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. 2021 Feb 13:2021:6688991.
doi: 10.1155/2021/6688991. eCollection 2021.

Chronic Effects of Pediatric Ear Infections on Postural Stability

Ohud A Sabir  1   2 , Eric G Johnson  2 , Ammar E Hafiz  1   2 , Rhonda N Nelson  2 , Mitali Hudlikar  2 , Isha Sheth  2 , Noha S Daher  3
Affiliations

Chronic Effects of Pediatric Ear Infections on Postural Stability

Ohud A Sabir et al. Int J Pediatr. .

Abstract

Background: Ear infections in children often cause abnormal postural stability. However, the long-term effects of recurrent ear infections on postural stability have not been investigated.

Purpose: The purpose of this study was to examine the long-term effects of multiple ear infections on pediatric postural stability.

Methods: Forty children aged 10-12 years were divided into two groups (18 participants with a history of tympanostomy tubes and/or 3 or more ear infections prior to age five and 22 participants without a history of tympanostomy tubes and/or 0-2 ear infections prior to age five). Computerized Stability Evaluation Test (SET) and noncomputerized postural stability were measured for all participants.

Results: A significant difference was found in median postural stability scores in the SET during a tandem stance on an unstable surface between the two groups (median (minimum, maximum) of 9.1 (1.4, 11.4) versus 5.8 (1.7, 12.8), p = 0.04). In addition, there was a significant difference in median Pediatric Balance Scale scores between participants with versus without ear infection (54 (47, 56) versus 56 (55, 56), p = 0.001).

Conclusions: Results suggest that children ages 10-12 with a history of tympanostomy tubes and/or 3 or more ear infections prior to age five have decreased postural stability.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
SET postural stability scores during a tandem stance on an unstable surface by the study group.
Figure 2
Figure 2
Pediatric Balance Scale score by the study group.
See this image and copyright information in PMC

References

    1. Robb P. J., Williamson I. Otitis media with effusion in children: current management. Paediatrics and Child Health. 2016;26(1):9–14. doi: 10.1016/j.paed.2015.09.002. - DOI
    1. Rosenfeld R. M., Shin J. J., Schwartz S. R., et al. Clinical practice guideline: otitis media with effusion (update) Otolaryngology–Head and Neck Surgery. 2016;154(Supplement 1):S1–S41. doi: 10.1177/0194599815623467. - DOI - PubMed
    1. Williamson I. Otitis media with effusion in children. BMJ Clinical Evidence. 2011;2011 - PMC - PubMed
    1. Myers E. N., Koyuncu M., Saka M. M., et al. Effects of otitis media with effusion on the vestibular system in children. Otolaryngology—Head and Neck Surgery. 1999;120(1):117–121. doi: 10.1016/S0194-5998(99)70381-5. - DOI - PubMed
    1. Casselbrant M. L., Villardo R. J., Mandel E. M. Balance and otitis media with effusion. International Journal of Audiology. 2008;47(9):584–589. doi: 10.1080/14992020802331230. - DOI - PubMed

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