Passive sustained turning of the head induces asymmetric gain of the vestibulo-ocular reflex in healthy subjects.

In order to test the hypothesis of an interaction between neck proprioception and the vestibulo-ocular reflex (VOR), we rotated 16 healthy subjects both facing forward and with their heads passively turned 70° to either side. We found that gain tended to be lower when the subjects were rotated with...

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Publicado en:Acta Oto-Laryngologica Vol. 118; no. 6; pp. 778 - 783
Autores principales: Padoan S, Karlberg M, Fransson P, Magnusson M
Formato: clinical trial research Journal Article
Publicado: Taylor & Francis Ltd Nov98
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov98
      vid: 118
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Passive sustained turning of the head induces asymmetric gain of the vestibulo-ocular reflex in healthy subjects.
      aug:
        au:
          Padoan S
          Karlberg M
          Fransson P
          Magnusson M
      sug:
        subj:
          Movement Physiology
          Reflex Physiology
          Adult
          Analysis of Variance
          Clinical Trials
          Dizziness Diagnosis
          Dizziness Etiology
          Dizziness Physiopathology
          Female
          Male
          Middle Age
          Neck Muscles Physiology
          Neck Pain Complications
          Neck Physiology
          Nystagmus, Physiologic
          Proprioception Physiology
          Rotation
          Vestibule, Labyrinth Physiology
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: In order to test the hypothesis of an interaction between neck proprioception and the vestibulo-ocular reflex (VOR), we rotated 16 healthy subjects both facing forward and with their heads passively turned 70° to either side. We found that gain tended to be lower when the subjects were rotated with their heads turned opposite to the direction of rotation compared to when they were rotated in the same direction, but facing forward. Although our findings were not statistically significant, they suggest that there is a measurable interaction between neck proprioception and the VOR in subjects with normal vestibular function. Asymmetric neck muscle proprioceptive signals seem to give rise to asymmetric functioning of the VOR, which, at least in part, could be the pathogenesis of cervical dizziness. If so, this could lead to misinterpretation of vestibular assessments in patients with neck pain who also complain of dizziness.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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