Rendimiento motor en alumnado con discapacidad auditiva: síntesis de evidencia y propuesta de un modelo multicausal para la práctica docente

Autores/as

DOI:

https://doi.org/10.17398/0213-9529.44.1.46

Palabras clave:

discapacidad auditiva, rendimiento motor, implante coclear, desarrollo vestibular, inclusión educativa

Resumen

La discapacidad auditiva (DA) en escolares limita el acceso a la información sonora, lo que puede obstaculizar el desarrollo del lenguaje y la comunicación, afectar a la interacción social y al desarrollo socioemocional, y asociarse a dificultades como aislamiento o baja autoestima. Además, se han descrito déficits relativamente consistentes en el equilibrio y una mayor heterogeneidad en la coordinación visomotora, con posibles consecuencias sobre la participación en la actividad física y la adquisición de hábitos saludables. El objetivo de este artículo es sintetizar la evidencia científica disponible sobre DA y rendimiento motor en edad escolar y proponer un modelo conceptual que explique la variabilidad de resultados y oriente la práctica docente en Educación Física. Con este fin, se realiza una revisión integradora de la literatura y se presenta un modelo multicausal del rendimiento motor en alumnado con DA. El modelo articula tres vías (biológica-vestibular, sensorial/feedback y contextual/participación) que convergen sobre el rendimiento motor y cuatro moderadores (etiología/daño, edad de diagnóstico o implantación y rehabilitación, lengua/modalidad comunicativa, y tipo de escolarización y apoyos) que modulan la magnitud y dirección de los efectos. La aportación principal es ofrecer un marco explicativo que evita lecturas monofactoriales y permite derivar criterios para la evaluación del rendimiento motor y recomendaciones de intervención escolar ajustadas a perfiles clínicos y educativos diversos.

 

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Referencias

Aanondsen, C. M., Jozefiak, T., Lydersen, S., Heiling, K., & Rimehaug, T. (2023). Deaf and hard-of-hearing children and adolescents’ mental health, quality of life and communication. BMC Psychiatry, 23(1), 297. https://doi.org/10.1186/s12888-023-04787-9

Akizuki, K., Takeuchi, K., Yabuki, J., Yamaguchi, K., Yamamoto, R., & Kaneno, T. (2025). Effects of self-control of feedback timing on motor learning. Frontiers in Psychology, 16, 1638827. https://doi.org/10.3389/fpsyg.2025.1638827

Albash, N. I. (2023). Evaluating the accessibility of higher education programs for deaf and hard of hearing students in the Arab countries. Heliyon, 9(3), e14425. https://doi.org/10.1016/j.heliyon.2023.e14425

Ardıç, F. N., Tümkaya, F., Atıgan, A., & Ardıç, F. (2024). The effect of cochlear implant stimulation on postural control. Turkish Archives of Otorhinolaryngology, 62(1), 1–6.

American Speech-Language-Hearing Association. (2023). Type, degree, and configuration of hearing loss (AIS factsheet). https://www.asha.org/siteassets/ais/ais-type-degree-and-configuration-of-hearing-loss.pdf

Bureau International d’Audiophonologie. (2017). Clasificación audiométrica de las deficiencias auditivas (Rec. 02-1 bis). BIAP.

Burton, A. M., Cowburn, I., Thompson, F., Eisenmann, J. C., Nicholson, B., & Till, K. (2023). Associations between motor competence and physical activity, physical fitness and psychosocial characteristics in adolescents: A systematic review and meta-analysis. Sports Medicine, 53(11), 2191–2256. https://doi.org/10.1007/s40279-023-01886-1

Butterfield, S. A. (1989). Influence of age, sex, hearing loss and balance on development of throwing by deaf children. Perceptual and Motor Skills, 69(2), 448–450. https://doi.org/10.2466/pms.1989.69.2.448

Butterfield, S. A., & Ersing, W. F. (1987). Influence of age, sex, hearing loss, and balance on kicking development by deaf children. Perceptual and Motor Skills, 65(1), 312. https://doi.org/10.2466/pms.1987.65.1.312

