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Błażkiewicz M, Gulatowska M, Hadamus A, Kędziorek J, Brzuszkiewicz-Kuźmicka G. Effect of Annoying Sounds on Postural Control. J Clin Med 2024; 13:2638. [PMID: 38731166 PMCID: PMC11084475 DOI: 10.3390/jcm13092638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 04/24/2024] [Accepted: 04/27/2024] [Indexed: 05/13/2024] Open
Abstract
Objectives: This study aimed to explore the impact of irritating sounds on the postural control of healthy adults, considering both linear and nonlinear parameters, subjective assessments, and gender differences. Methods: Thirty-four young participants (17 females, 17 males) completed three 30 s bipedal standing stability tests on a balance platform: one with visual control (EO), another without visual control (EC), and a third without visual control but accompanied by irritating sounds (ECS). Additionally, participants filled out a questionnaire evaluating their sound sensitivity. Linear and nonlinear parameters from each balance test were considered for statistical analysis. Results: The findings reveal significant gender-based variations in sensitivity to sound, with women exhibiting higher sensitivity. No statistically significant differences in postural control were observed between males and females, except for a notable increase in irregularity (SampEn values) in the anterior-posterior direction for females in the ECS trial. Correlation analyses revealed a moderate and statistically significant correlation between SampEn values in the AP direction and SE scores. Conclusions: This study highlights the intricate relationship between sensory stimuli, attention, and the body's ability to maintain balance. The presence of irritating sounds led to increased irregularity in postural control, particularly in the absence of visual control.
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Affiliation(s)
- Michalina Błażkiewicz
- Faculty of Rehabilitation, The Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland; (M.B.)
| | - Michalina Gulatowska
- Faculty of Rehabilitation, The Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland; (M.B.)
| | - Anna Hadamus
- Department of Physiotherapy Fundamentals, Faculty of Dental Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Justyna Kędziorek
- Faculty of Rehabilitation, The Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland; (M.B.)
| | - Grażyna Brzuszkiewicz-Kuźmicka
- Faculty of Rehabilitation, The Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland; (M.B.)
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Bazanova OM, Kovaleva AV. Psychophysiological Indicators of Postural Control. Contribution of the Russian Scientific School. Part I. HUMAN PHYSIOLOGY 2022; 48:207-228. [PMID: 35462944 PMCID: PMC9017964 DOI: 10.1134/s0362119722020025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 06/20/2021] [Accepted: 07/29/2021] [Indexed: 11/23/2022]
Abstract
This article aimed to systematically review the published results of studies of psychophysiological mechanisms of posture maintenance and identify the key factors that influence the effectiveness of postural control. The recommendations of "Preferred Reporting Elements for Systematic Reviews and Meta-Analyzes" (PRISMA) were followed for the review. The results were classified, taking into account the target psychophysiological mechanisms and factors affecting postural control. The article presents the theoretical and empirical results of the Russian scientific school of research on the role of support afferentation in the sensorimotor mechanisms of cognitive and postural functions. Due to the limited number of randomized studies found, it was impossible to make meta-analytic comparisons, so the literature analysis was carried out only qualitatively. Meanwhile, our systematic review provides promising information about possible relationships between stabilometric and psychological indicators of postural control, which have theoretical significance and application in the correction and training of posture control. However, more thorough research is needed to overcome the methodological shortcomings that we have encountered in our qualitative analysis.
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Affiliation(s)
- O. M. Bazanova
- State Research Institute of Neuroscience & Medicine, Novosibirsk State University, Novosibirsk, Russia
| | - A. V. Kovaleva
- Anokhin Research Institute of Normal Physiology, Moscow, Russia
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Atan T, Atan D, Özel S. Effectiveness of Kinesio taping in the treatment of somatosensory tinnitus: A randomized controlled trial. Complement Ther Clin Pract 2020; 39:101100. [PMID: 32379629 DOI: 10.1016/j.ctcp.2020.101100] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 01/16/2020] [Accepted: 01/16/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND AND PURPOSE The clinical effects of Kinesio taping (KT) for somatosensory tinnitus have not been confirmed. The purpose of this study is to investigate the efficacy of KT applied to the sternocleidomastoid, upper trapezius, and levator scapulae muscles for somatosensory tinnitus associated with neck complaints. MATERIALS AND METHODS Thirty-patients were randomly assigned to the KT group (n = 15) and the sham-taping (ST) group (n = 15). Tinnitus-severity was measured using a visual analog scale (tinnitus-VAS) as a primary outcome. Tinnitus Handicap Inventory (THI), cervical pain-VAS, and neck disability index (NDI) were used for the assessments of tinnitus handicap, neck pain, and disability. RESULTS Tinnitus-VAS, THI, cervical pain-VAS, and NDI improved significantly in the KT group after the intervention (all P ≤ 0.001). In the ST group, no significant differences in outcome measures were found in the fourth-week. CONCLUSION KT is more effective than sham-taping in improving somatosensory tinnitus associated with neck complaints.
