Somatosensory Loss Increases Vestibulospinal Sensitivity

2001 ◽  
Vol 86 (2) ◽  
pp. 575-585 ◽  
Author(s):  
F. B. Horak ◽  
F. Hlavacka
Keyword(s):  
Peripheral Neuropathy ◽  
Vestibular System ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Body Tilt ◽  
Whole Body ◽  
Galvanic Current ◽  
Galvanic Stimulation ◽  
Control Subjects ◽  
Postural Orientation

To determine whether subjects with somatosensory loss show a compensatory increase in sensitivity to vestibular stimulation, we compared the amplitude of postural lean in response to four different intensities of bipolar galvanic stimulation in subjects with diabetic peripheral neuropathy (PNP) and age-matched control subjects. To determine whether healthy and neuropathic subjects show similar increases in sensitivity to galvanic vestibular stimulation when standing on unstable surfaces, both groups were exposed to galvanic stimulation while standing on a compliant foam surface. In these experiments, a 3-s pulse of galvanic current was administered to subjects standing with eyes closed and their heads turned toward one shoulder (anodal current on the forward mastoid). Anterior body tilt, as measured by center of foot pressure (CoP), increased proportionately with increasing galvanic vestibular stimulation intensity for all subjects. Subjects with peripheral neuropathy showed larger forward CoP displacement in response to galvanic stimulation than control subjects. The largest differences between neuropathy and control subjects were at the highest galvanic intensities, indicating an increased sensitivity to vestibular stimulation. Neuropathy subjects showed a larger increase in sensitivity to vestibular stimulation when standing on compliant foam than control subjects. The effect of galvanic stimulation was larger on the movement of the trunk segment in space than on the body's center of mass (CoM) angle, suggesting that the vestibular system acts to control trunk orientation rather than to control whole body posture. This study provides evidence for an increase in the sensitivity of the postural control system to vestibular stimulation when somatosensory information from the surface is disrupted either by peripheral neuropathy or by standing on an unstable surface. Simulations from a simple model of postural orientation incorporating feedback from the vestibular and somatosensory systems suggest that the increase in body lean in response to galvanic current in subjects with neuropathy could be reproduced only if central vestibular gain was increased when peripheral somatosensory gain was decreased. The larger effects of galvanic vestibular stimulation on the trunk than on the body's CoM suggest that the vestibular system may act to control postural orientation via control of the trunk in space.

Effect of galvanic vestibular stimulation on human postural responses during support surface translations

1995 ◽  
Vol 73 (2) ◽  
pp. 896-901 ◽  
Author(s):  
J. T. Inglis ◽  
C. L. Shupert ◽  
F. Hlavacka ◽  
F. B. Horak
Keyword(s):  
Vestibular System ◽  
Equilibrium Position ◽  
Critical Role ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Support Surface ◽  
Quiet Stance ◽  
Galvanic Current ◽  
Postural Responses ◽  
Platform Translation

1. We investigated the role of the vestibular system in postural control by combining galvanic vestibular stimulation (0.2-0.5 mA) with platform translations in standing subjects. Vestibular stimulation delivered 500 ms before and continuously during the platform translation produced little change in the earliest center of pressure (COP) and center of mass (COM) movements in response to platform translations, but resulted in large changes during the execution of the postural movement and in the final equilibrium position. 2. Vestibular stimulation produced anterior or posterior shifts in the position of COP and COM, depending on the polarity of the galvanic current. These shifts were larger during platform translations than during quiet stance. The peak of these shifts in COP and COM occurred at 1.5-2.5 s after the onset of platform translation, and increased in magnitude with increasing platform velocity. The final equilibrium positions of COP and COM were also shifted, but these shifts were smaller and not dependent on platform velocity. 3. These results imply that a tonic step of galvanic current to the vestibular system can change the final equilibrium position for an automatic postural response. Furthermore, these results indicate that the vestibular system may play a larger role in interpreting sensory reafference during postural movements, and especially during fast postural movements, than in controlling quiet stance. Finally, these results indicate that the vestibular system does not play a critical role in triggering the earliest postural responses, but it may be critical in establishing an internal reference for verticality.

scholarly journals No Impact of Stochastic Galvanic Vestibular Stimulation on Arterial Pressure and Heart Rate Variability in the Elderly Population

2021 ◽  
Vol 15 ◽  
Author(s):  
Akiyoshi Matsugi ◽  
Koji Nagino ◽  
Tomoyuki Shiozaki ◽  
Yohei Okada ◽  
Nobuhiko Mori ◽  
...  
Keyword(s):  
Heart Rate ◽  
Arterial Pressure ◽  
Elderly Population ◽  
Nervous Activity ◽  
The Elderly ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Body Tilt ◽  
Whole Body ◽  
Healthy Elderly

