Vestibular perception of passive whole-body rotation about horizontal and vertical axes in humans: goal-directed vestibulo-ocular reflex and vestibular memory-contingent saccades

Vestibular perceptual testing from lab to clinic: a review

Not all dizziness presents as vertigo, suggesting other perceptual symptoms for individuals with vestibular disease. These non-specific perceptual complaints of dizziness have led to a recent resurgence in literature examining vestibular perceptual testing with the aim to enhance clinical diagnostics and therapeutics. Recent evidence supports incorporating rehabilitation methods to retrain vestibular perception. This review describes the current field of vestibular perceptual testing from scientific laboratory techniques that may not be clinic friendly to some low-tech options that may be more clinic friendly. Limitations are highlighted suggesting directions for additional research.

Two Neural Circuits to Point Towards Home Position After Passive Body Displacements

A challenge in motor control research is to understand the mechanisms underlying the transformation of sensory information into arm motor commands. Here, we investigated these transformation mechanisms for movements whose targets were defined by information issued from body rotations in the dark (i.e., idiothetic information). Immediately after being rotated, participants reproduced the amplitude of their perceived rotation using their arm (Experiment 1). The cortical activation during movement planning was analyzed using electroencephalography and source analyses. Task-related activities were found in regions of interest (ROIs) located in the prefrontal cortex (PFC), dorsal premotor cortex, dorsal region of the anterior cingulate cortex (ACC) and the sensorimotor cortex. Importantly, critical regions for the cognitive encoding of space did not show significant task-related activities. These results suggest that arm movements were planned using a sensorimotor-type of spatial representation. However, when a 8 s delay was introduced between body rotation and the arm movement (Experiment 2), we found that areas involved in the cognitive encoding of space [e.g., ventral premotor cortex (vPM), rostral ACC, inferior and superior posterior parietal cortex (PPC)] showed task-related activities. Overall, our results suggest that the use of a cognitive-type of representation for planning arm movement after body motion is necessary when relevant spatial information must be stored before triggering the movement.

Vestibular and Multi-Sensory Influences Upon Self-Motion Perception and the Consequences for Human Behavior

In this manuscript, we comprehensively review both the human and animal literature regarding vestibular and multi-sensory contributions to self-motion perception. This covers the anatomical basis and how and where the signals are processed at all levels from the peripheral vestibular system to the brainstem and cerebellum and finally to the cortex. Further, we consider how and where these vestibular signals are integrated with other sensory cues to facilitate self-motion perception. We conclude by demonstrating the wide-ranging influences of the vestibular system and self-motion perception upon behavior, namely eye movement, postural control, and spatial awareness as well as new discoveries that such perception can impact upon numerical cognition, human affect, and bodily self-consciousness.

Targeting head movements in humans: Compensation for disturbance from simultaneous body rotations

Vestibular information plays an important role in spatially oriented motor control and perception. With regard to reorienting head movements, little is known of (1) how vestibular mechanisms compensate for disturbances from concurrent passive trunk rotations (e.g. in a veering vehicle), and (2) whether and how this disturbance compensation is related to the perception of body orientation in space. We here address these two questions in a single experiment. Six healthy subjects (Ss) seated on a turning chair in darkness performed two tasks. (1) Head pointing: Ss made swift head movements in darkness towards the angular position in space of a previously shown visual target. These movements were disturbed by concurrent rotations of the chair, and hence the trunk, which were driven by scaled down versions of the Ss' own head-on-trunk rotations. Although unaware of the disturbance, Ss adjusted their head movements so as to attenuate its effect on head-in-space (HS) position by about 45%. (2) Visual straight ahead (VSA): Using a light pointer, Ss indicated their VSA before each head-pointing trial and tried to reproduce it after the trial. In all Ss, VSA accounted for the disturbing trunk rotation, although to individually varying degrees. No correlation could be detected between VSA reproduction and motor performance, neither within nor across subjects. A vestibular loss subject who performed the same two tasks made no compensatory movements during head pointing and did not account for the disturbance of his HS position during VSA reproduction. Three concepts of vestibular information processing for head movement control were explored with regard to their compatibility with the head-pointing results: (1) Conventional negative feedback, (2) Interaction with an efference copy, and (3) Interaction with neck proprioceptive information. Theoretical analyses and model simulations indicated that all three concepts can explain the observed disturbance compensation. However, they differ in terms of control stability in the presence of feedback time delays, with (3) being best and (1) worst. The different concepts might correspond to fast simple and slower complex compensation mechanisms, respectively, and possibly complement each other during natural behaviours. VSA reproduction may be based on analogous processing principles, but appears to involve different neural circuitries.

Relationship Between Cognitive Assessment and Balance Measures in Adolescents Referred for Vestibular Physical Therapy After Concussion

OBJECTIVE

To examine the relationship between cognitive and balance performance in adolescents with concussion.

DESIGN

Retrospective case series.

SETTING

Tertiary.

PATIENTS

Sixty patients.

INTERVENTIONS

Correlation analyses were performed to describe the relationship between symptoms, cognitive measure, and balance measure at the time of initiation of vestibular physical therapy.

MAIN OUTCOME MEASURES

Cognitive performance was assessed using the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). The dizziness and balance function measures included dizziness severity rating, Activities-specific Balance Confidence scale (ABC), Dizziness Handicap Inventory (DHI), Functional Gait Assessment, gait speed, Timed "UP and GO," Five Times Sit to Stand, and Sensory Organization Test (SOT). To account for multiple comparisons, the False Discovery Rate method was used.

