Postural adjustment response to depth direction moving patterns produced by virtual reality graphics

Something in the Sway: Effects of the Shepard-Risset Glissando on Postural Activity and Vection

This study investigated claims of disrupted equilibrium when listening to the Shepard-Risset glissando (which creates an auditory illusion of perpetually ascending/descending pitch). During each trial, 23 participants stood quietly on a force plate for 90 s with their eyes either open or closed (30 s pre-sound, 30 s of sound and 30 s post-sound). Their centre of foot pressure (CoP) was continuously recorded during the trial and a verbal measure of illusory self-motion (i.e., vection) was obtained directly afterwards. As expected, vection was stronger during Shepard-Risset glissandi than during white noise or phase-scrambled auditory control stimuli. Individual differences in auditorily evoked postural sway (observed during sound) were also found to predict the strength of this vection. Importantly, the patterns of sway induced by Shepard-Risset glissandi differed significantly from those during our auditory control stimuli - but only in terms of their temporal dynamics. Since significant sound type differences were not seen in terms of sway magnitude, this stresses the importance of investigating the temporal dynamics of sound-posture interactions.

Detection of unrecognized spatial disorientation: A theoretical perspective

BACKGROUND:

Spatial disorientation (SD) is a problem that pilots often encounter during a flight. One reason for this problem is that among the three types of SD, there is no validated method to detect the Type I (unrecognized) SD.

OBJECTIVE:

In this pursuit, initially we reviewed the problems and the evaluation methods of associated with SD. Subsequently, we discussed the advantages and disadvantages of the subjective questionnaire evaluation method and the behavior evaluation method.

METHODS:

On the basis of these analyses, we proposed a method to detect the unrecognized SD that improved the assessment of SD to a significant extent. We developed a new direction to study the unrecognized SD based on the subjective report and the center of pressure (CoP).

RESULTS:

The proposed evaluation method can assist the pilots to understand the feelings and physical changes, when exposed to unrecognized SD.

CONCLUSION:

We hope that this evaluation method can provide a strong support in developing a countermeasure against the unrecognized SD and fundamentally solve the severe flight accidents arising due to them.

Postural sway in the moving room scenario: New evidence for functional dissociation between self-motion perception and postural control

Postural control in quiet standing is often explained by a reflexive response to optical flow, the apparent motion of environmental objects in a visual scene. However, moving room experiments show that even small-amplitude body sway can evoke odd sensations or motion sickness, indicating that a consciousness factor may also be involved. Studies targeting perception of self-motion, vection, typically use rapid visual stimuli moving in a single direction to maintain a constant feeling of vection, and there are few studies of vection using low-speed sinusoidal visual stimuli similar to human pendular movement. In the present study we searched for changes in postural control during periods of vection during quiet standing. Participants (N = 19, age = 20.4 ±1.1 years) were shown dynamic visual stimuli in the form of sinusoidally expanding and contracting random dots, and the stimuli speed and visual field were manipulated. Posture was continually evaluated using Center of Pressure (CoP) measurements. Participants were also asked to report feelings of vection, both by pressing a button during the trial and through an overall rating at the end of each trial. Using repeated-measures ANOVA, we assessed changes in the CoP and vection variables between experimental conditions, as well as possible interactions between the variables. The results show that postural reaction and vection were both affected by the visual stimuli and varied with speed. The peripheral visual field was found to couple to stronger feeling of vection and better quality of postural control. However, no significant relationship between postural control and vection, nor evidence of vection interaction to the relationship between optical flow and postural control, was found. Based on our results we conclude that for postural stability during quiet standing, visual cues dominate over any potential consciousness factor arising due to vection.

Spatial presence depends on 'coupling' between body sway and visual motion presented on head-mounted displays (HMDs)

This study investigated the effects of simulating self-motion via a head-mounted display (HMD) on standing postural sway and spatial presence. Standing HMD users viewed simulated oscillatory self-motion in depth. On a particular trial, this naso-occipital visual oscillation had one of four different amplitudes (either 4, 8, 12 or 16 m peak-to-peak) and one of four different frequencies (either 0.125, 0.25, 0.5 or 1 Hz). We found that simulated high amplitude self-oscillation (approximately 16 m peak-to-peak) at either 0.25 Hz or 0.5 Hz: 1) generated the strongest effects on postural sway; and 2) made participants feel more spatially present in the virtual environment. Our findings provide insight into the parameters of simulated self-motion that generate the strongest postural responses within virtual environments. These postural constraints have valuable implications for improving our understanding of sensory processes underlying the ergonomic experience of virtual environments simulated using HMDs.

