Vestibular Function Modulates the Benefit of Hearing Aids in People With Hearing Loss During Static Postural Control

Ear Hear. 2019 Nov/Dec;40(6):1418-1424. doi: 10.1097/AUD.0000000000000720.

Abstract

Objectives: To evaluate the influence of auditory cues on postural sway in normal-hearing (NH) individuals, hearing-impaired individuals with vestibular impairment (HIVL), or hearing-impaired (HI) individuals without vestibular impairment.

Design: Thirty-two participants received a hearing and a vestibular evaluation (vHIT, oVEMP, cVEMP) and then were separated in to three groups (NH, HI, HIVL). All participants had to stand on a force platform in four postural conditions (A: EO/firm, B: EC/firm, C: EO/Foam, D: EC/Foam) under two auditory conditions, with or without auditory cues.

Results: Results revealed that first, there was a significant difference between HIVL and both HI and NH groups in conditions C and D without auditory cues. Second, greater improvement for HIVL compared to NH and HI groups in condition C and D was observed with auditory cues. Finally, somatosensory reliance significantly decreased for the HIVL participants using hearing aids compared to NH and HI.

Conclusions: Our results suggest that hearing aids benefit for postural control may be modulated by vestibular function.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Audiometry
  • Case-Control Studies
  • Cues
  • Female
  • Head Impulse Test
  • Hearing Aids*
  • Hearing Loss / complications
  • Hearing Loss / physiopathology
  • Hearing Loss / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Postural Balance / physiology*
  • Vestibular Diseases / complications
  • Vestibular Diseases / physiopathology*
  • Vestibular Evoked Myogenic Potentials
  • Vestibule, Labyrinth / physiology
  • Vestibule, Labyrinth / physiopathology
  • Young Adult