Perception threshold for tilt

Reported thresholds of self-motion perception are influenced by testing paradigm

BACKGROUND/OBJECTIVE

Different testing paradigms have been proposed to investigate perceptual self-motion thresholds. They can differ regarding the amount of possible motions that patients have to choose from. Objective of this study was to compare the two-option paradigm and twelve-option paradigm, to investigate whether reducing the choice options significantly influences the reported thresholds of self-motion perception of healthy subjects.

METHODS

Thirty-three volunteers with no prior vestibular complaints were included and sequentially tested with both paradigms at a random sequence. Perceptual self-motion thresholds were measured using a hydraulic motion platform in the absence of external visual and auditory cues. The platform delivered twelve different movements: six translations and six rotations. Each subject had to report the correct type and direction of movements. Thresholds were determined by a double confirmation of the lowest threshold, in combination with a double rejection of the one-step lower stimulus. Perceptual self-motion thresholds of both paradigms were compared using the mixed model analysis.

RESULTS

The twelve-option paradigm showed significantly higher reported thresholds for yaw rotations and translations left, right and down (p < 0.001), compared to the two-option paradigm. No statistical difference was found for rolls and translations up. No significant gender effect, learning effect and carry-over effect were present in any of the applied motion directions.

CONCLUSION

Reported thresholds of self-motion perception of healthy subjects are influenced by the testing paradigm. The twelve-option paradigm showed significantly higher thresholds than the two-option paradigm. Results obtained with each testing paradigm should, therefore, be compared to paradigm-specific normative data.

New Frontiers in Managing the Dizzy Patient

Despite progress in vestibular research in the last 20 years, much remains poorly understood about vestibular pathophysiology and its management. A shared language is a critical first step in understanding vestibular disorders and is under development. Telehealth will continue for patients with dizziness, and ambulatory monitoring of nystagmus will become a diagnostic tool. In the next 2 decades, it is anticipated that vestibular perceptual threshold testing will become common in tertiary centers, imaging with improved spatial resolution will yield better understanding of vestibular pathophysiology, and that vestibular implants will become a part of clinical practice.

Coding strategies in the otolith system differ for translational head motion vs. static orientation relative to gravity

The detection of gravito-inertial forces by the otolith system is essential for our sense of balance and accurate perception. To date, however, how this system encodes the self-motion stimuli that are experienced during everyday activities remains unknown. Here, we addressed this fundamental question directly by recording from single otolith afferents in monkeys during naturalistic translational self-motion and changes in static head orientation. Otolith afferents with higher intrinsic variability transmitted more information overall about translational self-motion than their regular counterparts, owing to stronger nonlinearities that enabled precise spike timing including phase locking. By contrast, more regular afferents better discriminated between different static head orientations relative to gravity. Using computational methods, we further demonstrated that coupled increases in intrinsic variability and sensitivity accounted for the observed functional differences between afferent classes. Together, our results indicate that irregular and regular otolith afferents use different strategies to encode naturalistic self-motion and static head orientation relative to gravity.

Perception of rotation, path, and heading in circular trajectories

When in darkness, humans can perceive the direction and magnitude of rotations and of linear translations in the horizontal plane. The current paper addresses the integrated perception of combined translational and rotational motion, as it occurs when moving along a curved trajectory. We questioned whether the perceived motion through the environment follows the predictions of a self-motion perception model (e.g., Merfeld et al. in J Vestib Res 3:141-161, 1993; Newman in A multisensory observer model for human spatial orientation perception, 2009), which assume linear addition of rotational and translational components. For curved motion in darkness, such models predict a non-veridical motion percept, consisting of an underestimation of the perceived rotation, a distortion of the perceived travelled path, and a bias in the perceived heading (i.e., the perceived instantaneous direction of motion with respect to the body). These model predictions were evaluated in two experiments. In Experiment 1, seven participants were moved along a circular trajectory in darkness while facing the motion direction. They indicated perceived yaw rotation using an online tracking task, and perceived travelled path by drawings. In Experiment 2, the heading was systematically varied, and six participants indicated, in a 2-alternative forced-choice task, whether they perceived facing inward or outward of the circular path. Overall, we found no evidence for the heading bias predicted by the model. This suggests that the sum of the perceived rotational and translational components alone cannot adequately explain the overall perceived motion through the environment. Possibly, knowledge about motion dynamics and familiar stimuli combinations may play an important additional role in shaping the percept.