Different Head-Sway Responses to Optic Flow in Sitting and Standing With a Head-Mounted Display

We investigated postural responses (head displacements) and self-motion perception (vection) to radial and lateral optic flows while sitting and standing by using a head-mounted display. We found that head displacement directions varied across postures. In the standing posture, radial optic flow generally produced the opposed head displacement against the perceived vection direction, consistent with the literature; however, in the sitting posture, the optic flow generally produced the following head displacement in the vection direction. In the standing posture, responses were evident soon after the onset of the optic flow presentation but became less clear in the latter half of a trial. The results, while less clear for lateral flows, were similar for both flow types. Our findings suggest partially distinct processes underlying vection and postural control.

Postural responses to sinusoidal modulations of viewpoint position in a virtual environment

Visual self-motion information is known to contribute to postural control, but it is unclear precisely which aspects of visual motion information drive changes in posture. We report here results for standing humans which suggest that there is a speed of movement threshold that must be exceeded by a visual stimulus if a posture response is to be generated. We use signal-to-noise ratio (SNR) methods to measure the strength of steady-state visually evoked posture responses (SSVEPRs) to sinusoidal modulations of visual viewpoint position in a virtual environment (VE). Using threshold estimates found from data which show how posture responses depend on visual stimulus amplitude, we show that the sensitivity of the visuo-postural response system increases with the temporal frequency at which the position of one's viewpoint is modulated. We show further that there is a speed of movement threshold, on average 1.85 cm/s, which must be exceeded by a left-right modulation of viewpoint position if a posture response is to be generated. A comparison of visual stimulus visibility to posture response thresholds suggests that one tends to not make postural responses to visual stimuli that are unseen. Finally, we found small correlations between motion sickness in these experiments and both the time spent in the VE and the frequency of viewpoint movement.

Inter-trial phase coherence of visually evoked postural responses in virtual reality

Vision plays a central role in maintaining balance. When humans perceive their body as moving, they trigger counter movements. This results in body sway, which has typically been investigated by measuring the body’s center of pressure (COP). Here, we aimed to induce visually evoked postural responses (VEPR) by simulating self-motion in virtual reality (VR) using a sinusoidally oscillating “moving room” paradigm. Ten healthy subjects participated in the experiment. Stimulation consisted of a 3D-cloud of random dots, presented through a VR headset, which oscillated sinusoidally in the anterior–posterior direction at different frequencies. We used a force platform to measure subjects’ COP over time and quantified the resulting trajectory by wavelet analyses including inter-trial phase coherence (ITPC). Subjects exhibited significant coupling of their COP to the respective stimulus. Even when spectral analysis of postural sway showed only small responses in the expected frequency bands (power), ITPC revealed an almost constant strength of coupling to the stimulus within but also across subjects and presented frequencies. Remarkably, ITPC even revealed a strong phase coupling to stimulation at 1.5 Hz, which exceeds the frequency range that has generally been attributed to the coupling of human postural sway to an oscillatory visual scenery. These findings suggest phase-locking to be an essential feature of visuomotor control.

Larger Head Displacement to Optic Flow Presented in the Lower Visual Field

Optic flow that simulates self-motion often produces postural adjustment. Although literature has suggested that human postural control depends largely on visual inputs from the lower field in the environment, effects of the vertical location of optic flow on postural responses are not well investigated. Here, we examined whether optic flow presented in the lower visual field produces stronger responses than optic flow in the upper visual field. Either expanding or contracting optic flow was presented in upper, lower, or full visual fields through an Oculus Rift head-mounted display. Head displacement and vection strength were measured. Results showed larger head displacement under the optic flow presentation in the full visual field and the lower visual field than the upper visual field, during early period of presentation of the contracting optic flow. Vection was strongest in the full visual field and weakest in the upper visual field. Our findings of lower field superiority in head displacement and vection support the notion that ecologically relevant information has a particularly important role in human postural control and self-motion perception.

Ageing vision and falls: a review

Background

Falls are the leading cause of accidental injury and death among older adults. One of three adults over the age of 65 years falls annually. As the size of elderly population increases, falls become a major concern for public health and there is a pressing need to understand the causes of falls thoroughly.

