Encyclopedia of Computational Neuroscience

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| Editors: Dieter Jaeger, Ranu Jung

Vestibular, Rehabilitation

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DOI: https://doi.org/10.1007/978-1-4614-7320-6_14-5
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Definition

The vestibuloocular reflex (VOR) has been created with an amazing plasticity that counters the inevitable forces of disease and aging that barrage the reflex. In fact, this plasticity prevents us from suffering significant functional impairments – namely, gaze and gait instability. One example of the critical and extreme plasticity within the VOR includes complete reversal of the VOR when fit with lenses that demand it. The three primary functions of the peripheral vestibular system are (1) stabilizing visual images on the fovea of the retina during head movement to allow clear vision; (2) maintaining postural stability, especially during movement of the head; and (3) providing information used for spatial orientation. The purpose of this article is to outline how vestibular rehabilitation must incorporate head rotation in order to improve gaze and gait instability due to a deficient VOR.

Detailed Description

Semicircular Canals

Within the petrous portion of each temporal...

Keywords

Hair Cell Semicircular Canal Head Rotation Target Velocity Sensory Hair Cell 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. Bronstein AM, Gresty MA (1988) Short latency compensatory eye movement responses to transient linear head acceleration: a specific function of the otolith-ocular reflex. Exp Brain Res 71:406–410PubMedCrossRefGoogle Scholar
  2. Carl JR, Gellman RS (1987) Human smooth pursuit: stimulus-dependent responses. J Neurophysiol 57:1446–1463PubMedGoogle Scholar
  3. Crane BT, Demer JL (1997) Human gaze stabilization during natural activities: translation, rotation, magnification, and target distance effects. J Neurophysiol 78:2129–2144PubMedGoogle Scholar
  4. Crane BT, Demer JL (1998) Gaze stabilization during dynamic posturography in normal and vestibulopathic humans. Exp Brain Res 122:235–246PubMedCrossRefGoogle Scholar
  5. Crane BT, Demer JL (1999) A linear canal-otolith interaction model to describe the human vestibulo-ocular reflex. Biol Cybern 81(2):109–118PubMedCrossRefGoogle Scholar
  6. Cromwell RL, Pidcoe PE, Griffin LA, Sotillo T, Ganninger D, Feagin M (2004) Adaptations in horizontal head stabilization in response to altered vision and gaze during natural walking. J Vestib Res 14(5):367–373PubMedGoogle Scholar
  7. Della Santina CC, Potyagaylo V, Migliaccio AA, Minor LB, Carey JP (2005) Orientation of human semicircular canals measured by three-dimensional multiplanar CT reconstruction. J Assoc Res Otolaryngol 6(3):191–206PubMedCentralPubMedCrossRefGoogle Scholar
  8. Diehl MD, Pidcoe PE (2010) The influence of gaze stabilization and fixation on stepping reactions in younger and older adults. J Geriatr Phys Ther 33(1):19–25PubMedGoogle Scholar
  9. Eggers SD, De Pennington N, Walker MF, Shelhamer M, Zee DS (2003) Short-term adaptation of the VOR: non-retinal-slip error signals and saccade substitution. Ann N Y Acad Sci 1004:94–110PubMedCrossRefGoogle Scholar
  10. Herdman SJ (1998) Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg 119(1):49–54PubMedCrossRefGoogle Scholar
  11. Herdman SJ, Schubert MC, Das VE, Tusa RJ (2003) Recovery of dynamic visual acuity in unilateral vestibular hypofunction. Arch Otolaryngol Head Neck Surg 129(8):819–824PubMedCrossRefGoogle Scholar
  12. Herdman SJ, Hall CD, Schubert MC, Das VE, Tusa RJ (2007) Recovery of dynamic visual acuity in bilateral vestibular hypofunction. Arch Otolaryngol Head Neck Surg 133(4):383–389PubMedCrossRefGoogle Scholar
  13. Ito M (1982) Cerebellar control of the vestibulo-ocular reflex-around the flocculus hypothesis. Annu Rev Neurosci 5:275–296PubMedCrossRefGoogle Scholar
  14. Kavanagh JJ, Barrett RS, Morrison S (2004) Upper body accelerations during walking in healthy young and elderly men. Gait Posture 20(3):291–298PubMedCrossRefGoogle Scholar
  15. Krebs DE, Gill-Body KM, Riley PO, Parker SW (1993) Double-blind, placebo-controlled trial of rehabilitation for bilateral vestibular hypofunction: preliminary report. Otolaryngol Head Neck Surg 109(4):735–741PubMedGoogle Scholar
  16. Kvåle A, Wilhelmsen K, Fiske HA (2008) Physical findings in patients with dizziness undergoing a group exercise programme. Physiother Res Int 13(3):162–175PubMedCrossRefGoogle Scholar
  17. Lafond DH, Corriveau RH, Prince F (2004) Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil 85:896–901PubMedCrossRefGoogle Scholar
  18. Latt MD, Menz HB, Fung VS, Lord SR (2008) Walking speed, cadence and step length are selected to optimize the stability of head and pelvis accelerations. Exp Brain Res 184(2):201–209PubMedCrossRefGoogle Scholar
  19. Lehnen N, Büttner U, Glasauer S (2009) Vestibular guidance of active head movements. Exp Brain Res 194(4):495–503PubMedCrossRefGoogle Scholar
  20. Lisberger SG (1990) Visual tracking in monkeys: evidence for short-latency suppression of the vestibuloocular reflex. J Neurophysiol 63(4):676–688PubMedGoogle Scholar
  21. Schubert MC, Migliaccio AA, Clendaniel RA, Allak A, Carey JP (2008) Mechanism of dynamic visual acuity recovery with vestibular rehabilitation. Arch Phys Med Rehabil 89(3):500–507PubMedCentralPubMedCrossRefGoogle Scholar
  22. Schubert MC, Hall CD, Das V, Tusa RJ, Herdman SJ (2010) Oculomotor strategies and their effect on reducing gaze position error. Otol Neurotol 31(2):228–231PubMedCrossRefGoogle Scholar
  23. Sevilla-Garcia MA, Boleas-Aguirre MS, Perez-Fernandez N (2009) The limits of stability in patients with Ménière’s disease. Acta Otolaryngol 129(3):281–288PubMedCrossRefGoogle Scholar
  24. Smith CA, Lowry OH, Wu ML (1954) The electrolytes of the labyrinthine fluids. Laryngoscope 64:141PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Otolaryngology Head and Neck SurgeryJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of Physical Rehabilitation and MedicineBaltimoreUSA