Framing visual roll-motion affects postural sway and the subjective visual vertical

Causal contribution of optic flow signal in Macaque extrastriate visual cortex for roll perception

Optic flow is a powerful cue for inferring self-motion status which is critical for postural control, spatial orientation, locomotion and navigation. In primates, neurons in extrastriate visual cortex (MSTd) are predominantly modulated by high-order optic flow patterns (e.g., spiral), yet a functional link to direct perception is lacking. Here, we applied electrical microstimulation to selectively manipulate population of MSTd neurons while macaques discriminated direction of rotation around line-of-sight (roll) or direction of linear-translation (heading), two tasks which were orthogonal in 3D spiral coordinate using a four-alternative-forced-choice paradigm. Microstimulation frequently biased animal's roll perception towards coded labeled-lines of the artificial-stimulated neurons in either context with spiral or pure-rotation stimuli. Choice frequency was also altered between roll and translation flow-pattern. Our results provide direct causal-link evidence supporting that roll signals in MSTd, despite often mixed with translation signals, can be extracted by downstream areas for perception of rotation relative to gravity-vertical.

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.

Visual Verticality Perception in Spinal Diseases: A Systematic Review and Meta-Analysis

Patients diagnosed with traumatic or non-traumatic spinal pain and idiopathic scoliosis frequently suffer from imbalance. The evaluation of the perception of verticality by means of visual tests emerges as a quick and easy tool for clinical management of the balance disorders. Several studies have assessed the visual perception of verticality in spinal diseases obtaining controversial results. The aim of our study is to analyze the perception of visual verticality in subjects with several spinal diseases in comparison with healthy subjects. A meta-analysis was carried out. PubMed MEDLINE, Scopus, WoS, CINAHL, and SciELO databases were searched until January 2020. The standardized mean difference (SMD) was calculated to analyze differences between patients and healthy controls. Fifteen studies with a total of 2052 patients were included. In comparison with healthy subjects, a misperception of verticality was found in patients with spinal pain when the perception of the verticality was assessed with the rod and frame test (SMD = 0.339; 95% confidence interval (CI) = 0.181, 0.497; p < 0.001). It seems that the perception of visual verticality is not altered in patients with idiopathic scoliosis (p = 0.294). The present meta-analysis shows a misperception of visual verticality only in patients with spinal pain.

Contributions of optostatic and optokinetic cues to the perception of vertical

While it has been well established that optostatic and optokinetic cues contribute to the perception of vertical, it is unclear how the brain processes their combined presence with the nonvisual vestibular cues. Using a psychometric approach, we examined the percept of vertical in human participants (n = 17) with their body and head upright, presented with a visual frame tilted at one of eight orientations (between ±45°, steps of 11.25°) or no frame, surrounded by an optokinetic roll-stimulus (velocity =  ±30°/s or stationary). Both cues demonstrate relatively independent biases on vertical perception, with a sinusoidal modulation by frame orientation of ~4° and a general shift of ~1-2° in the rotation direction of the optic flow. Variability was unaffected by frame orientation but was higher with than without optokinetic rotation. An optimal-observer model in which vestibular, optostatic, and optokinetic cues provide independent sources to vertical perception was unable to explain these data. In contrast, a model in which the optokinetic signal biases the internal representation of gravity, which is then optimally integrated with the optostatic cue, provided a good account, at the individual participant level. We conclude that optostatic and optokinetic cues interact differently with vestibular cues in the neural computations for vertical perception.NEW & NOTEWORTHY Static and dynamic visual cues are known to bias the percept of vertical, but how they interact with vestibular cues remains to be established. Guided by an optimal-observer model, the present results suggest that optokinetic information is combined with vestibular information into a single, vestibular-optokinetic estimate, which is integrated with an optostatically derived estimate of vertical.

Use of Commercial Virtual Reality Technology to Assess Verticality Perception in Static and Dynamic Visual Backgrounds

OBJECTIVES

The Subjective Visual Vertical (SVV) test and the closely related Rod and Disk Test (RDT) are measures of perceived verticality measured in static and dynamic visual backgrounds. However, the equipment used for these tests is variable across clinics and is often too expensive or too primitive to be appropriate for widespread use. Commercial virtual reality technology, which is now widely available, may provide a more suitable alternative for collecting these measures in clinical populations. This study was designed to investigate verticality perception in symptomatic patients using a modified RDT paradigm administered through a head-mounted display (HMD).

DESIGN

A group of adult patients referred by a physician for vestibular testing based on the presence of dizziness symptoms and a group of healthy adults without dizziness symptoms were included. We investigated degree of visual dependence in both groups by measuring SVV as a function of kinematic changes to the visual background.

RESULTS

When a dynamic background was introduced into the HMD to simulate the RDT, significantly greater shifts in SVV were found for the patient population than for the control population. In patients referred for vestibular testing, the SVV measured with the HMD was significantly correlated with traditional measures of SVV collected in a rotary chair when accounting for head tilt.

CONCLUSIONS

This study provides initial proof of concept evidence that reliable SVV measures in static and dynamic visual backgrounds can be obtained using a low-cost commercial HMD system. This initial evidence also suggests that this tool can distinguish individuals with dizziness symptomatology based on SVV performance in dynamic visual backgrounds.

Perception of Upright: Multisensory Convergence and the Role of Temporo-Parietal Cortex

We inherently maintain a stable perception of the world despite frequent changes in the head, eye, and body positions. Such "orientation constancy" is a prerequisite for coherent spatial perception and sensorimotor planning. As a multimodal sensory reference, perception of upright represents neural processes that subserve orientation constancy through integration of sensory information encoding the eye, head, and body positions. Although perception of upright is distinct from perception of body orientation, they share similar neural substrates within the cerebral cortical networks involved in perception of spatial orientation. These cortical networks, mainly within the temporo-parietal junction, are crucial for multisensory processing and integration that generate sensory reference frames for coherent perception of self-position and extrapersonal space transformations. In this review, we focus on these neural mechanisms and discuss (i) neurobehavioral aspects of orientation constancy, (ii) sensory models that address the neurophysiology underlying perception of upright, and (iii) the current evidence for the role of cerebral cortex in perception of upright and orientation constancy, including findings from the neurological disorders that affect cortical function.

Effects of visual motion consistent or inconsistent with gravity on postural sway

Vision plays an important role in postural control, and visual perception of the gravity-defined vertical helps maintaining upright stance. In addition, the influence of the gravity field on objects' motion is known to provide a reference for motor and non-motor behavior. However, the role of dynamic visual cues related to gravity in the control of postural balance has been little investigated. In order to understand whether visual cues about gravitational acceleration are relevant for postural control, we assessed the relation between postural sway and visual motion congruent or incongruent with gravity acceleration. Postural sway of 44 healthy volunteers was recorded by means of force platforms while they watched virtual targets moving in different directions and with different accelerations. Small but significant differences emerged in sway parameters with respect to the characteristics of target motion. Namely, for vertically accelerated targets, gravitational motion (GM) was associated with smaller oscillations of the center of pressure than anti-GM. The present findings support the hypothesis that not only static, but also dynamic visual cues about direction and magnitude of the gravitational field are relevant for balance control during upright stance.