Main body of the abstract

While it is well documented that visual functions such as visual acuity, contrast sensitivity, and stereo acuity are correlated with fall risks, little attention has been paid to the relationship between falls and the ability of the visual system to perceive motion in the environment. The omission of visual motion perception in the literature is a critical gap because it is an essential function in maintaining balance. In the present article, we first review existing studies regarding visual risk factors for falls and the effect of ageing vision on falls. We then present a group of phenomena such as vection and sensory reweighting that provide information on how visual motion signals are used to maintain balance.

Conclusion

We suggest that the current list of visual risk factors for falls should be elaborated by taking into account the relationship between visual motion perception and balance control.

Interaction between Depth Order and Density Affects Vection and Postural Sway

Objective

Vection, a feeling of self-motion while being physically stationary, and postural sway can be modulated by various visual factors. Moreover, vection and postural sway are often found to be closely related when modulated by such visual factors, suggesting a common neural mechanism. One well-known visual factor is the depth order of the stimulus. The density, i.e. number of objects per unit area, is proposed to interact with the depth order in the modulation of vection and postural sway, which has only been studied to a limited degree.

Methods

We therefore exposed 17 participants to 18 different stimuli containing a stationary pattern and a pattern rotating around the naso-occipital axis. The density of both patterns was varied between 10 and 90%; the densities combined always added up to 100%. The rotating pattern occluded or was occluded by the stationary pattern, suggesting foreground or background motion, respectively. During pattern rotation participants reported vection by pressing a button, and postural sway was recorded using a force plate.

Results

Participants always reported more vection and swayed significantly more when rotation was perceived in the background and when the rotating pattern increased in density. As hypothesized, we found that the perceived depth order interacted with pattern density. A pattern rotating in the background with a density between 60 and 80% caused significantly more vection and postural sway than when it was perceived to rotate in the foreground.

Conclusions

The findings suggest that the ratio between fore- and background pattern densities is an important factor in the interaction with the depth order, and it is not the density of rotating pattern per se. Moreover, the observation that vection and postural sway were modulated in a similar way points towards a common neural origin regulating both variables.

Vection and visually induced motion sickness: how are they related?

The occurrence of visually induced motion sickness has been frequently linked to the sensation of illusory self-motion (vection), however, the precise nature of this relationship is still not fully understood. To date, it is still a matter of debate as to whether vection is a necessary prerequisite for visually induced motion sickness (VIMS). That is, can there be VIMS without any sensation of self-motion? In this paper, we will describe the possible nature of this relationship, review the literature that addresses this relationship (including theoretical accounts of vection and VIMS), and offer suggestions with respect to operationally defining and reporting these phenomena in future.

Eye movement instructions modulate motion illusion and body sway with Op Art

Op Art generates illusory visual motion. It has been proposed that eye movements participate in such illusion. This study examined the effect of eye movement instructions (fixation vs. free exploration) on the sensation of motion as well as the body sway of subjects viewing Op Art paintings. Twenty-eight healthy adults in orthostatic stance were successively exposed to three visual stimuli consisting of one figure representing a cross (baseline condition) and two Op Art paintings providing sense of motion in depth—Bridget Riley’s Movements in Squares and Akiyoshi Kitaoka’s Rollers. Before their exposure to the Op Art images, participants were instructed either to fixate at the center of the image (fixation condition) or to explore the artwork (free viewing condition). Posture was measured for 30 s per condition using a body fixed sensor (accelerometer). The major finding of this study is that the two Op Art paintings induced a larger antero-posterior body sway both in terms of speed and displacement and an increased motion illusion in the free viewing condition as compared to the fixation condition. For body sway, this effect was significant for the Riley painting, while for motion illusion this effect was significant for Kitaoka’s image. These results are attributed to macro-saccades presumably occurring under free viewing instructions, and most likely to the small vergence drifts during fixations following the saccades; such movements in interaction with visual properties of each image would increase either the illusory motion sensation or the antero-posterior body sway.

Future challenges for vection research: definitions, functional significance, measures, and neural bases

This paper discusses four major challenges facing modern vection research. Challenge 1 (Defining Vection) outlines the different ways that vection has been defined in the literature and discusses their theoretical and experimental ramifications. The term vection is most often used to refer to visual illusions of self-motion induced in stationary observers (by moving, or simulating the motion of, the surrounding environment). However, vection is increasingly being used to also refer to non-visual illusions of self-motion, visually mediated self-motion perceptions, and even general subjective experiences (i.e., “feelings”) of self-motion. The common thread in all of these definitions is the conscious subjective experience of self-motion. Thus, Challenge 2 (Significance of Vection) tackles the crucial issue of whether such conscious experiences actually serve functional roles during self-motion (e.g., in terms of controlling or guiding the self-motion). After more than 100 years of vection research there has been surprisingly little investigation into its functional significance. Challenge 3 (Vection Measures) discusses the difficulties with existing subjective self-report measures of vection (particularly in the context of contemporary research), and proposes several more objective measures of vection based on recent empirical findings. Finally, Challenge 4 (Neural Basis) reviews the recent neuroimaging literature examining the neural basis of vection and discusses the hurdles still facing these investigations.

