{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T11:26:47Z","timestamp":1793532407603,"version":"4.5.0"},"reference-count":128,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,15]],"date-time":"2024-06-15T00:00:00Z","timestamp":1718409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Background: Sensory information obtained from the visual, somatosensory, and vestibular systems is responsible for regulating postural control, and if damage occurs in one or more of these sensory systems, postural control may be altered. Objective: To evaluate and compare the postural sway velocity between children with normal hearing and with sensorineural hearing loss (SNHL), matched by sex and age group, and to compare the postural sway velocity between children with normal hearing and with SNHL, with and without vestibular dysfunction. Methods: Cross-sectional study that evaluated 130 children (65 with normal hearing and 65 with SNHL), of both sexes and aged between 7 and 11 years, from public schools of the city of Caruaru, Pernambuco state, Brazil. The postural sway velocity of the center of pressure (COP) was assessed by a force platform, in two directions, anteroposterior (AP) and mediolateral (ML)), in three positions, namely bipedal support with feet together and parallel (parallel feet (PF)), bipedal support with one foot in front of the other (tandem foot (TF)), and single-leg support (one foot (OF)), evaluated with the eyes open and closed. Results: Children with SNHL demonstrated greater postural sway velocity compared to children with normal hearing in all the positions evaluated, with significant differences in the AP direction, with the eyes open (PF: p = 0.001; TF: p = 0.000; OF: p = 0.003) and closed (PF: p = 0.050; TF: p = 0.005). The same occurred in the ML direction, with the eyes open (PF: p = 0.001; TF: p = 0.000; OF: p = 0.001) and closed (PF: p = 0.002; TF: p = 0.000). The same occurred in relation to vestibular function, where the children with SNHL with an associated vestibular dysfunction demonstrated greater postural sway velocity compared to children with normal hearing in all the positions evaluated, demonstrating significant differences in the AP direction, with the eyes open (TF: p = 0.001; OF: p = 0.029) and eyes closed (PF: p = 0.036; TF: p = 0.033). The same occurred in the ML direction, with the eyes open (TF: p = 0.000) and with the eyes closed (PF: p = 0.008; TF: p = 0.009). Conclusions: Children with SNHL demonstrated greater instability of postural control than children with normal hearing in all the directions assessed. Children with SNHL and an associated vestibular dysfunction demonstrated the greatest instability of postural control in this study.<\/jats:p>","DOI":"10.3390\/s24123888","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T06:29:43Z","timestamp":1718605783000},"page":"3888","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Postural Sway Velocity of Deaf Children with and without Vestibular Dysfunction"],"prefix":"10.3390","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6776-3606","authenticated-orcid":false,"given":"Renato S.","family":"Melo","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Post-Graduate Program in Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Laboratory of Pediatric Studies (LEPed), Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Post-Graduate Program on Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Laboratory of Informatics in Health, Institute Keizo Asami (iLIKA), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lemos","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Post-Graduate Program in Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Post-Graduate Program on Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carine Carolina","family":"Wiesiolek","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Laboratory of Pediatric Studies (LEPed), Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Gallindo Martins","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Statistics, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Cristina Falc\u00e3o","family":"Raposo","sequence":"additional","affiliation":[{"name":"Department of Statistics, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lambertz","sequence":"additional","affiliation":[{"name":"Laboratory of Pediatric Studies (LEPed), Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3978-4936","authenticated-orcid":false,"given":"Rosalie Barreto","family":"Belian","sequence":"additional","affiliation":[{"name":"Post-Graduate Program on Child and Adolescent Health, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Laboratory of Informatics in Health, Institute Keizo Asami (iLIKA), Recife 50670-901, Brazil"},{"name":"Department of Medicine, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla M\u00f4nica","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Post-Graduate Program in Physical Therapy, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"},{"name":"Laboratory of Pediatric Studies (LEPed), Universidade Federal de Pernambuco (UFPE), Recife 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/S0966-6362(96)01109-5","article-title":"Understanding the roles of vision in the control of human locomotion","volume":"5","author":"Plata","year":"1997","journal-title":"Gait Posture"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/S0966-6362(00)00057-6","article-title":"Postural control is scaled to level of postural threat","volume":"12","author":"Adkin","year":"2000","journal-title":"Gait Posture"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/ageing\/afl077","article-title":"Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls?","volume":"35","author":"Horak","year":"2006","journal-title":"Age Ageing"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1523\/JNEUROSCI.02-05-00536.1982","article-title":"Adaptation to altered support and visual conditions during stance: Patients with vestibular d\u00e9ficits","volume":"2","author":"Nashner","year":"1982","journal-title":"J. Neurosci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.gaitpost.2007.04.013","article-title":"The effects of a concurrent cognitive task on the postural control of young children with and without developmental coordination disorder","volume":"27","author":"Laufer","year":"2008","journal-title":"Gait Posture"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1080\/003655098444048","article-title":"Normal variability of postural measures: Implications for the reliability of relative balance performance outcomes","volume":"30","author":"Brouwer","year":"1998","journal-title":"Scand. J. Rehabil. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1191\/0269215500cr342oa","article-title":"What is balance?","volume":"14","author":"Pollock","year":"2000","journal-title":"Clin. Rehabil."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1016\/j.gaitpost.2013.02.003","article-title":"Sensorimotor posture control in the blind: Superior ankle proprioceptive acuity does not compensate for vision loss","volume":"38","author":"Ozdemir","year":"2013","journal-title":"Gait Posture"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.gaitpost.2017.06.008","article-title":"Postural control in blind individuals: A systematic review","volume":"57","author":"Parreira","year":"2017","journal-title":"Gait Posture"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"pzab177","DOI":"10.1093\/ptj\/pzab177","article-title":"Repercussions of the hearing loss degrees and vestibular dysfunction on the static balance of children with sensorineural hearing loss","volume":"101","author":"Melo","year":"2021","journal-title":"Phys. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1016\/j.ijporl.2012.05.025","article-title":"Vestibular evoked myogenic potentials in children with sensorineural hearing loss","volume":"76","author":"Singh","year":"2012","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/S0966-6362(99)00055-7","article-title":"Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement","volume":"11","author":"Hodges","year":"2000","journal-title":"Gait Posture"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/j.gaitpost.2011.02.024","article-title":"Test-retest reliability of the assessment of postural stability in typically developing children and in hearing impaired children","volume":"33","author":"Dhooge","year":"2011","journal-title":"Gait Posture"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.2466\/pms.2000.90.3c.1101","article-title":"Evidence of progressive delay of motor development in children with sensorineural hearing loss and concurrent vestibular dysfunction","volume":"90","author":"Rine","year":"2000","journal-title":"Percept. Mot. Skills."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1016\/j.ijporl.2004.04.007","article-title":"Improvement of motor development and postural control following intervention in children with sensorineural hearing loss and vestibular impairment","volume":"68","author":"Rine","year":"2004","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/0165-5876(93)90008-Q","article-title":"The vest\u00edbulo-ocular reflex in pupils at a Dutch school for the hearing impaired; findings relating to acquired causes","volume":"25","author":"Huygen","year":"1993","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.ijporl.2008.10.024","article-title":"Vestibular impairments pre-and post-cochlear implant in children","volume":"73","author":"Jacot","year":"2009","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2174\/1874428101105010001","article-title":"Influencing factors on the vestibular function of deaf children and adolescents\u2014Evaluation by means of dynamic posturography","volume":"5","author":"Schwab","year":"2011","journal-title":"Open Otorhinolaryngol. