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https://www.readbyqxmd.com/read/28542112/effects-of-vestibular-rehabilitation-on-gait-performance-in-poststroke-patients-a-pilot-randomized-controlled-trial
#1
Tsubasa Mitsutake, Maiko Sakamoto, Kozo Ueta, Shinichiro Oka, Etsuo Horikawa
The effects of vestibular rehabilitation on poststroke patients are unknown. This study aimed to investigate whether or not vestibular rehabilitation would improve both the vestibulo-ocular reflex and gait performance of patients with poststroke hemiparesis. Twenty-eight patients with stroke were assigned randomly to either an experimental group (N=14) or a control group (N=14). The experimental group performed the conventional physical therapy for 40 min and vestibular rehabilitation for 20 min, as a 60 min session, during the first 3 weeks and then completed only the conventional intervention for 60 min for the following 3 weeks...
May 24, 2017: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/28499856/measuring-soldier-performance-during-the-patrol-exertion-multitask-preliminary-validation-of-a-post-concussive-functional-return-to-duty-metric
#2
Matthew Scherer, Margaret M Weightman, Mary Vining Radomski, Laurel Smith, Marsha Finkelstein, Amy Cecchini, Kristin Jensen Heaton, Karen McCulloch
OBJECTIVE: To assess the discriminant validity of the Patrol-Exertion Multitask (PEMT), a novel, multi-domain, functional return-to-duty clinical assessment for Active Duty military personnel. DESIGN: Measurement development study SETTING: Non-clinical indoor testing facility, Fort Bragg NC PARTICIPANTS: 51 healthy control (HC) Service Members and 33 military personnel with persistent post-concussive symptoms receiving rehabilitation (mTBI) INTERVENTION: Not applicable MAIN OUTCOME MEASURES: Known-groups discriminant validity was evaluated by comparing performance on the PEMT in two groups of Active Duty SM, HC and personnel with mTBI residual symptoms...
May 9, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28446583/a-shared-neural-integrator-for-human-posture-control
#3
Stephanie E Haggerty, Amy R Wu, Kathleen H Sienko, Arthur D Kuo
Control of standing posture requires fusion of multiple inputs including visual, vestibular, somatosensory, and other sensors, each having distinct dynamics. The semicircular canals, for example, have a high-pass filter response to angular velocity, quickly sensing a step change in head rotational velocity followed by a decay. To stabilize gaze despite this decay, the central nervous system supplies a neural "velocity storage" integrator, a filter that extends the angular velocity signal. Similar filtering might contribute temporal dynamics to posture control, as suggested by some state estimation models...
April 26, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28424915/optimal-eye-movement-strategies-a-comparison-of-neurosurgeons-gaze-patterns-when-using-a-surgical-microscope
#4
Shahram Eivazi, Ahmad Hafez, Wolfgang Fuhl, Hoorieh Afkari, Enkelejda Kasneci, Martin Lehecka, Roman Bednarik
BACKGROUND: Previous studies have consistently demonstrated gaze behaviour differences related to expertise during various surgical procedures. In micro-neurosurgery, however, there is a lack of evidence of empirically demonstrated individual differences associated with visual attention. It is unknown exactly how neurosurgeons see a stereoscopic magnified view in the context of micro-neurosurgery and what this implies for medical training. METHOD: We report on an investigation of the eye movement patterns in micro-neurosurgery using a state-of-the-art eye tracker...
June 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28421028/adult-onset-niemann-pick-disease-type-c-rapid-treatment-initiation-advised-but-early-diagnosis-remains-difficult
#5
Tobias Piroth, Kai Boelmans, Florian Amtage, Michel Rijntjes, Anna Wierciochin, Thomas Musacchio, Cornelius Weiller, Jens Volkmann, Stephan Klebe
Niemann-Pick type C disease (NP-C) presents with heterogeneous neurological and psychiatric symptoms. Adult onset is rare and possibly underdiagnosed due to frequent lack of specific and obvious key symptoms. For both early and adolescent/adult onset, the available data from studies and case reports describe a positive effect of Miglustat (symptom relief or stabilization). However, due to the low frequency of NP-C, experience with this therapy is still limited. We describe two adult-onset cases of NP-C. In both cases, vertical supranuclear gaze palsy was not recognized at symptom onset...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28404827/new-insights-into-vestibular-saccade-interaction-based-on-covert-corrective-saccades-in-patients-with-unilateral-vestibular-deficits
#6
Paolo Colagiorgio, Maurizio Versino, Silvia Colnaghi, Silvia Quaglieri, Marco Manfrin, Ewa Zamaro, Georgios Mantokoudis, David S Zee, Stefano Ramat
In response to passive high-acceleration head impulses patients with low vestibulo-ocular reflex (VOR) gains often produce covert (executed while the head is still moving) corrective saccades in the direction of deficient slow phases. Here we examined 23 patients using passive, and nine also active, head impulses with acute (< 10 days from onset) unilateral vestibular neuritis and low VOR gains. We found that when corrective saccades are larger than 10°, the slow-phase component of the VOR is inhibited, even though inhibition increases further the time to reacquire the fixation target...