RESULTS

Performance measures of balance were significantly correlated with cognitive measures. Greater total symptom scores were related to greater impairment in the ABC and DHI (r = 0.35-0.39, P ≤ 0.008) and worse performance in condition 2 of the SOT (r = -0.48, P = 0.004). Among the ImPACT composite scores, lower memory scores were correlated with impaired balance performance measures (r = 0.37-0.59, P ≤ 0.012). Lower visual memory was also correlated with worse ABC scores.

CONCLUSIONS

The significant relationships reported between the cognitive performance scores and balance measures may reflect that similar levels of functioning exist across domains in individuals with protracted recovery who receive vestibular physical therapy.

CLINICAL RELEVANCE

The weak-to-moderate relationships warrant the continuous use of multiple domains of assessment. A better understanding to the relationships between the domains of functioning after concussion may improve the overall management approach for adolescents with concussion.

Biases in the perception of self-motion during whole-body acceleration and deceleration

Several studies have investigated whether vestibular signals can be processed to determine the magnitude of passive body motions. Many of them required subjects to report their perceived displacements offline, i.e., after being submitted to passive displacements. Here, we used a protocol that allowed us to complement these results by asking subjects to report their introspective estimation of their displacement continuously, i.e., during the ongoing body rotation. To this end, participants rotated the handle of a manipulandum around a vertical axis to indicate their perceived change of angular position in space at the same time as they were passively rotated in the dark. The rotation acceleration (Acc) and deceleration (Dec) lasted either 1.5 s (peak of 60°/s², referred to as being “High”) or 3 s (peak of 33°/s², referred to as being “Low”). The participants were rotated either counter-clockwise or clockwise, and all combinations of acceleration and deceleration were tested (i.e., AccLow-DecLow; AccLow-DecHigh; AccHigh-DecLow; AccHigh-DecHigh). The participants’ perception of body rotation was assessed by computing the gain, i.e., ratio between the amplitude of the perceived rotations (as measured by the rotating manipulandum’s handle) and the amplitude of the actual chair rotations. The gain was measured at the end of the rotations, and was also computed separately for the acceleration and deceleration phases. Three salient findings resulted from this experiment: (i) the gain was much greater during body acceleration than during body deceleration, (ii) the gain was greater during High compared to Low accelerations and (iii) the gain measured during the deceleration was influenced by the preceding acceleration (i.e., Low or High). These different effects of the angular stimuli on the perception of body motion can be interpreted in relation to the consequences of body acceleration and deceleration on the vestibular system and on higher-order cognitive processes.

Vestibular-related frontal cortical areas and their roles in smooth-pursuit eye movements: representation of neck velocity, neck-vestibular interactions, and memory-based smooth-pursuit

Smooth-pursuit eye movements are voluntary responses to small slow-moving objects in the fronto-parallel plane. They evolved in primates, who possess high-acuity foveae, to ensure clear vision about the moving target. The primate frontal cortex contains two smooth-pursuit related areas; the caudal part of the frontal eye fields (FEF) and the supplementary eye fields (SEF). Both areas receive vestibular inputs. We review functional differences between the two areas in smooth-pursuit. Most FEF pursuit neurons signal pursuit parameters such as eye velocity and gaze-velocity, and are involved in canceling the vestibulo-ocular reflex by linear addition of vestibular and smooth-pursuit responses. In contrast, gaze-velocity signals are rarely represented in the SEF. Most FEF pursuit neurons receive neck velocity inputs, while discharge modulation during pursuit and trunk-on-head rotation adds linearly. Linear addition also occurs between neck velocity responses and vestibular responses during head-on-trunk rotation in a task-dependent manner. During cross-axis pursuit-vestibular interactions, vestibular signals effectively initiate predictive pursuit eye movements. Most FEF pursuit neurons discharge during the interaction training after the onset of pursuit eye velocity, making their involvement unlikely in the initial stages of generating predictive pursuit. Comparison of representative signals in the two areas and the results of chemical inactivation during a memory-based smooth-pursuit task indicate they have different roles; the SEF plans smooth-pursuit including working memory of motion-direction, whereas the caudal FEF generates motor commands for pursuit eye movements. Patients with idiopathic Parkinson's disease were asked to perform this task, since impaired smooth-pursuit and visual working memory deficit during cognitive tasks have been reported in most patients. Preliminary results suggested specific roles of the basal ganglia in memory-based smooth-pursuit.

Visuo-vestibular interaction: predicting the position of a visual target during passive body rotation

Following body rotation, optimal updating of the position of a memorized target is attained when retinal error is perceived and corrective saccade is performed. Thus, it appears that these processes may enable the calibration of the vestibular system by facilitating the sharing of information between both reference frames. Here, it is assessed whether having sensory information regarding body rotation in the target reference frame could enhance an individual's learning rate to predict the position of an earth-fixed target. During rotation, participants had to respond when they felt their body midline had crossed the position of the target and received knowledge of result. During practice blocks, for two groups, visual cues were displayed in the same reference frame of the target, whereas a third group relied on vestibular information (vestibular-only group) to predict the location of the target. Participants, unaware of the role of the visual cues (visual cues group), learned to predict the location of the target and spatial error decreased from 16.2 to 2.0°, reflecting a learning rate of 34.08 trials (determined from fitting a falling exponential model). In contrast, the group aware of the role of the visual cues (explicit visual cues group) showed a faster learning rate (i.e. 2.66 trials) but similar final spatial error 2.9°. For the vestibular-only group, similar accuracy was achieved (final spatial error of 2.3°), but their learning rate was much slower (i.e. 43.29 trials). Transferring to the Post-test (no visual cues and no knowledge of result) increased the spatial error of the explicit visual cues group (9.5°), but it did not change the performance of the vestibular group (1.2°). Overall, these results imply that cognition assists the brain in processing the sensory information within the target reference frame.