Canadian Agency for Drugs and Technologies in Health. (2024). Auditory verbal therapy for children with hearing loss. https://www.ncbi.nlm.nih.gov/books/NBK606541/

Cajina Pérez, L. N. (2020). Importancia de la Educación para la Salud en currículo educativo. Revista Electrónica de Conocimientos, Saberes y Prácticas, 3(1), 170–180. https://doi.org/10.5377/recsp.v3i1.9799

Carlyon, R. P., & Goehring, T. (2021). Cochlear implant research and development in the twenty-first century: A critical update. Journal of the Association for Research in Otolaryngology, 22(5), 481–508. https://doi.org/10.1007/s10162-021-00811-5

Choe, G., Lim, J. W., Chun, Y. J., Han, J. H., Kim, B. J., & Choi, B. Y. (2024). Clinical characteristics and hearing loss etiology of cochlear implantees undergoing surgery in their teens, 20s, and 30s. European Archives of Oto-Rhino-Laryngology, 281(10), 5169–5177. https://doi.org/10.1007/s00405-024-08737-3

Cole, E. B., & Flexer, C. (2019). Children with hearing loss: Developing listening and talking. Plural Publishing.

Coppola, M., & Walker, K. (2025). Early language access and STEAM education: Keys to optimal outcomes for deaf and hard of hearing students. Education Sciences, 15(7), 915. https://doi.org/10.3390/educsci15070915

Crowe, T. K., & Horak, F. B. (1988). Motor proficiency associated with vestibular deficits in children with hearing impairments. Physical Therapy, 68(10), 1493–1499. https://doi.org/10.1093/ptj/68.10.1493

Cushing, S. L., Papsin, B. C., Rutka, J. A., James, A. L., & Gordon, K. A. (2008a). Evidence of vestibular and balance dysfunction in children with profound sensorineural hearing loss using cochlear implants. The Laryngoscope, 118(10), 1814–1823. https://doi.org/10.1097/MLG.0b013e31817fadfa

Cushing, S. L., Chia, R., James, A. L., Papsin, B. C., & Gordon, K. A. (2008b). A test of static and dynamic balance function in children with cochlear implants: The vestibular olympics. Archives of Otolaryngology–Head & Neck Surgery, 134(1), 34–38. https://doi.org/10.1001/archoto.2007.16

de Jong, T. J., van der Schroeff, M. P., Stapersma, L., & Vroegop, J. L. (2024). A systematic review on the impact of auditory functioning and language proficiency on psychosocial difficulties in children and adolescents with hearing loss. International Journal of Audiology, 63(9), 675–685. https://doi.org/10.1080/14992027.2023.2261074

den Uil, A. R., Sijtsma, A., van der Kamp, J., & Scherder, E. (2023). The relationships between children’s motor competence, physical activity, and psychosocial health across childhood: Evidence from a systematic review. PLOS ONE, 18(12), e0278438. https://doi.org/10.1371/journal.pone.0278438

Drouka, A., Brikou, D., Causeret, C., Al Ali Al Malla, N., Sibalo, S., Ávila, C., Alcat, G., Kapetanakou, A. E., Gurviez, P., Fellah-Dehiri, N., Masson, M., Kontogianni, M. D., & Yannakoulia, M. (2023). Effectiveness of school-based interventions in Europe for promoting healthy lifestyle behaviors in children. Children, 10(10), 1676. https://doi.org/10.3390/children10101676

Ebrahimi, A. A., Movallali, G., Jamshidi, A. A., Haghgoo, H. A., & Rahgozar, M. (2016). Balance performance of deaf children with and without cochlear implants. Acta Medica Iranica, 54(11), 737–742.

