Off-Vertical Axis Rotation: A Test of the Otolith-Ocular Reflex

1992 ◽  
Vol 101 (8) ◽  
pp. 643-650 ◽  
Author(s):  
Joseph M. R. Furman ◽  
Robert H. Schor ◽  
Timothy L. Schumann
Keyword(s):  
Eye Movements ◽  
Semicircular Canal ◽  
Constant Velocity ◽  
Vertical Axis ◽  
Induced Response ◽  
Movement Response ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Axis Rotation ◽  
Asymptomatic Subjects

The vestibulo-ocular reflex was studied via off-vertical axis rotation (OVAR) in the dark. The axis of the turntable could be tilted from vertical by up to 30°. Eye movements were measured with electro-oculography. Results from healthy asymptomatic subjects indicated that 1) a reliable otolith-induced response could be obtained during constant velocity OVAR using a velocity of 60°/s with a tilt of 30°; 2) constant velocity OVAR rotation was nausea-producing and, especially if subjects were rotated in the dark about an earth-vertical axis prior to being tilted, disorienting; and 3) sinusoidal OVAR produced minimal nausea; the eye movement response appeared to be the result of a combination of semicircular canal and otolith components. We conclude that OVAR has the potential of becoming a useful method for clinically assessing both the otolith-ocular reflex and semicircular canal—otolith interaction.

Vestibulo-ocular function in anxiety disorders

2007 ◽  
Vol 16 (4-5) ◽  
pp. 209-215
Author(s):  
Joseph M. Furman ◽  
Mark S. Redfern ◽  
Rolf G. Jacob
Keyword(s):  
Panic Disorder ◽  
Anxiety Disorders ◽  
Semicircular Canal ◽  
Constant Velocity ◽  
Vertical Axis ◽  
Velocity Storage ◽  
Movement Response ◽  
Ocular Reflex ◽  
Axis Rotation ◽  
High Degree

Previous studies of vestibulo-ocular function in patients with anxiety disorders have suggested a higher prevalence of peripheral vestibular dysfunction compared to control populations, especially in panic disorder with agoraphobia. Also, our recent companion studies have indicated abnormalities in postural control in patients with anxiety disorders who report a high degree of space and motion discomfort. The aim of the present study was to assess the VOR, including the semicircular canal-ocular reflex, the otolith-ocular reflex, and semicircular canal-otolith interaction, in a well-defined group of patients with anxiety disorders. The study included 72 patients with anxiety disorders (age 30.6 +/− 10.6 yrs; 60 (83.3% F) and 29 psychiatrically normal controls (age 35.0 +/minus; 11.6 yrs; 24 (82.8% F). 25 patients had panic disorder; 47 patients had non-panic anxiety. Patients were further categorized based on the presence (45 of 72) or absence (27 of 72) of height phobia and the presence (27 of 72) or absence (45 of 72) of excessive space and motion discomfort (SMD). Sinusoidal and constant velocity earth-vertical axis rotation (EVAR) was used to assess the semicircular canal-ocular reflex. Constant velocity off-vertical axis rotation (OVAR) was used to assess both the otolith-ocular reflex and static semicircular canal-otolith interaction. Sinusoidal OVAR was used to assess dynamic semicircular canal-otolith interaction. The eye movement response to rotation was measured using bitemporal electro-oculography. Results showed a significantly higher VOR gain and a significantly shorter VOR time constant in anxiety patients. The effect of anxiety on VOR gain was significantly greater in patients without SMD as compared to those with SMD. Anxiety patients without height phobia had a larger OVAR modulation. We postulate that in patients with anxiety, there is increased vestibular sensitivity and impaired velocity storage. Excessive SMD and height phobia seem to have a mitigating effect on abnormal vestibular sensitivity, possibly via a down-weighting of central vestibular pathways.

