Research Progress on Vestibular Function and Postural Stability in Children and Adolescents with Hearing Impairment

ZHANG Zi-hua; ZHANG Xue-jin; LI Fei; MA Guang-liang

doi:10.3969/j.issn.1672-4933.2026.02.015

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Research Progress on Vestibular Function and Postural Stability in Children and Adolescents with Hearing Impairment

Review | 更新时间：2026-07-30

- Research Progress on Vestibular Function and Postural Stability in Children and Adolescents with Hearing Impairment
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 24, Issue 2, Pages: 189-193(2026)
- 作者机构：
  
  1.铜仁学院铜仁 554300
  2.铜仁市特殊教育学校铜仁 554300
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2026.02.015
  CLC： R473
- Received：23 November 2024，
  
  Online First：17 March 2026，
  
  Published：15 March 2026
- 稿件说明：
移动端阅览
张子华,张学进,李菲等.不同干预手段对听障儿童前庭功能和姿势稳定性影响研究进展[J].中国听力语言康复科学杂志,2026,24(02):189-193.

ZHANG Zi-hua,ZHANG Xue-jin,LI Fei,et al.Research Progress on Vestibular Function and Postural Stability in Children and Adolescents with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):189-193.
张子华,张学进,李菲等.不同干预手段对听障儿童前庭功能和姿势稳定性影响研究进展[J].中国听力语言康复科学杂志,2026,24(02):189-193. DOI： 10.3969/j.issn.1672-4933.2026.02.015.

ZHANG Zi-hua,ZHANG Xue-jin,LI Fei,et al.Research Progress on Vestibular Function and Postural Stability in Children and Adolescents with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(02):189-193. DOI： 10.3969/j.issn.1672-4933.2026.02.015.

摘要

本文从感音神经性听力损失（sensorineural hearing loss，SNHL）儿童前庭功能与身体姿势稳定性、人工耳蜗植入对其的影响、游戏干预和康复训练4方面进行综述，得出前庭诱发肌源性电位（vestibular evoked myogenic potential，VEMP）的不对称性可评估听障儿童前庭功能，同时也可更好地预测平衡障碍；基于虚拟现实的游戏、韵律体操、卡波耶拉、Bosu和Kangoo跳等游戏-运动干预虽各有差异，但均可提高听障儿童的平衡能力。前庭康复训练是改善听障儿童平衡、动作发展的有效手段，在康复训练细节方面的研究略显不足，有待进一步细化。

Abstract

This article provides a review from four aspects: vestibular function and body posture stability in SNHL children

the impact of cochlear implantation on SNHL children

game intervention

and rehabilitation training. It can be concluded that the asymmetry of VEMP can better predict balance disorders in SNHL children. Although virtual reality games

rhythmic gymnastics

Capoeira

Bosu

and Kangoo jumps and other game motor interventions have differences

they can all improve the balance of SNHL children. Vestibular rehabilitation training is an effective means to improve the balance and motor development of SNHL children

but research on the details of rehabilitation training plans is somewhat insufficient and incomplete information needs further refinement.

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references

中国残疾人联合会 . 2010年末全国残疾人总数及各类、不同残疾等级人数 [EB/OL ] . https://www.cdpf.org.cn/zwgk/zccx/cjrgk/.2021-02-20 https://www.cdpf.org.cn/zwgk/zccx/cjrgk/.2021-02-20 .

Xu W , Li C , Wang L . Physical activity of children and adolescents with hearing impairments: A systematic review [J ] . Int J Environ Res Public Health , 2020 , 17 ( 12 ): 4575 .

Childhood Hearing Loss Strategies for prevention and care [EB/OL ] . https://www.who.int/docs/default-source/imported2/childhood-hearing-loss--strategies-for-prevention-and-care.pdf?sfvrsn=cbbbb3cc_0.2016-05-10 https://www.who.int/docs/default-source/imported2/childhood-hearing-loss--strategies-for-prevention-and-care.pdf?sfvrsn=cbbbb3cc_0.2016-05-10 .

O'Reilly RC , Morlet T , Nicholas BD , et al . Prevalence of vestibular and balance disorders in children [J ] . Otol Neurotol , 2010 , 31 ( 9 ): 1441 - 1444 .

Verbecque E , Marijnissen T , Belder ND , et al . Vestibular (dys)function in children with sensorineural hearing loss: a systematic review [J ] . Int J Audiol , 2017 , 56 ( 6 ): 361 - 381 .

Wiener-Vacher SR , Campi M , Caldani S , et al . Vestibular Impairment and Postural Development in Children With Bilateral Profound Hearing Loss [J ] . JAMA Netw Open , 2024 , 7 ( 5 ): e2412846 .

Gerdsen M , Hundscheid TM , Boudewyns A , et al . Vestibular assessment in children with sensorineural hearing loss: diagnostic accuracy and proposal for a diagnostic algorithm [J ] . Front Neurol , 2024 , 15 : 1349554 .