Non-sensory inputs to angular path integration

Non-sensory (cognitive) inputs can play a powerful role in monitoring one's self-motion. Previously, we showed that access to spatial memory dramatically increases response precision in an angular self-motion updating task [1]. Here, we examined whether spatial memory also enhances a particular type of self-motion updating - angular path integration. "Angular path integration" refers to the ability to maintain an estimate of self-location after a rotational displacement by integrating internally-generated (idiothetic) self-motion signals over time. It was hypothesized that remembered spatial frameworks derived from vision and spatial language should facilitate angular path integration by decreasing the uncertainty of self-location estimates. To test this we implemented a whole-body rotation paradigm with passive, non-visual body rotations (ranging 40 degrees -140 degrees ) administered about the yaw axis. Prior to the rotations, visual previews (Experiment 1) and verbal descriptions (Experiment 2) of the surrounding environment were given to participants. Perceived angular displacement was assessed by open-loop pointing to the origin (0 degrees ). We found that within-subject response precision significantly increased when participants were provided a spatial context prior to whole-body rotations. The present study goes beyond our previous findings by first establishing that memory of the environment enhances the processing of idiothetic self-motion signals. Moreover, we show that knowledge of one's immediate environment, whether gained from direct visual perception or from indirect experience (i.e., spatial language), facilitates the integration of incoming self-motion signals.

Macaque parieto-insular vestibular cortex: responses to self-motion and optic flow

The parieto-insular vestibular cortex (PIVC) is thought to contain an important representation of vestibular information. Here we describe responses of macaque PIVC neurons to three-dimensional (3D) vestibular and optic flow stimulation. We found robust vestibular responses to both translational and rotational stimuli in the retroinsular (Ri) and adjacent secondary somatosensory (S2) cortices. PIVC neurons did not respond to optic flow stimulation, and vestibular responses were similar in darkness and during visual fixation. Cells in the upper bank and tip of the lateral sulcus (Ri and S2) responded to sinusoidal vestibular stimuli with modulation at the first harmonic frequency and were directionally tuned. Cells in the lower bank of the lateral sulcus (mostly Ri) often modulated at the second harmonic frequency and showed either bimodal spatial tuning or no tuning at all. All directions of 3D motion were represented in PIVC, with direction preferences distributed approximately uniformly for translation, but showing a preference for roll rotation. Spatiotemporal profiles of responses to translation revealed that half of PIVC cells followed the linear velocity profile of the stimulus, one-quarter carried signals related to linear acceleration (in the form of two peaks of direction selectivity separated in time), and a few neurons followed the derivative of linear acceleration (jerk). In contrast, mainly velocity-coding cells were found in response to rotation. Thus, PIVC comprises a large functional region in macaque areas Ri and S2, with robust responses to 3D rotation and translation, but is unlikely to play a significant role in visual/vestibular integration for self-motion perception.

Eye eccentricity modifies the perception of whole-body rotation

In order to explore the effect of gaze orientation on whole-body rotation perception, ten healthy participants were rotated in the dark while fixating on a visual target located either straight ahead or 15 degrees to the right. A vestibular-memory contingent saccade paradigm was used to estimate the rotation perception. The results attest to the participants' ability to accurately perceive their rotation, based solely on the intrinsic inputs (somesthetic and mainly vestibular), since the correlation between the imposed body rotation and the saccade amplitude was significant and positive. However, the rotation perception was less accurate and of lesser magnitude when the gaze was deviated in the opposite direction to the rotation than when it was either straight ahead or deviated in the direction of the rotation. This can be interpreted as the perceptual equivalent of Alexander's law.

Spatial updating and the maintenance of visual constancy

Spatial updating is the means by which we keep track of the locations of objects in space even as we move. Four decades of research have shown that humans and non-human primates can take the amplitude and direction of intervening movements into account, including saccades (both head-fixed and head-free), pursuit, whole-body rotations and translations. At the neuronal level, spatial updating is thought to be maintained by receptive field locations that shift with changes in gaze, and evidence for such shifts has been shown in several cortical areas. These regions receive information about the intervening movement from several sources including motor efference copies when a voluntary movement is made and vestibular/somatosensory signals when the body is in motion. Many of these updating signals arise from brainstem regions that monitor our ongoing movements and subsequently transmit this information to the cortex via pathways that likely include the thalamus. Several issues of debate include (1) the relative contribution of extra-retinal sensory and efference copy signals to spatial updating, (2) the source of an updating signal for real life, three-dimensional motion that cannot arise from brain areas encoding only two-dimensional commands, and (3) the reference frames used by the brain to integrate updating signals from various sources. This review highlights the relevant spatial updating studies and provides a summary of the field today. We find that spatial constancy is maintained by a highly evolved neural mechanism that keeps track of our movements, transmits this information to relevant brain regions, and then uses this information to change the way in which single neurons respond. In this way, we are able to keep track of relevant objects in the outside world and interact with them in meaningful ways.

Translational motion perception and vestiboocular responses in the absence of non-inertial cues

Path integration studies in humans show that we have the ability to accurately reproduce our path in the absence of visual information. It has been suggested that this ability is supported by acceleration signals, as transduced by the otolith organs, which may then be integrated twice to produce path excursion. Vestibuloocular responses to linear translations (LVOR), however, show considerable frequency dependence, with substantial attenuation in response to low frequency translational motion. If otolith information were processed similarly by path integration mechanisms, the resulting signal would not be sufficient to account for robust path integration for stimuli typically used in such studies. We hypothesized that such behavior relies upon cognitive skill and transient otolith cues, typically combined with non-directional cues of motion, such as vibration and noise produced by the mechanics apparatus used to produce linear motion. Continuous motion estimation tasks were used to assess translation perception, while eye movement recordings revealed LVOR responses, in 12 normal and 2 vestibulopathic human subjects while riding on a sled designed to specifically minimize non-directional motion cues. In the near absence of such cues, perceptual responses, like the LVOR, showed high-pass characteristics. This implies that otolith signals are not sufficient to support previously observed path integration behaviors, which must be supplemented by non-directional motion cues.

