The Effect of Swim Training Intervention on Balance and Systems Involved in Balance in Adolescents with Hearing Impairment and Vestibular Disorder

Document Type : Research Paper

Authors

1 physical education and sprt science, motor behavior, university of tehran, tehran,iran

2 Associate professor/University of Tehran

Abstract

Background and aim: The purpose of this study was to determine the effect of training intervention (v.i.z swimming) on balance and systems involved in balance especially in adolescents with hearing impairment and also with vestibular deficiency.
Materials and methods: in this study, Twenty-four deaf girls of exceptional schools were selected as an accessible sample in Pakdasht City of Tehran. Subjects were divided randomly into experimental and control groups. At first, a pre-test of balance was performed under four different conditions of sensory involvement including simultaneous disorder of proprioception and vestibular, visual and vestibular, proprioception and visual and without any interference with the Biodex device. Then, an experimental group of 12 individuals (Mean age 15.50 ± 2.8) for 8 weeks (having 3 sessions per week) underwent swimming training exercises and 12 person of control group (Mean age 15.50 ± 1.9) which did not have any activity in any field. After completing the intervention training period, post-test was performed similar to pre-test. Data’s were analyzed with multivariate analysis of variances.
Results: After confirming the distribution of data and homogeneity of variances, the results of multivariate analysis of variance indicated that swimming exercises had a significant effect on balance without sensory interference and vestibular balance (P≤ 0.0005).
Conclusion: Therefore, it is suggested that swimming program as a beneficial method in rehabilitation program of deaf people can be use in health centers, hospitals, rehabilitation centers, exceptional schools and deaf schools in order to improve the balance of the deaf.