Deng JH , Zhu QC , Zhang KJ , et al . Vestibular function in children with cochlear implant: Impact and evaluation [J ] . Front Neurol , 2022 , 13 : 938751 .

Wang RJ , Xu KF , Luo JF , et al . Vestibular function and hearing preservation in children following a minimally invasive cochlear implantation [J ] . Eur Arch Otorhinolaryngol , 2024 , 281 ( 8 ): 4029 - 4038 .

Lee JD , Kim CH , Hong SM , et al . Prevalence of vestibular and balance disorders in children and adolescents according to age: A multi-center study [J ] . Int J Pediatr Otorhinolaryngol , 2017 , 94 ( 3 ): 36 - 39 .

Cushing SL , Blake CP . Cochlear Implants and Children with Vestibular Impairments [J ] . Semin Hear , 2018 , 39 ( 3 ): 305 - 320 .

Rosengren SM , Colebatch J , Young AS , et al . Vestibular evoked myogenic potentials in practice: Methods, pitfalls and clinical applications [J ] . Clin Neurophysiol Pract , 2019 , 4 : 47 - 68 .

Martens Sarie , Dhooge Ingeborg , Dhondt Cleo , et al . Three Years of Vestibular Infant Screening in Infants With Sensorineural Hearing Loss [J ] . Pediatrics , 2022 , 150 ( 1 ): e2021055340 .

Chisari D , Vitkovic Jessica , Clark Ross , et al . Vestibular function and balance performance in children with sensorineural hearing loss [J ] . Int J Audiol , 2024 , 63 ( 11 ): 875 - 883 .

Kegel ADL , Baetens MT , Dhooge I , et al . The influence of a vestibular dysfunction on the motor development of hearing-impaired children [J ] . Laryngoscope , 2012 , 122 ( 12 ): 2837 - 2843 .

Maes L , Kegel ADH , Waelvelde V , et al . Association between vestibular function and motor performance in hearing-impaired children [J ] . Otol Neurotol , 2014 , 35 ( 10 ): 343 - 347 .

Kotait MA , Moaty AS , Gabr TA . Vestibular testing in children with severe-to-profound hearing loss [J ] . Int J Pediatr Otorhinolaryngol , 2019 , 125 ( 10 ): 201 - 205 .

Sokolov M , Gordon KA , Polonenko M , et al . Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss [J ] . Hear Res , 2019 , 372 ( 2 ): 52 - 61 .

Melo RS , Lemos A , Raposo MC , et al . Repercussions of the hearing loss degrees and vestibular dysfunction on the static balance of children with sensorineural hearing loss [J ] . Phys Ther , 2021 , 101 ( 10 ): pzab177 .

Psillas G , Pavlidou A , Lefkidis N , et al . Vestibular evoked myogenic potentials in children after cochlear implantation [J ] . Auris Nasus Larynx , 2014 , 41 ( 5 ): 432 - 435 .

Thierry B , Blanchard M , Leboulanger N , et al . Cochlear implantation and vestibular function in children [J ] . Int J Pediatr Otorhinolaryngol , 2015 , 79 ( 2 ): 101 - 104 .

Nair S , Gupta A , Nilakantan A , et al . Impaired vestibular function after cochlear implantation in children: role of static posturography [J ] . Indian J Otolaryngol Head Neck Surg , 2017 , 69 ( 2 ): 252 - 258 .

Wang RJ , Chao XH , Luo JF , et al . Objective vestibular function changes in children following cochlear implantation [J ] . J Vestib Res , 2022 , 32 ( 1 ): 29 - 37 .

Huang MW , Hsu CJ , Kuan CC , et al . Static balance function in children with cochlear implants [J ] , Int J Pediatr Otorhinolaryngol , 2011 , 75 ( 5 ): 700 - 703 .

Kegel AD , Maes L , Waelvelde HV , et al . Examining the impact of cochlear implantation on the early gross motor development of children with a hearing loss [J ] . Ear Hear , 2015 , 36 ( 3 ): e113-121 .

Kelly A , Liu ZB , Leonard S , et al . Balance in children following cochlear implantation [J ] . Cochlear Implants Int , 2018 , 19 ( 1 ): 22 - 25 .

Forli F , Giuntini G , Ciabotti A , et al . How does a bilingual environment affect the results in children with cochlear implants compared to monolingual-matched children? An Italian follow-up study [J ] . Int J Pediatr Otohrinolaryngol , 2018 , 105 ( 2 ): 56 - 62 .

Zeitler DM , Douglas Sladen P , DeJong MD , et al . Cochlear implantation for single-sided deafness in children and adolescents [J ] . Int J Pediatr Otorhinolaryngol , 2019 , 118 ( 3 ): 128 - 133 .