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Affiliation(s)
- Tuğba Atan
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Hitit University, Corum, Turkey.
| | - Doğan Atan
- Department of Otorhinolaryngology, Faculty of Medicine, Hitit University, Corum, Turkey
| | - Sumru Özel
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Hitit University, Corum, Turkey
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Guigou C, Toupet M, Delemps B, Heuschen S, Aho S, Bozorg Grayeli A. Effect of Rotating Auditory Scene on Postural Control in Normal Subjects, Patients With Bilateral Vestibulopathy, Unilateral, or Bilateral Cochlear Implants. Front Neurol 2018; 9:972. [PMID: 30505289 PMCID: PMC6250812 DOI: 10.3389/fneur.2018.00972] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 10/29/2018] [Indexed: 11/13/2022] Open
Abstract
Objective: The aim of this study was to investigate the impact of a rotating sound stimulation on the postural performances in normal subjects, patients with bilateral vestibulopathy (BVP), unilateral (UCI), and bilateral (BCI) cochlear implantees. Materials and Methods: Sixty-nine adults were included (32 women and 37 men) in a multicenter prospective study. The group included 37 healthy subjects, 10 BVP, 15 UCI, and 7 BCI patients. The average of age was 47 ± 2.0 (range: 23–82). In addition to a complete audiovestibular work up, a dynamic posturography (Multitest Framiral, Grasse) was conducted in silence and with a rotating cocktail party sound delivered by headphone. The center of pressure excursion surface (COPS), sensory preferences, as well as fractal, diffusion, and wavelet analysis of stabilometry were collected. Results: The rotating sound seemed to influenced balance in all subgroups except in controls. COPS increased with sound in the BVP and BCI groups in closed eyes and sway-referenced condition indicating a destabilizing effect while it decreased in UCI in the same condition suggesting stabilization (p < 0.05, linear mixed model corrected for age, n = 69). BVP had higher proprioceptive preferences, BCI had higher vestibular and visual preferences, and UCI had only higher vestibular preferences than controls. Sensory preferences were not altered by rotating sound. Conclusions: The rotating sound destabilized BVP and BCI patients with binaural hearing while it stabilized UCI patients with monaural hearing and no sound rotation effect. This difference suggests that binaural auditory cues are exploited in BCI patients for their balance.
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Affiliation(s)
- Caroline Guigou
- Department of Otolaryngology-Head and Neck Surgery, Dijon University Hospital, Dijon, France.,Le2i Research Laboratory, CNRS, UMR-6306, Dijon, France
| | - Michel Toupet
- Department of Otolaryngology-Head and Neck Surgery, Dijon University Hospital, Dijon, France.,Centre d'Explorations Fonctionnelles Otoneurologiques, Paris, France
| | - Benoit Delemps
- Department of Otolaryngology-Head and Neck Surgery, Dijon University Hospital, Dijon, France.,Audika Auditory Rehabilitation Center, Dijon, France
| | | | - Serge Aho
- Department of Epidemiology, Dijon University Hospital, Dijon, France
| | - Alexis Bozorg Grayeli
- Department of Otolaryngology-Head and Neck Surgery, Dijon University Hospital, Dijon, France.,Le2i Research Laboratory, CNRS, UMR-6306, Dijon, France
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Morize A, Kapoula Z. Reeducation of vergence dynamics improves postural control. Neurosci Lett 2017; 656:22-30. [PMID: 28729073 DOI: 10.1016/j.neulet.2017.07.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 07/14/2017] [Accepted: 07/14/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION The purpose was to investigate the effect of vergence reeducation on postural control, in subjects with isolated vergence disorders. MATERIAL AND METHODS We studied the dynamics of vergence in 19 subjects (20-44 years old) using video-oculography (Eye See Cam). On the basis of orthoptic and symptomatology assessments, ten of the subjects were diagnosed for vergence disorders then vergence eye movements were reeducated with the REMOBI method (US8851669, 5 weekly sessions lasting for 35min). Postural control was measured before and after reeducation, postural recording was done in upright stance (Dynaport), with both eyes closed or open and looking a visual target located at 2m distance. RESULTS After reeducation with REMOBI, the visual symptomatology faded away and the stereoacuity improved at least for some subjects; the vergence latency decreased significantly and the vergence accuracy increased significantly. In terms of posture, the Mean Power Frequency (MPF) of the body sway decreased significantly in both eyes open and eyes closed conditions. Considering all subjects together (i.e. healthy subjects and subjects with vergence disorders before the reeducation), the antero-posterior body sway (Root Mean Square A/P) was positively correlated with the visual symptomatology: the higher the visual symptomatology, the higher was the body sway. CONCLUSION The results bring evidence for synergy between the quality of vergence and the quality of postural control. They open a new research line that bridges the gap between neuroscience, ophthalmology-orthoptics and posturology.
