09-10, 08:30–09:00 (Europe/Istanbul), Humanitarian + Transverse Activities + Global Outreach
Description: The Polyvagal Theory, proposed by Stephen Porges, has significantly advanced our understanding of the autonomic nervous system, emphasizing the role of the vagus nerve in social engagement, safety, and physiological regulation. While it is widely applied in psychology, trauma therapy, and rehabilitation, its implications for audiology remain underexplored. This presentation will discuss the Polyvagal Theory in relation to auditory processing, the middle ear muscle reflex, and listening in challenging environments, highlighting how autonomic states influence hearing perception and auditory attention.
Outcome Objectives: By the end of this session, participants will be able to:
1. Explain the key concepts of Polyvagal Theory relevant to audiology.
2. Describe the relationship between vagal regulation, middle ear muscle function, and auditory sensitivity.
3. Integrate polyvagal-informed approaches when assessing or counseling patients with auditory processing difficulties, hyperacusis, or tinnitus.
Background: Emerging evidence suggests that autonomic state shifts can alter the function of the stapedius and tensor tympani muscles, thereby impacting acoustic impedance and auditory perception. Understanding these mechanisms is crucial for audiologists, particularly when working with patients experiencing sound tolerance disorders or stress-related auditory complaints. Integrating Polyvagal Theory into audiology practice may enhance patient-centered care by addressing the interplay between physiological state and auditory experience.
The purpose of this proposal is to introduce audiologists to the fundamental principles of Polyvagal Theory and to explore its clinical implications for auditory processing and sound tolerance disorders. This session aims to enhance understanding of how autonomic nervous system states influence middle ear function, listening comfort, and patient outcomes, providing a new perspective for holistic audiological assessment and intervention.
Dr. Berna TUNÇER is a physiotherapist, academic lecturer, and researcher specializing in physiology and rehabilitation sciences. She currently works as an Doctor Lecturer in the Department of Physiotherapy and Rehabilitation at Trakya University in Edirne, Turkey. Her academic interests include neuromuscular physiology, auditory processing, vestibular rehabilitation, and the integration of polyvagal theory into clinical practice. She actively publishes and presents in national and international conferences, aiming to bridge neuroscience with physiotherapy and physiology approaches for holistic patient care.