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/AUD.0b013e3182a6ca91","article-title":"Rotatory and collic vestibular evoked myogenic potential testing in normal-hearing and hearing-impaired children","volume":"35","author":"Maes","year":"2014","journal-title":"Ear Hear."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4103\/1012-5574.127203","article-title":"Vestibular assessment in children with sensorineural hearing loss using both electronystagmography and vestibular-evoked myogenic potential","volume":"30","author":"Said","year":"2014","journal-title":"Egypt. J. Otolaryngol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.ijporl.2019.07.015","article-title":"Vestibular testing in children with severe-to-profound hearing loss","volume":"125","author":"Kotait","year":"2019","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/S0165-5876(99)00206-2","article-title":"Vestibular compensation in infants and children with congenital and acquired vestibular loss in both ears","volume":"49","author":"Kaga","year":"1999","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/0165-5876(93)90016-V","article-title":"Hearing loss and vestibular dysfunction in childhood from the use of streptomycin in Albania","volume":"26","author":"Kastanioudakis","year":"1993","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"110751","DOI":"10.1016\/j.ijporl.2021.110751","article-title":"Vestibular disorders in children: A retrospective analysis of vestibular function test findings","volume":"146","author":"Ozdilek","year":"2021","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"111218","DOI":"10.1016\/j.ijporl.2022.111218","article-title":"Extended genetic diagnostics for children with profound sensorineural hearing loss by implementing massive parallel sequencing. Diagnostic outcome, family experience and clinical implementation","volume":"159","author":"Elander","year":"2022","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"4695","DOI":"10.1007\/s00405-021-07241-2","article-title":"Prevalence of abnormal vestibular responses in children with sensorineural hearing loss","volume":"279","author":"Gadsboll","year":"2022","journal-title":"Eur. Arch. Otorhinolaryngol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.ijporl.2009.07.020","article-title":"Age-related changes of single-limb standing balance in children with and without deafness","volume":"73","author":"An","year":"2009","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ijporl.2018.10.034","article-title":"Assessment of balance skills and falling risk in children with congenital bilateral profound sensorineural hearing loss","volume":"116","author":"Soylemez","year":"2019","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"102830","DOI":"10.1016\/j.amjoto.2020.102830","article-title":"Evaluation of balance in children with sensorineural hearing loss according to age","volume":"42","author":"Karakoc","year":"2021","journal-title":"Am. J. Otolaryngol."},{"key":"ref_30","first-page":"115","article-title":"Postural control in deaf children","volume":"55","author":"Ebrahimi","year":"2017","journal-title":"Acta Med. Iran."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.ijporl.2006.12.014","article-title":"Balance sensory organization in children with profound hearing loss and cochlear implants","volume":"71","author":"Suarez","year":"2007","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"433","DOI":"10.2147\/IJGM.S28693","article-title":"Postural control in children with typical development and children with profound hearing loss","volume":"5","author":"Sousa","year":"2012","journal-title":"Int. J. Gen. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1300\/J006v22n03_07","article-title":"Computerized platform posturography for children: Test-retest reliability of the sensory test of the VSR system","volume":"22","author":"Gabriel","year":"2022","journal-title":"Phys. Occup. Ther. Pediatr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1590\/S1413-35552010000300003","article-title":"Revision of posturography based on force plate for balance evaluation","volume":"14","author":"Duarte","year":"2010","journal-title":"Braz. J. Phys. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.gaitpost.2013.07.010","article-title":"Accuracy of force and center of pressure measures of the Wii Balance Board","volume":"39","author":"Bartlett","year":"2014","journal-title":"Gait Posture"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.gaitpost.2017.12.022","article-title":"Reliability and validity of the Wii Balance Board for assessment of standing balance: A systematic review","volume":"61","author":"Clark","year":"2018","journal-title":"Gait Posture"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.2522\/ptj.20100080","article-title":"Construct validity of the assessment of balance in children who are developing typically and children with hearing impairments","volume":"90","author":"Dhooge","year":"2010","journal-title":"Phys. Ther."