Cognitive Requirements for Vestibular and Ocular Motor Processing in Healthy Adults and Patients with Unilateral Vestibular Lesions

2005 ◽  
Vol 17 (9) ◽  
pp. 1432-1441 ◽  
Author(s):  
M. E. Talkowski ◽  
M. S. Redfern ◽  
J. R. Jennings ◽  
J. M. Furman

This study investigated the role of cognition in the vestibulo-ocular reflex (VOR) and ocular pursuit using a dual-task paradigm in patients with unilateral peripheral vestibular loss and healthy adults. We hypothesized that cognitive resources are involved in successful processing and integration of vestibular and ocular motor sensory information, and this requirement would be greater in patients with vestibular dys-function. Sixteen well-compensated patients with surgically confirmed absent unilateral peripheral vestibular function and 16 healthy age-and sex-matched controls underwent seven combinations of vestibular-only, visual-only, and visual-vestibular stimuli while performing three different information processing tasks. Visual-vestibular stimuli included a semi-circular canal and an otolith stimulus provided through seated chair rotations; fixation on a laser target and sinusoidal smooth pursuit while still; and fixation on a head-fixed laser target during chair rotations. The information processing tasks were three different auditory reaction time (RT) tasks: (1) simple RT (2) disjunctive RT, and (3) choice RT. Our results showed increases in RTs in both patients and controls under all vestibular-only stimulation conditions and during ocular pursuit. Patients showed greater increases in RTs during vestibular stimulation and the more complex disjunctive and choice RT tasks. No differences between the groups were found during the visual-only or visual-vestibular interaction conditions. These results reveal interference between vestibulo-ocular processing and a concurrent RT task, suggesting that the VOR and the ocular motor system are dependent upon cognitive resources to some extent, and thus, are not fully automatic systems. We speculate that this interference with cognition occurs as a result of the sensory integration required for resolving inputs from multiple sensory streams. The particularly large decrement in information processing task performance of the patients compared with controls during vestibular stimulation suggests that compensation for unilateral vestibular loss requires continued cognitive resources.

2020 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Felix Haxby ◽  
Mohammad Akrami ◽  
Reza Zamani

The vestibular system is located in the inner ear and is responsible for maintaining balance in humans. Bilateral vestibular dysfunction (BVD) is a disorder that adversely affects vestibular function. This results in symptoms such as postural imbalance and vertigo, increasing the incidence of falls and worsening quality of life. Current therapeutic options are often ineffective, with a focus on symptom management. Artificial stimulation of the vestibular system, via a vestibular prosthesis, is a technique being explored to restore vestibular function. This review systematically searched for literature that reported the effect of artificial vestibular stimulation on human behaviours related to balance, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) technique. A total of 21 papers matched the inclusion criteria of the literature search conducted using the PubMed and Web of Science databases (February 2019). The populations for these studies included both healthy adults and patients with BVD. In every paper, artificial vestibular stimulation caused an improvement in certain behaviours related to balance, although the extent of the effect varied greatly. Various behaviours were measured such as the vestibulo-ocular reflex, postural sway and certain gait characteristics. Two classes of prosthesis were evaluated and both showed a significant improvement in at least one aspect of balance-related behaviour in every paper included. No adverse effects were reported for prostheses using noisy galvanic vestibular stimulation, however, prosthetic implantation sometimes caused hearing or vestibular loss. Significant heterogeneity in methodology, study population and disease aetiology were observed. The present study confirms the feasibility of vestibular implants in humans for restoring balance in controlled conditions, but more research needs to be conducted to determine their effects on balance in non-clinical settings.


