Aim: To assess the current opinion on the effects of hearing loss treatment by hearing aids (HAs) and the benefits of HA use on imbalance. Methods: PRISMA-compliant systematic review was done, including observational studies in patients affected by mild to severe sensorineural hearing loss with HAs, investigating the benefits of HAs on balance. Electronic searches were performed through Medline, Cochrane, Embase, Web of Science, and Scopus. Results: A total of 200 patients in 8 studies were included in this systematic review. Four studies were cross-sectional, 3 cross-sectional controlled and 1 prospective nonrandomized study. Static and dynamic balance in the aided condition improved in patients assessed using clinical investigations including Romberg test and Functional Ambulation Performance/mini-BESTest, respectively. Variable outcomes were found measuring static and dynamic balance during the aided condition with objective tests (computerized posturography, Mobility Lab device). Improved quality of life outcomes and self-confidence were noted, while subjective measurements of balance had conflicting results. Conclusion: Although an improvement in balance in patients with HAs has been shown in certain conditions, the overall benefit is still unclear and it is only possible to speculate that HAs may also improve static, dynamic, or subjective perception of balance function in adults affected by hearing loss.

1.
Abramides
PA
,
Bittar
RS
,
Tsuji
RK
,
Bento
RF
.
Caloric test as a predictor tool of postural control in CI users
.
Acta Otolaryngol
.
2015
;
135
(
7
):
685
91
. .
2.
Access Economics
.
Listen, Hear! The Economic Impact and Cost of Hearing Loss in Australia
.
Boca Raton,FL
:
CRC
;
2006
.
3.
Buchman
CA
,
Joy
J
,
Hodges
A
,
Telischi
FF
,
Balkany
TJ
.
Vestibular effects of cochlear implantation
.
Laryngoscope
.
2004
;
114
(
10 Pt 2 Suppl 103
):
1
22
. .
4.
Callisaya
ML
,
Blizzard
L
,
McGinley
JL
,
Srikanth
VK
.
Risk of falls in older people during fast-walking: the TASCOG study
.
Gait Posture
.
2012
;
36
(
3
):
510
5
. .
5.
Cushing
SL
,
Pothier
D
,
Hughes
C
,
Hubbard
BJ
,
Gordon
KA
,
Papsin
BC
.
Providing auditory cues to improve stability in children who are deaf
.
Laryngoscope
.
2012
;
122
(
Suppl 4
):
S101
2
. .
6.
Deal
JA
,
Sharrett
AR
,
Albert
MS
,
Coresh
J
,
Mosley
TH
,
Knopman
D
, et al.
Hearing impairment and cognitive decline: a pilot study conducted within the atherosclerosis risk in communities neurocognitive study
.
Am J Epidemiol
.
2015
;
181
(
9
):
680
90
. .
7.
Era
P
,
Heikkinen
E
.
Postural sway during standing and unexpected disturbance of balance in random samples of men of different ages
.
J Gerontol
.
1985
;
40
(
3
):
287
95
. .
8.
EuroStat [Internet]. 2015 [cited 2020 May 29]. Available from: http://ec.europa.eu/eurostat
.
9.
Ferguson
MA
,
Kitterick
PT
,
Chong
LY
,
Edmondson-Jones
M
,
Barker
F
,
Hoare
DJ
.
Hearing aids for mild to moderate hearing loss in adults
.
Cochrane Database Syst Rev
.
2017
;
9
(
9
):
CD012023
. .
10.
Gandemer
L
,
Parseihian
G
,
Kronland-Martinet
R
,
Bourdin
C
.
Spatial cues provided by sound improve postural stabilization: evidence of a spatial auditory map?
Front Neurosci
.
2017
;
11
:
357
. .
11.
Gates
GA
,
Gibbons
LE
,
McCurry
SM
,
McCusrry
SM
,
Crane
PK
,
Feeney
MP
, et al.
