Postural Modification and Hearing Aids in Presbycusis

University Hospital, Angers51 enrolled

Overview

Presbycusis could be associated to increased risk to fall. There is little about the impact on postural balance of hearing aids. In this study, the investigators describe the postural balance evolution before and after hearing aid fitting in presbycusis-affected adults (55-80years old) consulting Angers University Hospital ENT department and ENT Medical Doctor of Le Mans .

After being informed about te study and consentment, patients meeting inclusion criteria consulting for presbycusis and in indication for hearing aids will be included to have posturometry (V0). Posturometry is performed 3 months later, before the first hearing aid installation (V1a) and after (V1b), as well as three months after hearing aid wearing (V2). Evolution of posturometry parameters without hearing aids between V0 and V1a serve as control and is compared to the evolution of posturometry parameters after hearing aid wearing between V1b and V2.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Interventions

posturographyOTHER

posturography will be performed when diagnosis of ARHL, in need of hearing aid fitting, is done and after information and written approval from patient. Posturography is performed later when hearing aid fitting and 3months after hearing aid use

Eligibility

Sex: ALLMin age: 55 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 55 to 80 years old * ARHL within PTA superior to 30dBHL, and intelligibility threshold 30dB or worse defining hearing aid fitting indication in France Non inclusion Criteria: * hearing aid fitting refusal or contrindication * vestibulare rehabilitation in past 3 months * unusual physical activity the day of the posturography test * incapacity to understand the instruction, or to stand up the time of posturography without help * predictable incapacity to perform posturography in the time of the study Exclusion criteria: * acute affliction that could affect the posturography test * daily physical activity modification due to medical advice or vestibular rehabilitation between two posturography

Locations (2)

UH Angers

Angers, France

Dr Lorin's otholaryngology practice

Le Mans, France

Outcomes

Primary Outcomes

Elliptic surface variation in posturography assessment before and after hearing aid fitting in presbycusis patients

analysis of variation of elliptic surface (cm2), eyes opened and closed, and subsequent romberg quotient (elliptic surface closed eyes/elliptic surface opened eyes) in the 3 months before hearing aid fitting and the 3 months after

Time frame: 3 months

Secondary Outcomes

the effective wearing time of the device since its installation

average of time within hearing aid use per day (on the last 3 months)

Time frame: 3 months

the severity of the initial hearing loss

calculation of the average hearing loss measured by the average of the hearing thresholds without a hearing aid at 0.5, 1, 2 and 4 kHz

Time frame: 3 months

the notion of a balance disorder described by the patient

vertigo or feeling of instability

Time frame: 3 months

Data from ClinicalTrials.gov

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