ObjectiveNoisy galvanic vestibular stimulation (nGVS) is often used to improve postural stability in disorders, such as neurorehabilitation montage. For the safe use of nGVS, we investigated whether arterial pressure (AP) and heart rate vary during static supine and slow whole-body tilt with random nGVS (0.4 mA, 0.1–640 Hz, gaussian distribution) in a healthy elderly population.MethodsThis study was conducted with a double-blind, sham-controlled, cross-over design. Seventeen healthy older adults were recruited. They were asked to maintain a static supine position on a bed for 10 min, and the bed was tilted up (TU) to 70 degrees within 30 s. After maintaining this position for 3 min, the bed was passively tilted down (TD) within 30 s. Real-nGVS or sham-nGVS was applied from 4 to 15 min. The time course of mean arterial pressure (MAP) and RR interval variability (RRIV) were analyzed to estimate the autonomic nervous activity.ResultnGVS and/or time, including pre-/post-event (nGVS-start, TU, and TD), had no impact on MAP and RRIV-related parameters. Further, there was no evidence supporting the argument that nGVS induces pain, vertigo/dizziness, and uncomfortable feeling.ConclusionnGVS may not affect the AP and RRIV during static position and whole-body tilting or cause pain, vertigo/dizziness, and discomfort in the elderly.

The effects of stochastic monopolar galvanic vestibular stimulation on human postural sway

2003 ◽  
Vol 12 (2-3) ◽  
pp. 77-85
Author(s):  
Anthony P. Scinicariello ◽  
J. Timothy Inglis ◽  
J.J. Collins
Keyword(s):  
Vestibular System ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Lower Sensitivity ◽  
Input Stimulus ◽  
Vestibular Perception ◽  
Afferent Nerve Endings ◽  
Young Subjects

Galvanic vestibular stimulation (GVS) is a technique in which small currents are delivered transcutaneously to the afferent nerve endings of the vestibular system through electrodes placed over the mastoid bones. The applied current alters the firing rates of the peripheral vestibular afferents, causing a shift in a standing subject's vestibular perception and a corresponding postural sway. Previously, we showed that in subjects who are facing forward, stochastic bipolar binaural GVS leads to coherent stochastic mediolateral postural sway. The goal of this pilot study was to extend that work and to test the hypothesis that in subjects who are facing forward, stochastic monopolar binaural GVS leads to coherent stochastic anteroposterior postural sway. Stochastic monopolar binaural GVS was applied to ten healthy young subjects. Twenty-four trials, each containing a different galvanic input stimulus from among eight different frequency ranges, were conducted on each subject. Postural sway was evaluated through analysis of the center-of-pressure (COP) displacements under each subject's feet. Spectral analysis was performed on the galvanic stimuli and the COP displacement time series to calculate the coherence spectra. Significant coherence was found between the galvanic input signal and the anteroposterior COP displacement in some of the trials (i.e., at least one) in nine of the ten subjects. In general, the coherence values were highest for the mid-range frequencies that were tested, and lowest for the low- and high-range frequencies. However, the coherence values we obtained were lower than those we previously reported for stochastic bipolar binaural GVS and mediolateral sway. These differences may be due to fundamental characteristics of the vestibular system such as lower sensitivity to symmetric changes in afferent firing dynamics, and/or differences between the biomechanics of anteroposterior and mediolateral sway.

Galvanic vestibular stimulation counteracts hypergravity-induced plastic alteration of vestibulo-cardiovascular reflex in rats

2009 ◽  
Vol 107 (4) ◽  
pp. 1089-1094 ◽  
Author(s):  
Chikara Abe ◽  
Kunihiko Tanaka ◽  
Chihiro Awazu ◽  
Hironobu Morita
Keyword(s):  
Vestibular System ◽  
Vestibular Nucleus ◽  
Pressor Response ◽  
Linear Acceleration ◽  
Vestibular Stimulation ◽  
Vertical Movement ◽  
Galvanic Vestibular Stimulation ◽  
Medial Vestibular Nucleus ◽  
Vertical Movements ◽  
Cardiovascular Reflex