Author(s):  
Michael E. Talkowski ◽  
Mark S. Redfern ◽  
J. Richard Jennings ◽  
Joseph M. Furman

This study investigated the hypothesis that vestibular processing is facilitated by attention, and that suppression of the vestibule-ocular reflex will lead to dual-task interference in a secondary information processing task. Twelve patients with surgically confirmed absent unilateral vestibular function and twelve healthy age-matched controls participated in this study. All subjects underwent vestibular stimulation through two different types of rotational conditions, one a semicircular canal stimulus and the other an otolith stimulus, two different visual conditions (darkness and fixation of a laser point) and pursuit tracking of a moving laser point. Subjects also performed one of three different secondary information processing tasks (IPT) while undergoing the vestibular condition. The results of this study showed that dual-task interference occurs during vestibular stimulation in both patients and healthy controls, and this interference was more pronounced in patients during more complex IPTs. The results also found no overall difference in performance of a secondary cognitive task when subjects suppressed the vestibule-ocular reflex by fixating during rotation. These results may suggest that cognitive processing is a necessary component for integration of vestibular information, and this requirement may be greater in patients with unilateral vestibular loss.


1976 ◽  
Vol 9 (3) ◽  
pp. 311-375 ◽  
Author(s):  
Werner Reichardt ◽  
Tomaso Poggio

An understanding of sensory information processing in the nervous system will probably require investigations with a variety of ‘model’ systems at different levels of complexity.Our choice of a suitable model system was constrained by two conflicting requirements: on one hand the information processing properties of the system should be rather complex, on the other hand the system should be amenable to a quantitative analysis. In this sense the fly represents a compromise.In these two papers we explore how optical information is processed by the fly's visual system. Our objective is to unravel the logical organization of the fly's visual system and its underlying functional and computational principles. Our approach is at a highly integrative level. There are different levels of analysing and ‘understanding’ complex systems, like a brain or a sophisticated computer.


Author(s):  
Youstina Mikhail ◽  
Jonathan Charron ◽  
Jean-Marc Mac Thiong ◽  
Dorothy Barthélemy

Galvanic vestibular stimulation (GVS) is used to assess vestibular function, but vestibular responses can exhibit variability depending on protocols or intensities used. We measured head acceleration in healthy subjects to identify an objective motor threshold on which to base GVS intensity when assessing postural responses. Thirteen healthy right-handed subjects stood on a force platform, eyes closed, head facing forward. An accelerometer was placed on the vertex to detect head acceleration, and electromyography activity of the right soleus was recorded. GVS (200 ms; current steps 0.5;1-4mA) was applied in a binaural and bipolar configuration. 1) GVS induced a biphasic accelerometer response at a latency of 15 ms. Based on response amplitude, we constructed a recruitment curve for all participants and determined the motor threshold. In parallel, the method of limits was used to devise a more rapid approach to determine motor threshold. 2) We observed significant differences between motor threshold based on therecruitment curve and perceptual thresholds (sensation/perception of movement). No significant difference was observed between the motor threshold based on the method of limits and perceptual thresholds . 3) Using orthogonal polynomial contrasts, we observed a linear progression between multiples of the objective motor threshold (0.5, 0.75, 1, 1.5x motor threshold) and the 95% confidence ellipse area, the first peak of center of pressure velocity, and the short and medium latency responses in the soleus. Hence, an objective motor threshold and a recruitment curve for GVS were determined based on head acceleration, which could increase understanding of the vestibular system.


2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Stefano Pensiero ◽  
Agostino Accardo ◽  
Paola Michieletto ◽  
Paolo Brambilla

It is not sure if persons with dyslexia have ocular motor deficits in addition to their deficits in rapid visual information processing. A 15-year-old boy afflicted by severe dyslexia was submitted to saccadic eye movement recording. Neurological and ophthalmic examinations were normal apart from the presence of an esophoria for near and slightly longer latencies of pattern visual evoked potentials. Subclinical saccadic alterations were present, which could be at the basis of the reading pathology: (1) low velocities (and larger durations) of the adducting saccades of the left eye with undershooting and long-lasting postsaccadic onward drift, typical of the internuclear ophthalmoplegia; (2) saccades interrupted in mid-flight and fixation instability, which are present in cases of brainstem premotor disturbances.


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