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.ijporl.2018.04.016","article-title":"Balance performance of children and adolescents with sensorineural hearing loss: Repercussions of hearing loss degrees and etiological factors","volume":"110","author":"Melo","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_39","first-page":"1177","article-title":"A study on the dynamic balance of schoolchildren in India with varying degrees of hearing impairments","volume":"22","author":"Ghosh","year":"2022","journal-title":"J. Phys. Educ. Sport."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1111\/j.1469-8749.2010.03621.x","article-title":"Neurodevelopmental disorders in children with severe to profound sensorineural hearing loss: A clinical study","volume":"52","author":"Chilosi","year":"2010","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_41","first-page":"271","article-title":"Vestibular findings in children with hearing loss","volume":"9","author":"Lisboa","year":"2005","journal-title":"Int. Arch. Otorhinolaryngol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1001\/archoto.2008.508","article-title":"Assessment of saccular function in children with sensorineural hearing loss","volume":"135","author":"Zhou","year":"2009","journal-title":"Arch. Otolaryngol. Head. Neck Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"21011","DOI":"10.1038\/s41598-020-78049-z","article-title":"Vestibular infant screening (VIS)\u2014Flanders: Results after 1.5 years of vestibular screening in hearing-impaired children","volume":"10","author":"Martens","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"7125","DOI":"10.21608\/ejhm.2022.273055","article-title":"Cervical vestibular evoked myogenic potential (Cvemp) in children with sensorineural hearing loss","volume":"89","author":"Mousa","year":"2022","journal-title":"Egypt. J. Hosp. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e2021055340","DOI":"10.1542\/peds.2021-055340","article-title":"Three years of vestibular infant screening in infants with sensorineural hearing loss","volume":"150","author":"Martens","year":"2022","journal-title":"Pediatrics"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1814","DOI":"10.1097\/MLG.0b013e31817fadfa","article-title":"Evidence of vestibular and balance dysfunction in children with profound sensorineural hearing loss","volume":"118","author":"Cushing","year":"2008","journal-title":"Laryngoscope"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1016\/j.ijporl.2011.04.006","article-title":"The effect of saccular function on static balance ability of profound hearing-impaired children","volume":"75","author":"Jafari","year":"2011","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/MAO.0000000000000751","article-title":"Vestibular and balance impairment contributes to cochlear implant failure in children","volume":"36","author":"Wolter","year":"2015","journal-title":"Otol. Neurotol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s12070-020-01797-x","article-title":"Balance assessment of children with sensorineural hearing loss","volume":"73","author":"Apeksha","year":"2021","journal-title":"Indian. J. Otolaryngology Head. Neck Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1080\/00222895.1985.10735341","article-title":"The growth of stability: Postural control from a development perspective","volume":"17","author":"Woollacott","year":"1985","journal-title":"J. Mot. Behav."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"241","DOI":"10.4181\/RNC.2015.23.02.1007.7p","article-title":"Static balance in students with normal hearing and with sensorineural hearing loss","volume":"23","author":"Melo","year":"2015","journal-title":"Rev. Neurocienc."},{"key":"ref_52","unstructured":"(2023, August 29). Open Source Epidemiologic Statistics for Public Health. Available online: www.openepi.com."