Executive dysfunction and presbycusis in older persons with and without memory loss and dementia
.
Cogn Behav Neurol
.
2010
;
23
(
4
):
218
23
. .
12.
Hogan
A
,
O’Loughlin
K
,
Miller
P
,
Kendig
H
.
The health impact of a hearing disability on older people in Australia
.
J Aging Health
.
2009
;
21
(
8
):
1098
111
. .
13.
Huang
CQ
,
Dong
BR
,
Lu
ZC
,
Yue
JR
,
Liu
QX
.
Chronic diseases and risk for depression in old age: a meta-analysis of published literature
.
Ageing Res Rev
.
2010
;
9
(
2
):
131
41
. .
14.
Huang
MW
,
Hsu
CJ
,
Kuan
CC
,
Chang
WH
.
Static balance function in children with cochlear implants
.
Int J Pediatr Otorhinolaryngol
.
2011
;
75
(
5
):
700
3
. .
15.
Ibrahim
I
,
da Silva
SD
,
Segal
B
,
Zeitouni
A
.
Effect of cochlear implant surgery on vestibular function: meta-analysis study
.
J Otolaryngol Head Neck Surg
.
2017
;
46
(
1
):
44
. .
16.
Katsiari
E
,
Balatsouras
DG
,
Sengas
J
,
Riga
M
,
Korres
GS
,
Xenelis
J
.
Influence of cochlear implantation on the vestibular function
.
Eur Arch Otorhinolaryngol
.
2013
;
270
(
2
):
489
95
. .
17.
Kluenter
HD
,
Lang-Roth
R
,
Guntinas-Lichius
O
.
Static and dynamic postural control before and after cochlear implantation in adult patients
.
Eur Arch Otorhinolaryngol
.
2009
;
266
(
10
):
1521
5
. .
18.
Lacerda
CF
,
Silva
LO
,
de Tavares Canto
RS
,
Cheik
NC
.
Effects of hearing aids in the balance, quality of life and fear to fall in elderly people with sensorineural hearing loss
.
Int Arch Otorhinolaryngol
.
2012
;
16
(
2
):
156
62
. .
19.
Loughrey
DG
,
Kelly
ME
,
Kelley
GA
,
Brennan
S
,
Lawlor
BA
.
Association of age-related hearing loss with cognitive function, cognitive impairment, and dementia: a systematic review and meta-analysis
.
JAMA Otolaryngol Head Neck Surg
.
2018
;
144
(
2
):
115
26
. .
20.
Lord
SR
,
Menz
HB
,
Tiedemann
A
.
A physiological profile approach to falls risk assessment and prevention
.
Phys Ther
.
2003
;
83
(
3
):
237
52
. .
21.
Maheu
M
,
Behtani
L
,
Nooristani
M
,
Houde
MS
,
Delcenserie
A
,
Leroux
T
, et al.
Vestibular function modulates the benefit of hearing aids in people with hearing loss during static postural control
.
Ear Hear
.
2019
;
40
(
6
):
1418
24
. .
22.
Mangiore
RJ
.
The effect of an external auditory stimulus on postural stability of participants with cochlear implants
.
Independent Studies and Capstones, 2012. Paper 639. Program in Audiology and Communication Sciences, Washington University School of Medicine
.
23.
McDaniel
DM
,
Motts
SD
,
Neeley
RA
.
Effects of bilateral hearing aid use on balance in experienced adult hearing aid users
.
Am J Audiol
.
2018
;
27
(
1
):
121
. .
24.
Mick
P
,
Parfyonov
M
,
Wittich
W
,
Phillips
N
,
Guthrie
D
,
Kathleen Pichora-Fuller
M
.
Associations between sensory loss and social networks, participation, support, and loneliness: analysis of the Canadian Longitudinal Study on Aging
.
Can Fam Physician
.
2018
;
64
(
1
):
e33
41
.
25.
