Development of a new clinical tool to evaluate the balance abilities of children with bilateral vestibular loss : The Geneva Balance Test

Article Article scientifique Article Development of a new clinical tool to evaluate the balance abilities of children with bilateral vestibular loss : The Geneva Balance Test eng 2023-03-07 2023 author Monin Emile Georges Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 849458 author Bahim Céline Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. author Baussand Lou Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 820990 author Cugnot Jean-François Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. author Ranieri Maurizio Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 749748 Département des neurosciences cliniques (OTONO) author Guinand Nils 0000-0001-6004-8768 Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 688139 Département des neurosciences cliniques (OTONO) author Perez Fornos Angelica 0000-0003-3911-8826 Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 534827 Département des neurosciences cliniques (OTONO) author Cao Van Hélène Division of Otorhinolaryngology (ORL) Head and Neck Surgery Institute, Clinical Neurosciences Department, University Hospital of Geneva (HUG), Geneva, Switzerland. 804268 1085926 10.3389/fneur.2023.1085926 36959819 1664-2295 PMC10027694 Introduction: Vestibular deficits are considered rare in children, but the lack of systematic screening leads to underdiagnosis. It has been demonstrated that chronic vestibular dysfunction impacts the normal psychomotor development of children. Early identification is needed to allow for clinical management, ensuring better global development. For this purpose, our research group has developed the Geneva Balance Test (GBT), aiming to objectively quantify the balance capacity of children over a broad age range, to screen for bilateral vestibulopathy (BV), and to quantify the improvement of balance abilities in children. Methods: To determine the capacity of the GBT to quantify the balance capacity of children with BV, we conducted an observational prospective study with three populations: 11 children with BV, and two age-matched control groups composed of (1) 15 healthy subjects without the vestibular or auditory disorder (HS) and (2) 11 pediatric cochlear implant recipients (CIs) without vestibular disorders. Results of the three populations have been compared in three different age sub- groups (3-5, 6-9, and ≥10 years), and with results of a short, modified version of the Bruininks-Oseretsky test of Motor proficiency Ed. 2 (mBOT-2). Results: Statistical analyses demonstrated significant differences in the scores of the GBT between children aged 3-5, 6-9, and ≥10 years with BV and in both control populations (HS and CI). BV scores reflected poorer balance capacities at all ages. Children in the youngest CI sub-group (3-5 years) showed intermediate GBT scores but reached HS scores at 6-9 years, reflecting an improvement in their balance capacities. All the results of the GBT were significantly correlated with mBOT-2 results, although only a few BV completed the entire mBOT-2. Discussion: In this study, the GBT allowed quantifying balance deficits in children with BV. The BOT-2 test is not validated for children <4.5 years of age, and the GBT seems to be better tolerated in all populations than the mBOT-2. Furthermore, mBOT-2 results saturated, reaching maximum values by 6-9 years whereas the GBT did not, suggesting that the GBT could be a useful tool for monitoring the development of balance capacities with age and could be used in the follow-up of children with severe vestibular disorders. GBT Balance Children Cochlear implant Test Vestibulopathy Dewey 616.8 61 Département des neurosciences cliniques 226 false 210 Neuroprothèses sensorielles pour la restitution de l'audition et l'équilibre 268 Frontiers in neurology 14 0a98c1f3-7a9d-46e1-a3f2-f8123bf03334 Article (Published version) Public Article-scientifique-from-europePmc.pdf 1891485 application/pdf CC BY-4.0 af98ca370cf880e160c33b5f22f99427add0baab7e9256fd7c6ec1d8dfa2bb85 3ec4fee3-9fdf-42c8-bc09-83b8a7232d9a Appendix Public Table_1.XLSX 15855 application/vnd.openxmlformats-officedocument.spreadsheetml.sheet 4403c38e7fea70b3155d3d44cf8ae0a670aa1664aaac767081a90b293819f7a3 openAccess Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques

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Development of a new clinical tool to evaluate the balance abilities of children with bilateral vestibular loss : The Geneva Balance Test	Frontiers in neurology	2023	119	50
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