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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2020; 24(04): e496-e502
DOI: 10.1055/s-0040-1701271
Original Research

Posturographic Analysis in the Elderly with and without sensorineural Hearing Loss

Daiane Soares de Almeida Ciquinato 
1   Pitagoras Unopar University, Stricto Sensu Graduate Program in Rehabilitation Science UEL-UNOPAR, Londrina, Parana, Brazil
,
Marcelo Yugi Doi
1   Pitagoras Unopar University, Stricto Sensu Graduate Program in Rehabilitation Science UEL-UNOPAR, Londrina, Parana, Brazil
,
Rubens A. da Silva
2   Laboratory of Functional Evaluation and Human Motor Performance (LAFUP) – UNOPAR, Professional Master’s in Physical Exercise in Health Promotion, Londrina, Parana, Brazil
3   Department des Sciences de la Sante, Programme de physiothéapie de l’Université McGill offert en extension – a l’Université du Québec à Chicoutimi (UQAC), Centre de recherche Intersectoriel en santé durable – UQAC, Laboratoire de recherche BioNR – UQAC, Saguenay, Québec, Canada
,
Márcio Rogério de Oliveira
2   Laboratory of Functional Evaluation and Human Motor Performance (LAFUP) – UNOPAR, Professional Master’s in Physical Exercise in Health Promotion, Londrina, Parana, Brazil
,
André Wilson de Oliveira Gil
4   Department of Physical Education, University State of Londrina, (UEL), Londrina, Parana, Brazil
,
Luciana Lozza de Moraes Marchiori
1   Pitagoras Unopar University, Stricto Sensu Graduate Program in Rehabilitation Science UEL-UNOPAR, Londrina, Parana, Brazil
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Abstract

Introduction Sensorineural hearing loss (SNHL) is a serious public health problem. Some evidence suggests a significant relationship between SNHL and balance disorders. The inability to maintain balance associated with SNHL while standing further increases the risk of falls among older people.

Objective To investigate the association between SNHL on the postural balance in elderly individuals of both genders.

Methods The sample consisted of 247 (166 women) physically independent elderly individuals, (mean age = 68.4 ± 6.0). The instruments used were the anamnesis and the pure tone audiometry for hearing loss, and for balance a force platform based in measures of center of pressure area and of sway velocity in the anteroposterior and mediolateral directions.

Results Presence of hearing loss (HL) was observed in 68% of the participants. We observed a significant association between SNHL and characteristics of balance between the groups with and without HL for center of pressure (COP) area (p = 0.010), anteroposterior velocity (p = 0.001) and mediolateral velocity (p = 0.020). There was a significant difference between the gender groups for center of pressure area (p = 0.004), anteroposterior velocity (p = 0.001) and mediolateral velocity (p = 0.001) with better performance in the female group. Amongst men, there was a difference between the ones with HL and those without it, for COP area (p = 0.049).

Conclusion In the present study, elderly individuals with SNHL exhibited more instability on the postural balance, and elderly men presented worse results in the test.

Keywords

aging - postural balance - rehabilitation - sensorineural hearing loss

Area

Audiology.


Financial Assistance

FUNADESP.




Publication History

Received: 29 March 2019

Accepted: 03 December 2019

Article published online:
27 February 2020

© .

Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

  • References

  • 1 Rooth MA. The prevalence and impact of vision and hearing loss in the elderly. N C Med J 2017; 78 (02) 118-120
    PubMedGoogle Scholar
  • 2 Meneses-Barriviera CL, Bazoni JA, Doi MY, Marchiori LLM. Probable Association of Hearing Loss, Hypertension and Diabetes Mellitus in the Elderly. Int Arch Otorhinolaryngol 2018; 22 (04) 337-341
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol 2004; 14 (06) 641-646
    CrossrefPubMedGoogle Scholar
  • 4 Parke S. O ouvido e a audição. São Paulo: Scipione; 1992
    Google Scholar
  • 5 Stevens MN, Barbour DL, Gronski MP, Hullar TE. Auditory contributions to maintaining balance. J Vestib Res 2016; 26 (5-6): 433-438
    CrossrefPubMedGoogle Scholar
  • 6 Viljanen A, Kaprio J, Pyykkö I. et al. Hearing as a predictor of falls and postural balance in older female twins. J Gerontol A Biol Sci Med Sci 2009; 64 (02) 312-317
    CrossrefPubMedGoogle Scholar
  • 7 Kleiner AFR, Schlittler DXC, Sánchez-Arias MDR. The role of visual, vestibular, somatosensory and auditory systems for the postural control. Rev Neurocienc 2011; 19 (02) 349-357
    CrossrefGoogle Scholar
  • 8 Melo RdeS, Lemos A, Macky CFST, Raposo MCF, Ferraz KM. Postural control assessment in students with normal hearing and sensorineural hearing loss. Rev Bras Otorrinolaringol (Engl Ed) 2015; 81 (04) 431-438
    Google Scholar
  • 9 Melo RS. Gait performance of children and adolescents with sensorineural hearing loss. Gait Posture 2017; 57: 109-114
    CrossrefPubMedGoogle Scholar
  • 10 Melo RS, Lemos A, Raposo MCF, Belian RB, Ferraz KM. Balance performance of children and adolescents with sensorineural hearing loss: Repercussions of hearing loss degrees and etiological factors. Int J Pediatr Otorhinolaryngol 2018; 110: 16-21
    CrossrefPubMedGoogle Scholar
  • 11 Melo RS, Lemos A, Raposo MCF, Monteiro MG, Lambertz D, Ferraz KM. Repercussions of the hearing loss degrees and vestibular dysfunction on the static balance of children with sensorineural hearing loss. Hum Mov Sci 2019
    Google Scholar
  • 12 Melo RS, Amorim da Silva PW, Souza RA, Raposo MCF, Ferraz KM. Comparação da posição da cabeça entre estudantes com audição normal e estudantes com perda auditiva neurossensorial. Int Arch Otorrinolaringol 2013; 17: 363-369
    Google Scholar
  • 13 Kowalewski V, Patterson R, Hartos J, Bugnariu N. Hearing Loss Contributes to Balance Difficulties in both Younger and Older Adults. J Prev Med (Wilmington) 2018; 3 (02) 12
    Google Scholar
  • 14 Vitkovic J, Le C, Lee SL, Clark RA. The Contribution of Hearing and Hearing Loss to Balance Control. Audiol Neurotol 2016; 21 (04) 195-202
    CrossrefPubMedGoogle Scholar
  • 15 Weaver TS, Shayman CS, Hullar TE. The effect of hearing aids and cochlear implants on balance during gait. Otol Neurotol 2017; 38 (09) 1327-1332
    CrossrefPubMedGoogle Scholar
  • 16 Negahban H, Bavarsad Cheshmeh Ali M, Nassadj G. Effect of hearing aids on static balance function in elderly with hearing loss. Gait Posture 2017; 58: 126-129
    CrossrefPubMedGoogle Scholar
  • 17 Greters ME, Bittar RSM, Grasel SS, Oiticica J, Bento RF. Hearing performance as a predictor of postural recovery in cochlear implant users. Rev Bras Otorrinolaringol (Engl Ed) 2017; 83 (01) 16-22
    Google Scholar
  • 18 Oikawa K, Kobayashi Y, Hiraumi H, Yonemoto K, Sato H. Body balance function of cochlear implant patients with and without sound conditions. Clin Neurophysiol 2018; 129 (10) 2112-2117
    CrossrefPubMedGoogle Scholar
  • 19 Vieira ER, Palmer RC, Chaves PH. Prevention of falls in older people living in the community. BMJ 2016; 353 (01) i1419
    CrossrefPubMedGoogle Scholar
  • 20 Pajala S, Era P, Koskenvuo M, Kaprio J, Törmäkangas T, Rantanen T. Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63-76 years. J Gerontol A Biol Sci Med Sci 2008; 63 (02) 171-178
    CrossrefPubMedGoogle Scholar
  • 21 Hayashi D, Gonçalves CG, Parreira RB. et al. Postural balance and physical activity in daily life (PADL) in physically independent older adults with different levels of aerobic exercise capacity. Arch Gerontol Geriatr 2012; 55 (02) 480-485
    CrossrefPubMedGoogle Scholar
  • 22 Spidurso WW. Dimensões físicas do envelhecimento. Barueri: Manole; 2005
    Google Scholar
  • 23 Miller MH. A integração dos achados audiológicos. In: Katz J. (Org). Tratado de audiologia clínica. 3a ed. São Paulo: Manole; 1999: 268-270
    Google Scholar
  • 24 Davis H, Silverman SR. Hearing and deafness. 3rd ed. New York: Holt, Rinehart and Winston; 1970
    Google Scholar
  • 25 Gil AWO, Oliveira MR, Coelho VA, Carvalho CE, Teixeira DC, da Silva Jr RA. Relationship between force platform and two functional tests for measuring balance in the elderly. Rev Bras Fisioter 2011; 15 (06) 429-435
