Influence of Hearing Rehabilitation With Active Middle Ear and Bone Conduction Implants on Postural Control.

active middle ear implant balance bone conduction implants hearing amplification postural stability transcutaneous hearing implant

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2022
Historique:
received: 31 12 2021
accepted: 30 03 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 2 6 2022
Statut: epublish

Résumé

As audition also seems to contribute to balance control, additionally to visual, proprioceptive, and vestibular information, we hypothesize that hearing rehabilitation with active middle ear and bone conduction implants can influence postural control. In a prospective explorative study, the impact of hearing rehabilitation with active middle ear [Vibrant Soundbrige (VSB), MED-EL, Innsbruck, Austria] and bone conduction implants [Bonebridge (BB), MED-EL, Innsbruck, Austria] on postural control in adults was examined in three experiments. Vestibulospinal control was measured by cranio-corpography (CCG), trunk sway velocity (°/s) by the Standard Balance Deficit Test (SBDT), and postural stability with a force plate system, each time in best aided (BA) and unaided (UA) condition with frontal-noise presentation (Fastl noise, 65 dB SPL), followed by subjective evaluation, respectively. In 26 subjects [age 55.0 ± 12.8 years; unilateral VSB/BB: Subjectively, approximately half of the participants reported a benefit in task performance in BA condition. Objectively, this could only be shown in one mobile SBDT-task. Subsystem analysis of trunk sway provided insights in multisensory reweighting mechanisms.

Sections du résumé

Background UNASSIGNED
As audition also seems to contribute to balance control, additionally to visual, proprioceptive, and vestibular information, we hypothesize that hearing rehabilitation with active middle ear and bone conduction implants can influence postural control.
Methods UNASSIGNED
In a prospective explorative study, the impact of hearing rehabilitation with active middle ear [Vibrant Soundbrige (VSB), MED-EL, Innsbruck, Austria] and bone conduction implants [Bonebridge (BB), MED-EL, Innsbruck, Austria] on postural control in adults was examined in three experiments. Vestibulospinal control was measured by cranio-corpography (CCG), trunk sway velocity (°/s) by the Standard Balance Deficit Test (SBDT), and postural stability with a force plate system, each time in best aided (BA) and unaided (UA) condition with frontal-noise presentation (Fastl noise, 65 dB SPL), followed by subjective evaluation, respectively.
Results UNASSIGNED
In 26 subjects [age 55.0 ± 12.8 years; unilateral VSB/BB:
Conclusions UNASSIGNED
Subjectively, approximately half of the participants reported a benefit in task performance in BA condition. Objectively, this could only be shown in one mobile SBDT-task. Subsystem analysis of trunk sway provided insights in multisensory reweighting mechanisms.

Identifiants

pubmed: 35645964
doi: 10.3389/fneur.2022.846999
pmc: PMC9130604
doi:

Types de publication

Journal Article

Langues

eng

Pagination

846999

Informations de copyright

Copyright © 2022 Seiwerth, Brylok, Schwesig, Rahne, Fröhlich, Lauenroth, Hullar and Plontke.

Déclaration de conflit d'intérêts

SP, TR, and LF are investigators in controlled post market entry studies or investigator-initiated research projects with implantable active middle ear and bone conduction hearing devices produced by MED-EL, Innsbruck, Austria. SP is investigator in research projects with grant support to the department of the corresponding author. SP received honorary for lectures from MED-EL Austria and MED-EL Germany. None of this was related to the research presented here. This study was not funded by MED-EL Austria or MED-EL Germany. There are not other commercial or financial relationships that could be construed as a potential conflict of interest. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Ingmar Seiwerth (I)

Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Antonia Brylok (A)

Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

René Schwesig (R)

Department of Orthopaedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Torsten Rahne (T)

Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Laura Fröhlich (L)

Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Andreas Lauenroth (A)

Department of Orthopaedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Timothy E Hullar (TE)

Veterans Administration (VA) Portland National Center for Rehabilitative Auditory Research and Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR, United States.

Stefan K Plontke (SK)

Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Classifications MeSH