April 12, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28391373/noisy-galvanic-vestibular-stimulation-an-emerging-treatment-option-for-bilateral-vestibulopathy
#7
Max Wuehr, Julian Decker, Roman Schniepp
Patients with bilateral vestibulopathy (BVP) suffer from persistent imbalance during standing and walking as well as an impaired gaze stabilization during head movements. Disabilities associated with BVP severely compromise patients' daily activities and are often linked to an increased risk of falls. Currently, the only established treatment option in BVP is physical therapy. However, treatment effects of physical therapy in BVP are most often limited and many patients do not adequately recover performance...
April 8, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28387693/visual-vestibular-processing-deficits-in-mild-traumatic-brain-injury
#8
W G Wright, R T Tierney, J McDevitt
BACKGROUND: The search for reliable and valid signs and symptoms of mild traumatic brain injury (mTBI), commonly synonymous with concussion, has lead to a growing body of evidence that individuals with long-lasting, unremitting impairments often experience visual and vestibular symptoms, such as dizziness, postural and gait disturbances. OBJECTIVE: Investigate the role of visual-vestibular processing deficits following concussion. METHODS: A number of clinically accepted vestibular, oculomotor, and balance assessments as well as a novel virtual reality (VR)-based balance assessment device were used to assess adults with post-acute concussion (n = 14) in comparison to a healthy age-matched cohort (n = 58)...
2017: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/28387690/the-vestibular-implant-a-probe-in-orbit-around-the-human-balance-system
#9
Angelica Perez Fornos, Samuel Cavuscens, Maurizio Ranieri, Raymond van de Berg, Robert Stokroos, Herman Kingma, Jean-Philippe Guyot, Nils Guinand
The primary goal of the vestibular implant is to restore the vestibular function in patients with a disabling bilateral vestibular loss for whom there is currently no available treatment. The prototype developed by our team is a hybrid system consisting of a modified cochlear implant incorporating additional vestibular electrodes. Therefore, in addition of delivering sound information it is also capable of delivering motion information to the central nervous system using electrical stimulation. To date, thirteen patients have been implanted with such vestibular implant prototypes...
2017: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/28385799/cross-modal-influence-of-mechanosensory-input-on-gaze-responses-to-visual-motion-in-drosophila
#10
Shwetha Mureli, Ilakkiya Thanigaivelan, Michael L Schaffer, Jessica L Fox
Animals typically combine inertial and visual information to stabilize their gaze against confounding self-generated visual motion, and to maintain a level gaze when the body is perturbed by external forces. In vertebrates, an inner ear vestibular system provides information about body rotations and accelerations, but gaze stabilization is less understood in insects, which lack a vestibular organ. In flies, the halteres, reduced hindwings imbued with hundreds of mechanosensory cells, sense inertial forces and provide input to neck motoneurons that control gaze...
April 6, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28385683/the-multimodal-assessment-of-adult-attachment-security-developing-the-biometric-attachment-test
#11
Federico Parra, Raphaële Miljkovitch, Gwenaelle Persiaux, Michelle Morales, Stefan Scherer
BACKGROUND: Attachment theory has been proven essential for mental health, including psychopathology, development, and interpersonal relationships. Validated psychometric instruments to measure attachment abound but suffer from shortcomings common to traditional psychometrics. Recent developments in multimodal fusion and machine learning pave the way for new automated and objective psychometric instruments for adult attachment that combine psychophysiological, linguistic, and behavioral analyses in the assessment of the construct...
April 6, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28368883/effect-of-gaze-stabilization-exercises-on-vestibular-function-during-postural-control
#12
Akiyoshi Matsugi, Yusuke Ueta, Kosuke Oku, Kojiro Okuno, Yoshiki Tamaru, Shohei Nomura, Hiroaki Tanaka, Nobuhiko Mori
Gaze-stabilization exercise (GSE) is often conducted in vestibular rehabilitation, but its effect on vestibular function in postural control is not clear. We investigated whether GSE affects vestibular function during static upright standing and vestibulospinal reflex (VSR) in healthy young adults. First, the center of pressure of the total trajectory length (CoP-L) was measured before each GSE task or control (only standing) task (pre), immediately after (post), and 10 min after (post10) in the static standing position on foam rubber with the eyes open or closed (EC)...
May 24, 2017: Neuroreport
https://www.readbyqxmd.com/read/28356369/the-independence-of-eye-movements-in-a-stomatopod-crustacean-is-task-dependent
#13
Ilse M Daly, Martin J How, Julian C Partridge, Nicholas W Roberts
Stomatopods have an extraordinary visual system, incorporating independent movement of their eyes in all three degrees of rotational freedom. In this work, we demonstrate that in the peacock mantis shrimp, Odontodactylus scyllarus, the level of ocular independence is task dependent. During gaze stabilization in the context of optokinesis, there is weak but significant correlation between the left and right eyes in the yaw degree of rotational freedom, but not in pitch and torsion. When one eye is completely occluded, the uncovered eye does not drive the covered eye during gaze stabilization...
April 1, 2017: Journal of Experimental Biology
https://www.readbyqxmd.com/read/28336357/assessment-of-vestibulo-ocular-function-without-measuring-eye-movements
#14
Kara H Beaton, Michael Schubert, Mark Shelhamer
BACKGROUND: The vestibulo-ocular reflex (VOR) maintains stable gaze during head motion. Deficiencies lead to apparent world motion due to incomplete stabilization of eyes in space. VOR measurement requires specialized apparatus, trained operators, and significant setup time. NEW METHOD: We present a system (VON: vestibulo-ocular nulling) for rapid vestibulo-ocular assessment without measuring eye movements per se. VON uses a head-mounted motion sensor, laptop computer with user input control, and laser target whose position is controlled by the computer...
March 20, 2017: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/28292832/functional-organization-of-vestibulo-ocular-responses-in-abducens-motoneurons
#15
Haike Dietrich, Stefan Glasauer, Hans Straka
Vestibulo-ocular reflexes (VORs) are the dominating contributors to gaze stabilization in all vertebrates. During horizontal head movements, abducens motoneurons form the final element of the reflex arc that integrates visuovestibular inputs into temporally precise motor commands for the lateral rectus eye muscle. Here, we studied a possible differentiation of abducens motoneurons into subtypes by evaluating their morphology, discharge properties, and synaptic pharmacology in semi-intact in vitro preparations of larval Xenopus laevis Extracellular nerve recordings during sinusoidal head motion revealed a continuum of resting rates and activation thresholds during vestibular stimulation...
April 12, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28292694/asb-clinical-biomechanics-award-winner-2016-assessment-of-gaze-stability-within-24-48hours-post-concussion
#16
Nicholas G Murray, Nathan R D'Amico, Douglas Powell, Megan E Mormile, Katelyn E Grimes, Barry A Munkasy, Russell K Gore, Rebecca J Reed-Jones
BACKGROUND: Approximately 90% of athletes with concussion experience a certain degree of visual system dysfunction immediately post-concussion. Of these abnormalities, gaze stability deficits are denoted as among the most common. Little research quantitatively explores these variables post-concussion. As such, the purpose of this study was to investigate and compare gaze stability between a control group of healthy non-injured athletes and a group of athletes with concussions 24-48hours post-injury...
May 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28271408/moving-or-being-moved-that-makes-a-difference
#17
Hans Straka, Boris P Chagnaud
During head/body movements, gaze stability is ensured by transformation of motion-related sensory signals into respective motor commands. Passively induced motion in all vertebrates including amphibians evokes a robust vestibulo-ocular reflex, suggesting an equally important role of this motor reaction during actively induced motion. However, during self-induced movements including locomotion, motor efference copies offer a convenient additional substrate for counteracting retinal image displacements. During such locomotor activity in Xenopus laevis tadpoles, spinal central pattern generator-derived efference copies elicit spatio-temporally specific eye movements, which are functionally appropriate to offset swimming-related retinal image displacements...
March 7, 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28242737/unchanging-visions-the-effects-and-limitations-of-ocular-stillness
#18
REVIEW
Susana Martinez-Conde, Stephen L Macknik
Scientists have pondered the perceptual effects of ocular motion, and those of its counterpart, ocular stillness, for over 200 years. The unremitting 'trembling of the eye' that occurs even during gaze fixation was first noted by Jurin in 1738. In 1794, Erasmus Darwin documented that gaze fixation produces perceptual fading, a phenomenon rediscovered in 1804 by Ignaz Paul Vital Troxler. Studies in the twentieth century established that Jurin's 'eye trembling' consisted of three main types of 'fixational' eye movements, now called microsaccades (or fixational saccades), drifts and tremor...
April 19, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
https://www.readbyqxmd.com/read/28194135/inaccurate-saccades-and-enhanced-vestibulo-ocular-reflex-suppression-during-combined-eye-head-movements-in-patients-with-chronic-neck-pain-possible-implications-for-cervical-vertigo
#19
Janine L Johnston, Pierre M Daye, Glen T D Thomson
BACKGROUND: The primate ocular motor system is designed to acquire peripheral targets of interest by coordinating visual, vestibular, and neck muscle activation signals. The vestibulo-ocular reflex (VOR) is greatly reduced at the onset of large eye-head (gaze) saccades and resumes before the end of the saccades to stabilize eye-in-orbit and ensure accurate target acquisition. Previous studies have relied on manipulating head movements in normal individuals to study VOR suppression and gaze kinematics...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28192092/peripheral-oculomotor-training-in-individuals-with-healthy-visual-systems-effects-of-training-and-training-transfer
#20
Dylan Rose, Peter Bex
Individuals with pathological or simulated central visual field loss can be trained to use a preferred retinal locus (PRL) as a substitute for their non-functioning fovea. The functional benefits of a stable PRL are well documented, but little is known about oculomotor adaptations during PRL acquisition or transfer of training to another location in response to real or simulated disease progression. In this study, eight normally-sighted observers were trained to use a pseudo-PRL (pPRL) at one of two locations by guiding an eccentrically placed, gaze-contingent ring over a fixation target...
February 25, 2017: Vision Research
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