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Affiliation(s)
- Aurélien Morize
- CNRS, FR3636, IRIS, University Paris Descartes, Paris, France.
| | - Zoï Kapoula
- CNRS, FR3636, IRIS, University Paris Descartes, Paris, France.
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Ralli M, Greco A, Turchetta R, Altissimi G, de Vincentiis M, Cianfrone G. Somatosensory tinnitus: Current evidence and future perspectives. J Int Med Res 2017; 45:933-947. [PMID: 28553764 PMCID: PMC5536427 DOI: 10.1177/0300060517707673] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2017] [Accepted: 04/10/2017] [Indexed: 11/15/2022] Open
Abstract
In some individuals, tinnitus can be modulated by specific maneuvers of the temporomandibular joint, head and neck, eyes, and limbs. Neuroplasticity seems to play a central role in this capacity for modulation, suggesting that abnormal interactions between the sensory modalities, sensorimotor systems, and neurocognitive and neuroemotional networks may contribute to the development of somatosensory tinnitus. Current evidence supports a link between somatic disorders and higher modulation of tinnitus, especially in patients with a normal hearing threshold. Patients with tinnitus who have somatic disorders seems to have a higher chance of modulating their tinnitus with somatic maneuvers; consistent improvements in tinnitus symptoms have been observed in patients with temporomandibular joint disease following targeted therapy for temporomandibular disorders. Somatosensory tinnitus is often overlooked by otolaryngologists and not fully investigated during the diagnostic process. Somatic disorders, when identified and treated, can be a valid therapeutic target for tinnitus; however, somatic screening of subjects for somatosensory tinnitus is imperative for correct selection of patients who would benefit from a multidisciplinary somatic approach.
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Affiliation(s)
- Massimo Ralli
- Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, Italy
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Body Perception and Action Following Deafness. Neural Plast 2016; 2016:5260671. [PMID: 26881115 PMCID: PMC4737455 DOI: 10.1155/2016/5260671] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 11/13/2015] [Accepted: 11/16/2015] [Indexed: 11/29/2022] Open
Abstract
The effect of deafness on sensory abilities has been the topic of extensive investigation over the past decades. These investigations have mostly focused on visual capacities. We are only now starting to investigate how the deaf experience their own bodies and body-related abilities. Indeed, a growing corpus of research suggests that auditory input could play an important role in body-related processing. Deafness could therefore disturb such processes. It has also been suggested that many unexplained daily difficulties experienced by the deaf could be related to deficits in this underexplored field. In the present review, we propose an overview of the current state of knowledge on the effects of deafness on body-related processing.
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Morning/Evening differences in somatosensory inputs for postural control. BIOMED RESEARCH INTERNATIONAL 2014; 2014:287436. [PMID: 25210709 PMCID: PMC4151602 DOI: 10.1155/2014/287436] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/15/2014] [Revised: 07/24/2014] [Accepted: 07/24/2014] [Indexed: 12/26/2022]
Abstract
The underlying processes responsible for the differences between morning and afternoon measurements of postural control have not yet been clearly identified. This study was conducted to specify the role played by vestibular, visual, and somatosensory inputs in postural balance and their link with the diurnal fluctuations of body temperature and vigilance level. Nineteen healthy male subjects (mean age: 20.5 ± 1.3 years) participated in test sessions at 6:00 a.m. and 6:00 p.m. after a normal night's sleep. Temperature was measured before the subjects completed a sign cancellation test and a postural control evaluation with eyes both open and closed. Our results confirmed that postural control improved throughout the day according to the circadian rhythm of body temperature and sleepiness/vigilance. The path length as a function of surface ratio increased between 6:00 a.m. and 6:00 p.m. This is due to a decrease in the centre-of-pressure surface area, which is associated with an increase in path length. Romberg's index did not change throughout the day; however, the spectral analysis (fast Fourier transform) of the centre-of-pressure excursions (in anteroposterior and mediolateral directions) indicated that diurnal fluctuations in postural control may occur via changes in the different processes responsible for readjustment via muscle contractions.
