bluuebunny/crossref_metadata_2025 huggingface dataset:
Adaptations in horizontal head stabilization in response to altered vision and gaze during natural walking
Authors: Cromwell Ronita L. , Pidcoe Peter E. , Griffin Lori A. , Sotillo Tanya , Ganninger Daniel , Feagin Montgomery
Published: September 2021

The purpose of this study was to determine adaptations in head stability resulting from altered gaze control and vision during over-ground walking. Using over-ground walking permitted adaptations in walking velocity and cadence that are otherwise not possible during treadmill walking or walking-in-place. Gaze control and vision were manipulated by having 20 young adult subjects 1) walk naturally, 2) view a distant, earth-fixed target to enhance the vestibulo-ocular reflex (VOR), 3) view a head-fixed target to suppress the VOR, and 4) walk in darkness. Horizontal head and trunk angular velocities in space, walking velocity and cadence were measured. Root-mean-square head and trunk angular velocities were calculated and frequency analyses determined head-trunk movement patterns. Results demonstrated that when given the opportunity, subjects slowed down and decreased cadence in response to challenging tasks. Despite strongly reduced walking velocity and cadence, walking in darkness proved most challenging for head stabilization, indicating the importance of vision during this process. Viewing the earth-fixed target demonstrated the greatest head stability thereby, facilitating gaze stabilization. However, comparisons between the earth-fixed and head-fixed target conditions suggest a reciprocal relationship where gaze stability also facilitates head stability. This contribution of gaze stability to head stability is more important than vision alone as the head stabilization response was diminished during the VOR suppressed condition.
How to use body tilt for the simulation of linear self motion
Authors: Groen E.L. , Bles W.
Published: September 2021

We examined to what extent body tilt may augment the perception of visually simulated linear self acceleration. Fourteen subjects judged visual motion profiles of fore-aft motion at four different frequencies between 0.04âĂŞ0.33 Hz, and at three different acceleration amplitudes (0.44, 0.88 and [Formula: see text]). Simultaneously, subjects were tilted backward and forward about their pitch axis. The amplitude of pitch tilt was systematically varied. Using a two-alternative-forced-choice paradigm, psychometric curves were calculated in order to determine: 1) the minimum tilt amplitude required to generate a linear self-motion percept in more than 50% of the cases, and 2) the maximum tilt amplitude at which rotation remains sub-threshold in more than 50% of the cases. The results showed that the simulation of linear self motion became more realistic with the application of whole body tilt, as long as the tilt rate remained under the detection threshold of about 3 deg/s. This value is in close agreement with the empirical rate limit commonly used in flight simulation. The minimum required motion cue was inversely proportional to stimulus frequency, and increased with the amplitude of the visual displacement (rather than acceleration). As a consequence, the range of useful tilt stimuli became more critical with increasing stimulus frequency. We conclude that this psychophysical approach reveals valid parameters for motion driving algorithms used in motion base simulators.
Tai Chi and vestibular rehabilitation effects on gaze and whole-body stability
Authors: McGibbon Chris A. , Krebs David E. , Wolf Steven L. , Wayne Peter M. , Scarborough Donna Moxley , Parker Stephen W.
Published: September 2021

Tai Chi (TC) is a comparatively new intervention for peripheral vestibular hypofunction, which is often treated with vestibular rehabilitation (VR). We compared gaze stability (GZS), whole-body stability (WBS) and footfall stability (FFS) during locomotion among 26 people with vestibulopathy (VSP), randomized into two treatment arms (13 TC and 13 VR). Each intervention program was offered for 10 weeks. GZS improved more for VR than for TC, but WBS (and FFS) improved more for TC than for VR. There was a significant relationship between changes in GZS and WBS for the VR subjects (r = 0.60, p = 0.01), but not for TC subjects. There was a significant relationship between changes in WBS and FFS for both VR (r = 0.65, p < 0.01) and TC (r = 0.58, p = 0.02) groups; the relationship disappeared in the VR but not the TC group when controlling for GZS. These findings suggest that VR and TC both benefit patients with VSP but via differing mechanisms. Moreover, these data are the first to test the assumption that improving gaze control among patients with VSP perforce improves postural stability: it does not. We conclude that GZS is most improved in those who receive VR, but that TC improves WBS and FFS without improving GZS, suggesting patients with VSP can rely on non-gaze related mechanisms to improve postural control.
G-protein Golfalpha (GNAL) is expressed in the vestibular end organs and primary afferent neurons of Rattus norvegicus
Authors: Wackym P. Ashley , Cioffi Joseph A. , Erbe Christy B. , Popper Paul
Published: September 2021

Guanine nucleotide binding proteins (G-proteins) play an important role in mediating signals transduced across the cell membrane by membrane-bound receptors. The precise role of these proteins and their coupled receptors in the physiology of the vestibular neuroepithelium is poorly understood. Although Golfalpha was originally discovered in the olfactory neuroepithelium and striatum, we recently identified this G-protein alpha subunit in a normalized cDNA library constructed from rat vestibular end organs and vestibular nerves including Scarpa's ganglia. In order to further characterize Golfalpha in the rat vestibular periphery, we used in situ hybridization and reverse transcription polymerase chain reaction to determine the anatomic context of this gene expression. Golfalpha was found in both the end organs and the ganglia and could serve unique roles in the physiology of the vestibular neuroepithelium.
On the vestibular labyrinth of Brachiosaurus brancai
Authors: Clarke A.H.
Published: September 2021

