Self-motion perception and vestibulo-ocular reflex during whole body yaw rotation in standing subjects: The role of head position and neck proprioception

2011 ◽  
Vol 30 (2) ◽  
pp. 314-332 ◽  
Author(s):  
Roberto Panichi ◽  
Fabio Massimo Botti ◽  
Aldo Ferraresi ◽  
Mario Faralli ◽  
Artemis Kyriakareli ◽  
...  
2017 ◽  
Vol 118 (5) ◽  
pp. 2819-2832 ◽  
Author(s):  
R. Panichi ◽  
M. Faralli ◽  
R. Bruni ◽  
A. Kiriakarely ◽  
C. Occhigrossi ◽  
...  

Self-motion perception was studied in patients with unilateral vestibular lesions (UVL) due to acute vestibular neuritis at 1 wk and 4, 8, and 12 mo after the acute episode. We assessed vestibularly mediated self-motion perception by measuring the error in reproducing the position of a remembered visual target at the end of four cycles of asymmetric whole-body rotation. The oscillatory stimulus consists of a slow (0.09 Hz) and a fast (0.38 Hz) half cycle. A large error was present in UVL patients when the slow half cycle was delivered toward the lesion side, but minimal toward the healthy side. This asymmetry diminished over time, but it remained abnormally large at 12 mo. In contrast, vestibulo-ocular reflex responses showed a large direction-dependent error only initially, then they normalized. Normalization also occurred for conventional reflex vestibular measures (caloric tests, subjective visual vertical, and head shaking nystagmus) and for perceptual function during symmetric rotation. Vestibular-related handicap, measured with the Dizziness Handicap Inventory (DHI) at 12 mo correlated with self-motion perception asymmetry but not with abnormalities in vestibulo-ocular function. We conclude that 1) a persistent self-motion perceptual bias is revealed by asymmetric rotation in UVLs despite vestibulo-ocular function becoming symmetric over time, 2) this dissociation is caused by differential perceptual-reflex adaptation to high- and low-frequency rotations when these are combined as with our asymmetric stimulus, 3) the findings imply differential central compensation for vestibuloperceptual and vestibulo-ocular reflex functions, and 4) self-motion perception disruption may mediate long-term vestibular-related handicap in UVL patients. NEW & NOTEWORTHY A novel vestibular stimulus, combining asymmetric slow and fast sinusoidal half cycles, revealed persistent vestibuloperceptual dysfunction in unilateral vestibular lesion (UVL) patients. The compensation of motion perception after UVL was slower than that of vestibulo-ocular reflex. Perceptual but not vestibulo-ocular reflex deficits correlated with dizziness-related handicap.


2021 ◽  
pp. 1-11
Author(s):  
Mario Faralli ◽  
Michele Ori ◽  
Giampietro Ricci ◽  
Mauro Roscini ◽  
Roberto Panichi ◽  
...  

BACKGROUND: Self-motion misperception has been observed in vestibular patients during asymmetric body oscillations. This misperception is correlated with the patient’s vestibular discomfort. OBJECTIVE: To investigate whether or not self-motion misperception persists in post-ictal patients with Ménière’s disease (MD). METHODS: Twenty-eight MD patients were investigated while in the post-ictal interval. Self-motion perception was studied by examining the displacement of a memorized visual target after sequences of opposite directed fast-slow asymmetric whole body rotations in the dark. The difference in target representation was analyzed and correlated with the Dizziness Handicap Inventory (DHI) score. The vestibulo-ocular reflex (VOR) and clinical tests for ocular reflex were also evaluated. RESULTS: All MD patients showed a noticeable difference in target representation after asymmetric rotation depending on the direction of the fast/slow rotations. This side difference suggests disruption of motion perception. The DHI score was correlated with the amount of motion misperception. In contrast, VOR and clinical trials were altered in only half of these patients. CONCLUSIONS: Asymmetric rotation reveals disruption of self-motion perception in MD patients during the post-ictal interval, even in the absence of ocular reflex impairment. Motion misperception may cause persistent vestibular discomfort in these patients.


2012 ◽  
Vol 12 (1) ◽  
pp. 97-107 ◽  
Author(s):  
Aasef G. Shaikh ◽  
Antonella Palla ◽  
Sarah Marti ◽  
Itsaso Olasagasti ◽  
Lance M. Optican ◽  
...  

2000 ◽  
Vol 10 (2) ◽  
pp. 75-86 ◽  
Author(s):  
Jacob J. Bloomberg ◽  
Lauren A. Merkle ◽  
Susan R. Barry ◽  
William P. Huebner ◽  
Helen S. Cohen ◽  
...  

The goal of the present study was to determine if adaptive modulation of vestibulo-ocular reflex (VOR) function is associated with commensurate alterations in manual target localization. To measure the effects of adapted VOR on manual responses we developed the Vestibular-Contingent Pointing Test (VCP). In the VCP test, subjects pointed to a remembered target following passive whole body rotation in the dark. In the first experiment, subjects performed VCP before and after wearing 0.5X minifying lenses that adaptively attenuate horizontal VOR gain. Results showed that adaptive reduction in horizontal VOR gain was accompanied by a commensurate change in VCP performance. In the second experiment, bilaterally labyrinthine deficient (LD) subjects were tested to confirm that vestibular cues were central to the spatial coding of both eye and hand movements during VCP. LD subjects performed significantly worse than normal subjects. These results demonstrate that adaptive change in VOR can lead to alterations in manual target localization.


