title: Vestibular (dys)function in children with sensorineural hearing loss: a systematic review.
abstract: The objective of this study is to provide an overview of the prevalence of vestibular dysfunction in children with SNHL classified according to the applied test and its corresponding sensitivity and specificity.
  
  
  
  Data were gathered using a systematic search query including reference screening.
  
  
  
  Pubmed, Web of Science and Embase were searched. Strategy and reporting of this review was based on the Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Methodological quality was assessed with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist.
  
  
  
  All studies, regardless the applied vestibular test, showed that vestibular function differs significantly between children with hearing loss and normal hearing (p < 0.05). Compared with caloric testing, the sensitivity of the Rotational Chair Test (RCT) varies between 61 and 80% and specificity between 21 and 80%, whereas this was, respectively, 71-100% and 30-100% for collic Vestibular Evoked Myogenic Potentials (cVEMP). Compared with RCT, the sensitivity was 88-100% and the specificity was 69-100% for the Dynamic Visual Acuity test, respectively, 67-100% and 71-100% for the (video) Head Impulse Test and 83% and 86% for the ocular VEMP.
  
  
  
  Currently, due to methodological shortcoming, evidence on sensitivity and specificity of vestibular tests is unknown to moderate. Future research should focus on adequate sample sizes (subgroups >30).
authors.affiliation: a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.|b Multidisciplinary Motor Centre Antwerp , University of Antwerp , Wilrijk , Belgium.
authors.forename: Evi
authors.initials: E
authors.lastname: Verbecque
authors.affiliation: a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.
authors.forename: Tessa
authors.initials: T
authors.lastname: Marijnissen
authors.affiliation: a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.
authors.forename: Niels
authors.initials: N
authors.lastname: De Belder
authors.affiliation: c Department of Otorhinolargynology and Neck & Head Surgery , Antwerp University Hospital , Antwerp , Belgium.
authors.forename: Vincent
authors.initials: V
authors.lastname: Van Rompaey
authors.affiliation: c Department of Otorhinolargynology and Neck & Head Surgery , Antwerp University Hospital , Antwerp , Belgium.
authors.forename: An
authors.initials: A
authors.lastname: Boudewyns
authors.affiliation: b Multidisciplinary Motor Centre Antwerp , University of Antwerp , Wilrijk , Belgium.|c Department of Otorhinolargynology and Neck & Head Surgery , Antwerp University Hospital , Antwerp , Belgium.|d Department of Translational Neurosciences, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium , and.
authors.forename: Paul
authors.initials: P
authors.lastname: Van de Heyning
authors.affiliation: a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.|b Multidisciplinary Motor Centre Antwerp , University of Antwerp , Wilrijk , Belgium.
authors.forename: Luc
authors.initials: L
authors.lastname: Vereeck
authors.affiliation: a Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science , University of Antwerp , Antwerp , Belgium.|b Multidisciplinary Motor Centre Antwerp , University of Antwerp , Wilrijk , Belgium.|e Department of Functional Morphology, Faculty of Sciences , University of Antwerp , Antwerp , Belgium.
authors.forename: Ann
authors.initials: A
authors.lastname: Hallemans
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002150:Caloric Tests; D002648:Child; D002675:Child, Preschool; D005260:Female; D064087:Head Impulse Test; D006309:Hearing; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011237:Predictive Value of Tests; D015995:Prevalence; D015203:Reproducibility of Results; D012307:Risk Factors; D015837:Vestibular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology*; D058585:Vestibular Evoked Myogenic Potentials; D014722:Vestibule, Labyrinth / Q000503:physiopathology*; D014792:Visual Acuity; D055815:Young Adult
keywords: Children; cochlear implant; prevalence; sensitivity and specificity; sensorineural hearing loss; vestibular function test; vestibular loss