The extensive remains of large sauropods, excavated in the Upper Jurassic layers of the Tendaguru region of Tanzania, East Africa by Janensch [15], include an intact fossil cast of a vestibular labyrinth and an endocast of the large Brachiosaurus brancai. The approximately 150 million year old labyrinth cast demonstrates clearly a form and organisation congruent in detail to those of extant vertebrate species. Besides the near-orthogonal arrangement of semicircular canals (SCCs), the superior and inferior branches of the vestibulo-acoustic nerve, the endolymphatic duct, the oval and round windows, and the cochlea can be identified. The orientation of the labyrinth in the temporal bone is also equivalent to that of many extant vertebrates. Furthermore, the existence of the twelve cranial nerves can be identified from the endocast. The present study was initiated after the photogrammetric measurement of the skeleton volume of B. brancai [13] yielded a realistic estimate of body mass (74.42 metric tons). Dimensional analysis shows that body mass and average SCC dimensions of B. brancai generally fit with the allometric relationship found in previous studies of extant species. However, the anterior SCC is significantly larger than the allometric relationship would predict. This would indicate greater sensitivity, supporting the idea that the behavioural repertoire must have included much slower pitch movements of the head. These slower movements would most likely have involved flexion of the neck, rather than head pitching about the atlas joint. Pursuing the relationship between body mass and SCC dimensions further, the SCC frequency response is estimated by scaling up from the SCC dimensions of the rhesus monkey; this yields a range between 0.008–26 Hz, approximately one octave lower than for humans.
Vertical linear self-motion perception during visual and inertial motion: More than weighted summation of sensory inputs
Authors: Wright W.G. , DiZio P. , Lackner J.R.
Published: September 2021

We evaluated visual and vestibular contributions to vertical self motion perception by exposing subjects to various combinations of 0.2 Hz vertical linear oscillation and visual scene motion. The visual stimuli presented via a head-mounted display consisted of video recordings of the test chamber from the perspective of the subject seated in the oscillator. In the dark, subjects accurately reported the amplitude of vertical linear oscillation with only a slight tendency to underestimate it. In the absence of inertial motion, even low amplitude oscillatory visual motion induced the perception of vertical self-oscillation. When visual and vestibular stimulation were combined, self-motion perception persisted in the presence of large visual-vestibular discordances. A dynamic visual input with magnitude discrepancies tended to dominate the resulting apparent self-motion, but vestibular effects were also evident. With visual and vestibular stimulation either spatially or temporally out-of-phase with one another, the input that dominated depended on their amplitudes. High amplitude visual scene motion was almost completely dominant for the levels tested. These findings are inconsistent with self-motion perception being determined by simple weighted summation of visual and vestibular inputs and constitute evidence against sensory conflict models. They indicate that when the presented visual scene is an accurate representation of the physical test environment, it dominates over vestibular inputs in determining apparent spatial position relative to external space.
Unbiased quantification of Scarpa's ganglion neurons in aminoglycoside ototoxicity
Authors: Ishiyama Gail , Finn Michael , Lopez Ivan , Tang Yong , Baloh Robert W. , Ishiyama Akira
Published: September 2021

While most studies have demonstrated damage to the cochlear and vestibular endorgan as the primary site of aminoglycoside toxicity, the effect on the primary afferent neurons of the vestibular ganglion remains to be determined. This study used the unbiased stereology-optical fractionator method to obtain estimates of the vestibular ganglion neuronal number. Archival temporal bone specimens from seven subjects with a history of gentamicin (n = 3) and streptomycin (n = 4) aminoglycoside ototoxicity were used. The post-ototoxicity survival time ranged from two months to 8 years, with an average of 2.2 years. Seven archival human temporal bone specimens from age-matched subjects with no history of audiovestibular symptoms or ototoxicity served as controls. Group means were compared using unpaired, two-tailed student's t test. The average vestibular ganglion neuronal number in the aminoglycoside ototoxicity group was 20, 733 neurons (CV = 0.073), which was significantly lower (p < 0.005) than the average number in the age-matched control group of 24, 902 neurons (CV = 0.109). These findings may be consistent with either retrograde degeneration or a direct neurotoxic effect of the aminoglycosides on the vestibular ganglion neuron.
The vestibular-related frontal cortex and its role in smooth-pursuit eye movements and vestibular-pursuit interactions
Authors: Fukushima Junko , Akao Teppei , Kurkin Sergei , Kaneko Chris R.S. , Fukushima Kikuro
Published: September 2021

