2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
3/18/2024 | 1:55 PM - 2:50 PM | Vestibular monitoring protocol for cochlear implant and cCMV patients | Capitol 1
Vestibular monitoring protocol for cochlear implant and cCMV patients
Pediatric vestibular evaluation and rehabilitation is an emerging area of practice and expertise within our field. Research indicates an increased risk of vestibular dysfunction for children with significant hearing loss, such as the cochlear implant and congenital cytomegalovirus (cCMV) populations. These children are at risk for gross motor delays/plateau and problems with reading/academics, social skills, and memory without targeted early intervention (Hazen & Cushing, 2021). In order to provide comprehensive care to these children, we have developed guidelines for vestibular monitoring for cochlear implant candidates/recipients and patients with cCMV. Our guideline also includes recommendations for when a vestibular physical therapy evaluation should be pursued to ensure our patients receive the targeted rehabilitation they need, and/or have a smooth transition from early intervention to private physical therapy. This talk will review the risk factors for vestibular dysfunction for children with significant hearing loss and/or cCMV. Additionally, case studies will be included to outline the impact of this testing and resulting rehabilitation.?
Cushing, S., Gordon, K., Rutka, J., James, A. and Papsin, B., 2013. Vestibular end-organ dysfunction in children with sensorineural hearing loss and cochlear implants. Otology & neurotology, 34(3), pp.422-428. Population. Semin hear. 2018 aug;39(3):229-242. Doi: 10.1055/s-0038-1666815. Epub 2018 jul 20. Pmid: 30038452; pmcid: pmc6054584.?
Hazen M, Cushing SL. Vestibular Evaluation and Management of Children with Sensorineural Hearing Loss. Otolaryngol Clin North Am. 2021 Dec;54(6):1241-1251. doi: 10.1016/j.otc.2021.08.001. PMID: 34774232.?
- Describe the potential impact of vestibular dysfunction in the presence of a significant hearing loss.
- Describe vestibular monitoring protocols for cochlear implant candidates and recipients.
- Describe vestibular monitoring recommendations for children diagnosed with cCMV.
Presentation:
3478265_16243KarenHendrick.pdf
Handouts:
3478265_16243KarenHendrick.pdf
Transcripts:
3478265_16243KarenHendrick.docx
Presenters/Authors
Karen Hendrick
(Primary Presenter), Children's Hospital Colorado, karen.hendrick@childrenscolorado.org;
Dr. Karen Hendrick is a clinical audiologist and Vestibular Clinical Practice Specialist at Children’s Hospital Colorado. She graduated with her AuD from the University of Washington in 2015, following an externship at Seattle Children’s Hospital. She served on the board of the Colorado Academy of Audiology as the Vice President of Education from 2018 to 2020.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with Children's Hospital Colorado.
Nature: Employee.
Nonfinancial -
No relevant nonfinancial relationship exists.
Jennifer Drohosky
(Co-Presenter), Children's Hospital Colorado, jennifer.drohosky@childrenscolorado.org;
Jennifer has been a pediatric audiologist for over 20 years, starting her career at Walter Reed Army Medical Center in Washington DC. She has specialized in cochlear implants since 2001, beginning at Seattle Children's Hospital. She was a cochlear implant program coordinator at the Portland Hospital for Women and Children in London prior to her move to Children's Hospital Colorado in 2008 where she serves in the same role. The cochlear implant team at the Children's Hospital Colorado is a large, multi-disciplinary team serving children and families with complex needs from a 7 state region.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Dani Stern
(Co-Author), Children's Hospital Colorado, dani.stern@childrenscolorado.org;
Dani Stern is a clinical audiologist at Children's Hospital Colorado in Colorado Springs. Her clinical interests include working with Deaf/Hard of Hearing Plus children and their families, cochlear implants, and vestibular testing.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.