Adaptational Modifications of the Vestibular Postural Response in Humans under Conditions of Horizontal Visual Reversal

In healthy volunteers, we recorded stabilograms and studied postural responses evoked by galvanic stimulation of the labyrinth (binaurally applied 1-mA current, 4 sec) with the subjects' eyes open and closed and under conditions of reversed visual perception. Horizontal reversal of the visual space was provided by using spectacles with the Dove's prisms. In series consisting of 10 sequential tests with eyes open, we observed a gradual drop in the response amplitude, while there were practically no changes in the maximum velocity of the displacement. Postural responses with eyes closed were considerably greater than those with eyes open, but their amplitude and velocity demonstrated no changes with sequential tests. Under conditions of reversal of the visual perception, both the amplitude and maximum velocity of the postural responses decreased with successive testing. Under the above conditions, at the beginning of a test series responses to vestibular stimulation were greater than those with eyes closed, but in repeated tests they decreased and attained the same magnitude as in the tests with eyes closed. Therefore, the effect of short-term adaptation to visual reversal on the system controlling vertical posture resulted in simple rejection of the information coming via the visual input. In another experimental mode, we studied the adaptation effects at longer (3 h long) visual reversal. Postural responses to galvanic stimulation of the labyrinth (monaurally applied, 2-mA current, 4 sec) were tested with 1-h-long intervals; tests with visual reversal and with eyes closed were made in a random order with each other. A 3-h-long interval with the prismatic spectacles on did not modify the amplitude and velocity of the vestibular postural responses when the tests were made with the eyes closed. When the tests were performed with the eyes open, but in the inverting spectacles, postural responses significantly decreased (by about 50-60%) to the 2nd and 3rd h of the experiment. Such selective suppression of the vestibular input under conditions of visual reversal can be interpreted as a result of adaptational transformation of the visual-vestibular relation directed toward minimization of the visual-vestibular conflict.     

Stabilization of motor asymmetry in the goldfish under the influence of optokinetic stimulation

Adaptation as a memory model appears, at the cellular level, as an increase in the resistivity of neurons to fatigue under the influence of repetitive natural training stimulation. Selective induction of adaptational changes in separate compartments of one and the same neuron can also serve as an important instrument for identification of the roles of these compartments in the integrative function of the individual neuron. Mauthner neurons (MNs) of fishes (the goldfish in particular) possess a clearly differentiated soma and two dendrites, lateral and ventral ones. The soma and lateral dendrite of each MN receive afferentation from the ipsilateral vestibular apparatus; at present, the functional and morphological aspects of selective adaptational modifications induced in these compartments by adequate vestibular stimulation have been examined in detail. As to the ventral MN dendrite receiving visual afferentation from the contralateral eye via the ipsilateral tectum, it remained impossible until now to realize the respective approach. We found that training sessions of visual optokinetic stimulation performed in certain modes provide selective activation of one MN through its ventral dendrite and increase the resistivity of this cell to fatiguing stimulation. Therefore, we first demonstrated the possibility of adaptational changes in an individual ventral dendrite of the MN. If fishes were preliminarily adapted with respect to vestibular stimulation, and the resistivity of the soma and lateral dendrite was selectively increased, the resistivity to fatiguing visual test stimulation also increased. On the other hand, if fishes were preliminarily adapted with respect to visual stimulation, the resistivity to fatiguing vestibular stimulation also increased. The observed increase in the resistivity of MNs of fishes adapted due to sensory stimulation of one afferent input with respect to sensory stimulation of other sensory input, as well as an increase in the resistivity to sensory stimulation of one modality, probably show that the mechanism of increase in the resistivity is the same in both cases. Neirofiziologiya/Neurophysiology, Vol. 40, No. 3, pp. 211–220, May–June, 2008.     

Anodal stimulation: an underrecognized cause of nonresponders to cardiac resynchronization therapy

Objective

The purpose of this study was to determine if anodal stimulation accounts for failure to benefit from cardiac resynchronization therapy (CRT) in some patients.

Background

Approximately 30-40% of patients with moderate to severe heart failure do not have symptomatic nor echocardiographic improvement in cardiac function following CRT. Modern CRT devices allow the option of programming left ventricular (LV) lead pacing as LV tip to right ventricular (RV) lead coil to potentially improve pacing thresholds. However, anodal stimulation can result in unintentional RV pacing (anode) instead of LV pacing (cathode).

Methods

Patients enrolled in our center''s CRT registry had an echocardiogram, 6-minute walk (6MW), and Minnesota Living with HF Questionnaire (MLHFQ) pre-implant and 6 months after CRT. Electrocardiograms (12 lead) during RV, LV, and biventricular (BiV) pacing were obtained at the end of the implant in 102 patients. Anodal stimulation was defined as LV pacing QRS morphology on EKG being identical to RV pacing or consistent with fusion with RV and LV electrode capture. LV end systolic volume (LVESV) was measured by echo biplane Simpson''s method and CRT responder was defined as 15% or greater reduction in LVESV.

Results

Of the 102 patients, 46 (45.1%) had the final LV lead pacing configuration programmed LV (tip or ring) to RV (coil or ring). 3 of the 46 subjects (6.5%) had EKG findings consistent with anodal stimulation, not corrected intraoperatively. All anodal stimulation patients were nonresponders to CRT by echo criteria (reduction in LVESV 13.3 ± 0.6%, increase in EF 5.0 ± 1.4%) compared to 46% responders for those without anodal stimulation, (change in LVESV 18.7 ± 25.6%, EF 7.6 ±10.9%). None of the anodal stimulation patients were responders for the 6 minute walk, compared to 32 of 66 (48%) of those without anodal stimulation.

Conclusion

Anodal stimulation is a potential underrecognized and ameliorable cause of poor response to CRT.     

Balance Control Mediated by Vestibular Circuits Directing Limb Extension or Antagonist Muscle Co-activation

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前庭电刺激联合前庭康复治疗周围性眩晕的疗效观察

目的：观察前庭电刺激联合前庭康复治疗周围性眩晕的疗效。方法：在常规药物治疗基础上将2008年5月．2012年5月我科眩晕门诊收治的226例诊断明确的单侧前庭周围性眩晕患者随机分成两组：前庭康复组和前庭康复＋前庭电刺激组。前庭康复组行常规前庭康复治疗,前庭康复＋前庭电刺激组在药物治疗及前庭康复基础上加用前庭电刺激,即在双侧乳突采取双极直流电刺激,每次15-20分钟,每天2次,共6周。治疗前及治疗后第2、4、6周行BBS评分及计时平衡试验时间测定以评判和比较两组的疗效。结果：两组患者治疗后第2、4、6周BBS评分及计时平衡试验时间较治疗前均明显增加（P〈0．05）,且B组各时点BBS评分及计时平衡试验时间均明显高于A组（P〈0．05）。结论：前庭电刺激联合前庭康复是较单纯前庭康复治疗前庭周围性眩晕更加有效的方法,其简单、无创、值得推广。     

Rotational stimulation-related changes of the motor asymmetry in the goldfish

We studied changes in the motor asymmetry of the goldfish induced by single-session long-lasting vestibular stimulations (clockwise and counter clockwise rotations around the rostro-caudal body axis) and repetitive everyday short sessions of such stimulation (training); the latter mode led to the development of adaptation (resistance to fatigue). Rotational stimulation of different durations and directions elicited effects of different patterns and intensities. Such stimulation enhanced or, vice versa, smoothed the motor asymmetry in “dextral” and “ sinistral” fishes, up to full symmetry or even a change of the preferred turning direction. Adaptation to unilateral rotational stimulation allows an experimenter to selectively and gradually induce the resistivity of the left-or right-ward asymmetry to fatigue effects. Earlier, we found that the motor asymmetry in the goldfish, which is determined by the functional asymmetry of the brain, correlates with the morphological asymmetry of Mauthner neurons localized in the medulla in a mirror manner and playing a crucial role in the control of turnings in the course of locomotion (swimming). Experimental rotational stimulation-induced gradual modification of the motor asymmetry in the goldfish can serve as a physiological model for more detailed studies of the structural base of the functional brain asymmetry and some mechanisms of adaptation on the level of single neurons. Neirofiziologiya/Neurophysiology, Vol. 37, Nos. 5/6, pp. 432–442, September–December, 2005.     

Dynamics of post-denervational modifications of spinal reflex activity in albino rats

In experiments on rats, we studied the characteristics of reflex discharges in the ventral root (VR) L ₅; the discharges were evoked by stimulation of segmental (peripheral nerve or dorsal root, DR) and suprasegmental vestibular (stimulation of the round window of the labyrinth) inputs. Potentials were recorded within different time intervals (from 1 to 150 days) after transection of the sciatic nerve (SN); measures preventing regeneration of its fibers were used. Modifications of the segmental responses related to post-denervational changes included four phases: (i) latent period, (ii) post-denervational spinal hyperreflexia (PDSH), (iii) partial suppression of monosynaptic discharges (MDs) in the VR, and (iv) complete disappearance of VR MDs resulting from late post-denervational changes. The latency of post-denervational modifications was about 18–48 h after the moment of transection of the SN. Within the PDSH phase, modifications were the greatest 3 to 5 days after transection; these changes could be more adequately estimated in the case of stimulation of the DR on the side of transection and not under conditions of stimulation of the central segment of the transected SN per se. Within this phase, the amplitudes of VR MDs and responses to vestibular stimulation were augmented two to three and four to five times, as compared with the respective indices in intact animals. From the 7th to 10th day after the nerve transection, the amplitude of VR MDs progressively dropped, and on about the 20th day these discharges practically disappeared, while polysynaptic components of segmental responses were preserved. Vestibular responses within this period were, as earlier, considerably facilitated. On the 60th and 150th days (within the phase of late post-denervational modifications) there were no VR MDs after stimulation of segmental inputs, and polysynaptic responses were exclusively observed. The amplitude of discharges evoked by vestibular stimulation became lower than in the PDSH state but remained significantly higher than the control values of this parameter. Probable mechanisms of post-denervational modifications of the evoked spinal activity within different time intervals after transection of the SN are discussed. Neirofiziologiya/Neurophysiology, Vol. 39, No. 1, pp. 37–46, January–February, 2007.     

Dependence of joint stiffness on the conditions of visual control in upright undisturbed stance in humans

We recorded the sagittal and frontal components of the stabilogram of healthy humans in upright undisturbed stance under five conditions of visual control: (i) open eyes (OE); (ii) closed eyes (CE); (iii) visual inversion (VI); (iv) central vision (CV), and (v) diffused light (DL). Through a low-pass filter of trajectories of the center of pressure of feet (CPF), the vertical projection of the center of gravity (CG) and, consequently, the difference CPF-CG were estimated. The former represents the controlled variable, while the latter is proportional to the horizontal acceleration and assumed to express the resultant joint stiffness (mostly in the ankle joints). The stiffness was characterized through a method based on spectral analysis of the CPF-CG variable and subsequent calculations of the median frequency (MF) and the root mean square (RMS) of the spectra. The median frequencies of the spectra of the CPF-CG variable changed slightly under various visual conditions. At standing on a rigid support, they varied from 0.97 to 0.99 Hz and from 0.93 to 0.97 Hz for the CPF-CG, calculated from the sagittal and frontal components of the stabilogram, respectively. Under conditions of a pliable support, the corresponding frequencies varied within the limits of 0.79–0.83 Hz and 0.74–0.78 Hz. In contrast to the median frequencies, the RMSs demonstrated greater variability depending on different visual conditions. At standing on a rigid support, paired comparisons showed significant differences between the RMSs of the spectra of the CPF-CG variable of the sagittal direction under CE and OE conditions (0.14 ± 0.030 and 0.09 ± 0.020 mm, respectively) and under DL and OE conditions (0.130 ± ± 0.025 and 0.090 ± 0.020 mm, respectively). The RMS of the CPF-CG variable calculated for the frontal stabilogram differed significantly from each other for the VI and OE conditions (0.115 ± 0.020 and 0.075 ± ± 0.015 mm, respectively). In case of standing on a pliable support, a greater variability of visual influences on the CPF-CG variable was found. The RMS for its sagittal motion was the greatest under CE conditions (0.19 ± 0.03 mm); it was significantly greater than the respective values under OE, CV, and DL conditions (0.097 ± ± 0.020, 0.110 ± 0.020, and 0.140 ± 0.030 mm, respectively). The means of RMSs of the spectra of the frontal CPF-CG was also the greatest under CE conditions (0.20 ± 0.03 mm) and the smallest under OE conditions (0.095 ± 0.020 mm). In addition, the value of the RMS fluctuations under CE conditions (0.150 ± 0.025 mm) differed significantly from the respective values under OE conditions (0.095 ± 0.020 mm) and CV conditions (0.110 ± 0.020 mm). Thus, our findings support the statement that the influence of visual conditions on the maintenance of vertical stance is mediated (at least partially) by the mechanisms controlling the ankle joint stiffness. This regulation is mostly manifested in changes of a single parameter, the amplitude of fluctuations of the CPF-CG variable. We also found that the joint stiffness can be modulated by both nonspecific visual influences (which, in particular, reflect the perception of illumination) and specific visual influences, related to information on the position of the body and on its movements with respect to external objects. Neirofiziologiya/Neurophysiology, Vol. 38, No. 2, pp. 157–166, March–April, 2006.     

Maintenance of upright stance in humans in normal and virtual visual environments

We recorded in 16 healthy subjects the sagittal and frontal components of the stabilogram when standing on a rigid motionless or movable (oscillating) platform under four conditions of visual control: (i) open eyes, OE; (ii) closed eyes, CE; (iii) central vision, CV, and (iv) virtual visual environment, VVE. Under the latter condition, subjects observed the 3D image of a room, which was generated by the computer; the image was adhered to head movements in such a manner that a peculiar connection for normal visual conditions between movements of the head and displacements of the visible visual environment was reproduced. Through a low-pass filtration of a trajectory of the center of pressure of feet (CPF), two elementary variables were received, horizontal motions of the center of gravity (CG) and the difference between the CPF and the CG (CPF-CG). Changes in these variables (CG and CPF-CG) were estimated using spectral analysis and subsequent calculation of the median frequency (MF) and root mean square value (RMS) of the spectra. The MFs of the spectra of the investigated variables were approximately identical under conditions of standing on oscillating and motionless supports and showed no clear dependence on various visual conditions. Unlike MFs, the RMSs of the spectra of body sways appeared more dependent on changes of conditions of standing and the mode of visual control (differing from each other in the higher sensitivity to modifications of conditions of standing and visual control). With standing on the motionless support, the RMSs of the spectra of both variables were the greatest under VVE and CE conditions and the smallest under OE condition. The body oscillations were considerably amplified under conditions of standing on a movable support, and a different pattern of visual influences on the RMS of both investigated variables was revealed. The RMSs had the greatest value under CE condition and were much smaller (50–40%) under other visual conditions, including the VVE condition. Therefore, our findings show that, under VVE conditions, visual sensory afferentation is ignored by cerebral structures controlling postural adjustments if standing occurs on a motionless support but is effectively used at the maintenance of upright stance on an oscillating support. Neirofiziologiya/Neurophysiology, Vol. 39, No. 6, pp. 476–485, November–December, 2007.     

前庭刺激对兔听诱发电位和脑电功率谱的影响

本实验观察了正弦旋转方式的前庭刺激对兔听诱发电位和脑电功率谱的影响。结果表明该旋转刺激可导致中枢神经系统抑制.这与运动病时的一些表现十分吻合,提示运动病的发生可能与前庭刺激导致中枢神经系统抑制有关。     

Rocking Promotes Sleep in Mice through Rhythmic Stimulation of the Vestibular System

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