Eye movement responses to active, high-frequency pitch and yaw head rotations in subjects with unilateral vestibular loss or posterior semicircular canal occlusion

2003 ◽  
Vol 13 (2-3) ◽  
pp. 131-141 ◽  
Author(s):  
Claire C. Gianna-Poulin ◽  
Valerie Stallings ◽  
F. Owen Black

This study assessed the eye movement responses to active head rotation in six subjects with complete unilateral vestibular loss (UVL), five subjects with posterior canal plugging (PCP) and age- and sex-matched normal subjects. Subjects performed head rotations in the pitch and yaw planes at frequencies ranging from 2 to 6 Hz, while looking at an earth-fixed target. Vertical eye movement gains obtained in UVL, PCP and normal subjects were not significantly different. Vertical phases decreased with increasing head movement frequencies in both UVL and PCP subjects. Although this decrease produced significantly different vertical phases between UVL and normal subjects for head movements above 3.9 Hz, vertical phases in some normal subjects were similar to those obtained in UVL subjects. We conclude that active head oscillations in the pitch plane are not clinically useful for the detection of vertical canal impairment limited to one ear. As expected, UVL subjects showed reduced horizontal gains, and eye velocity asymmetries during active head rotation in the yaw plane. Results in some PCP subjects suggested possible minor impairments of horizontal vestibulo-ocular reflexes.

2021 ◽  
pp. 1-9
Author(s):  
Chiheon Kwon ◽  
Yunseo Ku ◽  
Shinhye Seo ◽  
Eunsook Jang ◽  
Hyoun-Joong Kong ◽  
...  

BACKGROUND: Low success and high recurrence of benign paroxysmal positional vertigo (BPPV) after home-based self-treated Epley and Barbeque (BBQ) roll maneuvers is an important issue. OBJECTIVE: To quantify the cause of low success rate of self-treated Epley and BBQ roll maneuvers and provide a clinically acceptable criterion to guide self-treatment head rotations. METHODS: Twenty-five participants without active BPPV wore a custom head-mount rotation monitoring device for objective measurements. Self-treatment and specialist-assisted maneuvers were compared for head rotation accuracy. Absolute differences between the head rotation evaluation criteria (American Academy of Otolaryngology guidelines) and measured rotation angles were considered as errors. Self-treatment and specialist-treated errors in maneuvers were compared. Between-trial variations and age effects were evaluated. RESULTS: A significantly large error and between-trial variation occurred in step 4 of the self-treated Epley maneuver, with a considerable error in the second trial. The cumulative error of all steps of self-treated BBQ roll maneuver was significantly large. Age effect occurred only in the self-treated BBQ roll maneuver. Errors in specialist-treated maneuvers ranged from 10 to 20 degrees. CONCLUSIONS: Real-time feedback of head movements during simultaneous head-body rotations could increase success rates of self-treatments. Specialist-treated maneuvers can be used as permissible rotation margin criteria.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Takumi Mieda ◽  
Masahiro Kokubu

AbstractIn blind football, players predict the sound location of a ball to underpin the success of ball trapping. It is currently unknown whether blind footballers use head movements as a strategy for trapping a moving ball. This study investigated characteristics of head rotations in blind footballers during ball trapping compared to sighted nonathletes. Participants performed trapping an approaching ball using their right foot. Head and trunk rotation angles in the sagittal plane, and head rotation angles in the horizontal plane were measured during ball trapping. The blind footballers showed a larger downward head rotation angle, as well as higher performance at the time of ball trapping than did the sighted nonathletes. However, no significant differences between the groups were found with regards to the horizontal head rotation angle and the downward trunk rotation angle. The blind footballers consistently showed a larger relative angle of downward head rotation from an early time point after ball launching to the moment of ball trapping. These results suggest that blind footballers couple downward head rotation with the movement of an approaching ball, to ensure that the ball is kept in a consistent egocentric direction relative to the head throughout ball trapping.


