METHODS: This is a historical cohort study lasting for 20 years on 50 patients with cochlear implantation. All patients underwent dynamic posturography and Bruininks-Oseretsky Test.
RESULTS: Twenty-two (44%) of the participants showed some types of inner ear anomaly. The frequency of abnormal Bruininks-Oseretsky Test was 45.5% and 10.7% (P = .005, odds ratio [OR] = 6.9). Abnormal composite was seen in 77.3% and 21.4%, respectively (P < .001; OR = 12.5). The mean strategy score in the fifth condition of the sensory organization test was 25.0 ± 20.4 in patients with inner ear anomaly, whereas it was 44.1 ± 18.9 in those without it (P = .001).
CONCLUSIONS: Balance capability in cochlear implantation patients with inner ear anomaly compared to those without inner ear anomaly was worse. More vestibular rehabilitation treatment plans are suggested for these patients.
方法:这是一项历时20年的历史性队列研究,研究对象为50例人工耳蜗植入患者。所有患者均接受动态姿势造影和Bruinininks-Oseretsky测试。
结果:22名(44%)的参与者表现出某些类型的内耳异常。异常的Bruinininks-Oseretsky测试的频率分别为45.5%和10.7%(P=.005,比值比[OR]=6.9)。异常复合材料分别为77.3%和21.4%,分别为(P<.001;OR=12.5)。内耳异常患者的感觉组织测试第五状态的平均策略评分为25.0±20.4,而没有它的患者为44.1±18.9(P=.001)。
结论:与没有内耳异常的人工耳蜗植入患者相比,内耳异常的平衡能力较差。建议为这些患者提供更多的前庭康复治疗计划。