In order to see clearly when a target is moving slowly, primates with high acuity foveae use smooth-pursuit and vergence eye movements. The former rotates both eyes in the same direction to track target motion in frontal planes, while the latter rotates left and right eyes in opposite directions to track target motion in depth. Together, these two systems pursue targets precisely and maintain their images on the foveae of both eyes. During head movements, both systems must interact with the vestibular system to minimize slip of the retinal images. The primate frontal cortex contains two pursuit-related areas; the caudal part of the frontal eye fields (FEF) and supplementary eye fields (SEF). Evoked potential studies have demonstrated vestibular projections to both areas and pursuit neurons in both areas respond to vestibular stimulation. The majority of FEF pursuit neurons code parameters of pursuit such as pursuit and vergence eye velocity, gaze velocity, and retinal image motion for target velocity in frontal and depth planes. Moreover, vestibular inputs contribute to the predictive pursuit responses of FEF neurons. In contrast, the majority of SEF pursuit neurons do not code pursuit metrics and many SEF neurons are reported to be active in more complex tasks. These results suggest that FEF- and SEF-pursuit neurons are involved in different aspects of vestibular-pursuit interactions and that eye velocity coding of SEF pursuit neurons is specialized for the task condition.
Head sway response to optic flow: Effect of age is more important than the presence of unilateral vestibular hypofunction
Authors: Sparto Patrick J. , Furman Joseph M. , Redfern Mark S.
Published: September 2021

Background:

The purpose of this study was to examine how older adults with vestibular impairment use sensory feedback for postural control.

Methods:

Nine older adult subjects with unilateral vestibular hypofunction (UVH, mean age 69 y) and 14 older (mean age 70 y) and 8 young adult controls (CON, mean age 28 y) viewed full-field optic flow scenes while standing on a fixed or sway-referenced support surface. The subjects with UVH had 100% caloric asymmetry. Optic flow consisted of sinusoidal anterior-posterior movement of the visual surround at three frequencies and three amplitudes of stimulation. The anterior-posterior head sway was measured. The number of head sway responses that were coupled to the optic flow and magnitude of head sway during optic flow relative to during quiet stance on fixed floor was quantified.

Results:

The number of trials in which the head sway response was significantly coupled to the optic flow was significantly greater in the Older UVH and Older CON subjects compared with the Young CON subjects. Furthermore, the magnitude of head sway was two to three times greater in Older UVH and CON compared with Young CON subjects. There was no difference in coupling or magnitude of head sway between Older UVH and Older CON subjects. The amplitude of sway was also dependent on the amount of surface support, stimulus frequency, and stimulus amplitude.

Conclusions:

Older adults with unilateral vestibular hypofunction who are able to effectively compensate show no difference in postural responses elicited by optic flow compared with age-matched controls.
Stance performance under different sensorimotor conditions in patients with post-traumatic otolith disorders
Authors: Basta Dietmar , Clarke Andrew , Ernst Arne , Todt Ingo
Published: September 2021

Dynamic posturography with the Equitest® system is helpful to screen patients for balance deficits, but diagnostic specificity, for otolith disorders is unknown until now. It was therefore the aim of our present paper to examine patients with a well-defined otolith disorder on the Equitest® at different test conditions while simultaneously recording trunk sway by means of the Sway Star® system. A total of 22 patients with different types of otolith disorders were included in this study. All test results of the patients were matched with respect to age and gender to controls without history of ENT diseases. The overall sensitivity of the Equitest® system in our series was only higher than 50% in 2 conditions. The results of the trunk sway recordings were significantly different between patients with a sacculo-utricular disorder and controls in all test conditions. The results suggest that a disorder of the otolith organs seems to affect especially the trunk sway to a large extent.
The N3 potential compared to sound and galvanic vestibular evoked myogenic potential in healthy subjects and in multiple sclerosis patients
Authors: Versino Maurizio , Ranza Laura , Colnaghi Silvia , Alloni Roberto , Callieco Roberto , Romani Alfredo , Bergamaschi Roberto , Pichiecchio Anna , Bastianello Stefano , Cosi Vittorio
Published: September 2021

Both sound (s-) and galvanic (g-) vestibular-evoked myogenic potential (VEMP) enable us to study the saccular pathways. However, the VEMP can be abnormal for non-vestibular factors, such as insufficient activation of the sterno-cleido-mastoid (SCM) muscle or a lesion that involves the accessory nucleus and/or nerve or the SCM muscle. These drawbacks do not affect another technique that evaluates the saccular function: the N3 potential. We recorded both the s- and the g-VEMP and the N3 potential in a group of 31 healthy subjects to establish a reference range. The N3 potential and the s-VEMP were recordable bilaterally from all the subjects, whereas the g-VEMP was undetectable uni- or bilaterally in 7 subjects. The latency and amplitude values of the s-VEMP did not differ from those of the g-VEMP. For all three techniques, the latency and amplitude values from the right and from the left recording and/or stimulation side were the same. We suggest using normative latency and amplitude values based on the mean and ratio of the right- and left-side values. The s-VEMP, the N3 potential and the auditory evoked response (ABR) were compared in 15 subjects suffering from multiple sclerosis. The three techniques detected a similar number of abnormalities, but these abnormalities were not correlated. This suggests that these different techniques should be regarded as complementary in evaluating saccular function.
The effect of vestibular rehabilitation supplemented by training of the breathing rhythm or proprioception exercises, in patients with chronic peripheral vestibular disease
Authors: Jáuregui-Renaud Kathrine , Villanueva Padrón Laura Alejandra , Cruz Gómez Nora Silvia
Published: September 2021

