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Head Eye Co-ordination Using Simultaneous Measurement of Eye in Head and Head in Space Movements: Potential For Use in Subjects With a Whiplash Injury

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Abstract

Objective. Describe reproducibility of a measurement method to investigate deficits in eye-head co-ordination. Methods. Combined recordings of head and eye rotation using wireless motion sensors and electro-oculography (EOG) were used as an initial step towards a method to quantify eye-head co-ordination deficits. Head rotation to the side during gaze fixation and sequential head and eye movements were studied on 20 asymptomatic control subjects and six subjects with chronic whiplash disorders. All included whiplash subjects reported eye disturbances according to a vision symptom questionnaire. Results. The trial-to-trial reproducibility was moderate to high for 24 of 28 variables (Intraclass Correlation Coefficient 0.44 to 0.87). Velocity gain (ratio of eye and head velocities) was on average close to unity in both groups. Head stability was high in control subjects, while three of six whiplash subjects demonstrated head instability during eye movement. Whiplash subjects also demonstrated a decreased range of head movement during gaze fixation and lower head velocities as compared with the asymptomatics. Conclusions. The method of combined head and eye motion appears to give accurate, repeatable measurements. Case studies of whiplash subjects indicated deficits in head eye co-ordination. The method could be useful in further clinical research into eye and head movement in those with neck disorders.

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References

  1. Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, Zeiss E. Scientific monograph of the Quebec Task Force on whiplash-associated disorders: redefining “whiplash” and its management. Spine 1995; 20: 1S–73S.

    Article  CAS  PubMed  Google Scholar 

  2. Hulse M, Holzl M. Vestibulospinal reactions in cervicogenic disequilibrium cervicogenic imbalance. Hno 2000; 48: 295–301.

    Article  CAS  PubMed  Google Scholar 

  3. Treleaven J, Jull G, Sterling M. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med 2003; 35: 36–43.

    Article  PubMed  Google Scholar 

  4. Pereira M, Jull G, Treleaven J. Self-reported driving habits in subjects with persistent whiplash associated disorder—relationship to sensorimotor impairment. Arch Phys Med Rehabil 2008; 89: 1097–1102.

    Article  Google Scholar 

  5. Corneil BD, Olivier E, Munoz DP. Neck muscle responses to stimulation of monkey superior colliculus. I. Topography and manipulation of stimulation parameters. J Neurophysiol 2002; 88: 1980–1999.

    PubMed  Google Scholar 

  6. Werner J. Neuroscience—A clinical perspective. WB Saunders: Canada, 1980.

    Google Scholar 

  7. Jurgens R, Mergner T. Interaction between cervico-ocular and vestibulo-ocular reflexes in normal adults. Exp Brain Res 1989; 77: 381–390.

    Article  CAS  PubMed  Google Scholar 

  8. Mergner T, Schweigart G, Botti F, Lehmann A. Eye movements evoked by proprioceptive stimulation along the body axis in humans. Exp Brain Res 1998; 120: 450–460.

    Article  CAS  PubMed  Google Scholar 

  9. Kimpo RR, Boyden ES, Katoh A, Ke MC, Raymond JL. Distinct patterns of stimulus generalization of increases and decreases in VOR gain. J Neurophysiol 2005; 94: 3092–3100.

    Article  PubMed  Google Scholar 

  10. Yakushin SB, Xiang Y, Raphan T, Cohen B. Spatial distribution of gravity-dependent gain changes in the vestibuloocular reflex. J Neurophysiol 2005; 93: 3693–3698.

    Article  PubMed  Google Scholar 

  11. Kelders WP, Kleinrensink GJ, van der Geest JN, Schipper IB, Feenstra L, De Zeeuw CI, Frens MA. The cervico-ocular reflex is increased in whiplash injury patients. J Neurotrauma 2005; 22: 133–137.

    Article  CAS  PubMed  Google Scholar 

  12. Montfoort I, Kelders WP, van der Geest JN, Schipper IB, Feenstra L, de Zeeuw CI, Frens MA. Interaction between ocular stabilization reflexes in patients with whiplash injury. Invest Ophthalmol Vis Sci 2006; 47: 2881–2884.

    Article  PubMed  Google Scholar 

  13. Tjell C, Rosenhall U. Smooth pursuit neck torsion test: a specific test for cervical dizziness. Am J Otol 1998; 19: 76–81.

    CAS  PubMed  Google Scholar 

  14. Treleaven J, Jull G, Lowchoy N. Smooth pursuit neck torsion test in whiplash-associated disorders: relationship to self-reports of neck pain and disability, dizziness and anxiety. J Rehabil Med 2005; 37: 219–223.

    Article  PubMed  Google Scholar 

  15. Storaci R, Manelli A, Schiavone N, Mangia L, Prigione G, Sangiorgi S. Whiplash injury and oculomotor dysfunctions: clinical-posturographic correlations. Eur Spine J 2006; 15: 1811–1816.

    Article  PubMed  Google Scholar 

  16. Hansson EE, Mansson NO, Ringsberg KAM, Hakansson A. Dizziness among patients with whiplash-associated disorder: a randomized controlled trial. J Rehabil Med 2006; 38: 387–390.

    Article  Google Scholar 

  17. Humphreys B, Irgens P. The effect of a rehabilitation exercise program on head repositioning accuracy and reported levels of pain in chronic neck pain subjects. J Whiplash Relat Disord 2002; 1: 99–112.

