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- W2896040712 abstract "<b><i>Background:</i></b> After cochlear implant (CI) surgery, some patients experience vertigo, dizziness and/or deficits in vestibulo-ocular reflexes. However, little is known about the effect of CI surgery on balance control. Therefore, we examined differences in stance and gait balance control before versus after CI surgery. <b><i>Methods:</i></b> Balance control of 30 CI patients (mean age 59, SD 15.4 years), receiving a first unilateral CI surgery, was measured preoperatively and postoperatively 1 month after the initial implant stimulation (2 months after surgery). Trunk sway was measured during 14 stance and gait tests using an angular-velocity system mounted at lumbar vertebrae 1–3. <b><i>Results:</i></b> For pre- versus postoperative comparisons across all 30 patients, a nonsignificant worsening in balance control was observed. Significant changes were, however, found within subgroups. Patients younger than 60 years of age had a significant worsening of an overall balance control index (BCI) after CI surgery (<i>p</i> = 0.008), as did patients with a normal BCI preoperatively (<i>p</i> = 0.005). Gait task measures comprising the BCI followed a similar pattern, but stance control was unchanged. In contrast, patients over 60 years or with a pathological BCI preoperatively showed improved tandem walking postoperatively (<i>p</i> = 0.0235). <b><i>Conclusion:</i></b> Across all CI patients, CI surgery has a minor effect on balance control 2 months postoperatively. However, for patients younger than 60 years and those with normal balance control preoperatively, balance control worsened for gait indicating the need for preoperative counseling." @default.
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- W2896040712 date "2018-01-01" @default.
- W2896040712 modified "2023-10-14" @default.
- W2896040712 title "Balance Control during Stance and Gait after Cochlear Implant Surgery" @default.
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- W2896040712 doi "https://doi.org/10.1159/000492524" @default.
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