Human visuospatial updating after noncommutative rotations

As we move our bodies in space, we often undergo head and body rotations about different axes-yaw, pitch, and roll. The order in which we rotate about these axes is an important factor in determining the final position of our bodies in space because rotations, unlike translations, do not commute. Does our brain keep track of the noncommutativity of rotations when computing changes in head and body orientation and then use this information when planning subsequent motor commands? We used a visuospatial updating task to investigate whether saccades to remembered visual targets are accurate after intervening, whole-body rotational sequences. The sequences were reversed, either yaw then roll or roll then yaw, such that the final required eye movements to reach the same space-fixed target were different in each case. While each subject performed consistently irrespective of target location and rotational combination, we found great intersubject variability in their capacity to update. The distance between the noncommutative endpoints was, on average, half of that predicted by perfect noncommutativity. Nevertheless, most subjects did make eye movements to distinct final endpoint locations and not to one unique location in space as predicted by a commutative model. In addition, their noncommutative performance significantly improved when their less than ideal updating performance was taken into account. Thus the brain can produce movements that are consistent with the processing of noncommutative rotations, although it is often poor in using internal estimates of rotation for updating.

Reproduction of self-rotation duration

The vestibular system detects the velocity of the head even in complete darkness, and thus contributes to spatial orientation. However, during vestibular estimation of linear passive self-motion distance in darkness, healthy human subjects mainly rely on time, and they replicate also stimulus duration when required to reproduce previous self-rotation. We then made the hypothesis that the perception of vestibular-sensed motion duration is embedded within encoding of motion kinetics. The ability to estimate time during passive self-motion in darkness was examined with a self-rotation reproduction paradigm. Subjects were required to replicate through self-driven transport the plateau velocity (30, 60 and 90 degrees /s) and duration (2, 3 and 4s) of the previously imposed whole-body rotation (trapezoid velocity profile) in complete darkness; the rotating chair position was recorded (500 Hz) during the whole trials. The results showed that the peak velocity, but not duration, of the plateau phase of the imposed rotation was accurately reproduced. Suspecting that the velocity instruction had impaired the duration reproduction, we added a control experiment requiring subjects to reproduce two successive identical rotations separated by a momentary motion interruption (MMI). The MMI was of identical duration to the previous plateau phase. MMI duration was fidelitously reproduced whereas that of the plateau phase was hypometric (i.e. lesser reproduced duration than plateau) suggesting that subjective time is shorter during vestibular stimulation. Furthermore, the accurate reproduction of the whole motion duration, that was not required, indicates an automatic process and confirms that vestibular duration perception is embedded within motion kinetics.

Differences in the Accuracy of Human Visuospatial Memory After Yaw and Roll Rotations

Our ability to keep track of objects in the environment, even as we move, has been attributed to various cues including efference copies, vestibular signals, proprioception, and gravitational cues. However, the presence of some cues, such as gravity, may not be used to the same extent by different axes of motion (e.g., yaw vs. roll). We tested whether changes in gravitational cues can be used to improve visuospatial updating performance for yaw rotations as previously shown for roll. We found differences in updating for yaw and roll rotations in that yaw updating is not only associated with larger systematic errors but is also not facilitated by gravity in the same way as roll updating.

On the role of otoliths and semicircular canals in spatial orientation: Dynamics of the visually perceived eye level during gondola centrifugation

The visually perceived eye level (VPEL) was measured during gondola centrifugation. Subjects (N = 11) were seated upright, facing motion in a swing-out gondola The head was adjusted so that Reid's baseline was tilted 10 degrees anterior end up. The subjects were requested to adjust the position of a small luminous dot so that it was perceived as gravitationally at eye level. In the 1-g environment, the VPEL was a few degrees below the true gravitational eye level (M = -1.75 degrees, SD = 1.90 degrees). After rapid acceleration of the centrifuge to 2 G (vectorial sum of the earth gravity force and the centrifugal force), there was an exponentially increasing depression of the VPEL. The initial value was -6.4 degrees +/- 5.2 degrees. During 10 min at 2 G, the VPEL approached an asymptotic value of -24.8 degrees +/- 5.4 degrees. The time constant showed a large interindividual variability, ranging from 59 to 1,000 sec (M = 261 sec, median = 147 sec). The findings are discussed, taking into consideration otolith-semicircular-canal interaction, as well as memory functions of the vestibular system.

Fusion of visuo-ocular and vestibular signals in arm motor control

Keeping the finger pointing at an Earth-fixed object during body displacements can be achieved if compensatory arm movements counteract the effect of the rotation on the hand's position in space. Here we investigated the fusion of signals that originated from systems having different neurophysiological properties (i.e., the visuo-oculomotor and vestibular systems) in the production of such compensatory arm movements. To this end, we analyzed the subjects' performance in three conditions that differed according to the information they provided about relative target-body motion. This information originated either from the vestibular or visuo-oculomotor system, or from a combination of the two. To highlight the integration of visuo-oculomotor and vestibular signals, we compared the arm response to motion frequencies presumed to allow or not to allow optimal vestibular and oculomotor responses. When they could be used in isolation, the ocular signals allowed long-latency but precise kinematics control of the arm movement, whereas vestibular signals allowed accurate motor response early in the rotation but their contribution declined as body rotation developed. Optimal performance was obtained throughout the whole movement and for all rotation frequencies when the visuo-oculomotor and vestibular signals could be used together. This increase in hand-tracking performance could not be explained by a unimodal model or an additive model of vestibular and ocular cues, even when using weighted signals. Rather, the results supported a functional model in which vestibular and visuo-oculomotor signals have different influences on the temporal and spatial aspects of hand movement compensating for body motion.