Objective: To assess the effect of performing vestibular rehabilitation using the Cawthorne & Cooksey exercises supplemented by training of the breathing rhythm or proprioception exercises on self-reported disability and postural control, in patients with chronic, peripheral, vestibular disease. Methods: Fifty one patients with peripheral vestibular disease and abnormal caloric test participated in the study (mean age 43 ± S.D. 9 years). They were assigned to one of 3 treatment groups: I. Cawthorne &} Cooksey exercises with training of the breathing rhythm (n = 17); II. Cawthorne & Cooksey exercises with proprioception exercises (n = 17) and III. Cawthorne & Cooksey exercises with no additional intervention (n = 17). The Dizziness Handicap Inventory and static posturography were evaluated prior to treatment and at week 8 of follow-up. Results: Prior to treatment, composite scores on the Dizziness Handicap Inventory and static posturography were similar in the 3 groups. After treatment, a decrease of the composite score of at least 18 points was observed more frequently in patients of the respiration group (94%), compared to the proprioception group (53%) and the Cawthorne & Cooksey group (70%) (p = 0.03); while the proprioception group showed a significant decrease of oscillation during all sensory conditions of static posturography (p < 0.05). Conclusion: The results suggest that regulation of the breathing pattern may have an influence on disability related to chronic vestibular disease, while proprioception exercises may improve postural control. However, further studies are needed to evaluate if training of the breathing rhythm could be an additional tool for vestibular rehabilitation.
Effect of age and height on trunk sway during stance and gait
Authors: Hegeman Judith , Shapkova Elena Yu , Honegger Flurin , Allum John H.J.
Published: September 2021

The aim of the studies reported here was to quantify changes in balance control for stance and gait tasks with age and to pinpoint possible advantages and difficulties in using these tasks and measures derived from them to identify pathological balance control in patients. Some 470 normal subjects in the age range 6 to 82 were examined for a battery of 14 stance and gait tasks. During the tasks, angular velocity transducers mounted at lumbar 1–3 measured pitch and roll angular velocities of the body. A combination of outcome measures from several tasks was used to create an overall balance control index. Three types of sensory analyses on pitch angle and velocity amplitudes for stance trials were used to quantify possible changes in the contributions of visual, somatosensory and vestibular inputs to balance control with age for 2-legged stance tasks. Correlation analysis on task variables was used to determine the relationship of subjects' age and height on outcome measures. Outcome measures showed a characteristic "L" or "U" shaped profile with a rapid decrease in values between 7 and 25 years of age, a plateau until 55 then a gradual increase with age after 55 years of age for most stance and gait tasks. The sensory analysis technique using differences between stance tests indicated that visual contributions to balance control continuously increased with age between the ages of 15 and 80, and vestibular and lower leg somatosensory contributions remain relatively constant with age. Sensory analysis calculated as commonly-used quotients of outcome measures revealed large variance across all ages, asymmetric distributions, and no clear trends in sensory contributions to stance with age. A third technique based on a discriminant function analysis using measures from model patient populations indicated that proprioceptive but not vestibular contributions first increased with age and then decreased after 55 years of age. Correlations of outcome measures with age and height indicated that both contributed equally to changes in outcome measures between the ages of 7 and 25, otherwise height had no effect. We conclude that both stance and gait tasks should be selected for identifying changes in balance control from that of healthy persons with a preference for gait tasks as these show less variation with age. Because of the large increases in variance in the elderly and those younger than 20 years, appropriate age-matched reference values should be employed to ascertain if trunk sway is out of normal ranges.
Characterization of age-related changes in vestibular evoked myogenic potentials
Authors: Basta Dietmar , Todt Ingo , Ernst Arne
Published: September 2021

A tone-burst stimulation of 500 Hz seems to be clinically most appropriate to elicit vestibular evoked myogenic potentials (VEMPs) because those VEMPs can be recorded at the lowest stimulus intensity possible. However, little is known about gender and age-related changes of the amplitude in tone-burst (500 Hz) evoked VEMPs. The aim of the present paper was therefore to investigate the influence of gender and age on VEMP amplitude in relation to the tonic muscle activity. VEMPs of 64 healthy subjects were recorded ipsilaterally during air- or bone-conducted tone burst stimulation. The EMG of the tonically activated sternocleidomastoid muscle was recorded ipsilaterally with surface electrodes. Averages were taken for P1/N1 amplitudes of male and female volunteers within 3 different age groups. Although the amplitude decreased with increasing age the tonic activity was not significant different between the age groups. Consequently the relation between VEMP amplitude and tonic muscle activity decreased with increasing age. The normative values of the age-dependent relation between VEMP amplitude and tonic muscle activity were described by the 90% confidence interval of the individual values. Normative thresholds were calculated. Normal saccular receptor function could be diagnosed if the VEMP amplitude is above (or equal to) the normative value at a given tonic muscle activity and age. Normative data as described above are required to diagnose isolated saccular defects, which are indicative of a vestibular disorder.
Otolith-ocular responses in Meniere's patients before and after endolymphatic shunt operation
Authors: Westhofen Martin
Published: September 2021

