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A preliminary randomized controlled study on the effectiveness of vestibular-specific neuromuscular training in children with hearing impairment [with consumer summary]
Rajendran V, Roy FG, Jeevanantham D
Clinical Rehabilitation 2013 May;27(5):459-467
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To determine the effectiveness of vestibular-specific neuromuscular training on motor skills, balance and health-related quality of life in children with hearing impairment. DESIGN: Controlled, randomized, preliminary study. SETTING: Rehabilitation school for children with hearing impairment. SUBJECTS AND INTERVENTION: Twenty-three children with mean age of 7.5 to 8.1 years with hearing impairment were randomized to either the intervention or the control group. Children in the experimental group (n = 11) participated in vestibular-specific neuromuscular training for six weeks and the children in the control group continued their regular activities followed at school. OUTCOME MEASURES: Measurement of motor skills (Test of Gross Motor Development-2), postural control (Pediatric Reach Test, One Leg Standing Balance Test and postural sway meter) and health-related quality of life (PedsQL Generic Core Scale). RESULTS: Following intervention, the scores of motor skills (Test of Gross Motor Development p = 0.02; throw for distance p = 0.042; kick for distance p = 0.08; jump for distance p = 0.001; 15-yard dash p = 0.001), postural control measures (Pediatric Reach Test p = 0.001; One Leg Standing Test p = 0.03; and anteroposterior sway (eyes open p = 0.007, eyes closed p = 0.03); mediolateral sway (eyes open p = 0.014, eyes closed p = 0.017) and health-related quality of life (p = 0.01) improved significantly in the experimental group and not in the control group. CONCLUSION: The findings of the study suggest that vestibular-specific neuromuscular training programme may improve the motor skills, balance and health-related quality of life in children with hearing impairment.

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