Reproduction of ON-center and OFF-center self-rotations

In self-rotation reproduction tasks, subjects appear to estimate the displacement angle and then reproduce this angle without necessarily replicating the entire temporal velocity profile. In contrast, subjects appear to reproduce the entire temporal velocity profile during linear motion stimulating the otoliths. To investigate what happens during combined rotation and translation, we investigated in darkness the central processing of vestibular cues during eccentric rotation. Controlling a centrifuge with a joystick, nine healthy subjects were asked to reproduce the angle of the previously imposed rotation. Rotations were either ON-center, or 50 cm OFF-center with inter-aural centripetal acceleration. Rotation duration was either variable (proportional to the traveled angle), or constant. We examined whether the stimulation of the otoliths during OFF-center rotation changes self-rotation reproduction, and whether rotation duration is processed differently by the nervous system with and without otolith stimulation. As postulated, the subjects indeed reproduced more closely the stimulus velocity profile when OFF-center. But the primary result is that the additional supra-threshold linear acceleration cues, measured by the otoliths, did not improve performance. More specifically, to our surprise, the ability to reproduce rotation angle degraded slightly in the presence of additional information from the otolith organs, with the linear acceleration cues appearing to interfere with the reproduction of movement duration.

Perception of the head transversal plane and the subjective horizontal during gondola centrifugation

The subjective visual horizontal (SVH) and the subjective head transversal plane (STP) were measured by means of an adjustable luminous line in darkness during centrifuging. Subjects (N = 10) were seated upright, facing forward in a swing-out gondola. After acceleration of the centrifuge to 2G (vectorial sum of the earth's gravity and the centrifugal force; gondola inclination 60 degrees), subjects had to set the line either so that it was perceived as gravitoinertially horizontal (SVH) or so that it was perceived as parallel with the transversal ("horizontal") plane of the head (STP). Initially after acceleration, the SVH was tilted with respect to the gravitoinertial horizontal of the gondola (M = 16.6 degrees). This tilt was compensatory with respect to the gondola inclination. However, the STP was tilted in the opposite direction (M = 12.4 degrees), which might suggest a vestibular-induced distortion of the mental representation of one's own body. Similar results were obtained when measuring the subjective visual vertical (SVV) and the subjective midsagittal plane (SSP) in 5 subjects. The perceived roll angle (obtained as SVH-STP or SVV-SSP) was considerably larger than had previously been reported. Time constants for exponential decay of the tilt of the SVH or SVV were often 2-3 min, indicating a memory for semicircular canal information on changes in head orientation--a position-storage mechanism.

Roles of gravitational cues and efference copy signals in the rotational updating of memory saccades

Primates are able to localize a briefly flashed target despite intervening movements of the eyes, head, or body. This ability, often referred to as updating, requires extraretinal signals related to the intervening movement. With active roll rotations of the head from an upright position it has been shown that the updating mechanism is 3-dimensional, robust, and geometrically sophisticated. Here we examine whether such a rotational updating mechanism operates during passive motion both with and without inertial cues about head/body position in space. Subjects were rotated from either an upright or supine position, about a nasal-occipital axis, briefly shown a world-fixed target, rotated back to their original position, and then asked to saccade to the remembered target location. Using this paradigm, we tested subjects' abilities to update from various tilt angles (0, +/-30, +/-45, +/-90 degrees), to 8 target directions and 2 target eccentricities. In the upright condition, subjects accurately updated the remembered locations from all tilt angles independent of target direction or eccentricity. Slopes of directional errors versus tilt angle ranged from -0.011 to 0.15, and were significantly different from a slope of 1 (no compensation for head-in-space roll) and a slope of 0.9 (no compensation for eye-in-space roll). Because the eyes, head, and body were fixed throughout these passive movements, subjects could not use efference copies or neck proprioceptive cues to assess the amount of tilt, suggesting that vestibular signals and/or body proprioceptive cues suffice for updating. In the supine condition, where gravitational signals could not contribute, slopes ranged from 0.60 to 0.82, indicating poor updating performance. Thus information specifying the body's orientation relative to gravity is critical for maintaining spatial constancy and for distinguishing body-fixed versus world-fixed reference frames.

Postural and locomotor control in normal and vestibularly deficient mice

We investigated how vestibular information is used to maintain posture and control movement by studying vestibularly deficient mice (IsK-/- mutant). In these mutants, microscopy showed degeneration of the cristae of the semicircular canals and of the maculae of the utriculi and sacculi, while behavioural and vestibulo-ocular reflex testing showed that vestibular function was completely absent. However, the histology of Scarpa's ganglia and the vestibular nerves was normal in mutant mice, indicating the presence of intact central pathways. Using X-ray and high-speed cineradiography, we compared resting postures and locomotion patterns between these vestibularly deficient mice and vestibularly normal mice (wild-type and IsK+/-). The absence of vestibular function did not affect resting posture but had profound effects on locomotion. At rest, the S-shaped, sagittal posture of the vertebral column was the same for wild-type and mutant mice. Both held the head with the atlanto-occipital joint fully flexed, the cervico-thoracic junction fully flexed, and the cervical column upright. Wild-type mice extended the head and vertebral column and could walk in a straight line. In marked contrast, locomotion in vestibularly deficient mice was characterized by circling episodes, during which the vertebral column maintained an S-shaped posture. Thus, vestibular information is not required to control resting posture but is mandatory for normal locomotion. We propose that vestibular inputs are required to signal the completion of a planned trajectory because mutant mice continued rotating after changing heading direction. Our findings support the hypothesis that vertebrates limit the number of degrees of freedom to be controlled by adopting just a few of the possible skeletal configurations.