Chaos in balance: non-linear measures of postural control predict individual variations in visual illusions of motion

Visually-induced illusions of self-motion (vection) can be compelling for some people, but they are subject to large individual variations in strength. Do these variations depend, at least in part, on the extent to which people rely on vision to maintain their postural stability? We investigated by comparing physical posture measures to subjective vection ratings. Using a Bertec balance plate in a brightly-lit room, we measured 13 participants' excursions of the centre of foot pressure (CoP) over a 60-second period with eyes open and with eyes closed during quiet stance. Subsequently, we collected vection strength ratings for large optic flow displays while seated, using both verbal ratings and online throttle measures. We also collected measures of postural sway (changes in anterior-posterior CoP) in response to the same visual motion stimuli while standing on the plate. The magnitude of standing sway in response to expanding optic flow (in comparison to blank fixation periods) was predictive of both verbal and throttle measures for seated vection. In addition, the ratio between eyes-open and eyes-closed CoP excursions during quiet stance (using the area of postural sway) significantly predicted seated vection for both measures. Interestingly, these relationships were weaker for contracting optic flow displays, though these produced both stronger vection and more sway. Next we used a non-linear analysis (recurrence quantification analysis, RQA) of the fluctuations in anterior-posterior position during quiet stance (both with eyes closed and eyes open); this was a much stronger predictor of seated vection for both expanding and contracting stimuli. Given the complex multisensory integration involved in postural control, our study adds to the growing evidence that non-linear measures drawn from complexity theory may provide a more informative measure of postural sway than the conventional linear measures.

Spontaneous postural sway predicts the strength of smooth vection

This study asked whether individual differences in the influence of vision on postural stability could be used to predict the strength of subsequently induced visual illusions of self-motion (vection). In the experiment, we first measured spontaneous postural sway while subjects stood erect for 60 s with their eyes both open and both closed. We then showed our subjects two types of self-motion display: radially expanding optic flow (simulating constant velocity forwards self-motion) and vertically oscillating radially expanding optic flow (simulating constant velocity forwards self-motion combined with vertical head oscillation). As expected, subjects swayed more with their eyes closed (compared to open) and experienced more compelling illusions of self-motion with vertically oscillating (as opposed to smooth) radial flow. The extent to which participants relied on vision for postural stability-measured as the ratio of sway with eyes closed compared to that with eyes open-was found to predict vection strength. However, this was only the case for displays representing smooth self-motion. It seems that for oscillating displays, other factors, such as visual-vestibular interactions, may be more important.

A telerehabilitation program improves postural control in multiple sclerosis patients: a Spanish preliminary study

Postural control disorders are among the most frequent motor disorder symptoms associated with multiple sclerosis. This study aims to demonstrate the potential improvements in postural control among patients with multiple sclerosis who complete a telerehabilitation program that represents a feasible alternative to physical therapy for situations in which conventional treatment is not available. Fifty patients were recruited. Control group (n = 25) received physiotherapy treatment twice a week (40 min per session). Experimental group (n = 25) received monitored telerehabilitation treatment via videoconference using the Xbox 360^® and Kinect console. Experimental group attended 40 sessions, four sessions per week (20 min per session).The treatment schedule lasted 10 weeks for both groups. A computerized dynamic posturography (Sensory Organization Test) was used to evaluate all patients at baseline and at the end of the treatment protocol. Results showed an improvement over general balance in both groups. Visual preference and the contribution of vestibular information yielded significant differences in the experimental group. Our results demonstrated that a telerehabilitation program based on a virtual reality system allows one to optimize the sensory information processing and integration systems necessary to maintain the balance and postural control of people with multiple sclerosis. We suggest that our virtual reality program enables anticipatory PC and response mechanisms and might serve as a successful therapeutic alternative in situations in which conventional therapy is not readily available.

