The Effect of Different Head Movement Paradigms on Vestibulo-Ocular Reflex Gain and Saccadic Eye Responses in the Suppression Head Impulse Test in Healthy Adult Volunteers
Autor: | Dmitrii Starkov, Bernd Vermorken, T. S. Van Dooren, Lisa Van Stiphout, Miranda Janssen, Maksim Pleshkov, Nils Guinand, Angelica Pérez Fornos, Vincent Van Rompaey, Herman Kingma, Raymond Van de Berg |
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Přispěvatelé: | RS: MHeNs - R3 - Neuroscience, KNO, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, MUMC+: MA AIOS Keel Neus Oorheelkunde (9), MUMC+: MA Keel Neus Oorheelkunde (9), RS: CAPHRI School for Public Health and Primary Care, FHML Methodologie & Statistiek, MUMC+: MA Vestibulogie (9), MUMC+: MA Audiologisch Centrum Maastricht (9) |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Vestibular ocular reflex genetic structures Saccadic latency Head (linguistics) passive head impulse video head impulse test (vHIT) Inward head impulse пассивные импульсы outward head impulse Audiology OCULAR REFLEX Active head impulse vestibular ocular reflex Outward head impulse suppression head impulse paradigm Medicine Latency (engineering) RC346-429 Original Research Passive head impulse inward head impulse business.industry компенсаторные саккады Head impulse test Saccadic masking ddc:616.8 вестибулоокулярный рефлекс active head impulse OUTWARD Neurology VOR Saccade Reflex Neurology. Diseases of the nervous system sense organs Human medicine Neurology (clinical) Suppression head impulse paradigm Vestibulo–ocular reflex business Video head impulse test (vHIT) VIDEO UNILATERAL VESTIBULAR LOSS |
Zdroj: | Frontiers in neurology Frontiers in neurology, Vol. 12 (2021) P. 729081 Frontiers in Neurology, Vol 12 (2021) Frontiers in Neurology, 12:729081. Frontiers Media S.A. Frontiers in neurology. 2021. Vol. 12. P. 729081 (1-10) Frontiers in Neurology |
ISSN: | 1664-2295 |
DOI: | 10.3389/fneur.2021.729081 |
Popis: | Objective: This study aimed to identify differences in vestibulo-ocular reflex gain (VOR gain) and saccadic response in the suppression head impulse paradigm (SHIMP) between predictable and less predictable head movements, in a group of healthy subjects. It was hypothesized that higher prediction could lead to a lower VOR gain, a shorter saccadic latency, and higher grouping of saccades.Methods: Sixty-two healthy subjects were tested using the video head impulse test and SHIMPs in four conditions: active and passive head movements for both inward and outward directions. VOR gain, latency of the first saccade, and the level of saccade grouping (PR-score) were compared among conditions. Inward and active head movements were considered to be more predictable than outward and passive head movements.Results: After validation, results of 57 tested subjects were analyzed. Mean VOR gain was significantly lower for inward passive compared with outward passive head impulses (p < 0.001), and it was higher for active compared with passive head impulses (both inward and outward) (p ≤ 0.024). Mean latency of the first saccade was significantly shorter for inward active compared with inward passive (p ≤ 0.001) and for inward passive compared with outward passive head impulses (p = 0.012). Mean PR-score was only significantly higher in active outward than in active inward head impulses (p = 0.004).Conclusion: For SHIMP, a higher predictability in head movements lowered gain only in passive impulses and shortened latencies of compensatory saccades overall. For active impulses, gain calculation was affected by short-latency compensatory saccades, hindering reliable comparison with gains of passive impulses. Predictability did not substantially influence grouping of compensatory saccades. |
Databáze: | OpenAIRE |
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