Keywords

Main Subjects


Abbasi, H. (2010). Comparison of balance in people with forwarded head and normal head posture. University of Tehran. (In Persian)  
Abdollahi, F. Z. (2015). Vertigo and the atrial fibrillation: from diagnosis to treatment. Quarterly Journal of Educational Information Research, 9(33), 32-69. (In Persian)
Ahmadpour, A., Aslankhani, M., & Jafari, Z. (2015). Effects of a selected rhythmic exercise program on the balance control in hearing-impaired children with vestibular dysfunction. Motor Behavior, 21(7), 64-47. (In Persian)
Alizadeh, M. H., Reisi, J., Shirzad, E., & Bagheri, L. (2009). The  effect of sensory information on balance control in standing position of athlete and non-athlete. Mobility Sciences and Sports, 1(13), 21-31. (In Persian)
An, M. (2008). Age-Related Changes of Single-Limb Standing Balance in Children with and Without Deafness. Yonsei University.  
Angelaki, D., & Cullen, K. (2008). Vestibular System: The Many Facets of a Multimodal Sense. Annual Review of Neuroscience, 31(1), 125-150.
Baccouch, R., Rebai, H., & Sahli, S. (2015). Physical Therapy in Sport Kung-fu versus swimming training and the effects on balance abilities in young adolescents. Physical Therapy in Sport, 16(4), 349-354.
Balouci, R., Babakhani, F., Sheikhhosseini, R., Yangabad, M., & Shirzad, E. (2018). Effect of 8-Week Pilates Exercises on Kinematic Parameters of Balance and Gait in Deaf High School Students. Journal of Mazandaran University of Medical Sciences, 27(156), 194-198. (In Persian)
Bompa, T. O. (1999). Periodization: Theory and Methodology of Training (M. Kordi & M. Faramarzi, Trans. 4th ed.): samt publisher.
Bressel, E., Yonker, J. C., Kras, J., & M, E. (2007). Comparison of Static and Dynamic Balance in Female Collegiate Soccer, Basketball, and Gymnastics Athletes. Journal of Athletic Training, 42(1), 42-46.
Crowe, T. K., & Horak, F. B. (1988). Motor Proficiency Associated with Vestibular Deficits in Children with Hearing Impairments. Physical Therapy, 68(10), 1493-1499.
Davoodi, N., & Lotfi, A. (2016). Effect 8-Week Mobility Workout on Static and Dynamic Balance of Hearing-impaired Students. Journal of Psychology and Educational Sciences, 2(5), 117-134. (In Persian)
De Kegel, A., Dhooge, I., Cambier, D., Baetens, T., Palmans, T., & Van Waelvelde, H. (2011). Test-retest reliability of the assessment of postural stability in typically developing children and in hearing impaired children. Gait and Posture, 33(4), 679-685.
Effgen, S. K. (1981). Effect of an Exercise Program on the Static Balance of Deaf Children. Physical Therapy, 61(6), 873-877.
Enbom, H., Magnusson, M., & Pyykkö, I. (1991). Postural compensation in children with congenital or early acquired bilateral vestibular loss. Annals of Otology, Rhinology and Laryngology, 100(6), 472-478.
Farahani, R., Noraste, A. A., Helalat, Z., & Aghale, A. (2013). Comparison of static and dynamic Balance Of health men, Blind and Deaf Athletes with Non-athletes. Specific Physical Therapy Journal, 3(1), 24-38. (In Persian)
Fatehi, M. (2012). The effect of a 12-day swimming training session on some of the biomechanical parameters of 9-year-old girls with an emphasis on anthropometric characteristic. Islamic Azad University of Tehran. (In Persian) 
Ferre, E. R., Bottini, G., Iannetti, G. D., & Haggard, P. (2012). The balance of feelings : Vestibular modulation of bodily sensations. c o r t e x, 49(3), 748-758.
Ghaderpour, K. (2013). The Effect of a Swimming Plane Period on the Balance (Dynamic and Static) of 10-9 Years. Allameh Tabatabari University.  (In Persian)
Guskiewicz, K., & Perrin, D. (1996). Research and Clinical Applications of Assessing Balance. Journal of Sport Rehabilitation, 5(1), 45-63.
Hesari, A. F., Daneshmandi, H., & Mahdavi, S. (2012). The Effect of 8 Weeks of Core Stabilization Training Program on Balance in Hearing Impaired Students. Sport Medicine Studies, 30(7), 67-83. (In Persian)
Horak, F. B., Shumway-Cook, A., Crowe, T. K., & Black, F. O. (1988). Vestibular function and motor proficiency of children with impaired hearing, or with learning disability and motor impairments. Dev Med Child Neurol, 30(1), 64-79.
Jafari, Z., Malayeri, S., Rezazadeh, N., & Hajiheydari, F. (2011). Static and dynamic balance in congenital severe to profound hearing-impaired children. Bimonthly audiology, 20(2), 103-112. (In Persian)
Jernice, T. S. Y., Nonis, K. P., & Yi, C. J. (2011). The Balance Control of Children with and without Hearing Impairment in Singapore--A Case Study. International Journal of Special Education, 26(3), 260-275.
Kaga, K. (1999). Vestibular Compensation in Infants and Children with Congenital and Acquired Vestibular Loss in Both Ears. International Journal of Pediatric Otorhinolaryngology, 49(3), 215-224.
Kaga, K., Shinjo, Y., Jin, Y., & Takegoshi, H. (2008). Vestibular failure in children with congenital deafness. International journal of audiology, 47(9), 590-599.