Effects of Simulated Viewpoint Jitter on Visually Induced Postural Sway

In this study we examined the effects of simulated horizontal and vertical viewpoint jitter on the vection and postural sway induced by radial patterns of optic flow. During each trial, observers were exposed sequentially to 20 s periods of radially expanding flow, radially contracting flow, and static visual scenes. For half the trials, simulated viewpoint jitter was added to the radially expanding/contracting optic flow patterns. In experiment 1, we found that, while this jitter increased the backward postural sway induced by radial expansion, it actually decreased forward postural sway induced by radial contraction. However, in experiment 2 we found that jitter increased both the forward and backward vection induced by radially expanding and contracting flow patterns. We conclude that the processes involved in postural control are more sensitive to the sensory conflicts generated by viewpoint jitter than those involved in the perception of self-motion, and that the observed asymmetries in forward and backward sway are ecological in origin.

Mechanisms underlying visually induced body sway

We investigate the relationship between visually induced perceptual illusions of body motion (vection) and visually induced postural responses (VEPRs). Ten standing healthy subjects were tested in two visual conditions known to induce directionally opposite VEPRs: subjects fixated either a static head-mounted or an earth-fixed visual display in front of a horizontally translating visual background. The VEPR was in the direction of background motion when fixating the head-mounted display but transiently reversed in the earth-fixed condition. In contrast, vection occurred in only one direction (opposite to background motion) and developed later than VEPRs. The different time course and in-congruency between direction of VEPRs and direction of vection suggests that perceptual and postural responses are not causally related. However, since vection did increase VEPR magnitude in the direction of background motion, we postulate that VEPRs might be mediated by two different mechanisms: (1) a short latency system, driven by transient visual stimuli and sensitive to visual geometry (parallax-no parallax), responsible for automatic postural sway adjustments and (2) a longer latency, vection-enhanced postural mechanism, related to the conscious perception of self-motion during longer duration (locomotor, vehicular) body displacements.

Influence of pathologic and simulated visual dysfunctions on the postural system

Visual control has an influence on postural stability. Whilst vestibular, somatosensoric and cerebellar changes have already been frequency analytically parameterized with posturography, sufficient data regarding the visual system are still missing. The aim of this study was to evaluate the influence of pathologic and simulated visual dysfunctions on the postural system by calculating the frequency analytic representation of the visual system throughout the frequency range F1 (0.03-0.1 Hz) of Fourier analysis. The study was divided into two parts. In the first part, visually handicapped subjects and subjects with normal vision were investigated with posturography regarding postural stability (stability effect, Fourier spectrum of postural sway, etc.) with open and closed eyes. The visually impaired and the normal group differed significantly in the frequency range F1 (p = 0.002). Significant differences of the postural stability between both groups were found only in the test position with open eyes (NO). The healthy group showed a significant loss of stability, whereas the impaired group showed an increased stability due to sufficient somatosensoric processes. Visually handicapped persons can compensate the visual information deficit through improved peripheral-vestibular and somatosensoric perception and cerebellar processing. In the second part, subjects with normal vision were examined under simulated visual conditions, e.g., hyperopia (3.0 D), reduced visual acuity (VA = 20/200), yoke prisms (4 cm/m) and pursuits (pendulum). Changes in postural parameters due to simulations have been compared to a standard situation (open eyes [NO], fixation distance 3 m). Visual simulations showed influence on frequency range F1. Compared to the standard situation, significant differences have been found in reduced visual acuity, pursuits and yoke prisms. A loss of stability was measured for simulated hyperopia, pendulum and yoke prisms base down. Stability regulation can be understood as a multi-sensoric process by the visual, vestibular, somatosensoric and cerebellar system. Reduced influence of a single subsystem is compensated by the other subsystems. Obviously the main part of reduced visual input is compensated by the vestibular system. Moreover, the body sway, represented by the stability indicator, increased in this situation.

Aging and time-to-postural stability following a visual perturbation

BACKGROUND AND AIMS

Postural stability is essential to the performance of most daily activities and is necessary to lead an independent lifestyle. Most functional assessments of balance have only evaluated spatial properties of posture, however, assessments should also evaluate balance in the temporal domain. Both domains provide crucial information to an individual's postural stability. The following study examines time to regain stability and the magnitude of postural motion following a virtual perturbation.