2004 ◽  
Vol 14 (4) ◽  
pp. 353-359
Author(s):  
A. Schmid-Priscoveanu ◽  
A.A. Kori ◽  
D. Straumann

In a recent study we demonstrated that otolith input modifies the torsional angular vestibulo-ocular reflex (torVOR) of healthy human subjects: Compared to turntable oscillations in supine position, oscillations in upright position increased the gain of torVOR by 0.1 and cancelled the phase lead originating from low-frequency semicircular canal signals. We asked whether these otolith-related changes of torVOR are still present in patients after vestibular neuritis (VN). Eight patients were sinusoidally oscillated about their naso-occipital axis in supine (canal-only stimulation) and upright (canal-and-otolith stimulation) position. Three-dimensional eye movements were recorded with dual search coils. The patients showed similar otolith-related gain and phase changes of the torVOR as healthy subjects: the gain increased by about 0.1 (p < 0.05) and the low-frequency phase lead from semicircular canal signals was abolished. These results indicate that otolith function after VN is still sufficient to interact with semicircular canal signals to optimize torsional gaze stabilization when the head is upright.


2002 ◽  
Vol 147 (1) ◽  
pp. 89-97 ◽  
Author(s):  
Georg Schweigart ◽  
Rey-Djin Chien ◽  
Thomas Mergner

2002 ◽  
Vol 11 (6) ◽  
pp. 349-355
Author(s):  
Ognyan I. Kolev

Purpose: To further investigate the direction of (I) nystagmus and (II) self-motion perception induced by two stimuli: (a) caloric vestibular stimulations and (b) a sudden halt during vertical axis rotation. Subjects and methods: Twelve normal humans received caloric stimulation at 44°C, 30°C, and 20°C while in a supine position with the head inclined 30° upwards. In a second test they were rotated around the vertical axis with the head randomly placed in two positions: tilted 30° forward or tilted 60° backward, at a constant velocity of 90°/sec for 2 minutes and then suddenly stopped. After both tests they were asked to describe their sensations of self-motion. Eye movements were recorded with an infrared video-technique. Results: Caloric stimulation evoked only horizontal nystagmus in all subjects and induced a non-uniform complex perception of angular in frontal and transverse planes (the former dominated) and linear movements along the antero-posterior axis (sinking dominated) of the subject's coordinates. The self-motion was felt with the whole body or with a part of the body. Generally the perception evoked by cold (30°C) and warm (44°C) calorics was similar, although there were some differences. The stronger stimulus (20°C) evoked not only quantitative but also qualitative differences in perception. The abrupt halt of rotation induced self-motion perception and nystagmus only in the plane of rotation. The self-motion was felt with the whole body. Conclusion: There was no difference in the nystagmus evoked by caloric stimulation and a sudden halt of vertical axis rotation (in head positions to stimulate the horizontal canals); however, the two stimuli evoked different perceptions of self-motion. Calorics provoked the sensation of self-rotation in the frontal plane and linear motion, which did not correspond to the direction of nystagmus, as well as arcing and a reset phenomenon during angular and linear self-motion, caloric-induced self-motion can be felt predominantly or only with a part of the body, depending on the self-motion intensity. The findings indicate that, unlike the self-motion induced by sudden halt of vertical axis rotation, several mechanisms take part in generating caloric-induced self-motion.


2003 ◽  
Vol 12 (5-6) ◽  
pp. 283-289
Author(s):  
Fred W. Mast ◽  
Nathaniel J. Newby ◽  
Laurence R. Young

The effects of cross-coupled stimuli on the semicircular canals are shown to be influenced by the position of the subject's head with respect to gravity and the axis of rotation, but not by the subject's head position relative to the trunk. Seventeen healthy subjects made head yaw movements out of the horizontal plane while lying on a horizontal platform (MIT short radius centrifuge) rotating at 23 rpm about an earth-vertical axis. The subjects reported the magnitude and duration of the illusory pitch or roll sensations elicited by the cross-coupled rotational stimuli acting on the semicircular canals. The results suggest an influence of head position relative to gravity. The magnitude estimation is higher and the sensation decays more slowly when the head's final position is toward nose-up (gravity in the subject's head x-z-plane) compared to when the head is turned toward the side (gravity in the subject's head y-z-plane). The results are discussed with respect to artificial gravity in space and the possible role of pre-adaptation to cross-coupled angular accelerations on earth.


2019 ◽  
Vol 122 (2) ◽  
pp. 644-658 ◽  
Author(s):  
Michael C. Schubert ◽  
Americo A. Migliaccio

This is a review summarizing the development of vestibulo-ocular reflex (VOR) adaptation behavior with relevance to rehabilitation over the last 10 years and examines VOR adaptation using head-on-body rotations, specifically the influence of training target contrast, position and velocity error signal, active vs. passive head rotations, and sinusoidal vs. head impulse rotations. This review discusses optimization of the single VOR adaptation training session, consolidation between repeated training sessions, and dynamic incremental VOR adaptation. Also considered are the effects of aging and the roles of the efferent vestibular system, cerebellum, and otoliths on angular VOR adaptation. Finally, this review examines VOR adaptation findings in studies using whole body rotations.


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