Early identification of childhood hearing impairment and prompt intervention are crucial for improved outcomes. Vestibular deficit related impairments and the efficiency of therapy intervention for such impairments in children are only recently documented [
39‐
41]. In spite of the existing documentation, postural control and motor assessments are not a routine procedure in hearing impaired children. Moreover, in developing countries, early detection poses a significant practical challenge. Many pediatric health care providers are often too busy or inadequately trained to conduct an elaborate developmental screening test in regular clinics [
42]. Consequently, balance and motor deficits in childhood are an overlooked entity and intervention to ameliorate these impairments is not provided. While testing the vestibular function, tests of canal and otolith function should also be included as semicircular canals and otoliths, mediate the vestibular ocular reflex and vestibule-spinal responses [
32]. There is ample evidence that children with SNHL have concurrent motor and balance deficit. However, there is paucity in investigations of intervention for balance and motor performance deficits in hearing impaired children. Gheysen et al investigated the consequences of cochlear implantation on the motor abilities of deaf children and found that deaf children with cochlear implantation did not perform better on balance and motor skills than children without cochlear implantation [
43]. Hence exercise intervention should be incorporated to improve balance and motor performance. Lewis et al found improvement in balance skill in 6-8 year old children following participation in balance and body awareness program [
44]. Braswell and Rine found improvement in dynamic visual acuity, critical print size, and reading acuity following visual-vestibular exercises [
45]. Rine et al reported improvement in sensory organization for postural control and halt of progressive motor delay following exercise intervention that focused on enhancement of sensory integrative postural control abilities [
46].