METHODS

To examine the temporal limitations imposed by age (n=45), 3 adult age groups were tested, young (18-19 yr), young old (60-69 yr), and old adults (70-79 yr). Participants were placed into a virtual room appearing as if the visual surround moved in a discrete antero-posterior motion. A force platform was used to assess postural motion across 4 visual perturbation conditions, 9 and 18 cm and 0.3 and 0.6 Hz.

RESULTS

Young adults exhibited significantly less postural motion than both of the older age groups and required the least amount of time to regain postural stability following the discrete visual perturbation, while the old adults required the greatest amount of time.

CONCLUSIONS

These findings indicate that even small visual perturbations induce strong temporal limitations which are magnified by advancing age. Furthermore, the postural saturation (reduction in postural motion) that is typically found in young adults with increasing movement magnitude was not found in either of the older adult groups. Older adults are at a higher risk of losing balance during this period of time to reacquire postural stability which appears to be unaffected by elevated visual motion.

Effects of visually simulated roll motion on vection and postural stabilization

Background

Visual motion often provokes vection (the induced perception of self-motion) and postural movement. Postural movement is known to increase during vection, suggesting the same visual motion signal underlies vection and postural control. However, self-motion does not need to be consciously perceived to influence postural control. Therefore, visual motion itself may affect postural control mechanisms. The purpose of the present study was to investigate the effects of visual motion and vection on postural movements during and after exposure to a visual stimulus motion.

Methods

Eighteen observers completed four experimental conditions, the order of which was counterbalanced across observers. Conditions corresponded to the four possible combinations of rotation direction of the visually simulated roll motion stimulus and the two different visual stimulus patterns. The velocity of the roll motion was held constant in all conditions at 60 deg/s. Observers assumed the standard Romberg stance, and postural movements were measured using a force platform and a head position sensor affixed to a helmet they wore. Observers pressed a button when they perceived vection. Postural responses and psychophysical parameters related to vection were analyzed.

Results

During exposure to the moving stimulus, body sway and head position of all observers moved in the same direction as the stimulus. Moreover, they deviated more during vection perception than no-vection-perception, and during no-vection-perception than no-visual-stimulus-motion. The postural movements also fluctuated more during vection-perception than no-vection-perception, and during no-vection-perception than no-visual-stimulus-motion, both in the left/right and anterior/posterior directions. There was no clear habituation for vection and posture, and no effect of stimulus type.

Conclusion

Our results suggested that visual stimulus motion itself affects postural control, and supported the idea that the same visual motion signal is used for vection and postural control. We speculated that the mechanisms underlying the processing of visual motion signals for postural control and vection perception operate using different thresholds, and that a frame of reference for body orientation perception changed along with vection perception induced further increment of postural sway.

Field of view and base of support width influence postural responses to visual stimuli during quiet stance

We explored the destabilizing effect of visual field motion as the base of support (BOS) and the field of view (FOV) were narrowed. Visual field motion was achieved using an immersive virtual environment (scene) that moved realistically with head motion (natural motion) and translated sinusoidally at 0.1Hz in the fore-aft direction (augmented motion). Natural motion was presented in stereo while augmented motion was presented in both stereo and non-stereo. Subjects viewed scene motion under wide (90 degrees and 55 degrees in the horizontal and vertical directions) and narrow (25 degrees in both directions) FOV conditions while standing flatfooted (100% BOS) and on two blocks (45% and 35% BOS). Head and whole body center of mass (COM) and ankle angle root mean square (RMS) were determined as were head, whole body, and shank COM FFTs. During natural motion, the primary effect emerged in the head RMS which was significantly smaller with a 35% BOS and the wide FOV compared to the narrow FOV. However, the primary effect of augmented motion emerged in the power analysis of head and whole body COM which significantly increased with the wide FOV for a 35% BOS compared to 100% BOS. Statistical analysis indicated an effect of BOS on depth perception for head and whole body RMS; however, post hoc comparisons revealed no significant differences between stereo and non-stereo augmented motion. We conclude that reducing the BOS increased reliance on peripheral visual information to stabilize the head in space even when the augmented visual motion promoted postural instability.

