Journal of Vestibular Research - Volume 15, issue 5-6

Authors: Beisel, Kirk W. | Wang-Lundberg, Yesha | Maklad, Adel | Fritzsch, Bernd

Article Type: Research Article

Abstract: Herein, we will review molecular aspects of vestibular ear development and present them in the context of evolutionary changes and hair cell regeneration. Several genes guide the development of anterior and posterior canals. Although some of these genes are also important for horizontal canal development, this canal strongly depends on a single gene, Otx1 . Otx1 also governs the segregation of saccule and utricle. Several genes are essential for otoconia and cupula formation, but protein interactions necessary to form and maintain otoconia or a cupula are not yet understood. Nerve fiber guidance to specific vestibular end-organs is predominantly mediated …by diffusible neurotrophic factors that work even in the absence of differentiated hair cells. Neurotrophins, in particular Bdnf , are the most crucial attractive factor released by hair cells. If Bdnf is misexpressed, fibers can be redirected away from hair cells. Hair cell differentiation is mediated by Atoh1 . However, Atoh1 may not initiate hair cell precursor formation. Resolving the role of Atoh1 in postmitotic hair cell precursors is crucial for future attempts in hair cell regeneration. Additional analyses are needed before gene therapy can help regenerate hair cells, restore otoconia, and reconnect sensory epithelia to the brain. Show more

Keywords: Ear, development, sensory epithelia, sensory neurons, otoconia, cupula

DOI: 10.3233/VES-2005-155-601

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 225-241, 2005

Authors: Shall, Mary S. | Van Cleave, Susan | Dimitrova, Diana M. | Goldberg, Stephen J.

Article Type: Research Article

Abstract: The vestibular system is essential to the coordination of eye movements during head movements. Exercise, such as the eye movements mediated by the vestibular system, is a major factor in the development of muscle fiber types and the strength of muscle. In this study, the contents of the inner ear were removed (labyrinthectomy) from (LAB) ferrets at postnatal day 10 (P10) and raised with control (SHAM) animals. At P30, the lateral rectus muscles (LR) were removed to analyze the expression of myosin heavy chain (MHC) isoforms and to measure the least diameter of the developmental, slow and fast type muscle …fibers. Another set of animals were sacrificed at P120 to analyze MHC isoform expression and muscle fiber diameters, as well as the contractile characteristics of the LR were measured prior to sacrifice. The average LAB LR was significantly stronger than the SHAM LR and the muscle fibers of the LAB animals were larger in diameter. The LAB animals expressed more type IIx and less slow type MHC. These results support the hypothesis that input from the inner ear influence the development of strength and muscle diameter in the ferret extraocular muscles. Show more

Keywords: Extraocular muscle, muscle development, myosin heavy chain, vestibular, vestibulo-ocular

DOI: 10.3233/VES-2005-155-602

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 243-251, 2005

Authors: Shall, Mary S. | Lanzino, Desiree J. | Van Cleave, Susan | Goldberg, Stephen J.

Article Type: Research Article

Abstract: Children with hypoactive semicircular canals commonly have delayed motor development. We studied ferrets whose vestibular labyrinths were removed at postnatal day 10 (P10) to evaluate 1) development of motor behavior, 2) soleus contractile characteristics, 3) muscle fiber diameter, and 4) the expression of myosin heavy chain (MHC) isoforms. At P30 labyrinthectomized (LAB) ferrets exhibited a significant delay in motor development. At P120, the LAB ferrets continued to have significantly more difficulty with dynamic balance than the SHAM ferrets. At P30, the muscle fibers were about the same diameter as those in the sham operated ferrets (SHAM) at the same age …but significantly more developmental MHC isoforms were expressed in the LAB soleus muscle. At P120, both the LAB soleus and medial gastrocnemius expressed significantly more type IIX MHC. The P120 LAB soleus muscle was significantly weaker and the muscle fibers were significantly smaller. These results support the hypothesis that vestibular receptors are important to the development of upright posture and balance activities, and influence muscle fiber development and MHC expression in postural muscles. Show more

Keywords: Vestibular system, ferret, development, balance

DOI: 10.3233/VES-2005-155-603

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 253-262, 2005

Authors: Nam, J.-H. | Cotton, J.R. | Grant, J.W.