Pursuit-Related Neurons in the Supplementary Eye Fields: Discharge During Pursuit and Passive Whole Body Rotation

The primate frontal cortex contains two areas related to smooth-pursuit: the frontal eye fields (FEFs) and supplementary eye fields (SEFs). To distinguish the specific role of the SEFs in pursuit, we examined discharge of a total of 89 pursuit-related neurons that showed consistent modulation when head-stabilized Japanese monkeys pursued a spot moving sinusoidally in fronto-parallel planes and/or in depth and with or without passive whole body rotation. During smooth-pursuit at different frequencies, 43% of the neurons tested (17/40) exhibited discharge amplitude of modulation linearly correlated with eye velocity. During cancellation of the vestibulo-ocular reflex and/or chair rotation in complete darkness, the majority of neurons tested (91% = 30/33) responded. However, only 17% of the responding neurons (4/30) were modulated in proportion to gaze (eye-in-space) velocity during pursuit-vestibular interactions. When the monkeys fixated a stationary spot, 20% of neurons tested (7/34) responded to motion of a second spot. Among the neurons tested for both smooth-pursuit and vergence tracking ( n = 56), 27% (15/56) discharged during both, 62% (35/56) responded during smooth-pursuit only, and 11% (6/56) during vergence tracking only. Phase shifts (relative to stimulus velocity) of responding neurons during pursuit in frontal and depth planes and during chair rotation remained virtually constant (≤1 Hz). These results, together with the robust vestibular-related discharge of most SEF neurons, show that the discharge of the majority of SEF pursuit-related neurons is quite distinct from that of caudal FEF neurons in identical task conditions, suggesting that the two areas are involved in different aspects of pursuit-vestibular interactions including predictive pursuit.

Human vestibular memory studied via measurement of the subjective horizontal during gondola centrifugation

Measurements of the subjective visual horizontal (SVH) were made in a large swing-out gondola centrifuge. Rotation of the centrifuge was anti-clockwise, as seen from above. Test subjects were seated upright in the gondola, facing forwards. In front of the subject, at a straight-ahead eye-level position, there was a narrow luminous line, which could be rotated, by remote control, about the visual axis. At gravitoinertial force levels of 1.1-1.3G the subjects were asked to indicate, by repeatedly setting the line in darkness, what they perceived as horizontal (the SVH). During gondola centrifugation, the head and body length axis is always parallel with the resultant gravitoinertial force vector (vectorial sum of earth gravity force and the centrifugal force) i.e., the horizontal plane of the head or body does not change with respect to the gravitoinertial horizontal. Hence, the otolith organs, as well as the somatosensory system, continually signal upright position. However, the swing-out of the gondola during acceleration of the centrifuge (25 degrees at 1.1G) is a roll (frontal plane) change-in-position stimulus to the vertical semicircular canals, thus creating an otolith-semicircular canal conflict. After acceleration of the centrifuge, the SVH was initially tilted up to 20 degrees to the right relative to the gravitoinertial horizontal. Since there was no roll-tilt stimulus to gravity receptors, this SVH tilt must be related to stimulation of the semicircular canals. However, it decayed much more slowly than any known effects of angular-velocity stimulation of the semicircular canals. The decay was bi-phasic with two time constants, the smaller in the region of 1-2 min, the other being too large to be reliably estimated on the basis of data collected during only 10 min. This persistence of the SVH tilt suggests a memory for angular changes in roll head position detected by the semicircular canals-a position-storage mechanism. Further, the SVH seems to be dependent on two different mechanisms related to semicircular canal stimulation.

Spatial memory following shifts of gaze. I. Saccades to memorized world-fixed and gaze-fixed targets

During a shift of gaze, an object can move along with gaze or stay fixed in the world. To examine the effect of an object's reference frame on spatial working memory, we trained monkeys to memorize locations of visual stimuli as either fixed in the world or fixed to gaze. Each trial consisted of an initial reference frame instruction, followed by a peripheral visual flash, a memory-period gaze shift, and finally a memory-guided saccade to the location consistent with the instructed reference frame. The memory-period gaze shift was either rapid (a saccade) or slow (smooth pursuit or whole body rotation). This design allowed a comparison of memory-guided saccade performance under various conditions. Our data indicate that after a rotation or smooth-pursuit eye movement, saccades to memorized world-fixed targets are more variable than saccades to memorized gaze-fixed targets. In contrast, memory-guided saccades to world- and gaze-fixed targets are equally variable following a visually guided saccade. Across all conditions, accuracy, latency, and main sequence characteristics of memory-guided saccades are not influenced by the target's reference frame. Memory-guided saccades are, however, more accurate after fast compared with slow gaze shifts. These results are most consistent with an eye-centered representational system for storing the spatial locations of memorized objects but suggest that the visual system may engage different mechanisms to update the stored signal depending on how gaze is shifted.

