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Published on: May 23, 2013
Effect of otitis media on the vestibular system in children
M L Casselbrant1, J M Furman, E Rubenstein
1Division of Pediatric Otolaryngology, University of Pittsburgh School of Medicine, PA, USA.
Insights
Children with otitis media (OM) experience poorer balance, impacting motor skills. Tympanostomy tube insertion improved balance in these children, suggesting OM affects coordination and accident risk.
Area of Science:
- Pediatrics
- Audiology
- Neurology
Background:
- Otitis media (OM) is a common childhood illness.
- Balance and motor development are crucial for children's overall well-being.
- Previous research suggests a potential link between ear infections and developmental delays.
Purpose of the Study:
- To investigate the impact of otitis media on postural balance in children.
- To evaluate the effect of tympanostomy tube insertion on balance in children with OM.
- To compare the balance of children with OM to that of healthy children.
Main Methods:
- Moving platform posturography (Equitest) was used to assess postural sway.
- Forty-one children with OM were tested before and after tympanostomy tube insertion.
- Fifty children without ear disease served as a control group.
Main Results:
- Children with OM exhibited significantly higher sway velocity compared to controls.
- Younger children (<7 years) demonstrated greater sway velocity than older children (≥7 years).
- Post-tympanostomy tube insertion, sway velocity decreased, and children previously unable to complete tests could do so.
Conclusions:
- Otitis media episodes negatively affect children's balance and coordination.
- Tympanostomy tube insertion can lead to significant improvements in balance for children with OM.
- Impaired balance due to OM may increase accident proneness and potentially hinder motor development.
Abstract:
Forty-one children with otitis media (OM) were evaluated by moving platform posturography (Equitest, NeuroCom) before and after insertion of tympanostomy tubes, and were compared to children with no ear disease (N = 50). Velocity of sway increased with increasing difficulty of test conditions (I-VI) for both groups of children (p < .001), and children less than 7 years of age had a higher velocity than children 7 years old or older (p < .001). Children with OM had a higher velocity than normal children (p < .05). For children tested less than 30 days after insertion of tympanostomy tubes, the velocity for condition VI was significantly lower than before insertion (p < .05). Also, that the 6 children who had fallen on all trials on condition V or VI were able to stand on these trials after insertion of tympanostomy tubes indicates an improvement. These findings indicate that episodes of OM may affect balance, leaving children more clumsy and accident-prone, and possibly impairing motor development.
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