title: Otoneurologic evaluation in children with school difficulties: vestibular function investigation.
abstract: According to the literature, child vestibular dysfunctions can considerably affect their ability of communication and school performance.
  
  
  OBJECTIVE
  to study the vestibular function in children with school difficulties and associated symptoms.
  
  
  METHODS
  Clinical study with transversal cohort.
  
  
  METHODS
  Research subjects were 50 school children between 7 and 12 years old, from a public school of Piracicaba city, during the years 2004 and 2005. The procedure was based on: anamnesis; otorrinolaryngologic evaluation; audiologic evaluation and vestibular evaluation.
  
  
  RESULTS
  All children assessed, 62.0% did not have school difficulties and 38.0% had school difficulties. Dizziness was the most common general complaint (36.0%). Migraine was the most common symptom regarding the school environment (50.0%). We found a high rate of normal vestibular condition (74.2%) in children without school difficulties and low normality rate in those with school difficulties (31.6%). All found vestibular alterations, both unilateral and bilateral, had been of peripheral irritative origin, accounting for 68.4% of cases for children with school difficulties and 25.8% for children without school difficulties.
  
  
  CONCLUSIONS
  Dizziness, nausea, reading and copying difficulties presented a statistically significant relationship between the studied variables. All found vestibular alterations had been of peripheral irritative origin. Data showed a statistically significant relationship among variables.
authors.affiliation: Master's degree in speech therapy, PUC - SP. Teacher in the Speech Therapy course, Piracicaba Methodist University - UNIMEP; Supervisor of audiology trainees - UNIMEP.
authors.forename: Eloisa
authors.initials: E
authors.lastname: Sartori Franco
authors.affiliation: Doctoral thesis in sciences, Language Studies Institute - UNICAMP. Teacher in the Speech Therapy School - PUC, Campinas. Official external advisor in the "Child and Adolescent Health" program, Pediatrics Department, FCM/UNICAMP.
authors.forename: Ivone
authors.initials: I
authors.lastname: Panhoca
mesh_terms: D001301:Audiometry, Pure-Tone; D002648:Child; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004584:Electronystagmography; D005260:Female; D006801:Humans; D007759:Labyrinth Diseases / Q000150:complications / Q000175:diagnosis*; D007859:Learning Disabilities / Q000209:etiology*; D008297:Male; D014477:Underachievement; D014724:Vestibular Function Tests