Effect of aging on the otolith-ocular reflex

2001 ◽  
Vol 11 (2) ◽  
pp. 91-103
Author(s):  
Joseph M. Furman ◽  
Mark S. Redfern
Keyword(s):  
Semicircular Canal ◽  
Head Tilt ◽  
Vestibular Function ◽  
Vertical Axis ◽  
Ocular Reflex ◽  
Age Related ◽  
Vestibulo Ocular Reflex ◽  
Older Subjects ◽  
Axis Rotation ◽  
Reflex Time

We assessed the influence of age on the otolith-ocular reflex and semicircular canal-otolith interaction. Healthy young (n=30) and healthy older (n=60) subjects were rotated about an earth vertical axis, and about a 30 degree off-vertical axis. Eye movements during and following rotation were recorded using electro-oculography. Results indicated that there were statistically significant changes in the otolith-ocular reflex and semicircular canal-otolith interaction as a function of age. The modulation component during off-vertical axis rotation (OVAR) was greater in the older group compard to the young adults, whereas the bias component was smaller with advanced age. The foreshortening of the vestibulo-ocular reflex time constant induced by post-rotatory head tilt following cessation of rotation was less prominent in the older group. There were no consistent changes in the semicircular canal-ocular reflex. Overall, response parameters showed more variability in the older subjects. We conclude that age related changes in the otolith-ocular reflex and semicircular canal-otolith interaction are a result primarily of a degradation of central vestibular processing of otolith signals rather than a decline of peripheral vestibular function.

Otolith-ocular responses in patients with surgically confirmed unilateral peripheral vestibular loss

2003 ◽  
Vol 13 (2-3) ◽  
pp. 143-151 ◽  
Author(s):  
Joseph M. Furman ◽  
Li-Chi Hsu ◽  
Susan L. Whitney ◽  
Mark S. Redfern
Keyword(s):  
Semicircular Canal ◽  
Vertical Axis ◽  
Vestibular Compensation ◽  
Objective Measures ◽  
Vestibular Loss ◽  
Ocular Reflex ◽  
Chronic Effects ◽  
Number Of Patients ◽  
Vestibulo Ocular Reflex ◽  
Axis Rotation

The chronic effects of unilateral peripheral vestibular loss (UPVL) are influenced by vestibular compensation. This study documents the balance-related symptoms and quantitative vestibular laboratory testing of 20 patients with surgically confirmed UPVL. Included are measures of the semicircular canal-ocular reflex, the otolith-ocular reflex, and both static and dynamic semicircular canal-otolith-interaction. This study differs from previous studies of patients with UPVL in that a large number of patients with surgically confirmed lesions were tested with three types of off-vertical axis rotation, several of the patients had anatomically preserved superior vestibular nerves, and self-perceived level of disability related to dizziness and imbalance were available. Results confirmed previously reported changes in the vestibulo-ocular reflex of patients with UPVL. Also, there was no apparent effect of anatomically preserving the superior vestibular nerve during surgical resection of vestibular schwannomas based on either subjective or objective measures of vestibular dysfunction. Further, there were no apparent correlations between subjective measures of dizziness and imbalance and objective measures of vestibulo-ocular function. These results have clinical implications for the management of patients with unilateral vestibular loss and provide insights into the process of vestibular compensation especially with respect to the otolith-ocular reflex.

scholarly journals Relation Between Perception of Vertical Axis Rotation and Vestibulo-Ocular Reflex Symmetry

1992 ◽  
Vol 2 (1) ◽  
pp. 59-69
Author(s):  
Robert J. Peterka ◽  
Martha S. Benolken
Keyword(s):  
Measurement Errors ◽  
Rotational Velocity ◽  
Vestibular Function ◽  
Vertical Axis ◽  
Perceptual Bias ◽  
Common Source ◽  
Ocular Reflex ◽  
Small Constant ◽  
Vestibulo Ocular Reflex ◽  
Axis Rotation

Subjects seated in a vertical axis rotation chair controlled their rotational velocity by adjusting a potentiometer. Their goal was to null out pseudorandom rotational perturbations in order to remain perceptually stationary. Most subjects showed a slow linear drift of velocity (a constant acceleration) to one side when they were deprived of an earth-fixed visual reference. The amplitude and direction of this drift can be considered a measure of a static bias in a subject’s perception of rotation. The presence of a perceptual bias is consistent with a small, constant imbalance of vestibular function that could be of either central or peripheral origin. Deviations from perfect vestibulo-ocular reflex (VOR) symmetry are also assumed to be related to imbalances in either peripheral or central vestibular function. We looked for correlations between perceptual bias and various measures of vestibular reflex symmetry that might suggest a common source for both reflexive and perceptual imbalances. No correlations were found. Measurement errors could not account for these results since repeated tests in the same subjects of both perceptual bias and VOR symmetry were well correlated.