Caloric testing in prone/supine position and constant velocity off-vertical axis rotation (OVAR) in yaw axis (rotate-then-tilt paradigm) can evaluate labyrinth function and vestibular-ocular reflex (VOR) behaviour before and after endolymphatic shunt surgery (ESS). Preoperative and postoperative otolith dysfunction can be documented by constant velocity OVAR, before the VOR is modulated by the vestibular compensation. Vestibulo-ocular responses in prone/supine position and linear VOR (lVOR) OVAR responses were observed in 10 patients before and after ESS. Ipsilateral caloric reaction in prone/supine position was reduced after ESS. Otolith-ocular function and canal-otolith-interaction were improved postoperatively. Meniere's patients with bias component opposite to normal when rotating towards the lesioned ear showed relief of symptoms postoperatively. The bias component returning to normal can help to identify the relief of Meniere's attacks after ESS. The canal-otolith interaction can be observed pre- and postoperatively by means of caloric reaction in prone/supine position as part of the clinical routine.
Improved postural control after computerized optokinetic therapy based on stochastic visual stimulation in patients with vestibular dysfunction
Authors: Loader Benjamin , Gruther Wolfgang , Mueller Christian A. , Neuwirth Gerhard , Thurner Stefan , Ehrenberger Klaus , Mittermaier Christian
Published: September 2021

Balance is accomplished by the congruent integration of visual, vestibular and somatosensory input and the execution of adequate control movements. With increasing age, nonlinear dynamics of central control systems become more regular. In unilateral vestibular dysfunction, sensory input to central systems is similarly less complex, because of one sided reduction of information influx. This study aimed to increase postural stability in patients with vestibular asymmetry and resulting disequilibrium by implementing a computerized visual training method relying on the principles of stochastic resonance. 24 subjects (average age 64a, 31–78a, 15 women, 9 men), with minimum 3 months of persisting disequilibrium due to vestibular dysfunction, were either treated with computerized optokinetic therapy (COKT), or solely observed. Treated patients were requested to read texts, stochastically moving in a previously defined matrix, during 10 sessions over three weeks. The Sensory Organization Test (SOT) was used for comparative posturographic measurements. COKT patients showed significant improvement in conditions 4, 6 and composite score. A significant post-therapeutic difference was seen between therapy and control groups in conditions 1, 6 and composite score. The results show a clinical benefit and we conclude COKT to be an effective rehabilitation method in patients with chronic disequilibrium.
WDR1 expression in the normal and noise-damaged chick vestibule
Authors: Suh Myung Whan , Shin Dong Hoon , Lee Ho Sun , Park Ji Yeong , Kim Chong Sun , Oh Seung Ha
Published: September 2021

Unlike mammals, avian cochlear hair cells can regenerate after acoustic overstimulation. The WDR1 gene is one of the genes suspected to play an important role in this difference. In an earlier study, we found that the WDR1 gene is over-expressed in the chick cochlea after acoustic overstimulation. The aim of this study was to compare the expression of WDR1 before and after acoustic overstimulation in the chick vestibule. Seven-day-old chicks were divided into three groups: normal group, damage group, and regeneration group. The damage and regeneration group was exposed to 120 dB SPL white noise for 5–6 hours. The damage group was euthanized shortly after the impulse, but the regeneration group was allowed to recover for 2 days. The utricle, saccule, and the three ampullae of each semicircular canal were dissected and immunohistochemically stained with anti-WD40 repeat protein 1 antibody. For quantitative analysis, immunoreactive densities were measured and quantitative real-time RT PCR was performed. WD40 repeat protein 1 expression was elevated in all the semicircular canals and utricle, two days after an acoustic overstimulation (P = 0.001). WDR1 mRNA expression was 1.34 times higher in the regeneration group compared to the normal group, but it was not statistically significant. Exceptionally, WD40 repeat protein 1 expression did not increase in the saccule of the regeneration group. Elevated WDR1 expression in the avian vestibule may have a role in the hair cell regenerating ability as in the avian cochlea. A similar mechanism of hair cell regeneration may exist in the avian cochlea and vestibule.
Perceptual centering of body segment orientation
Authors: Hanes Douglas A.
Published: September 2021

It has been shown experimentally that under certain combinations of sensory stimuli, human subjects can perceive one of several distinct illusions about their overall orientation in or movement through space. In at least some cases, the structure of such multistable illusory perceptions of orientation can be efficiently described by perceptual transformations that act on a current orientation estimate to yield an updated perceptual construct. Repeated application of identified generating transformations yields a limited set of predicted illusions for a given sensory environment. This approach is especially valuable for perceptual data that exhibits discretely differing classes of illusions between subjects or trials. In a previous study, application of a semigroup of perceptual centering transformations has succeeded in reproducing and simplifying data from an experiment in which subjects experiencing visual vection reported a range of illusions about the orientations of their gaze, head, and torso to gravity. After reviewing previously obtained results on perceptual centering, this article generalizes the approach, presenting the mathematics required to characterize perceptual transformations. The developed framework should be widely applicable in the understanding of perceptual illusions, particularly when these are guided by alignment with preferred constructs. Secondly, the article reveals the nontrivial mathematical process of perceptual semigroup formation and evaluation, deducing the complete description of the semigroup constructed in the previous study. Perceptual centering transformations identified in terrestrial experiments may predict illusions to be expected in spacefiight. For example, our results indicate that under certain conditions, many astronauts will misperceive a visual rotation axis to be centered in front of the head or even the torso.
Mental own-body and body-part transformations in microgravity
Authors: Grabherr Luzia , Karmali Faisal , Bach Silvia , Indermaur Kathrin , Metzler Sibylle , Mast Fred W.
Published: September 2021