2000 ◽  
Vol 84 (6) ◽  
pp. 2904-2917 ◽  
Author(s):  
W. P. Medendorp ◽  
J.A.M. Van Gisbergen ◽  
S. Van Pelt ◽  
C.C.A.M. Gielen

The vestibuloocular reflex (VOR) needs to modulate its gain depending on target distance to prevent retinal slip during head movements. We investigated gain modulation (context compensation) for binocular gaze stabilization in human subjects during voluntary yaw and pitch head rotations. Movements of each eye were recorded, both when attempting to maintain gaze on a small visual target at straight-ahead in a darkened room and after its disappearance (remembered target). In the analysis, we relied on a binocular coordinate system yielding a version and a vergence component. We examined how frequency and target distance, approached here by using vergence angle, affected the gain and phase of the version component of the VOR and compared the results to the requirements for ideal performance. Linear regression analysis on the version gain-vergence relationship yielded a slope representing the influence of target proximity and an intercept corresponding to the response at zero vergence (“default gain”). The slope of the fitted relationship, divided by the geometrically required slope, provided a measure for the quality of version context compensation (“context gain”). In both yaw and pitch experiments, we found default version gains close to one even for the remembered target condition, indicating that the active VOR for far targets is already close to ideal without visual support. In near target experiments, the presence of visual feedback yielded near unity context gains, indicating close to optimal performance (retinal slip <0.4°/s). For remembered targets, the context gain deteriorated but was still superior to performance in corresponding passive studies reported in the literature. In general, context compensation in the remembered target paradigm was better for vertical than for horizontal head rotations. The phase delay of version eye velocity relative to head velocity was small (∼2°) for both horizontal and vertical head movements. Analysis of the vergence data from the near target experiments showed that context compensation took into account that the two eyes require slightly different VORs. In thediscussion, comparison of the present default VOR gains and context gains with data from earlier passive studies has led us to propose a limited role for efference copies during self-generated movements. We also discuss how our analysis can provide a framework for evaluating two different hypotheses for the generation of binocular VOR eye movements.


1984 ◽  
Vol 52 (6) ◽  
pp. 1140-1153 ◽  
Author(s):  
S. G. Lisberger ◽  
F. A. Miles ◽  
D. S. Zee

Adaptive changes were induced in the vestibuloocular reflex (VOR) of monkeys by oscillating them while they viewed the visual scene through optical devices (“spectacles”) that required changes in the amplitude of eye movement during head turns. The “gain” of the VOR (eye velocity divided by head velocity) during sinusoidal oscillation in darkness underwent gradual changes that were appropriate to reduce the motion of images on the retina during the adapting procedures. Bilateral ablation of the flocculus and ventral paraflocculus caused a complete and enduring loss of the ability to undergo adaptive changes in the VOR. Partial lesions caused a substantial but incomplete loss of the adaptive capability. We conclude that the flocculus is necessary for adaptive changes in the monkey's VOR. Further experiments in normal animals determined the types of stimuli that were necessary and/or sufficient to cause changes in VOR gain. Full-field visual stimulation was not necessary to induce adaptive changes in the VOR. Monkeys tracked a small spot in conditions that elicited the same combination of eye and head movements seen during passive oscillation with spectacles. The gain of the VOR showed changes 50-70% as large as those produced by the same duration of oscillation with spectacles. Since the effective tracking conditions cause a consistent correlation of floccular output with vestibular inputs, these data are compatible with our previous suggestion that the flocculus may provide signals used by the central nervous system to compute errors in the gain of the VOR. Prolonged sinusoidal optokinetic stimulation with the head stationary caused only a slight increase in VOR gain. Left-right reversal of vision and eye movement during sinusoidal vestibular oscillation caused decreases in VOR gain. In rabbits, both of these stimulus conditions produced large increases in the gain of the VOR, which implied that eye velocity signals were used instead of vestibular inputs to compute errors in the VOR. Our different results argue that vestibular signals are necessary for computing errors in VOR gain in the monkey. The species difference may reflect the additional role that smooth pursuit eye movements play in stabilizing gaze during head turns in monkeys.


