Document Detail


Effect of head orientation on human postural stability following unilateral vestibular ablation.
MedLine Citation:
PMID:  1670148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Effective interpretation of vestibular inputs to postural control requires that orientation of head on body is known. Postural stability might deteriorate when vestibular information and neck information are not properly coupled, as might occur with vestibular pathology. Postural sway was assessed in unilateral vestibulopathic patients before and acutely, 1, 4, and 18+ months after unilateral vestibular ablation (UVA) as well as in normal subjects. Postural equilibrium with eyes closed was quantified as scaled pk-pk sway during 20 s trials in which the support surface was modulated proportionally with sway. Subjects were tested with the head upright and facing forward, turned 45 degrees right, and 45 degrees left. Equilibrium was uninfluenced by head orientation in normal subjects. In contrast, patients after UVA showed both a general reduction in stability and a right/left head orientation-dependent asymmetry. These abnormalities adaptively recovered with time. It is concluded that vestibular inputs to postural control are interpreted within a sensory-motor context of head-on-body orientation.
Authors:
C R Fox; G D Paige
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of vestibular research : equilibrium & orientation     Volume:  1     ISSN:  0957-4271     ISO Abbreviation:  J Vestib Res     Publication Date:    1990-1991
Date Detail:
Created Date:  1994-06-30     Completed Date:  1994-06-30     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9104163     Medline TA:  J Vestib Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  153-60     Citation Subset:  IM; S    
Affiliation:
Department of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Head*
Humans
Middle Aged
Orientation*
Postural Balance
Posture / physiology
Psychomotor Performance
Vestibular Diseases / physiopathology*
Vestibule, Labyrinth / physiology
Grant Support
ID/Acronym/Agency:
AG06442/AG/NIA NIH HHS; T32 EY07057/EY/NEI NIH HHS

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