    CrossrefPubMedGoogle Scholar
  • 26 da Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorim CF. Age-related differences in time-limit performance and force platform-based balance measures during one-leg stance. J Electromyogr Kinesiol 2013; 23 (03) 634-639
    CrossrefPubMedGoogle Scholar
  • 27 Paillard T, Noé F. Techniques and methods for testing the postural function in healthy and pathological subjects. BioMed Res Int 2015; 2015: 891390
    CrossrefPubMedGoogle Scholar
  • 28 Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen 2012; 141 (01) 2-18
    CrossrefPubMedGoogle Scholar
  • 29 Tomczak A, Tomczak E. The need to report effect size estimates revisited. An overview of some recommended measures of effect size. Trends Sport Sci 2014; 1: 19-25
    Google Scholar
  • 30 Pereira C, Silva RAD, de Oliveira MR, Souza RDN, Borges RJ, Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging Clin Exp Res 2018; 30 (05) 441-447
    CrossrefPubMedGoogle Scholar
  • 31 Leme GLM, Carvalho IF, Scheicher ME. Improvement of postural balance in elderly women with the use of additional sensory information. Fisioter Pesqui 2017; 24 (01) 68-73
    CrossrefGoogle Scholar
  • 32 Thomas E, Martines F, Bianco A. et al. Decreased postural control in people with moderate hearing loss. Medicine (Baltimore) 2018; 97 (14) e0244
    CrossrefGoogle Scholar
  • 33 Soto-Varela A, Rossi-Izquierdo M, Faraldo-García A. et al. Balance disorders in the elderly: does instability increase over time?. Ann Otol Rhinol Laryngol 2016; 125 (07) 550-558
    CrossrefPubMedGoogle Scholar
  • 34 Momensohn-Santos TM, Russo ICP. Prática da audiologia clínica. 8. ed. São Paulo: Cortez; 2011
    Google Scholar
  • 35 Baraldi GS, Almeida LC, Borges ACC. Hearing loss in aging. Rev Bras Otorrinolaringol 2007; 73 (01) 64-70
    CrossrefGoogle Scholar
  • 36 Zahnert T. The differential diagnosis of hearing loss. Dtsch Arztebl Int 2011; 108 (25) 433-443 , quiz 444
    CrossrefPubMedGoogle Scholar
  • 37 Meneses C, Mário MP, Marchori LLM, Melo JJ, Freitas ERFS. Prevalência de perda auditiva e fatores associados na população idosa de Londrina, Paraná: estudo preliminar. Rev CEFAC 2010; 12 (03) 384-392
    CrossrefGoogle Scholar
  • 38 Siedlecka B, Sobera M, Sikora A, Drzewowska I. The influence of sounds on posture control. Acta Bioeng Biomech 2015; 17 (03) 96-102
    Google Scholar
  • 39 Agmon M, Lavie L, Doumas M. The association between hearing loss, postural control, and mobility in older adults: A Systematic Review. J Am Acad Audiol 2017; 28 (06) 575-588
    Article in Thieme ConnectPubMedGoogle Scholar
  • 40 Bruniera JRZ, Camiloti JF, Penha OM, Franco PPR, Silva RA, Marchiori LLM. Análise comparativa do equilíbrio postural pela posturografia em pacientes com vertigem isolada ou associada com perda auditiva. Audiol Commun Res 2015; 20 (04) 321-326
    CrossrefGoogle Scholar
  • 41 Dillon CF, Gu Q, Hoffman HJ, Ko CW. Vision, hearing, balance, and sensory impairment in Americans aged 70 years and over: United States, 1999-2006. NCHS Data Brief 2010; (31) 1-8
    PubMedGoogle Scholar
  • 42 Yamasoba T, Lin FR, Someya S, Kashio A, Sakamoto T, Kondo K. Current concepts in age-related hearing loss: epidemiology and mechanistic pathways. Hear Res 2013; 303: 30-38
    CrossrefPubMedGoogle Scholar
  • 43 Agrawal Y, Platz EA, Niparko JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999-2004. Arch Intern Med 2008; 168 (14) 1522-1530
    CrossrefPubMedGoogle Scholar
  • 44 Araujo TM, Iório MCM. Profile of the elderly population referred for hearing aid fitting in a public. Audiol Commun Res 2014; 19 (01) 45-51
    CrossrefGoogle Scholar
  • 45 Silva BSR, Sousa GB, Russo ICP, Silva JAPR. Caracterização das queixas, tipo de perda e tratamento de indivíduos idosos atendidos em uma clínica particular de Belém – PA. Arq Int Otorrinolaringol 2007; 11 (04) 387-395
    Google Scholar
  • 46 Vaisbuch Y, Santa Maria PL. Age-Related Hearing Loss: Innovations in Hearing Augmentation. Otolaryngol Clin North Am 2018; 51 (04) 705-723
    CrossrefPubMedGoogle Scholar
  • 47 Freitas Júnior P, Barela JA. Alterações no funcionamento do sistema de controle postural de idosos: uso da informação visual. Rev Port Cienc Desporto 2006; 6 (01) 94-105
    CrossrefGoogle Scholar
  • 48 Zhong X, Yost WA. Relationship between postural stability and spatial hearing. J Am Acad Audiol 2013; 24 (09) 782-788
    Article in Thieme ConnectPubMedGoogle Scholar
  • 49 Agrup C, Gleeson M, Rudge P. The inner ear and the neurologist. J Neurol Neurosurg Psychiatry 2007; 78 (02) 114-122
    CrossrefPubMedGoogle Scholar