2003 ◽  
Vol 13 (2-3) ◽  
pp. 79-91
Author(s):  
Stefano Ramat ◽  
Roberto Schmid ◽  
Daniela Zambarbieri

Passive head rotation in darkness produces vestibular nystagmus, consisting of slow and quick phases. The vestibulo-ocular reflex produces the slow phases, in the compensatory direction, while the fast phases, in the same direction as head rotation, are of saccadic origin. We have investigated how the saccadic components of the ocular motor responses evoked by active head rotation in darkness are generated, assuming the only available sensory information is that provided by the vestibular system. We recorded the eye and head movements of nine normal subjects during active head rotation in darkness. Subjects were instructed to rotate their heads in a sinusoidal-like manner and to focus their attention on producing a smooth head rotation. We found that the desired eye position signal provided to the saccadic mechanism by the vestibular system may be modeled as a linear combination of head velocity and head displacement information. Here we present a mathematical model for the generation of both the slow and quick phases of vestibular nystagmus based on our findings. Simulations of this model accurately fit experimental data recorded from subjects.


1999 ◽  
Vol 9 (6) ◽  
pp. 401-412
Author(s):  
Y.P. Ivanenko ◽  
I. Viaud-Delmon ◽  
A. Sémont ◽  
V.S. Gurfinkel ◽  
A. Berthoz

The aim of this study was to examine whether the chronic loss of vestibular function modifies perceptual and oculomotor responses during torso rotations in darkness. Subjects (4 patients with complete vestibular loss and 7 healthy volunteers) were seated on a rotating chair. Stimuli consisted of sinusoidal chair rotations ( ± 30 ∘ , 0.1 Hz and 0.011 Hz). We used 2 conditions: space stationary head (neck stimulation) and space stationary head and shoulders (torso stimulation). Horizontal eye deviations and slow component of eye movements were analysed. The results showed that eye movements and perception of head motion in space during neck stimulation were similar to those during torso stimulation both in normal and labyrinthine-defective (LD) subjects. During low-frequency chair rotations (0.011 Hz) all subjects perceived illusory head or head and shoulder rotation in space (as if the lower part of the body was stationary relative to the room) and shifted their gaze in the direction of illusory head rotation. In these conditions there was no significant difference in eye movements between normal and LD subjects. During higher frequency chair rotations (0.1 Hz), LD subjects had significantly larger eye deviations as well as increases in the gain of the slow component of eye movements relative to normals. In these conditions patients mostly perceived illusory head or head and shoulder rotation in space while normal subjects mainly perceived the head as stationary in space. The results indicate that 1) neck and torso rotations can evoke similar ocular responses in LD subjects, 2) the chronic loss of vestibular function modifies the representation of axial body segment motion relative to space.


2005 ◽  
Vol 94 (5) ◽  
pp. 3417-3429 ◽  
Author(s):  
Mark F. Walker ◽  
David S. Zee

L. W. Schultheis and D. A. Robinson showed that the axis of the rotational vestibuloocular reflex (RVOR) cannot be altered by visual-vestibular mismatch (“cross-axis adaptation”) when the vestibulocerebellum is lesioned. This suggests that the cerebellum may calibrate the axis of eye velocity of the RVOR under natural conditions. Thus we asked whether patients with cerebellar disease have alterations in the RVOR axis and, if so, what might be the mechanism. We used three-axis scleral coils to record head and eye movements during yaw, pitch, and roll head impulses in 18 patients with cerebellar disease and in a comparison group of eight subjects without neurologic disease. We found distinct shifts of the eye-velocity axis in patients. The characteristic finding was a disconjugate upward eye velocity during yaw. Measured at 70 ms after the onset of head rotation, the median upward gaze velocity was 15% of yaw head velocity for patients and <1% for normal subjects ( P < 0.001). Upward eye velocity was greater in the contralateral (abducting) eye during yaw and in the ipsilateral eye during roll. Patients had a higher gain (eye speed/head speed) for downward than for upward pitch (median ratio of downward to upward gain: 1.3). In patients, upward gaze velocities during both yaw and roll correlated with the difference in anterior (AC) and posterior canal excitations, scaled by the respective pitch gains. Our findings support the hypothesis that upward eye velocity during yaw results from AC excitation, which must normally be suppressed by the intact cerebellum.