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Disturbances in equilibrium function after major earthquake. Sci Rep 2012; 2:749. [PMID: 23087814 PMCID: PMC3475992 DOI: 10.1038/srep00749] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Accepted: 10/03/2012] [Indexed: 11/08/2022] Open
Abstract
Major earthquakes were followed by a large number of aftershocks and significant outbreaks of dizziness occurred over a large area. However it is unclear why major earthquake causes dizziness. We conducted an intergroup trial on equilibrium dysfunction and psychological states associated with equilibrium dysfunction in individuals exposed to repetitive aftershocks versus those who were rarely exposed. Greater equilibrium dysfunction was observed in the aftershock-exposed group under conditions without visual compensation. Equilibrium dysfunction in the aftershock-exposed group appears to have arisen from disturbance of the inner ear, as well as individual vulnerability to state anxiety enhanced by repetitive exposure to aftershocks. We indicate potential effects of autonomic stress on equilibrium function after major earthquake. Our findings may contribute to risk management of psychological and physical health after major earthquakes with aftershocks, and allow development of a new empirical approach to disaster care after such events.
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Vielsmeier V, Strutz J, Kleinjung T, Schecklmann M, Kreuzer PM, Landgrebe M, Langguth B. Temporomandibular joint disorder complaints in tinnitus: further hints for a putative tinnitus subtype. PLoS One 2012; 7:e38887. [PMID: 22723902 PMCID: PMC3378537 DOI: 10.1371/journal.pone.0038887] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2011] [Accepted: 05/15/2012] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Tinnitus is considered to be highly heterogeneous with respect to its etiology, its comorbidities and the response to specific interventions. Subtyping is recommended, but it remains to be determined which criteria are useful, since it has not yet been clearly demonstrated whether and to which extent etiologic factors, comorbid states and interventional response are related to each other and are thus applicable for subtyping tinnitus. Analyzing the Tinnitus Research Initiative Database we differentiated patients according to presence or absence of comorbid temporomandibular joint (TMJ) disorder complaints and compared the two groups with respect to etiologic factors. METHODS 1204 Tinnitus patients from the Tinnitus Research Initiative (TRI) Database with and without subjective TMJ complaints were compared with respect to demographic, tinnitus and audiological characteristics, questionnaires, and numeric ratings. Data were analysed according to a predefined statistical analysis plan. RESULTS Tinnitus patients with TMJ complaints (22% of the whole group) were significantly younger, had a lower age at tinnitus onset, and were more frequently female. They could modulate or mask their tinnitus more frequently by somatic maneuvers and by music or sound stimulation. Groups did not significantly differ for tinnitus duration, type of onset (gradual/abrupt), onset related events (whiplash etc.), character (pulsatile or not), hyperacusis, hearing impairment, tinnitus distress, depression, quality of life and subjective ratings (loudness etc.). CONCLUSION Replicating previous work in tinnitus patients with TMJ complaints, classical risk factors for tinnitus like older age and male gender are less relevant in tinnitus patients with TMJ complaints. By demonstrating group differences for modulation of tinnitus by movements and sounds our data further support the notion that tinnitus with TMJ complaints represents a subgroup of tinnitus with clinical features that are highly relevant for specific therapeutic management.
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Affiliation(s)
- Veronika Vielsmeier
- Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.
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Park SH, Lee K, Lockhart T, Kim S. Effects of sound on postural stability during quiet standing. J Neuroeng Rehabil 2011; 8:67. [PMID: 22168248 PMCID: PMC3275494 DOI: 10.1186/1743-0003-8-67] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2011] [Accepted: 12/15/2011] [Indexed: 11/10/2022] Open
Abstract
Loss of postural stability can increase the likelihood of slips and falls in workplaces. The present study intended to extend understanding of the effects of frequency and pressure level of sound on postural stability during standing. Eleven male subjects participated. Standing on a force platform, the subjects' center of pressures were measured under different combinations of pressure level and frequency of the sound. Variables such as the position variability of COP and the length of postural sway path in anterior-posterior (AP) and medio-lateral (ML) direction were evaluated. Subjective ratings of perceived disturbance at each experimental condition were also obtained using a 7-point rating scale. Results showed that the length of sway path and the position variability of COP increased as the frequency of sound increased in posterior-anterior axis. The effect of sound pressure level, however, was not significant on both the postural sway length and the position variability of COP. These results suggested substantial disturbance of standing balance system among subjects exposed to high frequency noise. The results implied that physical workers should be alerted that their abilities of postural balance could be degraded significantly as disturbance caused by a sound existed.
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Affiliation(s)
- Sung Ha Park
- Department of Industrial and Management Engineering, Hannam University, Daejeon, South Korea
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