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American Academy of Audiology Clinical Consensus Statement: Assessment of Vestibular Function in the Pediatric
Violette Lavender1, Kristen Janky2, Katheryn Bachmann1
1*Cincinnati Children's Hospital, Cincinnati, OH.
Insights
This consensus statement guides pediatric vestibular function testing for children with dizziness or motor delays. It provides practical protocols to support children's vestibular development without hindering their overall growth.
Area of Science:
- Audiology
- Pediatric Medicine
- Neuroscience
Background:
- Vestibular function testing is crucial for children experiencing dizziness, imbalance, or motor delays, particularly those with sensorineural hearing loss.
- Current practices for pediatric vestibular assessment vary due to equipment and expertise differences.
Purpose of the Study:
- To provide a clinical consensus statement guiding vestibular function assessment in the pediatric population.
- To offer practical protocols and interpretation guidance tailored for children's unique needs.
Main Methods:
- Development of a clinical consensus statement by the American Academy of Audiology.
- Focus on pediatric-specific approaches to test administration and interpretation.
- Inclusion of protocols, testing tips, and information on individual vestibular tests.
Main Results:
- Establishes a framework for assessing pediatric vestibular function, accommodating practice variations.
- Emphasizes the importance of considering children's daily activities for effective assessment and intervention.
- Highlights the need for further research, including normative data and evolving techniques.
Conclusions:
- This guidance aims to optimize vestibular assessment and intervention for children.
- The goal is to support children's vestibular development while ensuring positive educational, social, and developmental outcomes.
- The statement will evolve as pediatric vestibular testing advances.
Abstract:
Vestibular function testing is recommended in children who report dizziness and in children with imbalance or delays in gross motor milestones related to sensorineural hearing loss. This clinical consensus statement developed by the American Academy of Audiology serves as a guide for assessing vestibular function in the pediatric population and allows for expected variations in practice and available equipment. It focuses on the pediatric approach to test administration and interpretation, offers protocols and tips for testing, and provides additional information on individual tests of vestibular function. Basic, practical knowledge of vestibular testing is required to incorporate the guidance provided in this consensus statement. Children have activities of daily living that are different from those of adults, so the overall goal of assessment and intervention should be to arrive at the best recommendations to help children meet their vestibular goals without hindrance to educational, social, and developmental outcomes. As this area of pediatric vestibular testing develops, more normative data and test techniques will be included, and this guidance will continue to evolve.
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