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Investigation of Balance Function Using Dynamic Posturography under Electrical-Acoustic Stimulation in Cochlear Implant Recipients

机译:电声刺激下人工耳蜗接受者在动态姿势学下的平衡功能研究

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摘要

Introduction. The purpose of the present study is to investigate the effect of electrical-acoustic stimulation on vestibular function in CI patients by using the EquiTest and to help answer the question of whether electrically stimulating the inner ear using a cochlear implant influences the balance system in any way. Material and Methods. A test population (n = 50) was selected at random from among the cochlear implant recipients. Dynamic posturography (using the EquiTest) was performed with the device switched off an switched on. Results. In summary, it can be said that an activated cochlear implant affects the function of the vestibular system and may, to an extent, even lead to a stabilization of balance function under the static conditions of dynamic posturography, but nevertheless also to a significant destabilization. Significant improvements in vestibular function were seen mainly in equilibrium scores under conditions 4 and 5, the composite equilibrium score, and the vestibular components as revealed by sensory analysis. Conclusions. Only under the static conditions are significantly poorer scores achieved when stimulation is applied. It may be that the explanation for any symptoms of dizziness lies precisely in the fact that they occur in supposedly noncritical situations, since, when the cochlear implant makes increased demands on the balance system, induced disturbances can be centrally suppressed.
机译:介绍。本研究的目的是通过使用EquiTest研究电声刺激对CI患者前庭功能的影响,并帮助回答使用人工耳蜗电刺激内耳是否以任何方式影响平衡系统的问题。 。材料与方法。从人工耳蜗接受者中随机选择一个测试人群(n = 50)。在设备关闭后再打开的情况下执行动态姿势描记(使用EquiTest)。结果。总而言之,可以说激活的人工耳蜗会影响前庭系统的功能,并且在一定程度上甚至会导致在动态体位照相法的静态条件下平衡功能的稳定,但同时也会导致明显的不稳定。前庭功能的显着改善主要表现在条件4和5下的平衡评分,复合平衡评分以及通过感官分析揭示的前庭成分。结论。仅在静态条件下,施加刺激时才能获得明显较差的分数。对头晕的任何症状的解释可能恰好在于它们发生在假定非紧急情况下的事实,因为当耳蜗植入物对平衡系统的需求增加时,可以集中抑制诱发的干扰。

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