GROSS MOTOR DEVELOPMENT FEATURES AND BALANCE IN CHILDREN WITH HEARING LOSS AND COCHLEAR IMPLANTATION

File
Alvis Gomez K.M.1, Rodriguez B. M.A.1
1Universidad Nacional de Colombia, Movimiento Corporal Humano, Bogotá, Colombia

Background: Hearing loss is a topic that has drawn the interest in the development of various investigations, most of them focused on the relationship between hearing loss and language development and its impact on the child´s educational and social level. However, an issue that has been neglected is their impact on motor skills, even when studies like Conway [8] have reported difficulties in executive functions being the most obvious problems with balance and coordination the movements.

Purpose: To characterize the gross motor development and balance in children with sensorineural hearing loss with cochlear implant development.

Methods: Observational descriptive study, cross-correlational, with a target population consisting of children (as) between 3 and 7 years, diagnosed with pre lingual sensorineural hearing loss and use of cochlear implant, who applied a COBS evaluation platform and a psychomotor battery. The stud count with 40 childs (16 with sensorioneural hearing and 24 in control group) select by convenience following the criteria of the evaluator.

Results: Based on the above explanation, it was found that in most relationships the null hypothesis is retained (Ho = Auditory deprivation in children does not bring about change in balance and gross motor skills, even after cochlear implantation) . That is, there is a low correlation between variables, being no significant correlation. According to these results there are differences between group 1 and group 2 in the indices of coordination strength and load variations between the ages compared, however for most measurements the evidence did not meet the alpha, It is no significant difference between variables in population groups. Therefore, the first and second alternate hypothesis that "Children with sensorineural hearing loss and cochlear implants have locomotor skip patterns and other motor skills immature stages regarding their age" and "Children with sensorineural hearing loss and cochlear implant presented difficulties in maintaining balance, and bipodal unipodal with their peers without hearing disabilities "should be denied, except in special cases. Although isolated cases can be explained because the sample is still insufficient.

Conclusion(s): When analyzing gross motor development and balance in children with hearing loss and cochlear implantation, it was found that hearing loss accompanied the device, in this case does not cause differences in motor skills generally compared to normotensive children listeners. Analyzing the values ​​reflected in the registration questionnaire given to the guardian of each participant became apparent that children with hearing loss had a delay in ontogeny (sitting, standing and walking) compared with hearing children, despite presenting results similar between groups. It is possible that after cochlear implantation is achieved level the gap of the first years of life, making adjustments from there is no impact on motor skills and executive functions.

Implications: Knowing as motor behavior of children with hearing disabilities, would, in our profession, identify specific areas to guide the intervention; in this way is essential transdisciplinary planning strategies that focus on improving child development holistically and so is in their overall well-being.

Funding acknowledgements: CINDA Foundation; Arturo Ramirez Montufar Pedagogical Institute - IPARM, and National University of Coombia

Topic: Neurology

Ethics approval: Ethics committee of the Faculty of Medicine of the National University of Colombia in Act No. 004-034-16.


All authors, affiliations and abstracts have been published as submitted.

Back to the listing