Neural underpinning of postural responses to visual field motion

Numerous results emerging from current research strongly implicate the effect of Visual Field Motion on the organization of postural responses. However, this is the first empirical study exploring the neural substrates underlying the subjects' response to Visual Field Motion. Two separate experiments were conducted to investigate the subject responses to Visual Field Motion. In the first experiment, the standing subjects were exposed to Visual Field Motion in the VR environment. In the second experiment, the recumbent subjects viewed the same Visual Field Motion while in a MRI scanner. A virtual reality (VR) prototype of the moving room paradigm [Lee, D.N., Aronson, E., 1974. Visual proprioceptive control of standing in human infants. Perception & Psychophysics 15, 529-532] was developed to simulate various optic flow patterns in a controlled VR environment. Postural responses (center of pressure, body kinematics, vection, egomotion) and brain activation patterns (fMRI signals) were examined. The subjects experienced egomotion and have reported vection in both experiments only when certain attributes of Visual Field Motion were introduced. This was accompanied by significant activation of specific brain structures, including prefrontal, parietal cortices and bilateral cerebellum. We propose the existence of functional interactions between modality specific areas of the brain involved in postural responses to Visual Field Motion (VFM).

Virtual reality in posturography

Balance dysfunctions are common, especially among elderly people. Present methods for the diagnosis and evaluation of severity of dysfuntion have limited value. We present a system that makes it easy to implement different visual and mechanical perturbations for clinical investigations of balance and visual-vestibular interaction. The system combines virtual reality visual stimulation with force platform posturography on a moving platform. We evaluate our contruction's utility in a classification task between 33 healthy controls and 77 patients with Ménière's disease, using a series of tests with different visual and mechanical stimuli. Responses of patients and controls differ significantly in parameters computed from stabilograms. We also show that the series of tests achieves a classification accuracy slightly over 80% between controls and patients.

Human postural responses to motion of real and virtual visual environments under different support base conditions

The role of visual orientation cues for human control of upright stance is still not well understood. We, therefore, investigated stance control during motion of a visual scene as stimulus, varying the stimulus parameters and the contribution from other senses (vestibular and leg proprioceptive cues present or absent). Eight normal subjects and three patients with chronic bilateral loss of vestibular function participated. They stood on a motion platform inside a cabin with an optokinetic pattern on its interior walls. The cabin was sinusoidally rotated in anterior-posterior (a-p) direction with the horizontal rotation axis through the ankle joints (f=0.05-0.4 Hz; A (max)=0.25 degrees -4 degrees ; v (max)=0.08-10 degrees /s). The subjects' centre of mass (COM) angular position was calculated from opto-electronically measured body sway parameters. The platform was either kept stationary or moved by coupling its position 1:1 to a-p hip position ('body sway referenced', BSR, platform condition), by which proprioceptive feedback of ankle joint angle became inactivated. The visual stimulus evoked in-phase COM excursions (visual responses) in all subjects. (1) In normal subjects on a stationary platform, the visual responses showed saturation with both increasing velocity and displacement of the visual stimulus. The saturation showed up abruptly when visually evoked COM velocity and displacement reached approximately 0.1 degrees /s and 0.1 degrees , respectively. (2) In normal subjects on a BSR platform (proprioceptive feedback disabled), the visual responses showed similar saturation characteristics, but at clearly higher COM velocity and displacement values ( approximately 1 degrees /s and 1 degrees , respectively). (3) In patients on a stationary platform (no vestibular cues), the visual responses were basically similar to those of the normal subjects, apart from somewhat higher gain values and less-pronounced saturation effects. (4) In patients on a BSR platform (no vestibular and proprioceptive cues, presumably only somatosensory graviceptive and visual cues), the visual responses showed an abnormal increase in gain with increasing stimulus frequency in addition to a displacement saturation. On the normal subjects we performed additional experiments in which we varied the gain of the visual response by using a 'virtual reality' visual stimulus or by applying small lateral platform tilts. This did not affect the saturation characteristics of the visual response to a considerable degree. We compared the present results to previous psychophysical findings on motion perception, noting similarities of the saturation characteristics in (1) with leg proprioceptive detection thresholds of approximately 0.1 degrees /s and 0.1 degrees and those in (2) with vestibular detection thresholds of 1 degrees /s and 1 degrees , respectively. From the psychophysical data one might hypothesise that a proprioceptive postural mechanism limits the visually evoked body excursions if these excursions exceed 0.1 degrees /s and 0.1 degrees in condition (1) and that a vestibular mechanism is doing so at 1 degrees /s and 1 degrees in (2). To better understand this, we performed computer simulations using a posture control model with multiple sensory feedbacks. We had recently designed the model to describe postural responses to body pull and platform tilt stimuli. Here, we added a visual input and adjusted its gain to fit the simulated data to the experimental data. The saturation characteristics of the visual responses of the normals were well mimicked by the simulations. They were caused by central thresholds of proprioceptive, vestibular and somatosensory signals in the model, which, however, differed from the psychophysical thresholds. Yet, we demonstrate in a theoretical approach that for condition (1) the model can be made monomodal proprioceptive with the psychophysical 0.1 degrees /s and 0.1 degrees thresholds, and for (2) monomodal vestibular with the psychophysical 1 degrees /s and 1 degrees thresholds, and still shows the corresponding saturation characteristics (whereas our original model covers both conditions without adjustments). The model simulations also predicted the almost normal visual responses of patients on a stationary platform and their clearly abnormal responses on a BSR platform.