The aim of this experiment was to investigate the influence of gravity on the cognitive ability to mentally transform images of bodies or body parts. A total of eight participants were tested in two separate parabolic flight missions. In the main experiment, participants had to make a discrimination judgement (left or right) about pictures of a human figure with one arm outstretched, and pictures of a body part (hand). The stimuli appeared in varying views and orientations. Response times and error rates were measured. In microgravity, the participants showed increased response times overall as well as increased error rates when compared to 1 g for both types of stimuli. Thus, a task that requires the mental transformation of one's own body or body parts becomes more difficult during microgravity. This is in contrast to previous studies showing no effect of microgravity on the mental rotation of abstract 3D objects and to our follow-up case study in which participants applied an object-based mental rotation strategy. Moreover, the analysis of response times suggests that in microgravity body-part stimuli are affected more strongly than body figures.
Measurement of oscillopsia induced by vestibular Coriolis stimulation
Authors: Sanderson Jeffrey , Oman Charles M. , Harris Laurence R.
Published: September 2021

We demonstrate a new method for measuring the time constant of head-movement-contingent oscillopsia (HMCO) produced by vestibular Coriolis stimulation. Subjects briskly rotated their heads around pitch or roll axes whilst seated on a platform rotating at constant velocity. This induced a cross-coupled vestibular Coriolis illusion. Simultaneous with the head movement, a visual display consisting of either a moving field of white dots on a black background or superimposed on a subject-stationary horizon, or a complete virtual room with conventional furnishings appeared. The scene's motion was driven by a simplified computer model of the Coriolis illusion. Subjects either nulled (if visual motion was against the illusory body rotation) or matched (if motion was in the same direction as the illusory motion) the sensation with the exponentially slowing scene motion, by indicating whether its decline was too fast or too slow. The model time constant was approximated using a staircase technique. Time constants comparable to that of the Coriolis vestibular ocular reflex were obtained. Time constants could be significantly reduced by adding subject-stationary visual elements. This technique for measuring oscillopsia might be used to quantify adaptation to artificial gravity environments. In principle more complex models can be used, and applied to other types of oscillopsia such as are experienced by BPPV patients or by astronauts returning to Earth.
Sickness induced by head movements after different centrifugal Gx-loads and durations
Authors: Nooij Suzanne A.E. , Bos Jelte E.
Published: September 2021

It has been found that sustained centrifugation on Earth may evoke sickness symptoms that are similar to those of the Space Adaptation Syndrome (SAS). As in SAS, incidence of this 'Sickness Induced by Centrifugation' (SIC) is about 50% and the symptoms are particularly evoked by head movements. By systematically varying the G-load and duration of centrifugation, the current study investigated the characteristics of the gravitational stimulus that is required for SIC to occur. Subjects were exposed to centrifugation at 2 and 3Gx, for a duration of 45 and 90 minutes. A standardized head movement protocol was used to evoke SIC after centrifugation. The results show that in six out of 12 subjects (50%) no serious symptoms were elicited. In the remaining subjects, the effects of the 3G runs exceeded those of the 2G runs, and within each G-level symptom intensity was higher for the 90 min than for the 45 min exposure. An exponential fit on this data showed that the time constant of adaptation to the gravitational stimulus was about 60 minutes. This suggests that short duration exposures (i.e. < 60 min) are not likely to induce serious SIC.
Vestibular function in families with inherited autosomal dominant hearing loss
Authors: Street Valerie A. , Kallman Jeremy C. , Strombom Paul D. , Bramhall Naomi F. , Phillips James O.
Published: September 2021

The inner ear contains the developmentally related cochlea and peripheral vestibular labyrinth. Given the similar physiology between these two organs, hearing loss and vestibular dysfunction may be expected to occur simultaneously in individuals segregating mutations in inner ear genes. Twenty-two different genes have been discovered that when mutated lead to non-syndromic autosomal dominant hearing loss. A review of the literature indicates that families segregating mutations in 13 of these 22 genes have undergone formal clinical vestibular testing. Formal assessment revealed vestibular dysfunction in families with mutations in ten of these 13 genes. Remarkably, only families with mutations in the COCH and MYO7A genes self-report considerable vestibular challenges. Families segregating mutations in the other eight genes do not self-report significant balance problems and appear to compensate well in everyday life for vestibular deficits discovered during formal clinical vestibular assessment. An example of a family (referred to as the HL1 family) with progressive hearing loss and clinically-detected vestibular hypofunction that does not report vestibular symptoms is described in this review. Notably, one member of the HL1 family with clinically-detected vestibular hypofunction reached the summit of Mount Kilimanjaro.
Simulation of cupulolithiasis and canalolithiasis by an animal model1
Authors: Valli Paolo , Botta Laura , Zucca Gianpiero , Valli Stefano , Buizza Angelo
Published: September 2021

