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The contribution of hearing to normal balance

Published online by Cambridge University Press:  21 August 2012

R G Kanegaonkar ,
K Amin  and
M Clarke
R G Kanegaonkar*
Affiliation:
ENT Department, Medway Maritime Hospital, Gillingham, UK
K Amin
Affiliation:
ENT Department, Medway Maritime Hospital, Gillingham, UK
M Clarke
Affiliation:
ENT Department, Medway Maritime Hospital, Gillingham, UK
*
Address for correspondence: Dr Rahul G Kanegaonkar, ENT Department, Medway Maritime Hospital, Gillingham ME7 5NY, UK E-mail: rahulkanegaonkar@gmail.com
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Abstract

Introduction:

Normal balance relies on three sensory inputs: vision, proprioception and the peripheral vestibular system. This study assessed hearing change and postural control in normal subjects.

Materials and methods:

Postural control in 20 normal volunteers was assessed using a Nintendo Wii gaming console and balance board. Each subject was tested standing upright for 30 seconds in a clinic room and a soundproof room with their eyes open, eyes closed, whilst standing on and off foam, and with and without ear defenders.

Results:

There was significantly more postural sway in the following subjects: those standing with their eyes closed vs those with eyes open (normal room, p = 0.0002; soundproof room, p = 0.0164); those standing on foam with eyes open vs those standing normally with eyes open (in both rooms; p < 0.05); those standing with eyes open in a soundproof room vs a normal room (p = 0.0164); and those standing on foam in a soundproof room with eyes open and wearing ear defenders vs those in the same circumstances but without ear defenders.

Conclusion:

Our results suggest that this method provides a simple, inexpensive tool for assessing static postural control. Whilst it is recognised that visual input and proprioception play a central role in maintaining posture, our findings suggest that ambient sound and hearing may also have a significant influence.

Keywords

BalanceHearingGaitPostureVestibular Function Tests
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 984 - 988
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented as a poster at the 1st Head and Neck Congress, 2nd–6th July 2011, Barcelona, Spain

References

1Telian, SA, Shepard, NT. Update on vestibular rehabilitation therapy. Otolaryngol Clin North Am 1996;29:359–71CrossRefGoogle ScholarPubMed
2Uchiyama, M, Demura, S. Low visual acuity is associated with the decrease in postural sway. Tohoku J Exp Med 2008;216:277–85CrossRefGoogle ScholarPubMed
3Palm, HG, Strobel, J, Achatz, G, von Luebken, F, Friemert, B. The role and interaction of visual and auditory afferents in postural stability. Gait Posture 2009;30:328–33CrossRefGoogle ScholarPubMed
4Dault, MC, de Haart, M, Geurts, AC, Arts, IM, Nienhuis, B. Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Hum Mov Sci 2003;22:221–36CrossRefGoogle Scholar
5Horstmann, GA, Dietz, V. A basic posture control mechanism: the stabilization of the centre of gravity. Electroencephalogr Clin Neurophysiol 1990;76:165–76CrossRefGoogle ScholarPubMed
6Dozza, M, Horak, FB, Chiari, L. Auditory biofeedback substitutes for loss of sensory information in maintaining stance. Exp Brain Res 2007;178:37–48CrossRefGoogle ScholarPubMed
7Tremblay, F, Mireault, AC, Dessureault, L, Manning, H, Sveistrup, H. Postural stabilization from fingertip contact: I. Variations in sway attenuation, perceived stability and contact forces with aging. Exp Brain Res 2004;157:275–85CrossRefGoogle ScholarPubMed
8Prado, JM, Stoffregen, TA, Duarte, M. Postural sway during dual tasks in young and elderly adults. Gerontology 2007;53:274–81CrossRefGoogle Scholar
9Era, P, Heikkinen, E. Postural sway during standing and unexpected disturbance of balance in random samples of men of different ages. J Gerontol 1985;40:287–95CrossRefGoogle ScholarPubMed
10Soames, RW, Raper, SA. The influence of moving auditory fields on postural sway behaviour in man. Eur J Appl Physiol Occup Physiol 1992;65:241–5CrossRefGoogle ScholarPubMed
11Tanaka, T, Takeda, H, Izumi, T, Ino, S, Ifukube, T. Age-related changes in postural control associated with location of the center of gravity and foot pressure. Phys Occup Ther Geriatr 1997;15:1–14CrossRefGoogle Scholar
12Tanaka, T, Kojima, S, Takeda, H, Ino, S, Ifukube, T. The influence of moving auditory stimuli on standing balance in healthy young adults and the elderly. Ergonomics 2001;15:1403–12CrossRefGoogle Scholar
13Kelso, LE, Hellebrandt, FA. Devices for the study of two plane shifts in the center of gravity of a swaying body. Science 1937;86:451–2CrossRefGoogle Scholar
14Stevens, DL, Tomlinson, GE. Measurement of human postural sway. Proc R Soc Med 1971;64:653–5Google ScholarPubMed
15Clark, RA, Bryant, AL, Pua, Y, McCrory, P, Bennell, K, Hunt, M. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture 2010;31:307–10CrossRefGoogle ScholarPubMed