Using immersive technology for postural research and rehabilitation

Posture has traditionally been examined by isolating individual control pathways to determine their specific contributions. However, if these pathways are responsive to functional contexts, then their responses may differ when the system is receiving simultaneous inputs from multiple pathways. Thus, we may never fully understand how the central nervous system (CNS) organizes behaviors in the real world from studies conducted in the minimized environment of the laboratory. The consequence of this is that when findings from the laboratory are applied to therapeutic intervention, the intervention may not be appropriate for all circumstances and will not fully meet the needs of the patient. We have united an immersive dynamic virtual environment with motion of a posture platform to record the biomechanical and physiological responses to combined visual, vestibular, and proprioceptive inputs. The virtual environment possesses content, contrast, and texture so that we can examine postural responses as they might occur in a complex, real-world environment. In this paper we specifically describe the factors guiding our choices of virtual technology and present data from young adults, elderly adults, and an individual with bilateral labyrinthine loss to demonstrate how multimodal inputs influence their postural response organization. Significant implications for future experimental and rehabilitation protocols are also discussed.

Visually induced motion sickness predicted by postural instability

We investigated whether postural instability can predict motion sickness and studied relations among instability, motion sickness, and vection. Nine men and 4 women (mean age = 19.85 years) were exposed, while standing, to an optical simulation of body sway. Head motion was recorded using a magnetic tracking system. Postural instabilities were observed prior to the onset of motion sickness. Vection was reported by most participants, including all who became ill. A discriminant analysis revealed that parameters of postural motion accurately predicted motion sickness. The results confirm that postural instability precedes motion sickness and suggest that measures of postural motion may serve as reliable predictors of motion sickness. Potential applications of this research include the development of on-line diagnostic tools that will allow for the prevention of motion sickness in operational and training settings.

Postural control responses sitting on unstable board during visual stimulation

Concerning with the relation of vection induced by the optokinetic stimulation and the body movement, especially we attended to the neck joint movement, which counteracted to the shoulder movement. Then, we analyzed the mechanisms of the sitting postural control by using the seesaw board. By the optokinetic stimulation through the head mounted display (H.M.D.), the vection was leaded, and it affected to the sway of the body on the seesaw board. In this experiment, we found that the movement of upper part of body except for the head was the same direction to the seesaw board but the head moved out of phase to the seesaw board. This phenomenon will be suggested that the unstable condition of sway is balanced by the counter swing of head and the neck muscle tonus is controlled by acting of the vestibulo-collic reflex.

Body sway induced by depth linear vection in reference to central and peripheral visual field

PURPOSE

A significant correlation between the magnitude of linear vection and the degree of body sway induced by a visual stimulus perceived as moving in depth was previously described (Jpn J Physiol 49: 417-424, 1999). The purpose of this study was to examine the role of the central and peripheral visual fields in inducing vection and body sway.

METHODS

Ten healthy volunteer students who had no vestibular or neurological disorders served as subjects. A depth optokinetic stimulus (DOKS) was projected onto a head-mounted display (HMD) and was perceived to move in depth. Different amounts of the central or peripheral visual field were masked independently. The magnitude of the linear vection induced by the DOKS was evaluated by verbal assessment and compared with the magnitude of induced body sway. Body sway was monitored by a video-motion-analyzer that recorded the movement of the head, shoulder, hip, knee and ankle.

RESULTS

The magnitude of vection was correlated with the frequency of DOKS and also with the amplitude of body sway (r = 0.74). When the central visual field was restricted by 10 to 30%, there was almost no change in the induced body sway and vection. However, when central occlusion was greater than 40%, depth perception and induced body movement were greatly reduced. With increasing amounts of peripheral field occlusion from 50 to 90%, there was a greater reduction of both vection and body sway.

CONCLUSION

Vection is strongly correlated with body movement, and vection and body sway were more dependent on stimulation of the peripheral visual field.