Longitudinal posturography and rotational testing in children three to nine years of age: Normative data

Department of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of UPMC, Department of Otolaryngology, University of Pittsburgh, Pittsburgh, PA 15224, USA.
Otolaryngology Head and Neck Surgery (Impact Factor: 2.02). 05/2010; 142(5):708-14. DOI: 10.1016/j.otohns.2010.01.028
Source: PubMed


To obtain normative longitudinal vestibulo-ocular and balance test data in children from ages three to nine years with normal middle ear status.
Prospective, longitudinal cohort.
Tertiary care pediatric hospital.
Three-year-old children were entered and tested yearly. Subjects underwent earth vertical axis rotation testing using sinusoidal and constant velocity stimuli and performed the Sensory Organization Test.
One hundred forty-eight children were entered, and usable data were collected on 127 children. A linear increase in the vestibulo-ocular reflex gain as children aged was found, without a change in the phase of the response. An age-related linear increase in equilibrium scores, indicating reduced postural sway, was also observed.
These normative data can be used in the evaluation of dizziness and balance disorders in children.

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Available from: Patrick J Sparto, Jan 30, 2014
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    • "The latter can only be achieved if test results are compared with normative data determined in a pediatric population without vestibular complaints. Despite the fact that the vestibular end organ is anatomically and structurally fully developed at birth, it continues to mature by developing central inhibitory influences, cerebellar control, and central vestibular adaptation, to finally reach adult-like developmental levels around the age of 15 years (Ornitz et al. 1979, 1985; Wiener-Vacher et al. 1996; Valente 2007; Casselbrant et al. 2010; O'Reilly et al. 2011). Therefore, age-appropriate normative data are a prerequisite to analyze test results accurately to avoid misdiagnoses related to immature vestibular systems (Valente 2011; Valente et al. 2012). "
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