El-Badry, M., Makhlouf, M. E., Fahim, D. F., Mamdouh, G., Mohamad, A., & Gamal, R. (2023). Identification of vestibular loss in children with sensorineural hearing loss using the balance subset of the BOT-2 test. Egyptian Journal of Otolaryngology, 39, 162. https://doi.org/10.1186/s43163-023-00522-z

Fernyhough, C., & Borghi, A. M. (2023). Inner speech as language process and cognitive tool. Trends in Cognitive Sciences, 27(12), 1180–1193. https://doi.org/10.1016/j.tics.2023.08.014

Genovese, E., Bovini, G., Costantini, C., & Cianfrone, G. (2024). Congenital deafness and vestibular disorders: A systematic literature review. Frontiers in Neurology, 15, 1463234. https://doi.org/10.3389/fneur.2024.1463234

Gerdsen, M., Jorissen, C., Pustjens, D. C. F., Hof, J. R., Van Rompaey, V., Van De Berg, R., & Widdershoven, J. C. C. (2022). Effect of cochlear implantation on vestibular function in children: A scoping review. Frontiers in Pediatrics, 10, 949730. https://doi.org/10.3389/fped.2022.949730

Gerdsen, M., Hundscheid, T. M., Boudewyns, A., Van Rompaey, V., Van De Berg, R., & Widdershoven, J. C. C. (2024). Vestibular assessment in children with sensorineural hearing loss: Diagnostic accuracy and proposal for a diagnostic algorithm. Frontiers in Neurology, 15, 1349554. https://doi.org/10.3389/fneur.2024.1349554

Gustafson, S. J., Camarata, S., Hornsby, B. W. Y., & Bess, F. H. (2021). Perceived listening difficulty in the classroom, not measured noise levels, is associated with fatigue in children with and without hearing loss. American Journal of Audiology, 30(4), 956–967. https://doi.org/10.1044/2021_AJA-21-00065

Hornsby, B. W. Y., Camarata, S., Cho, S. J., Davis, H., McGarrigle, R., & Bess, F. H. (2022). Development and evaluation of pediatric versions of the Vanderbilt Fatigue Scale for children with hearing loss. Journal of Speech, Language, and Hearing Research, 65(6), 2343–2363. https://doi.org/10.1044/2022_JSLHR-22-00051

Ionescu, E., Reynard, P., Goulème, N., Becaud, C., Spruyt, K., Ortega-Solis, J., & Thai-Van, H. (2020). How sacculo-collic function assessed by cervical vestibular evoked myogenic potentials correlates with the quality of postural control in hearing impaired children? International Journal of Pediatric Otorhinolaryngology, 130, 109840. https://doi.org/10.1016/j.ijporl.2019.109840

Janky, K. L., & Yoshinaga-Itano, C. (2022). The feasibility of performing vestibular newborn screening. Pediatrics, 150(1), e2022056986. https://doi.org/10.1542/peds.2022-056986

Janky, K. L., Patterson, J., Thomas, M., Al-Salim, S., & Robinson, S. (2023). The effects of vestibular dysfunction on balance and self-concept in children with cochlear implants. International Journal of Pediatric Otorhinolaryngology, 171, 111642. https://doi.org/10.1016/j.ijporl.2023.111642

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. https://doi.org/10.1016/S0165-5876(99)00206-2

Kokstejn, J., Grobar, M., Vampola, J., & Musalek, M. (2025). Why motor competence matters: Fundamental movement skills and their role in promoting physical activity and health in Czech children aged 9–10 years. Journal of Functional Morphology and Kinesiology, 10(3), 258. https://doi.org/10.3390/jfmk10030258

Lázaro, A. (2000). El equilibrio humano: Un fenómeno complejo. Motorik, 2, 80–86.

Leguizamón, S. Y., García Agudelo, L., Espejo Laiton, H., Agudelo Ariza, L., Núñez Hernández, G. E., & Vargas Rodríguez, L. J. (2021). Prevalencia de hipoacusia neonatal de la población atendida en el Hospital Regional de la Orinoquia, 2018: Estudio de tamizaje auditivo neonatal. Ciencia e Innovación en Salud, 188–197.