Recent data from our laboratory demonstrated that, when rats are raised in a hypergravity environment, the sensitivity of the vestibulo-cardiovascular reflex decreases. In a hypergravity environment, static input to the vestibular system is increased; however, because of decreased daily activity, phasic input to the vestibular system may decrease. This decrease may induce use-dependent plasticity of the vestibulo-cardiovascular reflex. Accordingly, we hypothesized that galvanic vestibular stimulation (GVS) may compensate the decrease in phasic input to the vestibular system, thereby preserving the vestibulo-cardiovascular reflex. To examine this hypothesis, we measured horizontal and vertical movements of rats under 1-G or 3-G environments as an index of the phasic input to the vestibular system. We then raised rats in a 3-G environment with or without GVS for 6 days and measured the pressor response to linear acceleration to examine the sensitivity of the vestibulo-cardiovascular reflex. The horizontal and vertical movement of 3-G rats was significantly less than that of 1-G rats. The pressor response to forward acceleration was also significantly lower in 3-G rats (23 ± 1 mmHg in 1-G rats vs. 12 ± 1 mmHg in 3-G rats). The pressor response was preserved in 3-G rats with GVS (20 ± 1 mmHg). GVS stimulated Fos expression in the medial vestibular nucleus. These results suggest that GVS stimulated vestibular primary neurons and prevent hypergravity-induced decrease in sensitivity of the vestibulo-cardiovascular reflex.

Responses of neurons of the cat central cervical nucleus to natural neck and vestibular stimulation

1996 ◽  
Vol 76 (4) ◽  
pp. 2786-2789 ◽  
Author(s):  
D. B. Thomson ◽  
N. Isu ◽  
V. J. Wilson
Keyword(s):  
Vestibular Nuclei ◽  
Vestibular Stimulation ◽  
Body Tilt ◽  
Whole Body ◽  
Vestibular Input ◽  
Preferred Direction ◽  
Central Cervical Nucleus ◽  
Neck Rotation ◽  
Vector Orientation ◽  
To Receive

1. The central cervical nucleus (CCN) is known to receive neck and vestibular input and to project to the contralateral cerebellum and vestibular nuclei. To investigate the processing of neck and vestibular input by cells in the CCN, we studied their responses to sinusoidal neck rotation and to whole-body tilt in vertical planes in decerebrate, paralyzed cats. CCN neurons were identified by antidromic stimulation with electrodes placed in or near the contralateral restiform body. 2. For every neuron, we first identified the preferred direction of neck rotation (response vector orientation), then studied the neuron's dynamics with rotations in a plane close to this direction at 0.05-1 Hz. 3. Responses of CCN neurons to neck rotation resembled those of previously studied neck spindle primary afferents in terms of their dynamics and nonlinear responses to stimuli of differing amplitudes. They also resembled the neck responses of Deiters' neurons studied in similar preparations. 4. The activity of two-thirds of CCN neurons also was modulated by natural vestibular stimulation. Orientation and dynamics of vestibular responses were characterized in the same way as neck responses. Labyrinthine input originated predominantly from the contralateral vertical canals, and there was no evidence of otolith input. Neck and vestibular inputs were always antagonistic, but the gain of the vestibular response was lower than that of the neck response at all frequencies studied. 5. The quantitative aspects of the interaction between neck and vestibular inputs can be expected to vary with the type of preparation and with stimulus parameters, and its functional significance remains to be investigated.

scholarly journals Velocity of body lean evoked by leg muscle vibration potentiate the effects of vestibular stimulation on posture

2007 ◽  
pp. 829-832
Author(s):  
O Dzurková ◽  
F Hlavačka
Keyword(s):  
Body Movement ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
The Body ◽  
Muscle Vibration ◽  
Quiet Stance ◽  
Foot Pressure ◽  
Galvanic Stimulation ◽  
Eyes Closed ◽  
Leg Muscle

To investigate the vestibular and somatosensory interaction in human postural control, a galvanic vestibular stimulation of cosine bell shape resulting in a small forward or backward body lean was paired with three vibrations of both soleus muscles. The induced body lean was registered by the position of the center of foot pressure (CoP). During a quiet stance with eyes closed the vibration of both soleus muscles with frequency (of) 40 Hz, 60 Hz and 80 Hz resulted in the body lean backward with velocities related to the vibration frequencies. The vestibular galvanic stimulation with the head turned to the right caused forward or backward modification of CoP backward response to the soleus muscles vibration and peaked at 1.5-2 s following the onset of the vibration. The effect of the paired stimulation was larger than the summation of the vestibular stimulation during the quiet stance and a leg muscle vibration alone. The enhancement of the galvanic stimulation was related to the velocity of body lean induced by the leg muscle vibration. The galvanic vestibular stimulation during a faster body movement had larger effects than during a slow body lean or the quiet stance. The results suggest that velocity of a body postural movement or incoming proprioceptive signal from postural muscles potentiate the effects of simultaneous vestibular stimulations on posture.

