Subjective Visual Vertical in Idiopathic Bilateral Vestibular Hypofunction: Enhanced Role of Vision, Neck, and Body Proprioception

Autor: Ulla Duquesne, Christian Van Nechel, Charlotte Hautefort, Alexis Bozorg Grayeli, Sylvie Heuschen, Michel Toupet
Rok vydání: 2017
Předmět:
Zdroj: Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 38(7)
ISSN: 1537-4505
Popis: INTRODUCTION We aimed to study the participation of proprioceptive and visual inputs in subjective visual vertical (SVV) in bilateral vestibular hypofunction and in normal subjects. STUDY DESIGN Prospective case-control study. SETTING Tertiary referral center. MATERIALS AND METHODS SVV (six replicates) was measured on a tiltable rehabilitation seat in 26 adult patients with idiopathic bilateral vestibular hypofunction (IBVH) and 33 adult controls. Subjects were asked to place vertically a 45 degrees-tilted red line on a screen (three replicates to left and three to right alternatively) using a remote control in total darkness and in seven body positions: vertical, head, and body left- and right-tilts to 12 and 24 degrees, and then body left- and right-tilt to 24 degrees with the head upright. RESULTS In the vertical position, SVV did not differ between IBVH and controls. Patients with IBVH were more sensitive to body tilt than controls (SVV: -8.1 ± 4.66 degrees for IBVH versus -0.2 ± 3.23 for control at 24 degrees body and head left-tilt, p
Databáze: OpenAIRE