Heading representation in MST: sensory interactions and population encoding

Dorsal medial superior temporal cortex (MSTd)'s population response encodes heading direction from optic flow seen during fixation or pursuit. Vestibular responses in these neurons might enhance heading representation during self-movement in light or provide an alternative basis for heading representation during self-movement in darkness. We have compared these hypotheses by recording MSTd neuronal responses to translational self-movement in light and darkness, during fixation and pursuit. Translational movement in darkness, with gaze fixed, evokes transient vestibular responses during acceleration that reverse directionality during deceleration and persist without a fixation target. Movement in light increases the amplitude and duration of these responses so they mimic responses to simulated optic flow presented without translational movement. Pursuit of a stationary landmark during translational movement combines vestibular and visual effects with pursuit responses. Vestibular, visual, and pursuit effects interact so that single neuron heading responses vary across the stimulus period and between stimulus conditions. Combining single neuron responses by population vector summation yields stronger heading estimates in light than in darkness, with gaze fixed or during landmark pursuit. Adding translational movement to robust optic flow stimuli does not augment the population response. Vestibular signals enhance single neuron responses in light and maintain population heading estimation in darkness, potentially extending MSTd's heading representation across the continuum of naturalistic self-movement conditions.

Influence of dynamic tilts on the perception of earth-vertical

The aim of this study was to test the hypothesis that optimal activation of both the semicircular canals and the otoliths provides reliable vestibular cues about self-orientation in space. For this, we measured the ability of subjects to estimate the subjective vertical immediately, 20 s and 90 s after a rapid tilt (180 degrees /s(2)) from upright into different roll positions between 90 degrees left and right side down. Subjects had to estimate the earth-vertical and earth-horizontal direction in the dark by (a) setting a luminous line, (b) performing saccades, and (c) verbally declaring body position relative to gravity. The mean error curves from the three paradigms showed consistent E (Müller)- and A (Aubert)-effects, which did not significantly change over time. Horizontal and vertical saccade tasks exhibited different response characteristics, as previously reported by others, which likely reflect different computation mechanisms. The verbal estimation paradigm yielded complementary results to those of the luminous line paradigm and vertical saccade task. The E-effect of the luminous line and the vertical saccade paradigm might be explained by a bias towards earth-vertical due to interactions of vestibular and neck afferent signals. The invariably small A-effect of the luminous line and the vertical saccade paradigm probably reflects somatosensory signals that had relatively weak influence in our experiments. We conclude that phasic activation of the vestibular system reduces the influence of non-vestibular cues observed in low tilt velocity or static experiments. Although this activation generates an E-effect, the total error in the range of +/-90 degrees is reduced.

Influence of a sensorimotor conflict on the memorization of a path traveled in virtual reality

Studies of visual-vestibular and vestibular-proprioceptive interactions suggest that prolonged exposure to sensory conflicts induces a modification of the relation between sensory modalities for self-motion perception. With most models conflicts are solved by a weighting process. However, the brain could also switch between conflicting cues. The present study focused on the effect of mismatched visual and non-visual information on the reproduction of actively performed turns. Standing subjects viewed a virtual corridor in which forward movements were simulated at a constant linear velocity, and rotations were actually performed. They were asked to learn the trajectory and then to reproduce it from memory in total darkness. In the baseline condition, the relative amplitudes of visual and non-visual information for the rotations performed were the same, but were manipulated in the two 'sensory conflict' conditions. The results show that even when subjects did not notice the sensory conflict, the discrepancy between visual and non-visual information affected their ability to reproduce the angular displacements. In one conflict condition, subjects relied on visual information when asked to draw the trajectory traveled, yet reproduced rotations on the basis of non-visual information during active blindfolded movements. This dissociation suggests that for mental simulation of the same path, there are at least two cognitive strategies of memory storage and retrieval, using either visual or non-visual information, according to the task and the sensory context.

Perspectives for the comprehensive examination of semicircular canal and otolith function

A review is presented on the three-dimensional aspects of the vestibulo-oculomotor system and the current functional tests for unilateral examination of the individual receptors in the vestibular labyrinth. In the presentation, attention is directed towards the recently developed vestibular tests, which promise a more comprehensive examination of labyrinth function. More explicitly, unilateral tests for the utricle, saccule and the individual semicircular canals are discussed. Caloric irrigation and rotatory testing are widely used as tests for the integrity of the (horizontal) semicircular canals. Little useful diagnosis is made however on the vertical canals, not to mention the otolith organs. A promising approach to the examination of individual semicircular canal function has been described. This involves the perception of self-rotation in each of the planes of the semicircular canals. The patient/subject is rotated by an arbitrary amount on a standard Barany chair and then required to return the chair to its original position, by joystick control of the chair velocity. In order to test the vertical canals, the head of the subject/patient is positioned so that the plane of each canal lies in the plane of rotation. A promising unilateral test of saccular function involves the use of vestibular evoked myogenic potentials. Here it has been demonstrated that the saccules can be activated using brief, high-intensity acoustic clicks. The myogenic potential is measured using surface electrodes over the sternocleidomastoid muscles. Initial data from patients has indicated that the test is specific for unilateral saccule disorders. The unilateral test of utricle function is based on the eccentric displacement profile. Thus, eccentric displacement of the head to 3.5 cm during constant velocity rotation about the earth-vertical axis generates an adequate unilateral stimulation of the otolith organ, without involving the semicircular canals. This paradigm has also proved efficient in localizing peripheral otolith dysfunction by means of SVV estimation. This represents a novel test of otolith function that can be easily integrated into routine clinical testing. In contrast to the otolith-ocular response, the subjective visual vertical also reflects the processing of otolithic information in the higher brain centres (thalamus, vestibular cortex). Exploitation of the two complementary approaches therefore provides useful information for both experimental and clinical scientists. Of direct interest is the finding that testing with the subject rotating on-centre is sufficient to localize peripheral otolith dysfunction by means of SVV estimation. This represents a novel test of otolith function that can be easily integrated into routine clinical testing. In addition to caloric testing, which has remained the classical unilateral test of vestibular function, the newly developed tests should improve the differential diagnosis of vestibular disorders.

