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The effect of increased listening effort on the balance performance of patients with compensated vestibular lesion.
Nada, Nashwa; El-Gohary, Mai Mohammed; Essawy, Wessam Mostafa.
Afiliación
  • Nada N; Department of Otolaryngology/Head and Neck Surgery, Audiovestibular Unit, Faculty of Medicine, Tanta University Hospital, El-Geish Street, Tanta, El-Gharbia 31511, Egypt. Electronic address: nashwa.nada@med.tanta.edu.eg.
  • El-Gohary MM; Fellow of Audiology, National Hearing and Speech institute, Egypt.
  • Essawy WM; Department of Otolaryngology/Head and Neck Surgery, Audiovestibular Unit, Faculty of Medicine, Tanta University Hospital, El-Geish Street, Tanta, El-Gharbia 31511, Egypt.
Auris Nasus Larynx ; 51(3): 492-500, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38522352
ABSTRACT

OBJECTIVES:

This study investigated the effects of listening effort (LE) on balance in patients with compensated vestibular deficits compared to healthy peers.

METHODS:

The subjects included two main groups a control group of 15 healthy subjects and a study group of 19 patients with compensated vestibular pathology. The computerized dynamic posturography test (CDP) was conducted without the speech-in-noise task as a baseline, then the participant was subjected to a dual task in which the auditory task (speech-in-noise sentences) was given as the primary task, and the balance function test was the secondary task.

RESULTS:

WITHIN-GROUP

ANALYSIS:

The study group showed statistically significantly worse values of all body balance parameters under dual-task than the baseline in all conditions. These differences were much higher under the compliant platform conditions. However, these findings were not statistically significant in the control group. BETWEEN-GROUP

ANALYSIS:

The study group showed a statistically significant decline in body balance reactions compared to the control group under dual-task with increased listening effort and the compliant platform. Study subgroup analysis revealed statistically significant differences between patients with unilateral vestibular loss (UVL) and those with bilateral vestibular loss (BVL) in the unstable platform condition.

CONCLUSION:

Our study regarding implementing a dual-tasking paradigm as a measure of LE during the evaluation of chronic vestibular patients with CDP demonstrated how dual-tasking with increased LE affects postural stability. Because of this, patients will probably be more prone to tripping and falling in multitasking situations, as found in real-world settings. This fact should be taken into consideration while testing patients with chronic vertigo and compensated states at VNG. A dual-task paradigm helps uncover the unrevealed pathology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Vestibulares / Equilibrio Postural Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Auris Nasus Larynx Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Vestibulares / Equilibrio Postural Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Auris Nasus Larynx Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos