Postural Responses Evoked by Vibrational Stimulation of the Shin Muscles under Conditions of Virtual Visual Environment

We studied the effects of unexpected shifts of the visually perceived artificial surroundings (virtual visual environment, VVE) on postural reactions evoked by vibrational stimulation of proprioceptors of the shin muscles; tests were performed in a standing position of the subject. The VVE possessed two planes, a mobile foreground, whose displacements correlated with oscillations of the body, and a stationary background. The subjects were asked to use the latter as a reference system in corrections of the posture. The VVE parameters were controlled by a computer; shifts of the VVE foreground were combined with similar, in their duration and profile, stimulation-evoked displacements of the body. Despite the fact that the subjects had a possibility to use the stationary background as the reference system, the magnitudes of the evoked postural responses under conditions of perception of the VVE significantly exceeded the respective magnitudes upon standing with the eyes open in front of a completely stationary visual image. Postural responses progressively increased with increases in relative values of the shifts of the VVE foreground but always remained smaller than the responses under conditions of testing with the eyes closed. Augmentation of the postural responses at a synphase pattern of interrelations between the body movements and VVE shifts was more significant than at antiphase relations. Thus, shifts of the VVE foreground, on the one hand, destabilized the maintenance of the vertical posture, which resulted in intensification of the postural responses. On the other hand, such shifts allowed the subject to use them as feedback signals and to modulate the magnitude of postural responses when there was a change in the direction of interrelations between the body movements and the perceived visual image.     

Head Movements Evoked in Alert Rhesus Monkey by Vestibular Prosthesis Stimulation: Implications for Postural and Gaze Stabilization

The vestibular system detects motion of the head in space and in turn generates reflexes that are vital for our daily activities. The eye movements produced by the vestibulo-ocular reflex (VOR) play an essential role in stabilizing the visual axis (gaze), while vestibulo-spinal reflexes ensure the maintenance of head and body posture. The neuronal pathways from the vestibular periphery to the cervical spinal cord potentially serve a dual role, since they function to stabilize the head relative to inertial space and could thus contribute to gaze (eye-in-head + head-in-space) and posture stabilization. To date, however, the functional significance of vestibular-neck pathways in alert primates remains a matter of debate. Here we used a vestibular prosthesis to 1) quantify vestibularly-driven head movements in primates, and 2) assess whether these evoked head movements make a significant contribution to gaze as well as postural stabilization. We stimulated electrodes implanted in the horizontal semicircular canal of alert rhesus monkeys, and measured the head and eye movements evoked during a 100ms time period for which the contribution of longer latency voluntary inputs to the neck would be minimal. Our results show that prosthetic stimulation evoked significant head movements with latencies consistent with known vestibulo-spinal pathways. Furthermore, while the evoked head movements were substantially smaller than the coincidently evoked eye movements, they made a significant contribution to gaze stabilization, complementing the VOR to ensure that the appropriate gaze response is achieved. We speculate that analogous compensatory head movements will be evoked when implanted prosthetic devices are transitioned to human patients.     

Behavioral and Electrophysiological Responses Evoked by Chronic Infrared Neural Stimulation of the Cochlea

Infrared neural stimulation (INS) has been proposed as a novel method for neural stimulation. In order for INS to translate to clinical use, which would involve the use of implanted devices over years or decades, the efficacy and safety of chronic INS needs to be determined. We examined a population of cats that were chronically implanted with an optical fiber to stimulate the cochlea with infrared radiation, the first known chronic application of INS. Through behavioral responses, the cats demonstrate that stimulation occurs and a perceptual event results. Long-term stimulation did not result in a change in the electrophysiological responses, either optically-evoked or acoustically-evoked. Spiral ganglion neuron counts and post implantation tissue growth, which was localized at the optical fiber, were similar in chronically stimulated and sham implanted cochleae. Results from chronic INS experiments in the cat cochlea support future work toward INS-based neuroprostheses for humans.     

The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients

BackgroundVestibular patients occasionally report aggravation or triggering of their symptoms by visual stimuli, which is called visual vestibular mismatch (VVM). These patients therefore experience discomfort, disorientation, dizziness and postural unsteadiness.ObjectiveFirstly, we aimed to get a better insight in the underlying mechanism of VVM by examining perceptual and postural symptoms. Secondly, we wanted to investigate whether roll-motion is a necessary trait to evoke these symptoms or whether a complex but stationary visual pattern equally provokes them.MethodsNine VVM patients and healthy matched control group were examined by exposing both groups to a stationary stimulus as well as an optokinetic stimulus rotating around the naso-occipital axis for a prolonged period of time. Subjective visual vertical (SVV) measurements, posturography and relevant questionnaires were assessed.ResultsNo significant differences between both groups were found for SVV measurements. Patients always swayed more and reported more symptoms than healthy controls. Prolonged exposure to roll-motion caused in patients and controls an increase in postural sway and symptoms. However, only VVM patients reported significantly more symptoms after prolonged exposure to the optokinetic stimulus compared to scores after exposure to a stationary stimulus.ConclusionsVVM patients differ from healthy controls in postural and subjective symptoms and motion is a crucial factor in provoking these symptoms. A possible explanation could be a central visual-vestibular integration deficit, which has implications for diagnostics and clinical rehabilitation purposes. Future research should focus on the underlying central mechanism of VVM and the effectiveness of optokinetic stimulation in resolving it.     

Human Postural Responses to Vibratory Stimulation of Calf Muscles under Conditions of Visual Inversion

The authors studied postural responses to bilateral vibratory stimulation (70 Hz, 1 mm, 2 s) of the calf triceps proprioceptors or anterior tibial muscles. Anteroposterior body tilts evoked by vibration were recorded by stabilography. The authors compared the values of postural responses under various conditions of visual control, namely, with normal vision, eyes closed, right–left inversion of the visual space by prismatic spectacles, central vision, and diffuse light. Visual inversion influenced the subjects' proprioceptive postural responses. The amplitude of vibration-evoked shifts of the feet pressure center was minimal with eyes open and significantly increased with eyes closed and inverted vision. Postural responses with visual inversion were significantly stronger than with eyes closed. Since inversion spectacles enabled a subject to see only the central part of the visual field (20°), the reference point was the condition of central vision, i.e., spectacles with same visual angle and without prisms. Postural responses were significantly weaker under these conditions than with visual inversion and eyes closed. Visual field inversion by prismatic spectacles made it impossible to use visual information for stabilizing the human upright posture and, moreover, destabized it. True, this holds only for a randomized experimental protocol, which prevents adaptation to prisms.     

Olfactory Evoked Potential Produced by Electrical Stimulation of the Human Olfactory Mucosa

Most physiological studies of the human olfactory system haveconcentrated on the cortical level; the olfactory bulbar levelhas been studied rarely. We attempted to stimulate the humanolfactory mucosa by electrical pulse to detect the bulbar potentials.Electrical stimulation (2 mA, 0.5 ms) of the human olfactorymucosa evoked a change in potential recorded from the frontalsector of the head. A negative peak of the evoked potentialthat occurred at 19.4 ms (grand means, n = 5) after stimulationwas the clearest. The highest amplitude of the potential wasrecorded from the frontal sector of the head on the stimulatedside. Our findings were similar to the experimental resultsobtained from the olfactory bulbs of animals. This evoked potentialwas considered to be the human olfactory bulbar potential. Whenthe subjects were stimulated by applying electricity to theolfactory mucosa, no sensation of smell occurred even thoughevoked potentials were recorded. Evoked potentials were recordedonly when the stimulating electrode was located in the olfactorycleft. When the stimulating electrode was outside the olfactorycleft, the stimulation caused pain. The trigeminal nerve seemedto be stimulated by electricity. Olfactory evoked potentialsproduced by the electrical stimulation of the human olfactorymucosa should aid the research on human olfactory physiology,and may be applicable to clinical tests of olfactory dysfunction.Chem. Senses 22: 77–81, 1997.     

The Role of Cervical and Ocular Vestibular Evoked Myogenic Potentials in the Assessment of Patients with Vestibular Schwannomas

Objectives

To investigate the clinical utility of VEMPs in patients suffering from unilateral vestibular schwannoma (VS) and to determine the optimal stimulation parameter (air conducted sound, bone conducted vibration) for evaluating the function of the vestibular nerve.

Methods

Data were obtained in 63 patients with non-operated VS, and 20 patients operated on VS. Vestibular function was assessed by caloric, cervical and ocular VEMP testing. 37/63 patients with conclusive ACS ocular VEMPs responses were studied separately.

Results

In the 63 non-operated VS patients, cVEMPs were abnormal in 65.1% of patients in response to AC STB and in 49.2% of patients to AC clicks. In the 37/63 patients with positive responses from the unaffected side, oVEMPs were abnormal in 75.7% of patients with ACS, in 67.6% with AFz and in 56.8% with mastoid BCV stimulation. In 16% of the patients, VEMPs were the only abnormal test (normal caloric and normal hearing). Among the 26 patients who did not show oVEMP responses on either side with ACS, oVEMPs responses could be obtained with AFz (50%) and with mastoid stimulation (89%).

Conclusions

The VEMP test demonstrated significant clinical value as it yielded the only abnormal test results in some patients suffering from a unilateral vestibular schwannoma. For oVEMPs, we suggest that ACS stimulation should be the initial test. In patients who responded to ACS and who had normal responses, BCV was not required. In patients with abnormal responses on the affected side using ACS, BCV at AFz should be used to confirm abnormal function of the superior vestibular nerve. In patients who exhibited no responses on either side to ACS, BCV was the only approach allowing assessment of the function of the superior vestibular nerve. We favor using AFz stimulation first because it is easier to perform in clinical practice than mastoid stimulation.     

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。     

Effects of Manipulations with Visual Feedback on Postural Responses in Humans Maintaining an Upright Stance

We studied postural reactions evoked by vibrational stimulation of the anterior tibial and posterior neck muscles under three different conditions of visual control (in a darkened room): (i) upon standing with the eyes open, EO, with perception of a stationary 2D image of the visual environment on the screen, (ii) under conditions of perception of a 3D virtual visual environment, VVE, and (iii) upon standing with the eyes closed, EC. Vibrational stimulation of both muscle groups evoked forward inclinations of the body; average values of the latter under control conditions (EC) were close to each other. The VVE mimicking a real visual environment possessed two planes, a mobile foreground one, whose shifts were programmed in such a manner that they correlated with oscillations of the body, and a stable background one. The tested subjects were asked to use the latter as a visual reference. Under VVE conditions, the amplitude of postural reactions depended on the feedback coefficient between the body movements and shifts of the VVE foreground and the direction of this feedback (its synphase or antiphase, sph or aph, mode). Postural responses at the feedback sph direction became greater with increase in the feedback coefficient (i.e., with increases in the magnitude of shifts of the VVE foreground) and reached values typical of standing under EC conditions. In the case of the aph type of feedback, the responses changed insignificantly. If the lowest feedback coefficient, 1.0, was used, the postural responses tended to decrease, as compared with those under EO conditions. The difference between the values observed at the sph and aph types of feedback with similar coefficients was manifested more intensely in the case of stimulation of the neck muscles. This fact shows that postural reactions triggered by afferent signals from the neck muscles depend more considerably on the ongoing visual afferentation.     

硝酸士的宁对刺激鲫鱼脊髓诱发的Mauthner细胞胞内电位变化的影响

目的探索肌注硝酸士的宁对刺激鲫鱼脊髓所诱发的M细胞胞内电位变化的影响。方法运用微电极穿刺技术记录M细胞的胞内电位变化。结果肌注硝酸士的宁后逆向动作电位后突触后电位（PSPs）的幅度升高,持续时间增加,并可在此基础上暴发动作电位。结论从脊髓到M细胞的传入通路中可能有抑制性递质甘氨酸的释放和相应受体的存在,其与兴奋性递质一起调节M细胞兴奋性,从而使M细胞的活动与整体一致。     

Study of Thresholds of Motor Evoked Responses during Transcranial Magnetic Stimulation in Healthy Subjects and Patients with Brain Tumors

Since 1985, transcranial magnetic stimulation (TMS) has been widely used for the investigation of different processes in the human central nervous system. We studied the thresholds of the motor-evoked responses (MER) during TMS and their hemispheric differences in healthy subjects and patients with brain tumors of different localization: in the brainstem projection, left and right motor areas, and left frontal-temporal area. The obtained results testify to a lower threshold of MER in healthy subjects during TMS of the dominant hemisphere. In patients with brainstem tumors, there was a decrease in the thresholds of MER during TMS. In patients with tumors in the motor area, the thresholds of MER were increased on the lesion side, whereas in patients with tumors in the left temporal area, the thresholds were significantly decreased during TMS of the lesioned hemisphere.     

Noisy Galvanic Vestibular Stimulation Modulates the Amplitude of EEG Synchrony Patterns

Noisy galvanic vestibular stimulation has been associated with numerous cognitive and behavioural effects, such as enhancement of visual memory in healthy individuals, improvement of visual deficits in stroke patients, as well as possibly improvement of motor function in Parkinson’s disease; yet, the mechanism of action is unclear. Since Parkinson’s and other neuropsychiatric diseases are characterized by maladaptive dynamics of brain rhythms, we investigated whether noisy galvanic vestibular stimulation was associated with measurable changes in EEG oscillatory rhythms within theta (4–7.5 Hz), low alpha (8–10 Hz), high alpha (10.5–12 Hz), beta (13–30 Hz) and gamma (31–50 Hz) bands. We recorded the EEG while simultaneously delivering noisy bilateral, bipolar stimulation at varying intensities of imperceptible currents – at 10, 26, 42, 58, 74 and 90% of sensory threshold – to ten neurologically healthy subjects. Using standard spectral analysis, we investigated the transient aftereffects of noisy stimulation on rhythms. Subsequently, using robust artifact rejection techniques and the Least Absolute Shrinkage Selection Operator regression and cross-validation, we assessed the combinations of channels and power spectral features within each EEG frequency band that were linearly related with stimulus intensity. We show that noisy galvanic vestibular stimulation predominantly leads to a mild suppression of gamma power in lateral regions immediately after stimulation, followed by delayed increase in beta and gamma power in frontal regions approximately 20–25 s after stimulation ceased. Ongoing changes in the power of each oscillatory band throughout frontal, central/parietal, occipital and bilateral electrodes predicted the intensity of galvanic vestibular stimulation in a stimulus-dependent manner, demonstrating linear effects of stimulation on brain rhythms. We propose that modulation of neural oscillations is a potential mechanism for the previously-described cognitive and motor effects of vestibular stimulation, and noisy galvanic vestibular stimulation may provide an additional non-invasive means for neuromodulation of functional brain networks.     

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.     

Blink Perturbation Effects on Saccades Evoked by Microstimulation of the Superior Colliculus

Current knowledge of saccade-blink interactions suggests that blinks have paradoxical effects on saccade generation. Blinks suppress saccade generation by attenuating the oculomotor drive command in structures like the superior colliculus (SC), but they also disinhibit the saccadic system by removing the potent inhibition of pontine omnipause neurons (OPNs). To better characterize these effects, we evoked the trigeminal blink reflex by delivering an air puff to one eye as saccades were evoked by sub-optimal stimulation of the SC. For every stimulation site, the peak and average velocities of stimulation with blink movements (SwBMs) were lower than stimulation-only saccades (SoMs), supporting the notion that the oculomotor drive is weakened in the presence of a blink. In contrast, the duration of the SwBMs was longer, consistent with the hypothesis that the blink-induced inhibition of the OPNs could prolong the window of time available for oculomotor commands to drive an eye movement. The amplitude of the SwBM could also be larger than the SoM amplitude obtained from the same site, particularly for cases in which blink-associated eye movements exhibited the slowest kinematics. The results are interpreted in terms of neural signatures of saccade-blink interactions.     

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

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Dependence of the Magnitude of Postural Reactions in Humans on the Strength of Unilateral Galvanic Anodal and Cathodal Vestibular Stimulations

In 13 healthy volunteers, we recorded stabilographic postural reactions (side inclinations of the body) to unilateral galvanic vestibular stimulation (GVS) by rectangular current pulses (4 sec long, 2, 3, 4, 5, or 6 mA). For the cathodal GVS, the dependence of the magnitude of reaction was linear within this range. The corresponding dependence for the anodal GVS was close to linear at small currents, but the increment of the magnitude became smaller with further increase in the stimulation intensity, and a plateau was formed. A significant divergence between the two curves was observed with stimulation currents 4 mA and higher. This difference can be explained considering modern concepts on the mechanism of GVS-induced effects (an increase or a decrease in the level of tonic impulsation in fibers of the vestibular nerve under the influence of polarization). Anodal GVS continues to suppress tonic activity up to the moment where all GVS-sensitive vestibular afferents stop to generate impulses; a further increase in the intensity of hyperpolarizing current is not accompanied by a decrease in the activity in the vestibular nerve and, consequently, by an increase in the magnitude of postural reactions. The tested approach can be used for qualitative estimation of the vestibular tone in humans. Neirofiziologiya/Neurophysiology, Vol. 37, No. 2, pp. 169–176, March–April, 2005.     

Responses of the Smooth Muscle Membrane of Guinea Pig Jejunum Elicited by Field Stimulation

Field stimulation of the jejunum elicited successively an action potential of spike form, a slow excitatory depolarization, a slow inhibitory hyperpolarization, and a postinhibitory depolarization as a rebound excitation. The slow depolarization often triggered the spike. The inhibitory potential showed lower threshold than did the excitatory potential. Both the excitatory potentials were abolished by atropine and tetrodotoxin. Effective membrane resistance measured by the intracellular polarizing method was reduced during the peak of the excitatory potential, but the degree of reduction was smaller than that evoked by iontophoretic application of acetylcholine. Conditioning hyperpolarization of the muscle membrane modified the amplitude of the excitatory potential. The estimated reversal potential level for the excitatory potenialt was about 0 mv. No changes could be observed in the amplitude of the inhibitory potential when hyperpolarization was induced with intracellularly applied current. Low [K]_o and [Ca]_o blocked the generation of the excitatory potential but the amplitude of the inhibitory potential was enhanced in low [K]_o. Low [Ca]_o and high [Mg]_o had no effect on the inhibitory potential.