Moher
D
,
Shamseer
L
,
Clarke
M
,
Ghersi
D
,
Liberati
A
,
Petticrew
M
, et al.
Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement
.
Syst Rev
.
2015
;
4
(
1
):
1
. .
26.
Negahban
H
,
Bavarsad Cheshmeh Ali
M
,
Nassadj
G
.
Effect of hearing aids on static balance function in elderly with hearing loss
.
Gait Posture
.
2017
;
58
:
126
9
. .
27.
Piirtola
M
,
Era
P
.
Force platform measurements as predictors of falls among older people: a review
.
Gerontology
.
2006
;
52
(
1
):
1
16
. .
28.
Rumalla
K
,
Karim
AM
,
Hullar
TE
.
The effect of hearing aids on postural stability
.
Laryngoscope
.
2015
;
125
(
3
):
720
3
. .
29.
Semenov
YR
,
Bigelow
RT
,
Xue
QL
,
du Lac
S
,
Agrawal
Y
.
Association between vestibular and cognitive function in U.S. adults: data from the National Health and Nutrition Examination Survey
.
J Gerontol A Biol Sci Med Sci
.
2016
;
71
(
2
):
243
50
. .
30.
Shayman
CS
,
Earhart
GM
,
Hullar
TE
.
Improvements in gait with hearing aids and cochlear implants
.
Otol Neurotol
.
2017
;
38
(
4
):
484
6
. .
31.
Suarez
H
,
Angeli
S
,
Suarez
A
,
Rosales
B
,
Carrera
X
,
Alonso
R
.
Balance sensory organization in children with profound hearing loss and cochlear implants
.
Int J Pediatr Otorhinolaryngol
.
2007
;
71
(
4
):
629
37
. .
32.
Swanenburg
J
,
de Bruin
ED
,
Uebelhart
D
,
Mulder
T
.
Falls prediction in elderly people: a 1-year prospective study
.
Gait Posture
.
2010
;
31
(
3
):
317
21
. .
33.
Taljaard
DS
,
Olaithe
M
,
Brennan-Jones
CG
,
Eikelboom
RH
,
Bucks
RS
.
The relationship between hearing impairment and cognitive function: a meta-analysis in adults
.
Clin Otolaryngol
.
2016
;
41
(
6
):
718
29
. .
34.
Thaler-Kall
K
,
Peters
A
,
Thorand
B
,
Grill
E
,
Autenrieth
CS
,
Horsch
A
, et al.
Description of spatio-temporal gait parameters in elderly people and their association with history of falls: results of the population-based cross-sectional KORA-Age study
.
BMC Geriatr
.
2015
;
15
:
32
. .
35.
Verghese
J
,
Holtzer
R
,
Lipton
RB
,
Wang
C
.
Quantitative gait markers and incident fall risk in older adults
.
J Gerontol A Biol Sci Med Sci
.
2009
;
64
(
8
):
896
901
. .
36.
Viljanen
A
,
Kaprio
J
,
Pyykkö
I
,
Sorri
M
,
Pajala
S
,
Kauppinen
M
, et al.
Hearing as a predictor of falls and postural balance in older female twins
.
J Gerontol A Biol Sci Med Sci
.
2009
;
64
(
2
):
312
7
. .
37.
Vitkovic
J
,
Le
C
,
Lee
SL
,
Clark
RA
.
The contribution of hearing and hearing loss to balance control
.
Audiol Neurootol
.
2016
;
21
(
4
):
195
202
. .
38.
Weaver
TS
,
Shayman
CS
,
Hullar
TE
.
The effect of hearing aids and cochlear implants on balance during gait
.
Otol Neurotol
.
2017
;
38
(
9
):
1327
32
. .
39.
WHO Global Report on Falls Prevention in Older Age. Geneva, Switzerland: World Health Organization Press [Internet] 2008 [cited 2020 Jun 24]. Available from: http://www.who.int/ageing/publications/Falls_prevention7March.pdf
.
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