Article Type: Research Article

Abstract: A dynamic 3-D hair bundle model including inertia and viscous fluid drag effects based on the finite element method is presented. Six structural components are used to construct the hair bundle – kinocilium, stereocilia, upper lateral links, shaft links, tip links, and kinocilial links. Fluid drag is distributed on the surface of cilia columns. Bundle mechanics are analyzed under two distinct loading conditions: (1) drag caused by the shear flow of the surrounding endolymph fluid (fluid-forced), (2) a single force applied to the tip of the kinocilium (point-forced). A striolar and a medial extrastriolar vestibular hair cell from the utricle …of a turtle are simulated. The striolar cell bundle shows a clear difference in tip link tension profile between fluid-forced and point-forced cases. When the striolar cell is fluid forced, it shows more evenly distributed tip link tensions and is far more sensitive, responding like an on/off switch. The extrastriolar cell does not show noticeable differences between the forcing types. For both forcing conditions, the extrastriolar cell responds serially – the nearest tip links to the kinocilium get tensed first, then the tension propagates to the farther tip links. Show more

Keywords: Hair cell, tip link, fluid drag, finite element model

DOI: 10.3233/VES-2005-155-604

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 263-278, 2005

Authors: Mulavara, A.P. | Houser, J. | Miller, C. | Bloomberg, J.J.

Article Type: Research Article

Abstract: We have previously shown that multiple, interdependent, full- body sensorimotor subsystems aid gaze stabilization during locomotion. In the present study we investigated how the full-body gaze control system responds following exposure to visual-vestibular conflict known to adaptively modify vestibulo-ocular reflex (VOR) function. Subjects (n = 14) walked (6.4 km/h) on a motorized treadmill before and after they were exposed to 0.5X minifying lenses worn for 30 minutes during self-generated sinusoidal vertical head rotations performed while seated. Results indicate that, following the exposure the major changes that subjects showed were to: 1) decrease the amplitude of head pitch and vertical …translation of the torso movement with respect to space; 2) increase the amount of knee and ankle flexion during the initial stance phase of the gait cycle. A correlation analysis showed that: 1) changes in the head pitch significantly co-varied with that of the vertical torso translation 2) changes in the knee flexion significantly co-varied with that of the ankle flexion during the initial stance phase of the gait cycle 3) changes in the vertical torso translation significantly co-varied with that of the ankle flexion during the initial stance phase of the gait cycle. Thus we infer that the changes in the magnitude after VOR adaptation in comparison to their pre adaptation responses serve to aid gaze stabilization during locomotion. The significant covariation of the changes between subsystems provides further evidence that the full body contributes to gaze stabilization during locomotion, and its different functional elements are subject to adaptive reorganization following exposure to visual-vestibular conflict. Show more

DOI: 10.3233/VES-2005-155-605

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 279-289, 2005

Authors: Peterka, Robert J.

Article Type: Research Article

Abstract: This study illustrates the use of a novel "pulse-step-sine" (PSS) rotational stimulus to identify abnormal function of the horizontal semicircular canals in human subjects with unilateral and bilateral vestibular deficits. The cyclic PSS stimulus includes a "bias component" and a "probe component". The bias component, consisting of a short duration pulse of acceleration followed by an acceleration step, is designed to produce a large change in canal afferent discharge rates that silences the neural activity in one canal during the step portion of the PSS stimulus. The pulse and step components are then repeated with opposite sign to silence afferent …activity in the opposite canal. The probe component, consisting of a ∼1 Hz sine wave superimposed on the step portions of the stimulus, is designed to test the ability of canal afferents in the excited canal to encode the probe stimulus. Various response measures are developed that characterize the horizontal slow phase eye movements evoked by the PSS stimulus. Results show that these measures can distinguish subjects with normal vestibular function from those with unilateral and bilateral vestibular loss, can identify the side-of-lesion in subjects with well compensated unilateral vestibular loss, and can possibly identify the side-of-greater-loss in subjects with asymmetric bilateral loss. Show more

Keywords: Vestibular, vestibulo-ocular reflex, novel rotation test, unilateral, bilateral, human

DOI: 10.3233/VES-2005-155-606

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 291-311, 2005

Authors: Wall III, C. | Kentala, E.