Active, passive and snapshot exploration in a virtual environment: influence on scene memory, reorientation and path memory

We investigated the importance of active, passive and snapshot exploration on spatial memory in a virtual city. The exploration consisted in traveling along a series of streets. 'Active exploration' was performed by giving directions to the subject who controlled his displacement with a joystick. During 'passive' exploration, the travel was imposed by the computer. Finally, during 'snapshot exploration', simple views of the scene were presented sequentially every 4 m. Travel velocity was the same in all cases. The three visual exploration modes were compared with three spatial memory measures: (1) scene recognition, (2) at the end of the path, reorientation toward the departure point and (3) drawings of the path shape. Scene recognition and estimation of the direction of the starting point of the path were not affected by the mode of exploration. In contrast, reproduction of the shape of the path was affected: the errors of reproduction were greater for the snapshot exploration than for the other two conditions; there was no difference between the other two conditions. These results suggest that (1) 2D image features from a visual scene are memorized. Moreover, (2) pointing towards the origin of the path relies on motion duration integration or a frame of reference integrated during displacement. Finally, (3) drawing the path shape involves a deliberate reconstruction process.

Vestibular and vestibulo-proprioceptive perception of motion in the horizontal plane in blindfolded man--II. Estimations of rotations about the earth-vertical axis

Perception of angular displacement in the horizontal plane was studied in blindfolded human subjects. Subjects sitting on a rotating chair were turned and turned themselves about the earth-vertical axis. Magnitudes of left- and rightward directed rotations were in steps of 30 degrees and overlapped an entire circle. The averaged relative angular error in estimation of passive turns was 0.19 +/- 0.014 (M +/- m), that of active turns 0.16 +/- 0.011. Passively rotated subjects tended to overestimate turns with an increase in the rotation magnitude. Estimations of passive turns were linearly related to the turn magnitude (Y= -0.357+1.065X; R2=0.864). When turning themselves, subjects tended to overestimate rotations of lower magnitudes and underestimate those of higher magnitudes. Linearity was observed between estimations of active turns and their magnitude (Y=26.456+0.862X; R2=0.857). Turn estimation is regarded as a geometrical task, which associates subjectively defined angular and linear parameters of circular motion. It is proposed that during rotation blindfolded subjects perceive the horizontal plane as a heterometric space, the extent of which depends on the estimation of a turn.

Human head-free gaze saccades to targets flashed before gaze-pursuit are spatially accurate

Previous studies have shown that accurate saccades can be generated, in the dark, that compensate for movements of the visual axis that result from movements of either the eyes alone or the head alone that intervene between target presentation and saccade onset. We have carried out experiments with human subjects to test whether gaze saccades (gaze = eye-in-space = eye-in-head + head-in-space) can be generated that compensate for smooth pursuit movements of gaze that intervene between target onset and gaze-saccade onset. In both head-unrestrained (head-free) and -restrained (head-fixed) conditions, subjects were asked to make gaze shifts, in the dark, to the remembered location of a briefly flashed target. On most trials, during the memory period, the subjects carried out intervening head-free gaze pursuit or head-fixed ocular pursuit along the horizontal meridian. On the remaining (control) trials, subjects did not carry out intervening pursuit movements during the memory period; this was the classical memory-guided saccade task. We found that the subjects accurately compensated for intervening movements of the visual axis in both the head-free and head-fixed conditions. We conclude that the human gaze-motor system is able to monitor on-line changes in gaze position and add them to initial retinal error, to program spatially accurate gaze saccades.

Parietal and hippocampal contribution to topokinetic and topographic memory

This paper reviews the involvement of the parietal cortex and the hippocampus in three kinds of spatial memory tasks which all require a memory of a previously experienced movement in space. The first task compared, by means of positron emission tomography (PET) scan techniques, the production, in darkness, of self-paced saccades (SAC) with the reproduction, in darkness, of a previously learned sequence of saccades to visual targets (SEQ). The results show that a bilateral increase of activity was seen in the depth of the intraparietal sulcus and the medial superior parietal cortex (superior parietal gyrus and precuneus) together with the frontal sulcus but only in the SEQ task, which involved memory of the previously seen targets and possibly also motor memory. The second task is the vestibular memory contingent task, which requires that the subject makes, in darkness, a saccade to the remembered position of a visual target after a passively imposed whole-body rotation. Deficits in this task, which involves vestibular memory, were found predominantly in patients with focal vascular lesions in the parieto-insular (vestibular) cortex, the supplementary motor area-supplementary eye field area, and the prefrontal cortex. The third task requires mental navigation from the memory of a previously learned route in a real environment (the city of Orsay in France). A PET scan study has revealed that when subjects were asked to remember visual landmarks there was a bilateral activation of the middle hippocampal regions, left inferior temporal gyrus, left hippocampal regions, precentral gyrus and posterior cingulate gyrus. If the subjects were asked to remember the route, and their movements along this route, bilateral activation of the dorsolateral cortex, posterior hippocampal areas, posterior cingulate gyrus, supplementary motor areas, right middle hippocampal areas, left precuneus, middle occipital gyrus, fusiform gyrus and lateral premotor area was found. Subtraction between the two conditions reduced the activated areas to the left hippocampus, precuneus and insula. These data suggest that the hippocampus and parietal cortex are both involved in the dynamic aspects of spatial memory, for which the name 'topokinetic memory' is proposed. These dynamic aspects could both overlap and be different from those involved in the cartographic and static aspects of 'topographic' memory.