The physical mechanisms responsible for cupulolithiasis and canalolithiasis have been investigated by two groups of experiments in isolated posterior semicircular canal (SCC) of frog (Rana esculenta L.). First, clouds of 10-30 isolated otoconia were let to fall (snowfall of otoconia) either through the ampulla onto the cupula, or inside the long arm of the canal, opposite to the cupula. Second, microspheres ranging 30 to 350 μm in diameter were gently moved to and fro inside the long arm of the canal by a micromanipulator. The effects were evaluated by recording the firing rate (Nfr) of the ampullary nerve. Snowfall of otoconia produced detectable changes of Nfr only when otoconia got in contact with the cupula, but not when falling through the endolymph. Movement of the microspheres in the canal long arm induced Nfr changes only if the microsphere diameter exceeded about 50 μm. Although the exact microsphere size needed for receptor stimulation may depend on the experimental conditions, these results strongly suggest that debris moving inside a SCC (canalolithiasis) can produce transcupular pressures able to stimulate ampullar receptors only if they have suitable size, whereas isolated otoconia cannot, except when lying on the cupula (cupulolithiasis).
Orientation of Listing's plane after hypergravity in humans
Authors: Nooij Suzanne A.E. , Bos Jelte E. , Groen Eric L.
Published: September 2021

Adaptation to a novel gravitational state involves adaptation of vestibular mediated responses, in particular those mediated by the otolith organs. The present paper investigates whether the orientation of Listing's plane, which is under control of otolith signals, is affected by sustained exposure to hypergravity. Subjects were exposed to four G-loads differing in duration (45 or 90 min) and magnitude (2 or 3G). During centrifugation subjects were in a supine position, directing the gravito-inertial acceleration along the naso-occipetal axis. We determined the orientation of Listing's plane before and after each centrifuge run, with the head erect and tilted in pitch. Head tilt in pitch induced a counter-pitch of Listing's plane, which was found to be less pronounced after centrifugation. In addition, exposure to 3G for 90~min induced a small backward tilt of Listing's plane compared to the pretest orientation (head erect). In order to explain these results a hypothesis is discussed, proposing that the orientation of Listing's plane in the head is governed by a head fixed orientation vector that is modulated by the direction of gravity relative to the head. Sustained centrifugation is proposed to decrease this gravitational modulation, leading to the effects observed. This could reflect a shift towards a more body centered frame of reference.
Time course of the change in subjective straight-ahead after vestibular stimulation
Authors: Konishi Taku , Suetsugu Akira , Matsushima Takaji
Published: September 2021

We measured the change in subjective straight-ahead (SSA) as a function of time after vestibular stimulation. Blindfolded subjects were exposed to sudden stops after constant velocity (72°/s) z-axis rotation. They were then asked to open their eyes and continuously adjust the position of a laser spot to the position perceived as straight ahead (visual localization of SSA) immediately, or after a 10 s or 20 s delay following the sudden stop. The deviation of SSA increased to 20 s in the opposite direction of acceleration and then decreased gradually when the visual localization task was started immediately after sudden stops. The time courses changed systematically when the task was started after a delay of 10 s or 20 s following sudden stops: the initial increase component and maximum magnitude of the SSA deviation fell off with delay length, but the increase-decrease pattern was preserved. These delay effects on the time course of the SSA deviation might reflect that the velocity-to-orientation/position integrator for perception of body orientation in vestibular system might be inactivated temporarily during the delay period after vestibular stimulation without visual input.
Vestibulo-ocular (oVEMP) responses produced by bone-conducted sound stimuli applied to the mid-sagittal plane of the head
Authors: Jombik Peter , Bahyl Vladimir , Drobny Michal , Spodniak Pavel
Published: September 2021

Recently several studies have yielded evidence that impulses of bone-conducted (BC) sound can produce short-latency myogenic responses in the extraocular muscles, which are probably mediated by otolithic afferents. These responses, although miniscule, can be recorded with surface electrodes and are termed ocular vestibular evoked myogenic potentials (oVEMP). It is assumed that in response to low-frequency BC-sound stimuli the head moves predominantly along the axis from the site of the applied stimulus to the opposite side. Thus, oppositely-directed accelerations along a particular axis would produce oppositely-directed compensatory vestibulo-ocular responses (VOR) and oVEMPs. The aim of this study was to investigate whether the oVEMPs would reflect these direction-dependent VOR responses. Single cycles of 125 and 250 Hz BC tones were applied to opposite sides of two approximately orthogonal, naso-occipital (x) and vertical (z) axes of the head. oVEMP responses were recorded with standard bilateral vertical EOG montages. The responses in all twelve healthy subjects showed consistent differences with regard to the latency and/or shape of the response to stimuli applied to opposite sides of the head. These differences likely reflect different patterns of electro-myographic activity of the extraocular muscles, which may be mediated by groups of vestibular (probably otolithic) afferents with differently-orientated spatial polarization vectors.
Effect of vestibular rehabilitation on passive dynamic visual acuity
Authors: Scherer Matthew , Migliaccio Americo A. , Schubert Michael C.
Published: September 2021