Cushing SL , Chia R , James AL , et al . A test of static and dynamic balance function in children with cochlear implants: the vestibular Olympics [J ] . Arch Otolaryngol Head Neck Surg , 2008 , 134 ( 1 ): 34 - 38 .

Mazaheryazdi M , Moossavi A , Sarrafzadah J , et al . Study of the effects of hearing on static and dynamic postural function in children using cochlear implants [J ] . Int J Pediatr Otorhinolaryngol , 2017 , 100 ( 9 ): 18 - 22 .

Suarez H , Alonso R , Arocena S , et al . Sensorimotor interaction in deaf children. Relationship between gait performance and hearing input during childhood assessed in pre-lingual cochlear implant users [J ] . Acta Otolaryngol , 2017 , 137 ( 4 ): 346 - 351 .

Suarez H , Ferreira E , Arocena S , et al . Motor and cognitive performances in pre-lingual cochlear implant adolescents, related with vestibular function and auditory input [J ] . Acta Otolaryngol , 2019 , 139 ( 4 ): 367 - 372 .

Gandemer L , Parseihian G , Kronland-Martinet R , et al . Spatial Cues Provided by Sound Improve Postural Stabilization: Evidence of a Spatial Auditory Map? [J ] . Front Neurosci , 2017 , 11 : 357 - 358 .

Karim AM , Rumalla K , King LA , et al . The effect of spatial auditory landmarks on ambulation [J ] . Gait Posture , 2018 , 60 ( 2 ): 171 - 174 .

Negahban H , Ali MB , Nassadj G . Effect of hearing aids on static balance function in elderly with hearing loss [J ] . Gait Posture , 2017 , 58 ( 8 ): 126 - 129 .

Seiwerth I , Jonen J , Rahne T , et al . Influence of hearing on vestibulospinal control in healthy subjects [J ] . HNO , 2018 , 66 ( Suppl2 ): 49 - 55 .

Fotiadou EG , Giagazoglou PF , Kokaridas D , et al . Effect of rhythmic gymnastics on the dynamic balance of children with deafness [J ] . Eur J Spec Needs Educ , 2002 , 17 ( 3 ): 301 - 309 .

Fotiadou EG , Tsimaras VK , Giagazoglou PF , et al . Effect of rhythmic gymnastics on the rhythm perception of children with deafness [J ] . J Strength Cond Res , 2006 , 20 ( 2 ): 298 - 303 .

Lima R . Balance assessment in deaf children and teenagers prior to and post capoeira practice through the Berg Balance Scale [J ] . Int Tinnitus J , 2017 , 21 ( 2 ): 77 - 82 .

Tzanetakos N , Papastergiou M , Vernadakis N , et al . Utilizing physically interactive videogames for the balance training of adolescents with deafness within physical education course [J ] . J Phys Educ Sport , 2017 , 17 ( 2 ): 614 - 623 .

Vernadakis N , Papastergiou M , Giannousi M , et al . The effect of an exergame-based intervention on balance ability on deaf adolescents [J ] . Sport Sci , 2018 , 11 ( suppl 1 ): 36 - 41 .

Kaya M , Saritas N . A Comparison of the Effects of Balance Training and Technological Games on Balance in Hearing-Impaired Individuals [J ] . J Educ Train Stud , 2019 , 7 ( 2 ): 48 - 53 .

Korkmaz C , Akin M . The effect of bosu, kangoo jump, Nintendo-wii balance board trainings on agility in hearing impaired sedentary [J ] . J Sport Perform Res , 2021 , 23 ( 12 ): 91 - 104 .

Medeiros IR , Bittar RS , Pedalini ME , et al . Vestibular rehabilitation therapy in children [J ] . Otol. Neurotol , 2005 , 26 ( 4 ): 699 - 703 .

Hansson EE . Vestibular rehabilitation-for whom and how? A systematic review [J ] . Adv Physiother , 2007 , 9 ( 3 ): 106 - 116 .

Rine RM , Braswell J , Fisher D , et al . Improvement of motor development and postural control following intervention in children with sensorineural hearing loss and vestibular impairment [J ] . Int J Pediatr Otorhinolaryngol , 2004 , 68 ( 9 ): 1141 - 1148 .

Rajendran V , Roy FG , Jeevanantham D . A preliminary randomized controlled study on the effectiveness of vestibular-specific neuromuscular training in children with hearing impairment [J ] . Clin Rehabil , 2013 , 27 ( 5 ): 459 - 467 .

Ebrahimi AA , Jamshidi AA , Movallali G , et al . The effect of vestibular rehabilitation therapy program on sensory organization of deaf children with bilateral vestibular dysfunction [J ] . Acta Med Iran , 2017 , 55 ( 11 ): 683 - 689 .

Soori Z , Heyrani A , Rafie F . Exercise effects on motor skills in hearing-impaired children [J ] . Sport Sci Health , 2019 , 15 ( 3 ): 635 - 639 .

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