Martens, S., Dhooge, I., Dhondt, C., Vanaudenaerde, S., Sucaet, M., Van Hoecke, H., et al. (2022). Three Years of Vestibular Infant Screening in Infants With Sensorineural Hearing Loss. Pediatrics, 150(1), e2021055340. https://doi.org/10.1542/peds.2021-055340

Mbhele, S., Rogers, C., & Saman, Y. (2025). Clinical balance assessment tools for children with hearing loss: A scoping review. BMC Pediatrics, 25(1), 218. https://doi.org/10.1186/s12887-025-05563-2

Melo, R. D. S., Da Silva, P. W. A., Tassitano, R. M., Macky, C. F. S. T., & Da Silva, L. V. C. (2012). Balance and gait evaluation: Comparative study between deaf and hearing students. Revista Paulista de Pediatria, 30(3), 385–391. https://doi.org/10.1590/S0103-05822012000300012

Melo, R. D. S., Lemos, A., Raposo, M. C. F., Belian, R. B., & Ferraz, K. M. (2018). Balance performance of children and adolescents with sensorineural hearing loss: Repercussions of hearing loss degrees and etiological factors. International Journal of Pediatric Otorhinolaryngology, 110, 16–21. https://doi.org/10.1016/j.ijporl.2018.04.017

Melo, R. S., Lemos, A., Wiesiolek, C. C., Soares, L. G. M., Raposo, M. C. F., Lambertz, D., Belian, R. B., & Ferraz, K. M. (2024). Postural sway velocity of deaf children with and without vestibular dysfunction. Sensors, 24(12), 3888. https://doi.org/10.3390/s24123888

Mödinger, M., Woll, A., & Wagner, I. (2022). Video-based visual feedback to enhance motor learning in physical education—A systematic review. German Journal of Exercise and Sport Research, 52, 447–460. https://doi.org/10.1007/s12662-021-00782-y

Moinuddin, A., Goel, A., & Sethi, Y. (2021). The role of augmented feedback on motor learning: A systematic review. Cureus, 13(11), e19695. https://doi.org/10.7759/cureus.19695

National Institute on Deafness and Other Communication Disorders (2024). What are cochlear implants for hearing? https://www.nidcd.nih.gov/health/cochlear-implants

Olleta, I., Sanz Manzanedo, M., & De la Natividad Sanz, F. (2025). Propuesta de un protocolo educativo para fomentar la inclusión del alumnado con discapacidad auditiva en el aula ordinaria. Auditio, 9, e118.

Oppici, L., Dix, A., & Narciss, S. (2024). When is knowledge of performance (KP) superior to knowledge of results (KR) in promoting motor skill learning? A systematic review. International Review of Sport and Exercise Psychology, 17(1), 182-207.

Organización Mundial de la Salud (2021). Informe mundial sobre la audición. https://iris.paho.org/handle/10665.2/55067

Organización Mundial de la Salud (2025). Deafness and hearing loss (Fact sheet). https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

Potter, C. N., & Silverman, L. N. (1984). Characteristics of vestibular function and static balance skills in deaf children. Physical Therapy, 64(7), 1071-1075. https://doi.org/10.1093/ptj/64.7.1071

Psillas, G., Pavlidou, A., Lefkidis, N., Vital, I., Markou, K., Triaridis, S., & Tsalighopoulos, M. (2014). Vestibular evoked myogenic potentials in children after cochlear implantation. Auris Nasus Larynx, 41(5), 432-435. https://doi.org/10.1016/j.anl.2014.05.008

Rhenals-Ramos, J. C., & Arango-Paternina, C. M. (2022). Implementation of a Pedagogical Vocabulary of Signs in Physical Education. A Pilot Study. Apunts Educación Física y Deportes, 148, 17-25. https://doi.org/10.5672/apunts.2014-0983.es.(2022/2).148.03

Rodrigues, A. T., Bertin, V., Vitor, L. G. V., & Fujisawa, D. S. (2014). Crianças com e sem deficiência auditiva: o equilíbrio na fase escolar. Revista Brasileira de Educação Especial, 20(2), 169-178. https://doi.org/10.1590/S1413-65382014000200002

Schlumberger, E., Narbona, J., & Manrique, M. (2004). Non-verbal development of children with deafness with and without cochlear implants. Developmental Medicine & Child Neurology, 46(9), 599-606. https://doi.org/10.1111/j.1469-8749.2004.tb01023.x