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.gaitpost.2016.08.003","article-title":"Postural sway in children: A literature review","volume":"49","author":"Verbecque","year":"2016","journal-title":"Gait Posture"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.gaitpost.2015.11.016","article-title":"Age-related changes in postural sway in preschoolers","volume":"44","author":"Verbecque","year":"2016","journal-title":"Gait Posture"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Sember, V., Groselj, J., and Pajek, M. (2020). Balance tests in pre-adolescent children: Retest reliability, construct validity, and relative ability. Int. J. Environ. Res. Public. Health, 17.","DOI":"10.3390\/ijerph17155474"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.gaitpost.2021.02.030","article-title":"Postural control development from late childhood through young adulthood","volume":"86","author":"Kiefer","year":"2021","journal-title":"Gait Posture"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Sonobe, M., and Inoue, Y. (2023). Center of mass estimation using a force platform and inertial sensors for balance evaluation in quiet standing. Sensors, 23.","DOI":"10.3390\/s23104933"},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"British Society of Audiology Recommendation (1988). Descriptors for puretone audiograms. Br. J. Audiol., 22, 123.","DOI":"10.3109\/03005368809077807"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"197","DOI":"10.3233\/VES-2008-18403","article-title":"Normative data and test-retest reliability of the sinusoidal harmonic acceleration test, pseudorandom rotation test and velocity step test","volume":"18","author":"Maes","year":"2008","journal-title":"J. Vestib. Res."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1590\/S1808-86942012000300001","article-title":"Air caloric test reference values","volume":"78","author":"Albertino","year":"2012","journal-title":"Braz. J. Otorhinolayngol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"110093","DOI":"10.1016\/j.ijporl.2020.110093","article-title":"The feasibility, validity and reliability of a child friendly vestibular assessment in infants and children candidates to cochlear implant","volume":"135","author":"Verrechia","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1097\/AUD.0000000000001131","article-title":"A systematic review on the association between vestibular dysfunction and balance performance in children with hearing loss","volume":"43","author":"Singh","year":"2022","journal-title":"Ear Hear."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"111781","DOI":"10.1016\/j.ijporl.2023.111781","article-title":"Characteristics of vestibular-evoked myogenic potentials in children with vestibular malformation and severe sensorineural hearing loss","volume":"176","author":"Shen","year":"2024","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1808","DOI":"10.1016\/j.ridd.2011.03.009","article-title":"Attention demand and postural control in children with hearing deficit","volume":"32","author":"Derlich","year":"2011","journal-title":"Res. Dev. Disabil."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.bjorl.2014.08.014","article-title":"Postural control assessment in students with normal hearing and sensorineural hearing loss","volume":"81","author":"Melo","year":"2015","journal-title":"Braz. J. Otorhinolaryngol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"377","DOI":"10.3233\/NRE-230182","article-title":"Sensorineural hearing loss imprint on postural control: A pediatric and adolescent innovative study","volume":"53","author":"Mehrem","year":"2023","journal-title":"NeuroRehabilitation"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1097\/MAO.0000000000001218","article-title":"Unilateral hearing loss is associated with impaired balance in children: A pilot study","volume":"37","author":"Wolter","year":"2016","journal-title":"Otol. Neurotol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1159\/000531428","article-title":"Balance control in individuals with hearing impairment: A systematic review and meta-analysis","volume":"29","author":"Zarei","year":"2024","journal-title":"Audiol. Neurootol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1007\/s002210050310","article-title":"Auditory cues for orientation and postural control in sighted and congenitally blind people","volume":"118","author":"Easton","year":"1998","journal-title":"Exp. Brain Res."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"782","DOI":"10.3766\/jaaa.24.9.3","article-title":"Relationship between postural stability and spatial hearing","volume":"24","author":"Zhong","year":"2013","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"357","DOI":"10.3389\/fnins.2017.00357","article-title":"Spatial cues provided by sound improve postural stabilization: Evidence of a spatial auditory map?","volume":"11","author":"Gandemer","year":"2017","journal-title":"Front. Neurosci."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.gaitpost.2017.12.003","article-title":"The effect of spatial auditory landmarks on ambulation","volume":"60","author":"Karim","year":"2018","journal-title":"Gait Posture"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1001\/archoto.2007.16","article-title":"A test of static and dynamic balance function in children with cochlear implants: The vestibular Olympics","volume":"134","author":"Cushing","year":"2008","journal-title":"Arch. Otolaryngol. Head. Neck Surg."