    Article  Google Scholar 

  18. Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res 2007; 25(3): 404–412.

    Google Scholar 

  19. Revel M, Minguet M, Gergory P, Vaillant J, Manuel JL. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil 1994; 75: 895–899.

    Article  CAS  PubMed  Google Scholar 

  20. Allison RS, Eizenman M, Cheung BS. Combined head and eye tracking system for dynamic testing of the vestibular system. IEEE Trans Biomed Eng 1996; 43: 1073–1082.

    Article  CAS  PubMed  Google Scholar 

  21. Proudlock FA, Shekhar H, Gottlob I. Coordination of eye and head movements during reading. Invest Ophthalmol Vis Sci 2003; 44: 2991–2998.

    Article  PubMed  Google Scholar 

  22. Ronsse R, White O, Lefevre P. Computation of gaze orientation under unrestrained head movements. J Neurosci Methods 2007; 159: 158–169.

    Article  PubMed  Google Scholar 

  23. Jasiewicz JM, Treleaven J, Condie P, Jull G. Wireless orientation sensors: their suitability to measure head movement for neck pain assessment. Man Ther 2007; 12(4): 380–385.

    Google Scholar 

  24. North AW. Accuracy and precision of electro-oculographic recording. Invest Ophthalmol 1965; 4: 343–348.

    CAS  PubMed  Google Scholar 

  25. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991; 14: 409–415.

    CAS  PubMed  Google Scholar 

  26. Joyce CA, Gorodnitsky IF, King JW, Kutas M. Tracking eye fixations with electroocular and electroencephalographic recordings. Psychophysiology 2002; 39: 607–618.

    Article  PubMed  Google Scholar 

  27. Brown M, Marmor M, Vaegan, Zrenner E, Brigell M, Bach M. ISCEV standard for clinical electro-oculography (EOG) 2006. Doc Ophthalmol 2006; 113: 205–212.

    Article  PubMed  Google Scholar 

  28. Cole GK, Nigg BM, Ronsky JL, Yeadon MR. Application of the joint coordinate system to three-dimensional joint attitude and movement representation: a standardization proposal. J Biomech Eng 1993; 115: 344–349.

    Article  CAS  PubMed  Google Scholar 

  29. Fleiss JL. The design and analysis of clinical experiments. Wiley: New York, 1986.

    Google Scholar 

  30. Young LR, Sheena D. Eye-movement measurement techniques. Am Psychol 1975; 30: 315–330.

    Article  CAS  PubMed  Google Scholar 

  31. Land MF. Eye movements and the control of actions in everyday life. Prog Retin Eye Res 2006; 25: 296–324.

    Article  PubMed  Google Scholar 

  32. Collewijn H, Smeets JB. Early components of the human vestibulo-ocular response to head rotation: latency and gain. J Neurophysiol 2000; 84: 376–389.

    CAS  PubMed  Google Scholar 

  33. Hirvonen M, Aalto H, Migliaccio AA, Hirvonen TP. Motorized head impulse rotator for horizontal vestibulo-ocular reflex: normal responses. Arch Otolaryngol Head Neck Surg 2007; 133: 157–161.

    Article  PubMed  Google Scholar 

  34. Migliaccio AA, Della Santina CC, Carey JP, Minor LB, Zee DS. The effect of binocular eye position and head rotation plane on the human torsional vestibuloocular reflex. Vis Res 2006; 46: 2475–2486.

    Article  PubMed  Google Scholar 

  35. Stahl J. Eye-head coordination and the variation of eye-movement accuracy with orbital eccentricity. Exp Brain Res 2001; 136: 200–210.

    Article  CAS  PubMed  Google Scholar 

  36. Grip H, Ohberg F, Wiklund U, Sterner Y, Karlsson JS, Gerdle B. Classification of neck movement patterns related to whiplash-associated disorders using neural networks. IEEE Trans Inf Technol Biomed 2003; 7: 412–418.

    Article  PubMed  Google Scholar 

  37. Grip H, Sundelin G, Gerdle B, Karlsson JS. Variations in the axis of motion during head repositioning—a comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls. Clin Biomech (Bristol, Avon) 2007; 22: 865–873.

    Google Scholar 

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Authors and Affiliations

  1. Department of Biomedical Engineering and Informatics, University Hospital of Umeå, Umeå, 90185, Sweden

    Helena Grip PhD

  2. The Whiplash Research Unit, Division of Physiotherapy, The University of Queensland, Brisbane, 4072, Australia

    Gwendolen Jull PhD & Julia Treleaven PhD

Authors
  1. Helena Grip PhD
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  2. Gwendolen Jull PhD
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  3. Julia Treleaven PhD
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Correspondence to Helena Grip PhD.

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Grip H, Jull G, Treleaven J. Head eye co-ordination using simultaneous measurement of eye in head and head in space movements: potential for use in subjects with a whiplash injury.

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Grip, H., Jull, G. & Treleaven, J. Head Eye Co-ordination Using Simultaneous Measurement of Eye in Head and Head in Space Movements: Potential For Use in Subjects With a Whiplash Injury. J Clin Monit Comput 23, 31–40 (2009). https://doi.org/10.1007/s10877-009-9160-5

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  • DOI: https://doi.org/10.1007/s10877-009-9160-5

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