Article Type: Research Article

Abstract: We evaluated the effect of the vibrotactile display of body tilt upon the postural stability of vestibulopathic subjects during standing. Two groups were studied: those with moderate and with severe deficits as defined by postural stability test scores. They were studied under conditions of distorted sensory input, and during anterior-posterior perturbations. Seventeen subjects, with uni- or bilateral vestibular deficits, as determined by electronystagmography and vertical axis rotation, were tested using Equitest® computerized dynamic posturography (CDP). Based on their performance on the CDP they were divided into two groups having either moderate (nine subjects) or severe (eight subjects) postural control deficits. …Their anterior-posterior (A/P) body motion at the waist was measured with a micromechanical rate gyroscope and a linear accelerometer. The resulting tilt estimate was displayed by a vibrotactile array attached to the torso. The vibration served as a tilt feedback to the subject. The subject's performance was evaluated using the root-mean-square (RMS) of both the A/P body motion and center-of-pressure (CoP) estimates. Sensory distortions were introduced using the Equitest® Sensory Organization Tests (SOT). These tests are designed to distort A/P sensory inputs while standing. The SOT 5 distorts proprioceptive information about ankle joint movement, while the subject stands eyes-closed on a moving support platform that measures foot pressure. The SOT 6 adds distorted visual information about body movement instead of testing with eyes closed. Perturbations were introduced using the Equitest® Motor Control Tests (MCT). These move the support platform forward or backward with small, medium and large displacements in the horizontal plane while measuring subjects' foot pressure responses. We used the medium and large backward tests. Vibrotactile display of body tilt reduced the subjects' A/P sway and improved their balance. The finding was more evident for those subjects with severe deficits than those moderate ones. This trend was found for both SOT 5 and 6, as well as the medium and large MCT. Additionally, during the MCT, the peak deflection and mean recovery time also decreased significantly. Show more

Keywords: Balance rehabilitation, postural control, balance prosthesis

DOI: 10.3233/VES-2005-155-607

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 313-325, 2005

Authors: Furman, Joseph M. | Sparto, Patrick J. | Soso, Michael | Marcus, Dawn

Article Type: Research Article

Abstract: Migraine-related dizziness (MRD) refers to a disorder in which vestibular symptoms are an integral part of migraine symptomatology. The purpose of this study was to better define the pathophysiology of MRD, which is incompletely understood and to generate hypotheses regarding MRD by assessing the semicircular canal-ocular reflex, the otolith-ocular reflex, visual-vestibular interaction, vestibulo-spinal function, and visually induced postural sway. Subjects included five subjects with MRD, five subjects with migraine without dizziness, and five headache-free controls. Subjects with migraine were tested interictally. Results indicated that the mean gain of the semicircular canal-ocular reflex during both sinusoidal and constant velocity rotation was …reduced in subjects with MRD. No changes were noted in the dynamics of the semicircular canal-ocular reflex. The otolith-ocular reflex, assessed with constant velocity OVAR, indicated that subjects with MRD showed a larger modulation component. No group differences were found in the bias component during constant velocity OVAR, nor in semicircular canal-otolith interaction or visual-vestibular interaction. Computerized dynamic posturography indicated that subjects with MRD demonstrated a surface-dependent pattern. Postural sway during optic flow indicated that subjects with MRD swayed more than the other subjects. We hypothesize that competing processes of serotonergic excitation and inhibition alter central vestibular pathways differently for semicircular canal vs. otolithic responses and for vestibulo-ocular vs. vestibulo-spinal pathways. Show more

Keywords: Headache, vertigo, optic flow

DOI: 10.3233/VES-2005-155-608

Citation: Journal of Vestibular Research, vol. 15, no. 5-6, pp. 327-332, 2005