1999 ◽  
Vol 82 (1) ◽  
pp. 416-428 ◽  
Author(s):  
Robert A. McCrea ◽  
Greg T. Gdowski ◽  
Richard Boyle ◽  
Timothy Belton

The firing behavior of 51 non-eye movement related central vestibular neurons that were sensitive to passive head rotation in the plane of the horizontal semicircular canal was studied in three squirrel monkeys whose heads were free to move in the horizontal plane. Unit sensitivity to active head movements during spontaneous gaze saccades was compared with sensitivity to passive head rotation. Most units (29/35 tested) were activated at monosynaptic latencies following electrical stimulation of the ipsilateral vestibular nerve. Nine were vestibulo-spinal units that were antidromically activated following electrical stimulation of the ventromedial funiculi of the spinal cord at C1. All of the units were less sensitive to active head movements than to passive whole body rotation. In the majority of cells (37/51, 73%), including all nine identified vestibulo-spinal units, the vestibular signals related to active head movements were canceled. The remaining units ( n = 14, 27%) were sensitive to active head movements, but their responses were attenuated by 20–75%. Most units were nearly as sensitive to passive head-on-trunk rotation as they were to whole body rotation; this suggests that vestibular signals related to active head movements were cancelled primarily by subtraction of a head movement efference copy signal. The sensitivity of most units to passive whole body rotation was unchanged during gaze saccades. A fundamental feature of sensory processing is the ability to distinguish between self-generated and externally induced sensory events. Our observations suggest that the distinction is made at an early stage of processing in the vestibular system.


1991 ◽  
Vol 1 (3) ◽  
pp. 263-277 ◽  
Author(s):  
J.L. Demer ◽  
J. Goldberg ◽  
F.I. Porter ◽  
H.A. Jenkins ◽  
K. Schmidt

Vestibularly and visually driven eye movements interact to compensate for head movements to maintain the necessary retinal image stability for clear vision. The wearing of highly magnifying telescopic spectacles requires that such compensatory visual-vestibular interaction operate in a quantitative regime much more demanding than that normally encountered. We employed electro-oculography to investigate the effect of wearing of 2×, 4×, and 6× binocular telescopic spectacles on visual-vestibular interactions during sinusoidal head rotation in 43 normal subjects. All telescopic spectacle powers produced a large, immediate increase in the gain (eye velocity/head velocity) of compensatory eye movements, called the visual-vestibulo-ocular reflex (VVOR). However, the amount of VVOR gain augmentation became limited as spectacle magnification and the amplitude of head velocity increased. Optokinetic responses during wearing of telescopic spectacles exhibited a similar nonlinearity with respect to stimulus amplitude and spectacle magnification. Computer simulation was used to demonstrate that the nonlinear response of the VVOR with telescopic spectacles is a result of nonlinearities in visually guided tracking movements. Immediate augmentation of VVOR gain by telescopic spectacles declined significantly with increasing age in the subject pool studied. Presentation of unmagnified visual field peripheral to the telescopic spectacles reduced the immediate VVOR gain-enhancing effect of central magnified vision. These results imply that the VVOR may not be adequate to maintain retinal image stability during head movements when strongly magnifying telescopic spectacles are worn.


1991 ◽  
Vol 1 (2) ◽  
pp. 187-197
Author(s):  
G.M. Halmagyi ◽  
I.S. Curthoys ◽  
P.D. Cremer ◽  
C.J. Henderson ◽  
M. Staples

To determine the relative contributions of ampullofugal (AF) and ampullopetal (AP) stimulation of the horizontal semicircular canal (HSCC) to the horizontal vestibulo-ocular reflex (HVOR), 12 patients were studied 1 year after total unilateral vestibular deafferentation (UVD). Compensatory eye movement responses to impulses of horizontal head rotation were studied using magnetic search coils. The head impulses were rapid (up to 3000 deg/sec/sec) passive, unpredictable, step displacements of horizontal angular head position with respect to the trunk. Tbe results from these 12 patients were compared with results from 30 normal subjects. An HVOR deficit was found to each side. The HVOR in response to head impulses toward the deafferented side, a response generated exclusively by ampullofugal stimulation of the single functioning HSCC, was severely deficient with an average gain of 0.25; the HVOR in response to head impulses toward the intact side, a response generated exclusively by ampullopetal stimulation of the single functioning HSCC, was mildly but significantly deficient compared with normal subjects. These results show that rapid, unpredictable head movements, unlike slow, predictable head movements, do demonstrate the AP-AF HVOR asymmetry, which could be expected from consideration of the behavior of single vestibular afferent neurons, an asymmetry that is expressed by Ewald’s 2nd Law.


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