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1002\/lary.23807","article-title":"Providing auditory cues to improve stability in children who are deaf","volume":"122","author":"Cushing","year":"2012","journal-title":"Laryngoscope"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijporl.2017.06.002","article-title":"Study of the effects of hearing on static and dynamic postural function in children using cochlear implants","volume":"100","author":"Mazaheryazdi","year":"2017","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"108134","DOI":"10.1016\/j.heares.2020.108134","article-title":"Impact of the sensory environment on balance in children with bilateral cochleovestibular loss","volume":"400","author":"Wolter","year":"2021","journal-title":"Hear. Res."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1055\/s-0041-1728754","article-title":"Investigating the effect of hearing aid use on the balance status of children with severe to profound congenital hearing loss using the pediatric clinical test of sensory interaction for balance","volume":"32","author":"Hamzehpour","year":"2021","journal-title":"J. Am. Acad. Audiol."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1159\/000525951","article-title":"The effect of auditory cues on static postural control: A systematic review and meta-analysis","volume":"27","author":"Zarei","year":"2022","journal-title":"Audiol. Neurotol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1080\/00016489.2016.1247496","article-title":"Sensorimotor interaction in deaf children. Relationship between gait performance and hearing input during childhood assessed in pre-lingual cochlear implant users","volume":"137","author":"Suarez","year":"2017","journal-title":"Acta Otolaryngol."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/coa.13473","article-title":"The impact of condutive hearing loss on balance","volume":"45","author":"Horowitz","year":"2020","journal-title":"Clin. Otolaryngol."},{"key":"ref_81","first-page":"96","article-title":"The influence of sounds on posture control","volume":"17","author":"Siedlecka","year":"2015","journal-title":"Acta Bioeng. Biomech."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"99","DOI":"10.3233\/VES-201616","article-title":"Stationary auditory White noise improves postural control in healthy adults: A novel study on head-shaking","volume":"32","author":"Mohammadi","year":"2022","journal-title":"J. Vestib. Res."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"103866","DOI":"10.1016\/j.amjoto.2023.103866","article-title":"Differing postural control patterns in individuals with bilateral and unilateral hearing loss","volume":"44","author":"Morris","year":"2023","journal-title":"Am. J. Otolaryngol."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1080\/00016489.2018.1549750","article-title":"Motor and cognitive performances in pre-lingual cochlear implant adolescents, related with vestibular function and auditory input","volume":"139","author":"Suarez","year":"2019","journal-title":"Acta Otolaryngol."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/14670100.2020.1813996","article-title":"Postural control characterization according to age auditory in cochlear implants users","volume":"22","author":"Suarez","year":"2021","journal-title":"Cochlear Implant Int."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1001\/jamaoto.2020.0415","article-title":"Balance, falls, and hearing loss: Is it time for a paradigm shift?","volume":"146","author":"Lubetzky","year":"2020","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"2837","DOI":"10.1002\/lary.23529","article-title":"The influence of a vestibular dysfunction on the motor development of hearing-impaired children","volume":"122","author":"Maes","year":"2012","journal-title":"Laryngoscope"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1097\/MAO.0000000000000597","article-title":"Association between vestibular function and motor performance in hearing-impaired children","volume":"35","author":"Maes","year":"2014","journal-title":"Otol. Neurotol."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.heares.2018.03.032","article-title":"Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss","volume":"372","author":"Sokolov","year":"2019","journal-title":"Hear. Res."