While active dynamic visual acuity (DVA) has been shown to improve with gaze stabilization exercises, we sought to determine whether DVA during {passive} head impulses (pDVA) would also improve following a rehabilitation course of vestibular physical therapy (VPT) in patients with unilateral and bilateral vestibular hypofunction. VPT consisted of gaze and gait stabilization exercises done as a home exercise program. Scleral search coil was used to characterize the angular vestibulo-ocular reflex (aVOR) during pDVA before and after VPT. Mean duration of VPT was 66 ± 24 days, over a total of 5 ± 1.4 outpatient visits. Two of three subjects showed improvements in pDVA with a mean reduction of 43% (LogMAR 0.58 to 0.398 and 0.92 to 0.40). Our data suggest improvements in pDVA may be due in part to improvements in aVOR velocity and acceleration gains or reduced latency of the aVOR. Each subject demonstrated a reduction in the ratio of compensatory saccades to head impulses after VPT. Preliminary data suggest that active gaze stability exercises may contribute to improvements in pDVA in some individuals.
The reliability and validity of the Vertigo Symptom Scale and the Vertigo Dizziness Imbalance Questionnaires in a Turkish patient population with Benign Paroxysmal Positional Vertigo
Authors: Yanik Burcu , Külcü Duygu Geler , Kurtais Yesim , Boynukalin Serife , Kurtarah Hanifi , Gökmen Derya
Published: September 2021

The aim of this study was to adapt the Vertigo Symptom Scale (VSS) and the Vertigo Dizziness Imbalance (VDI) Questionnaires to the Turkish population and investigate the reliability and validity of the Turkish version. One hundred and three patients with Benign Paroxysmal Positional Vertigo (BPPV) were included in the study. The patients were evaluated with the VSS and the VDI twice, at recruitment and 24 hours later. To perform concurrent validity study study, patients were also assessed by the Beck Depression Inventory (BDI) and the Medical Outcomes Survey Short Form 36 (SF-36) which were formerly proved to be valid and reliable for use in Turkish population. The internal consistency of the VSS, VDI-symptom scale, and VDI-health-related quality of life scale were good with Cronbach's alpha of 0.91, 0.85, and 0.93 respectively which showed high reliability for the Turkish versions. Test-retest reliability was also good, with a high intraclass correlation coefficent (ICC) between the two time points; being 0.83 for the VSS, 0.90 for the VDI-symptom scale and 0.89 for the VDI-health related quality of life scale. Regarding concurrent validity, significant expected correlations were detected between the VSS and BDI (r = 0.55 p < 0.001) and the VSS and SF-36 (r = −0.43 p < 0.001). Significant low correlations were detected between the VDI-SS and BDI (r = 0.20 p < 0.05) and the VDI-SS and SF-36 (r = −0.21 p < 0.05). High correlations were observed between the VDI-HRQoL and BDI (r = −0.75 p < 0.001) and the VDI-HRQoL and SF-36 (r = 0.82, p < 0.001) which indicates high concurrent validity. The correlation between VDI-SS subscale scores and VDI-HRQoL subscale scores were 0.028 (P = 0.778) at the first time point. From the perspective of discriminant validity, it means that the VDI-SS measures a construct different from the one underlying the VDI-HRQoL. The adaptation of the VSS and VDI to the Turkish population was successful and both scales were found to be valid and reliable. Thus, they can be used in Turkish people with BPPV for assessment and monitoring the treatments. Besides, the results of the national studies in which these Turkish versions are used can be compared with those of the international studies.
Normative data and test-retest reliability of the sinusoidal harmonic acceleration test, pseudorandom rotation test and velocity step test
Authors: Maes Leen , Dhooge Ingeborg , De Vel Eddy , D'haenens Wendy , Bockstael Annelies , Keppler Hannah , Philips Birgit , Swinnen Freya , Vinck Bart M.
Published: September 2021

Rotational testing has been used in clinical practice to explore vestibular function. Frequently used stimulus algorithms include: sinusoidal harmonic acceleration test (SHAT), pseudorandom rotation test (PRRT), and velocity step test (VST). The aim of this study was to construct normative data as well as to evaluate the test-retest reliability of those rotational paradigms. One hundred and fifty subjects without vestibular history participated in the normative study. The SHAT was presented at 5 frequencies (0.01, 0.02, 0.05, 0.1, 0.2 Hz), whereas for the PRRT those frequencies were summed. The VST consisted of a rotation to the right and left and was administered twice. Thirty-two volunteers were retested to assess the test-retest reliability. Separate normative data were needed according to sex, stimulus type, and frequency for the SHAT and PRRT, and according to stimulus and direction for the VST. High reliability by means of the intraclass correlation coefficient (ICC) and the method error (ME) was obtained for the SHAT, PRRT, and VST gain, SHAT phase and asymmetry, and VST time constant parameters. The availability of data on the minimal detectable test-retest differences supports the evaluation of rotational responses on a retest session.