated with fall risk, but this disappeared with music.

Conclusions:

  • Cochlear implant electrical stimulation positively affects postural control in most patients.
  • The vestibular system is influenced by cochlear implant stimulation.
  • Music playback enhances the positive effect on balance.