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"109840","DOI":"10.1016\/j.ijporl.2019.109840","article-title":"How sacculo-collic function assessed by cervical vestibular evoked myogenic potentials correlates with the quality of postural control in hearing impaired children?","volume":"130","author":"Ionescu","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"Chisari, D., Vitkovic, J., Clark, R., and Rance, G. (2023). Vestibular function and balance performance in children with sensorineural hearing loss. Int. J. Audiol., 1\u20139.","DOI":"10.1080\/14992027.2023.2281878"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1111\/j.1469-8749.2011.04001.x","article-title":"Motor skill deficits in children with partial hearing","volume":"53","author":"Livingstone","year":"2011","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"1520","DOI":"10.1016\/j.ijporl.2012.07.007","article-title":"Motor proficiency and dynamic visual acuity in children with bilateral sensorineural hearing loss","volume":"76","author":"Martin","year":"2012","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1111\/dmcn.12814","article-title":"Motor performance and correlates of mental health in children who are deaf or hard of hearing","volume":"57","author":"Fellinger","year":"2015","journal-title":"Dev. Med. Child. Neurol."},{"key":"ref_95","doi-asserted-by":"crossref","unstructured":"Pe\u00f1e\u00f1ory, V.M., Manresa-Yee, C., Riquelme, I., Collazos, C.A., and Fardoun, H.M. (2018). Scoping review of systems to train psychomotor skills in hearing impaired children. Sensors, 18.","DOI":"10.3390\/s18082546"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1590\/S0103-05822012000300012","article-title":"Balance and gait evaluation: Comparative study between deaf and hearing students","volume":"30","author":"Melo","year":"2012","journal-title":"Rev. Paul. Pediatr."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s13246-017-0574-y","article-title":"Lower limb muscle activity during gait in individuals with hearing loss","volume":"40","author":"Majlesi","year":"2017","journal-title":"Australas. Phys. Eng. Sci. Med."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.gaitpost.2017.02.006","article-title":"Gait ground reaction force characteristics in deaf and hearing children","volume":"53","author":"Jafarnezhadgero","year":"2017","journal-title":"Gait Posture"},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.gaitpost.2017.05.031","article-title":"Gait performance of children and adolescents with sensorineural hearing loss","volume":"57","author":"Melo","year":"2017","journal-title":"Gait Posture"},{"key":"ref_100","first-page":"132","article-title":"Motor skill performance and sports participation in deaf elementary school children","volume":"28","author":"Hartman","year":"2011","journal-title":"Adapt. Phys. Act. Q."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"3124","DOI":"10.1016\/j.ridd.2013.05.049","article-title":"Comparing participation in out of school activities between children with visual impairments, children with hearing impairments and typical peers","volume":"34","year":"2013","journal-title":"Res. Dev. Disabil."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"109650","DOI":"10.1016\/j.ijporl.2019.109650","article-title":"Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review","volume":"127","author":"Melo","year":"2019","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"110245","DOI":"10.1016\/j.ijporl.2020.110245","article-title":"Emotional and behavioral problems in children and adolescents with hearing loss and their effects on quality of life","volume":"137","author":"Yigider","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1016\/j.ijporl.2011.07.023","article-title":"Depression in hearing-impaired children","volume":"75","author":"Theunissen","year":"2011","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1080\/00016480500312562","article-title":"Vestibular-evoked myogenic potentials in cochlear implant children","volume":"126","author":"Jin","year":"2006","journal-title":"Acta Otolaryngol."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1097\/MAO.0b013e31827b4ba0","article-title":"Vestibular end-organ dysfunction in children with sensorineural hearing loss and cochlear implants: An expanded cohort and etiologic assessment","volume":"34","author":"Cushing","year":"2013","journal-title":"Otol. Neutotol."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ijporl.2014.11.002","article-title":"Cochlear implantation and vestibular function in children","volume":"79","author":"Thierry","year":"2015","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1016\/j.clinph.2014.10.216","article-title":"Ocular and cervical vestibular-evoked myogenic potential in children with cochlear implant","volume":"126","author":"Xu","year":"2015","journal-title":"Clin. Neurophysiol."},{"key":"ref_109","first-page":"1","article-title":"Combined cervical and ocular vestibular evoked myogenic potentials in cochlear implanted children","volume":"24","author":"Kolkaila","year":"2023","journal-title":"Egypt. J. Ear Nose Throat Allied Sci."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"996580","DOI":"10.3389\/fneur.2022.996580","article-title":"Vestibular dysfunction in pediatric patients with cochlear implantation: A systematic review and meta-analysis","volume":"13","author":"Wu","year":"2022","journal-title":"Front. Neurol."