Accuracy of spatial localization depending on head posture in a perturbed gravitoinertial force field

Analysis of anomalous head posturing in patients with infantile nystagmus syndrome

PURPOSE

To investigate anomalous head posturing in patients with INS.

METHODS

This was a prospective, cohort analysis of clinical and anomalous head posture (AHP) data in 34 patients with INS and an AHP. Particular outcome measures included measurement of AHP in three dimensions of pitch (anterior posterior flexion/extension), yaw (lateral rotation), and roll (lateral flexion) during best-corrected binocular acuity testing and during their subjective sense of straight. Patients were also queried as to their subjective sense of head posture in forced straight position and in their preferred AHP. The paired t test was used to determine significance in differences between measures.

RESULTS

A total of 34 patients (19 males [56%]) 9-56 years of age (mean, 16.5 ± 6) were included. Associated systemic or ocular system deficits were present in 30 patients (88%). AHP during best-corrected visual acuity testing averaged 16.5° ± 8.20° (range, 10°-51°), which was significantly different from the mean voluntary "comfortable" position only in the pitch and roll directions (P < 0.001). There was a significant noncongruous response during subjective response to head posturing with most sensing their head as "crooked" (76.5%) when manually straightened (P = 0.001).

CONCLUSIONS

The clinical AHP of patients with INS exists in all three spatial dimensions of pitch, yaw, and roll. Although the visual system may be causally related to the onset, amount, and direction of a compensatory AHP in patients with INS, its persistence over time or after surgical intervention is likely due to a combination of visual system (eg, nystagmus, strabismus) and nonvisual system (egocentric and musculo-skeletal) factors.

Accommodating to new ears: the effects of sensory and sensory-motor feedback

Changing the shape of the outer ear using small in-ear molds degrades sound localization performance consistent with the distortion of monaural spectral cues to location. It has been shown recently that adult listeners re-calibrate to these new spectral cues for locations both inside and outside the visual field. This raises the question as to the teacher signal for this remarkable functional plasticity. Furthermore, large individual differences in the extent and rate of accommodation suggests a number of factors may be driving this process. A training paradigm exploiting multi-modal and sensory-motor feedback during accommodation was examined to determine whether it might accelerate this process. So as to standardize the modification of the spectral cues, molds filling 40% of the volume of each outer ear were custom made for each subject. Daily training sessions for about an hour, involving repetitive auditory stimuli and exploratory behavior by the subject, significantly improved the extent of accommodation measured by both front-back confusions and polar angle localization errors, with some improvement in the rate of accommodation demonstrated by front-back confusion errors. This work has implications for both the process by which a coherent representation of auditory space is maintained and for accommodative training for hearing aid wearers.

Unilateral vestibular loss impairs external space representation

The vestibular system is responsible for a wide range of postural and oculomotor functions and maintains an internal, updated representation of the position and movement of the head in space. In this study, we assessed whether unilateral vestibular loss affects external space representation. Patients with Menière's disease and healthy participants were instructed to point to memorized targets in near (peripersonal) and far (extrapersonal) spaces in the absence or presence of a visual background. These individuals were also required to estimate their body pointing direction. Menière's disease patients were tested before unilateral vestibular neurotomy and during the recovery period (one week and one month after the operation), and healthy participants were tested at similar times. Unilateral vestibular loss impaired the representation of both the external space and the body pointing direction: in the dark, the configuration of perceived targets was shifted toward the lesioned side and compressed toward the contralesioned hemifield, with higher pointing error in the near space. Performance varied according to the time elapsed after neurotomy: deficits were stronger during the early stages, while gradual compensation occurred subsequently. These findings provide the first demonstration of the critical role of vestibular signals in the representation of external space and of body pointing direction in the early stages after unilateral vestibular loss.

Keep your head on straight: facilitating sensori-motor transformations for eye-hand coordination

In many day-to-day situations humans manifest a marked tendency to hold the head vertical while performing sensori-motor actions. For instance, when performing coordinated whole-body motor tasks, such as skiing, gymnastics or simply walking, and even when driving a car, human subjects will strive to keep the head aligned with the gravito-inertial vector. Until now, this phenomenon has been thought of as a means to limit variations of sensory signals emanating from the eyes and inner ears. Recent theories suggest that for the task of aligning the hand to a target, the CNS compares target and hand concurrently in both visual and kinesthetic domains, rather than combining sensory data into a single, multimodal reference frame. This implies that when sensory information is lacking in one modality, it must be 'reconstructed' based on information from the other. Here we asked subjects to reach to a visual target with the unseen hand. In this situation, the CNS might reconstruct the orientation of the target in kinesthetic space or reconstruct the orientation of the hand in visual space, or both. By having subjects tilt the head during target acquisition or during movement execution, we show a greater propensity to perform the sensory reconstruction that can be achieved when the head is held upright. These results suggest that the reason humans tend to keep their head upright may also have to do with how the brain manipulates and stores spatial information between reference frames and between sensory modalities, rather than only being tied to the specific problem of stabilizing visual and vestibular inputs.

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.

A sensorimotor approach to sound localization

Sound localization is known to be a complex phenomenon, combining multisensory information processing, experience-dependent plasticity, and movement. Here we present a sensorimotor model that addresses the question of how an organism could learn to localize sound sources without any a priori neural representation of its head-related transfer function or prior experience with auditory spatial information. We demonstrate quantitatively that the experience of the sensory consequences of its voluntary motor actions allows an organism to learn the spatial location of any sound source. Using examples from humans and echolocating bats, our model shows that a naive organism can learn the auditory space based solely on acoustic inputs and their relation to motor states.

Difference in the perception of the horizon during true and simulated tilt in the absence of semicircular canal cues

Perception of tilt (somatogravic illusion) in response to sustained linear acceleration is generally attributed to the otolithic system which reflects either a translation of the head or a reorientation of the head with respect to gravity (tilt/translation ambiguity). The main aim of this study was to compare the tilt perception during prolonged static tilt and translation between 8 and 20 degrees of tilt relative to the gravitoinertial forces (i.e., G and GIF, respectively) when the semicircular cues were no more available. An indirect measure of tilt perception was estimated by means of a visual and kinesthetic judgment of the gravitational horizon. The main results contrast with the interpretation regarding the tilt/translation ambiguity as the same orientation relative to the shear forces G for the true tilt or GIF in the centrifuge did not induce the same horizon perception. Visual adjustment and arm pointing in the centrifuge were always above the ones observed in a G environment. Part of the lowering of the judgment in the centrifuge may be related to the mechanical effect of GIF on the effectors as shown by the shift of the egocentric coordinates in the direction of GIF. The role of the extravestibular graviceptors in the judgment of the degree of tilt of one's own body relative to G or GIF was discussed.