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

Seasickness susceptibility and the vestibular time constant: a prospective study

Human passive motion during boat, car or airplane travel may trigger motion sickness. Seasickness is the most provoking manifestation of motion sickness. It imposes major constraints on quality of life and human performance. Based on seasickness susceptibility the population is usually categorized into susceptible (S) and non-susceptible (NS). During repeated exposure some susceptible individuals undergo habituation and obtain symptoms relief, reflecting a third group of habituating (H) individuals. Recently, accumulative evidence suggests that the vestibular time constant (Tc) is associated with motion sickness susceptibility and attenuation of symptoms. These studies demonstrated that repeated passive motion stimuli lead to temporary short-term (days) changes in Tc, whereas sea sickness habituation process lasts 3 to 6 months. Therefore, the goal of the present study was to examine the behavior of Tc during the entire span of the seasickness habituation process between the H, S and NS groups to find an objective test for seasickness severity prediction. Tc of 30 subjects was prospectively evaluated pre, 3 and 6 months post exposure to sea environment using a computerized rotatory chair system protocol. Seasickness severity was evaluated by Wiker questionnaire. Significantly shorter Tc was found in the S group compared with the NS and H groups. Further analysis revealed lower maximal Slow Phase Velocity (mSPV) and nystagmus frequency (total number of beats/second) in the S group. Our results suggest that Tc, mSPV and nystagmus frequency might serve as a prediction for seasickness severity. This study was retrospectively registered on December 7th 2022 and assigned the identifier number NCT05640258.

Modulation of internal estimates of gravity during and after prolonged roll-tilts

Perceived direction of gravity, as assessed by the subjective visual vertical (SVV), shows roll-angle dependent errors that drift over time and a bias upon return to upright. According to Bayesian observer theory, the estimated direction of gravity is derived from the posterior probability distribution by combining sensory input and prior knowledge about earth-vertical in a statistically optimal fashion. Here we aimed to further characterize the stability of SVV during and after prolonged roll-tilts. Specifically we asked whether the post-tilt bias is related to the drift pattern while roll-tilted. Twenty-nine healthy human subjects (23-56 yo) repetitively adjusted a luminous arrow to the SVV over periods of 5 min while upright, roll-tilted (± 45°, ± 90°), and immediately after returning to upright. Significant (p<0.05) drifts (median absolute drift-amplitude: 10°/5 min) were found in 71% (± 45°) and 78% (± 90°) of runs. At ± 90° roll-tilt significant increases in absolute adjustment errors were more likely (76%), whereas significant increases (56%) and decreases (44%) were about equally frequent at ± 45°. When returning to upright, an initial bias towards the previous roll-position followed by significant exponential decay (median time-constant: 71 sec) was noted in 47% of all runs (all subjects pooled). No significant correlations were found between the drift pattern during and immediately after prolonged roll-tilt. We conclude that the SVV is not stable during and after prolonged roll-tilt and that the direction and magnitude of drift are individually distinct and roll-angle-dependent. Likely sensory and central adaptation and random-walk processes contribute to drift while roll-tilted. Lack of correlation between the drift and the post-tilt bias suggests that it is not the inaccuracy of the SVV estimate while tilted that determines post-tilt bias, but rather the previous head-roll orientation relative to gravity. We therefore favor central adaptation, most likely a shift in prior knowledge towards the previous roll orientation, to explain the post-tilt bias.

Drift in Ocular Torsion during Sustained Head Tilt

PURPOSE

A head tilt towards the shoulder (roll) induces an ocular counter-roll (OCR), i.e. torsion in the opposite direction to the head. How this counter-rolled position is maintained during a static head tilt is in debate. In a previous study, we reported an OCR-increasing drift subsequent to the head tilt. This finding is in contrast to other reports where no such response was found. The primary aim of this study was to repeat the experiment during a prolonged head-tilt test and to describe the OCR characteristics. A secondary aim was to investigate the influence of spatial visual cues on OCR.

METHODS

Five male subjects performed a head tilt (30 degrees ) towards the right shoulder while the eye position was recorded during a 10-minute interval. In test 1, the subjects viewed a target with no cues for spatial orientation. The same head-tilt paradigm was repeated in test 2 with a visual target with spatial cues. Two samples of data were extracted from the start and the end of the recordings for statistical analysis.

RESULTS

Subsequent to the head tilt, a slow OCR-increasing drift in the opposite direction to the head roll was found in all subjects. On average, this drift lasted for 30 sec (+/- 5) in test 1 and for 55 sec (+/- 18) in test 2. The drift was then found to change its direction, i.e. the eyes were rotated in the same direction as the head roll. When measured after 10 minutes, the OCR was significantly decreased.

CONCLUSIONS

The OCR during static head tilt is not constant. During the first minute there is a gradually increasing OCR. Thereafter, the amplitude of the OCR decreases gradually. These changes are influenced to some extent by spatial visual cues. Possible mechanisms are adaptive responses in otolithic afferents as well as central nervous memory functions related to the semicircular canal system.

Spatial disorientation in gondola centrifuges predicted by the form of motion as a whole in 3-D

INTRODUCTION

During a coordinated turn, subjects can misperceive tilts. Subjects accelerating in tilting-gondola centrifuges without external visual reference underestimate the roll angle, and underestimate more when backward-facing than when forward-facing. In addition, during centrifuge deceleration, the perception of pitch can include tumble while paradoxically maintaining a fixed perceived pitch angle. The goal of the present research was to test two competing hypotheses: 1) that components of motion are perceived relatively independently and then combined to form a three-dimensional (3-D) perception; and 2) that perception is governed by familiarity of motions as a whole in three dimensions, with components depending more strongly on the overall shape of the motion.

METHODS

Published experimental data from existing tilting-gondola centrifuge studies were used. The two hypotheses were implemented formally in computer models, and centrifuge acceleration and deceleration were simulated.

RESULTS

The second, whole-motion oriented hypothesis better predicted subjects' perceptions, including the forward-backward asymmetry and the paradoxical tumble upon deceleration. The predominant stimulus at the beginning of the motion and the familiarity of centripetal acceleration were important factors.

CONCLUSION

Three-dimensional perception is better predicted by taking into account familiarity with the form of 3-D motion.

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.

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.