Postural control during dual task in adolescent cochlear implant users under on/off-device conditions

Abstract

Background and Aim: Vestibular system has several anatomical connections with cognitive regions of the brain. Vestibular disorders have negative effects on cognitive performance. Hearing-impaired patients, particularly cochlear implant users, have concomitant vestibular disor­ders. Previous studies have shown that attention assigned to postural control decreases while per­forming a cognitive task (dual task) in hearing-impaired children. Since the vestibular system and postural control performance develop around 15−16 years of age, the aim of this study was to compare postural control performance during dual task in adolescent boys with normal hearing and cochlear implant (CI) users with congenital hearing-impairment.
 Methods: Postural control was assessed in twenty 16−19 year old cochlear implant boys and 40 normal hearing peers with force plate. The main outcomes were displacement in posterior- anterior and medial-lateral planes, and mean
 speed with and without cognitive task and under on/off-device conditions. Caloric test was per­formed for CI users in order to examine the peri­pheral vestibular system.
 Results: Ninety-five percent of CI users showed caloric weakness. There were no significant diff­erences in postural control parameters between groups. All performances deteriorated in the foam pad condition compared to the hard surface in all groups. Total mean velocity significantly increased during dual task in normal hearing group and in CI users with off-device.
 Conclusion: Although CI users had apparent vestibular disorders, their postural control in both single and dual-task conditions was identical to the normal peers. These effects can be attributed to the vestibular compensation that takes place during growing.
 Keywords: Balance; postural control; dual task; congenital hearing loss; cochlear implant