Shields, N., Synnot, A. J., & Barr, M. (2012). Perceived barriers and facilitators to physical activity for children with disability: a systematic review. British Journal of Sports Medicine, 46(14), 989-997. https://doi.org/10.1136/bjsports-2011-090236

Shin, M. S., Kim, S. K., Kim, S. S., Park, M. H., Kim, C. S., & Oh, S. H. (2007). Comparison of cognitive function in deaf children between before and after cochlear implant. Ear and Hearing, 28(2 Suppl), 22S-28S. https://doi.org/10.1097/AUD.0b013e318031541b

Stodden, D. F., Goodway, J. D., Langendorfer, S. J., Roberton, M. A., Rudisill, M. E., Garcia, C., & Garcia, L. E. (2008). A developmental perspective on the role of motor skill competence in physical activity: An emergent relationship. Quest, 60(2), 290-306. https://doi.org/10.1080/00336297.2008.10483582

Tománková, K. (2022). Motor skills in children with hearing impairment. Journal of Exceptional People, 11(21), 49-62.

Valentini, N. C., & Rudisill, M. E. (2004). An inclusive mastery climate intervention and the motor skill development of children with and without disabilities. Adapted Physical Activity Quarterly, 21(4), 330-347. https://doi.org/10.1123/apaq.21.4.330

Varuzza, C., D’Aiello, B., Lazzaro, G., Quarin, F., De Rose, P., Bergonzini, P., Menghini, D., Marini, A., & Vicari, S. (2023). Gross, Fine and Visual-Motor Skills in Children with Language Disorder, Speech Sound Disorder and Their Combination. Brain Sciences, 13(1), 59. https://doi.org/10.3390/brainsci13010059

Wiener-Vacher, S. R., Campi, M., Caldani, S., & Thai-Van, H. (2024). Vestibular Impairment and Postural Development in Children With Bilateral Profound Hearing Loss. JAMA Network Open, 7(5), e2412846. https://doi.org/10.1001/jamanetworkopen.2024.12846

Wischmann, S., Lignel Josvassen, J., Schiøth, C., & Percy-Smith, L. (2022). History re-written for children with hearing impairment. International Journal of Pediatric Otorhinolaryngology, 152, 110991. https://doi.org/10.1016/j.ijporl.2021.110991

Wrotniak, B. H., Epstein, L. H., Dorn, J. M., Jones, K. E., & Kondilis, V. A. (2006). The relationship between motor proficiency and physical activity in children. Pediatrics, 118(6), e1758-e1765. https://doi.org/10.1542/peds.2006-0742

Wu, Q., Zhang, Q., Xiao, Q., Zhang, Y., Chen, Z., Liu, S., Wang, X., Xu, Y., Xu, X.-D., Lv, J., Jin, Y., Yang, J., & Zhang, Q. (2022). Vestibular dysfunction in pediatric patients with cochlear implantation: A systematic review and meta-analysis. Frontiers in Neurology, 13, 996580. https://doi.org/10.3389/fneur.2022.996580

Zwierzchowska, A., Gaweł, E., Krużyńska, A., Słomka, K. J., & Juras, G. (2024). Postural stability at activation and deactivation of the cochlear implant in adolescents with late lateral implantations: a quasi-experiment. BMC Sports Science, Medicine and Rehabilitation, 16(1), 159. https://doi.org/10.1186/s13102-024-00950-1

Zhang, A., Chen, X., Zhao, D., & Zhang, Y. (2024). The Association Between Motor Competence and Inhibitory Control in Preschool Children. Children, 11(12), 1537. https://doi.org/10.3390/children11121537

Zhou, Y., & Qi, J. (2022). Effectiveness of interventions on improving balance in children and adolescents with hearing impairment: A systematic review. Frontiers in Physiology, 13, 876974. https://doi.org/10.3389/fphys.2022.876974

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2026-03-31

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Rendimiento motor en alumnado con discapacidad auditiva: síntesis de evidencia y propuesta de un modelo multicausal para la práctica docente. (2026). Campo Abierto, 44(1). https://doi.org/10.17398/0213-9529.44.1.46