scholarly journals Effects of Galvanic Vestibular Stimulation on Visual Verticality and Standing Posture Differ Based on the Polarity of the Stimulation and Hemispheric Lesion Side in Patients With Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Takamichi Tohyama ◽  
Kunitsugu Kondo ◽  
Yohei Otaka
Keyword(s):  
Vestibular System ◽  
Right Hemisphere ◽  
Balance Control ◽  
Weight Bearing ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Standing Posture ◽  
Postural Asymmetry ◽  
Hemisphere Lesion ◽  
Lesion Side

Introduction: There is growing evidence supporting the relationship of vertical misperception and poor balance control with asymmetrical standing posture in patients with stroke. Although the vestibular system has been shown to be responsible for vertical misperception and balance disorders, the effect of galvanic vestibular stimulation (GVS) on both vertical misperception and postural asymmetry after stroke remains elusive. The aim of this study was to investigate the effects of GVS on visual verticality and postural asymmetry after stroke and to clarify whether the effects differ depending on the polarity of the stimulation and hemispheric lesion side.Methods: We measured the subjective visual vertical (SVV) and body weight distribution on each foot in an upright stance in 24 patients with a hemispheric stroke (10 with a left hemisphere lesion and 14 with a right hemisphere lesion) and nine age-matched healthy controls. During the measurements, bipolar GVS (1.5 mA) was applied over the bilateral mastoid processes in three stimulation conditions: contralesional-anodal and ipsilesional-cathodal vestibular stimulation, ipsilesional-anodal and contralesional-cathodal vestibular stimulation, and no stimulation. To examine whether GVS modulates visual verticality and standing posture, SVV and weight-bearing in the three conditions were analyzed.Results: During no stimulation, the SVV deviated to the contralesional side in patients with a right hemisphere lesion, while more weight-bearing was observed on the ipsilesional limb than on the contralesional limb in both patient groups than in the controls. The SVV was modulated by reversing the polarity of GVS in all the groups when the cathodal stimulus side was either ipsilateral or contralateral to the lesion while the ipsilesional-cathodal vestibular stimulation reduced weight-bearing asymmetry in only the patients with a right hemisphere lesion.Conclusions: These findings demonstrate that the effects of GVS on the SVV and standing posture differ depending on the polarity of GVS and the hemispheric lesion side. Patients with a right hemisphere lesion have difficulty maintaining their preferred standing posture under visual verticality modulation evoked by GVS. The application of GVS may clarify whether the vestibular system has neural redundancy after stroke to suppress any effects of the stimulation, including modulation of the visual verticality, on balance.

Body position with respect to the head or body position in space is coded by lumbar interneurons

1985 ◽  
Vol 54 (1) ◽  
pp. 123-133 ◽  
Author(s):  
I. Suzuki ◽  
S. J. Timerick ◽  
V. J. Wilson
Keyword(s):  
Body Position ◽  
Polarization Vector ◽  
Head Rotation ◽  
Vestibular Stimulation ◽  
Body Tilt ◽  
Whole Body ◽  
Vestibular Response ◽  
Maximal Sensitivity ◽  
Frequency Of Stimulation ◽  
Decerebrate Cats

In decerebrate cats, we have studied the response of neurons in the L3-L6 segments of the spinal cord to stimulation of neck and vestibular receptors. Neck receptors were stimulated by head rotation in labyrinthectomized cats or by body rotation with the head fixed in labyrinth-intact cats. Vestibular receptors were stimulated by whole-body tilt in the latter preparation. Most neurons were located outside the motoneuron nuclei and were arbitrarily classified as interneurons. Combinations of roll and pitch stimuli at frequencies of 0.1 or 0.05 Hz were used to determine the horizontal component of the polarization vector, i.e., the best direction of tilt, for each neuron. Two types of stimuli were used; rotation of a fixed angle of tilt around the head or body ("wobble," Ref. 22) or sinusoidal stimuli in several planes. Polarization vectors of the responses to neck stimulation were widely distributed; different neurons responded best to roll, pitch, and angles in between. For every neuron, the amplitude of the response decreased as the cosine of the angle between the direction of maximal sensitivity and the plane of the stimulus. The direction of the vector remained stable as the frequency of stimulation was varied. Neurons with different vectors had similar dynamics that resembled those of cervical interneurons (27). Many neurons responded to both neck and vestibular stimulation, although the vestibular response usually had a much lower gain. Neck and vestibular vectors were approximately opposite in direction. We suggest that neck responses originate in receptors, probably spindles, in perivertebral muscles. Each of these muscles presumably is best stretched by a particular direction of pull. It seems likely that convergence from receptors in selected muscles determines the direction of a spinal neuron's vector. Vestibular responses probably are due mainly to activity in otolith afferents.

Sign in / Sign up

Export Citation Format

Share Document