Plasticity of the human vestibulo-ocular reflex during off-vertical axis rotation

2016 ◽  
Vol 43 (4) ◽  
pp. 395-399 ◽  
Author(s):  
Masatoshi Akutsu ◽  
Akemi Sugita-Kitajima ◽  
Koshi Mikami ◽  
Izumi Koizuka
Keyword(s):  
Vertical Axis ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Axis Rotation

Otolith-ocular responses in Meniere's patients before and after endolymphatic shunt operation

2008 ◽  
Vol 17 (2-3) ◽  
pp. 113-118 ◽  
Author(s):  
Martin Westhofen
Keyword(s):  
Supine Position ◽  
Constant Velocity ◽  
Vertical Axis ◽  
Shunt Operation ◽  
Shunt Surgery ◽  
Clinical Routine ◽  
Ocular Reflex ◽  
Vestibular Ocular Reflex ◽  
Before And After ◽  
Axis Rotation

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.

Earth Horizontal Axis Rotational Responses in Patients with Unilateral Peripheral Vestibular Deficits

1989 ◽  
Vol 98 (7) ◽  
pp. 551-555 ◽  
Author(s):  
Joseph M. R. Furman ◽  
Conrad Wall ◽  
Donald B. Kamerer
Keyword(s):  
Time Constant ◽  
Semicircular Canal ◽  
Vertical Axis ◽  
Horizontal Axis ◽  
Vestibular Loss ◽  
Time Constants ◽  
Ocular Reflex ◽  
Vestibulo Ocular Reflex ◽  
Asymmetric Responses

We evaluated the vestibulo-ocular reflex (VOR) of five patients with surgically confirmed unilateral peripheral vestibular lesions. Testing used both earth vertical axis (EVA) and earth horizontal axis (EHA) yaw rotation. Results indicated that the patients had short VOR time constants, asymmetric responses to both EVA and EHA rotation, and normal EHA modulation components. These findings suggest that unilateral peripheral vestibular loss causes a shortened VOR time constant even with the addition of dynamic otolithic stimulation and causes an asymmetry in semicircular canal-ocular reflexes and one aspect of otolith-ocular reflexes.

Inactivation of Semicircular Canals Causes Adaptive Increases in Otolith-Driven Tilt Responses

2002 ◽  
Vol 87 (3) ◽  
pp. 1635-1640 ◽  
Author(s):  
Dora E. Angelaki ◽  
Shawn D. Newlands ◽  
J. David Dickman
Keyword(s):  
Eye Movements ◽  
Semicircular Canal ◽  
Translational Motion ◽  
Semicircular Canals ◽  
Vertical Axis ◽  
Lateral Motion ◽  
Functional Interaction ◽  
Gaze Stabilization ◽  
Theoretical Evidence ◽  
Ocular System

Growing experimental and theoretical evidence suggests a functional synergy in the processing of otolith and semicircular canal signals for the generation of the vestibulo-ocular reflexes (VORs). In this study we have further tested this functional interaction by quantifying the adaptive changes in the otolith-ocular system during both rotational and translational movements after surgical inactivation of the semicircular canals. For 0.1–0.5 Hz (stimuli for which there is no recovery of responses from the plugged canals), pitch and roll VOR gains recovered during earth-horizontal (but not earth-vertical) axis rotations. Corresponding changes were also observed in eye movements elicited by translational motion (0.1–5 Hz). Specifically, torsional eye movements increased during lateral motion, whereas vertical eye movements increased during fore-aft motion. The findings indicate that otolith signals can be adapted according to a compromised strategy that leads to improved gaze stabilization during motion. Because canal-plugged animals permanently lose the ability to discriminate gravitoinertial accelerations, adapted animals can use the presence of gravity through otolith-driven tilt responses to assist gaze stabilization during earth-horizontal axis rotations.

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