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1016\/j.ijporl.2011.02.019","article-title":"Static balance function in children with cochlear implants","volume":"75","author":"Huang","year":"2011","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1097\/MAO.0000000000001046","article-title":"Using balance function to screen for vestibular impairment in children with sensorineural hearing loss and cochlear implants","volume":"37","author":"Oyewumi","year":"2016","journal-title":"Otol. Neurotol."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1080\/14670100.2017.1379180","article-title":"Balance in children following cochlear implantation","volume":"19","author":"Kelly","year":"2018","journal-title":"Cochlear Implant. Int."},{"key":"ref_114","first-page":"31","article-title":"Influence of cochlear implantation on balance function in pediatrics","volume":"24","author":"Bayat","year":"2020","journal-title":"Int. Tinnitus J."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1177\/0391398820967367","article-title":"The effects of age at cochlear implantation on balance in children. a pilot study","volume":"44","author":"Mujdeci","year":"2021","journal-title":"Int. J. Artif. Organs."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ijporl.2017.12.006","article-title":"How does a bilingual environment affect the results in children with cochlear implants compared to monolingual-matched children? An Italian follow-up study","volume":"105","author":"Forli","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijporl.2018.06.038","article-title":"Outcomes after cochlear implant provision in children with cochlear nerve hypoplasia or aplasia","volume":"112","author":"Kuhn","year":"2018","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.ijporl.2018.12.037","article-title":"Cochlear implantation for single-sided deafness in children and adolescents","volume":"118","author":"Zeitler","year":"2019","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"110237","DOI":"10.1016\/j.ijporl.2020.110237","article-title":"Bilateral cochlear implantation versus unilateral cochlear implantation in deaf children: Effects of sentence context and listening conditions on recognition of spoken words in sentences","volume":"137","author":"Lee","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"109984","DOI":"10.1016\/j.ijporl.2020.109984","article-title":"Hearing and speech benefits of cochlear implantation in children: A review of the literature","volume":"133","author":"Sharma","year":"2020","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"111561","DOI":"10.1016\/j.ijporl.2023.111561","article-title":"Effectiveness of rhythmic training on linguistics skill development in deaf children and adolescents with cochlear implants: A systematic review","volume":"169","year":"2023","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1055\/s-0038-1666822","article-title":"Vestibular rehabilitation for children","volume":"39","author":"Rine","year":"2018","journal-title":"Semin. Hear."},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1097\/PEP.0000000000000654","article-title":"Pediatric vestibular rehabilitation: A case study","volume":"31","author":"Alves","year":"2019","journal-title":"Pediatr. Phys. Ther."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"5","DOI":"10.15412\/J.IRJ.08140102","article-title":"Introduction of pediatric balance therapy in children with vestibular dysfunction: Review of indications, mechanisms, and key exercises","volume":"14","author":"Lotfi","year":"2016","journal-title":"Iran. Rehabil. J."},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"876974","DOI":"10.3389\/fphys.2022.876974","article-title":"Effectiveness of interventions on improving balance in children and adolescentes with hearing impairment: A systematic review","volume":"13","author":"Zhou","year":"2022","journal-title":"Front. Physiol."},{"key":"ref_126","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.jbmt.2023.11.050","article-title":"The impacts of exercise training programs in balance in children with hearing loss: A systematic review and meta-analysis","volume":"37","author":"Zarei","year":"2024","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/j.gaitpost.2020.02.001","article-title":"Does the practice of sports or recreational activities improve the balance and gait of children and adolescents with sensorineural hearing loss? a systematic review","volume":"77","author":"Melo","year":"2020","journal-title":"Gait Posture"},{"key":"ref_128","doi-asserted-by":"crossref","unstructured":"Melo, R.S., Lemos, A., Delgado, A., Raposo, M.C.F., Ferraz, K.M., and Belian, R.B. (2023). Use of virtual reality-based games to improve balance and gait of children and adolescents with sensorineural hearing loss: A systematic review and meta-analysis. 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