Kaka, N., & Zarrinkoub, H. (2017). Review of the Vestibular System Function of People with Hearing Impairment and the Impact of Professional Sport. Rehabilitation Medicine, 6(2), 246-257.
Kamioka, H., Tsutani, K., Okuizumi, H., Mutoh, Y., Ohta, M., Handa, S., . . . Honda, T. (2010). Effectiveness of Aquatic Exercise and Balneotherapy: A Summary of Systematic Reviews Based on Randomized Controlled Trials of Water Immersion Therapies. Journal of Epidemiology, 20(1), 2-12.
Karbunarova, J. (2016). Influence author methodic teaching swimming on coordination quality of children 6 – 10 years old with hearing disabilities. Slobozhanskyi herald of science and sport, 3(53), 35-38.
Khodashenas, E., Moradi, H., Ghalenoei, M. A., Heydari, E., Shams, A., Ghasab, A. E., & Sohrabi, M. (2017). The effect of selective training program on the static and dynamic balance of Deaf Children. Medical Journal of Mashhad University of Medical Science, 60(1), 383-391. (In Persian)
Liu, B., Kong, W., & Zou, Y. (2007). The sensory organization in the posture stability with interruption induced by standing foam in normal subjects. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 21(4), 162-165.
Mann, L., & Kleinpaul, J. (2014). Influence of aquatic exercise training on balance in young adults. Fisioter Mov, 27(4), 573-581.
Melo, R. d. S., Silva, P. W. A. d., Souza, R. A., Raposo, M. C. F., & Ferraz, K. M. (2013). Head position comparison between students with normal hearing and students with sensorineural hearing loss. International Archives of Otorhinolaryngology, 17(4), 363-369.
Meyer, H. (1955). Swimming for the Deaf. Journal of Health, Physical Education, Recreation, 26(5), 12-13.
Musavi, S. H., Ghasemi, B., & Faramarzi, M. (2009). The Relationship between Internal Longitudinal Foot Arch with Static and Dynamic Balance of 12-14 years Male Students. Journal of Sport Medicine, 1(2), 107-125. (In Persian)
Myklebust, H. R. (1953). Towards a New Understanding of the Deaf Child. American Annals of the Deaf, 98(4), 345-357.
Rajendran, V., & Roy, F. G. (2011). An overview of motor skill performance and balance in hearing impaired children. Italian Journal of Pediatrics, 37(1), 33.
Rajendran, V., Roy, F. G., & Jeevanantham, D. (2013). Effect of exercise intervention on vestibular related impairments in hearing-impaired children. Alexandria Journal of Medicine, 49(1), 7-12.
Ramezani, S., Ameri, E. A., & Talab, R. H. (2016). Effects of a selected training program on the balance of children with hearing disorder. Exceptional Education, 16(6), 14-21. (In Persian)
Rine, R. M. (2000). Evidence of Progressive Delay of Motor Development in Children with Sensorinerual Hearing loss and Concurrent Vestibular Dysfunction. Perceptzral and MotorSkills, 90(3_suppl), 1101-1112.
Rine, R. M., Braswell, J., Fisher, D., KellyJoyce, Kalar, K., & Shaffer, M. (2004). Improvement of motor development and postural control following intervention in children with sensorineural hearing loss and vestibular impairment. International Journal of Pediatric Otorhinolaryngology, 68(9), 1141-1148.
Robert, G., Gueguen, N., Avogadro, P., & Mouchnino, L. (2004). Anticipatory balance control is affected by loadless training experiences. Humam Movement Science, 23(2), 169-183.
Rubianne, L. (2017). Balance Assessment in Deaf Children and Teenagers Prior to and Post Capoeira Practice through the Berg Balance Scale. The International Tinnitus Journal, 21(2), 77-82.
Salavati, M., Shojaee, M., Aslankhani, M., & Azimzadeh, E. (2013). Impact of balance and non-disturbed balance exercises on the static and  dynamic balance of elderly women. Motr Behavior, 2(13), 95-108. (In Persian)
Schwab, B., & Kontorinis, G. (2011). Influencing Factors on the Vestibular Function of Deaf Children and Adolescents Evaluation by Means of Dynamic Posturography. Open Otorhinolaryngol Journal, 5(1), 1-9.
Seyedi, M., Seidi, F., Rahimi, A., & Minoonejad, H. (2015). An Investigation of the Efficiency of Sensory Systems Involved in Postural Control in Deaf Athletes and Non-Athletes. Journal of Sport Medicine, 7(1), 111-127. (In Persian)
Shumway-Cook, A., & Woollacott, M. (2010). Motor Control: Translating Research into Clinical Practice (S. T. Boroujeni & M. Shahbazi, Trans. 3rd ed.): Bamdad Ketab Publisher.
Shumway-Cook, A., & Woollacott, M. H. (2001). Motor Control: Theory and Practical Applications: Lippincott Williams & Wilkins.
Sotoude, M. B., Amani, F., & Farahmandrad, S. (2005). Prevalence of hearing impairment in primary school children in Ardabil city in the year 2003-2002. Journal of Ardabil University of Medical Sciences, 5(3), 246-250. (In Persian)
Zaghari, S. (2004). Comparative study of balance between two groups of elderly women and men. Iran University of Medical Science. (In Persian)