Vestibular implantation and longitudinal electrical stimulation of the semicircular canal afferents in human subjects

Animal experiments and limited data in humans suggest that electrical stimulation of the vestibular end organs could be used to treat loss of vestibular function. In this paper we demonstrate that canal-specific two-dimensionally (2D) measured eye velocities are elicited from intermittent brief 2 s biphasic pulse electrical stimulation in four human subjects implanted with a vestibular prosthesis. The 2D measured direction of the slow phase eye movements changed with the canal stimulated. Increasing pulse current over a 0-400 μA range typically produced a monotonic increase in slow phase eye velocity. The responses decremented or in some cases fluctuated over time in most implanted canals but could be partially restored by changing the return path of the stimulation current. Implantation of the device in Meniere's patients produced hearing and vestibular loss in the implanted ear. Electrical stimulation was well tolerated, producing no sensation of pain, nausea, or auditory percept with stimulation that elicited robust eye movements. There were changes in slow phase eye velocity with current and over time, and changes in electrically evoked compound action potentials produced by stimulation and recorded with the implanted device. Perceived rotation in subjects was consistent with the slow phase eye movements in direction and scaled with stimulation current in magnitude. These results suggest that electrical stimulation of the vestibular end organ in human subjects provided controlled vestibular inputs over time, but in Meniere's patients this apparently came at the cost of hearing and vestibular function in the implanted ear.

Visual and vestibular perceptual thresholds each demonstrate better precision at specific frequencies and also exhibit optimal integration

Prior studies show that visual motion perception is more precise than vestibular motion perception, but it is unclear whether this is universal or the result of specific experimental conditions. We compared visual and vestibular motion precision over a broad range of temporal frequencies by measuring thresholds for vestibular (subject motion in the dark), visual (visual scene motion) or visual-vestibular (subject motion in the light) stimuli. Specifically, thresholds were measured for motion frequencies spanning a two-decade physiological range (0.05-5 Hz) using single-cycle sinusoidal acceleration roll tilt trajectories (i.e., distinguishing left-side down from right-side down). We found that, while visual and vestibular thresholds were broadly similar between 0.05 and 5.0 Hz, each cue is significantly more precise than the other at certain frequencies. Specifically, we found that 1) visual and vestibular thresholds were indistinguishable at 0.05 Hz and 2 Hz (i.e., similarly precise); 2) visual thresholds were lower (i.e., vision more precise) than vestibular thresholds between 0.1 Hz and 1 Hz; and 3) visual thresholds were higher (i.e., vision less precise) than vestibular thresholds above 2 Hz. This shows that vestibular perception can be more precise than visual perception at physiologically relevant frequencies. We also found that sensory integration of visual and vestibular information is consistent with static Bayesian optimal integration of visual-vestibular cues. In contrast with most prior work that degraded or altered sensory cues, we demonstrated static optimal integration using natural cues.

Whole body motion-detection tasks can yield much lower thresholds than direction-recognition tasks: implications for the role of vibration

Earlier spatial orientation studies used both motion-detection (e.g., did I move?) and direction-recognition (e.g., did I move left/right?) paradigms. The purpose of our study was to compare thresholds measured with motion-detection and direction-recognition tasks on a standard Moog motion platform to see whether a substantial fraction of the reported threshold variation might be explained by the use of different discrimination tasks in the presence of vibrations that vary with motion. Thresholds for the perception of yaw rotation about an earth-vertical axis and for interaural translation in an earth-horizontal plane were determined for four healthy subjects with standard detection and recognition paradigms. For yaw rotation two-interval detection thresholds were, on average, 56 times smaller than two-interval recognition thresholds, and for interaural translation two-interval detection thresholds were, on average, 31 times smaller than two-interval recognition thresholds. This substantive difference between recognition thresholds and detection thresholds is one of our primary findings. For motions near our measured detection threshold, we measured vibrations that matched previously established vibration thresholds. This suggests that vibrations contribute to whole body motion detection. We also recorded yaw rotation thresholds on a second motion device with lower vibration and found direction-recognition and motion-detection thresholds that were not significantly different from one another or from the direction-recognition thresholds recorded on our Moog platform. Taken together, these various findings show that yaw rotation recognition thresholds are relatively unaffected by vibration when moderate (up to ≈ 0.08 m/s(2)) vibration cues are present.

Roll aftereffects: influence of tilt and inter-stimulus interval

A theme in sensory perception is that exposure to a stimulus causes perception of subsequent stimuli to be shifted in the opposite direction. Such phenomenon is known as aftereffect and has been extensively described in the visual system as well as recently described for the vestibular system during translation. It is known from aviation studies that after a maneuver in roll, pilots can experience a false perception of roll in the opposite direction. The magnitude and duration of this effect as well as the potential influence of the gravity vector have not previously been defined. In the current paper this roll aftereffect (RAE) is examined in response to whole-body roll about an earth-horizontal axis in eight healthy human subjects. The peak velocity of a 0.5-s-duration roll was varied based on previous responses to find the point where subjects perceived no motion. Without a preceding stimulus, the starting position (upright, 9° left, or 9° right) did not influence roll perception. The RAE was measured in a completely dark room using an adapting (first interval) stimulus consisting of 9° of roll over 1.5 s (peak velocity, 12°/s), delivered 0.5, 3, or 6 s prior to test (second interval) stimulus. A significant RAE was seen in all subjects. Half a second after the adapting stimulus, a test stimulus had to be on average 1.5 ± 0.4°/s in the opposite direction to be perceived as stationary. When the subject remained upright after the adapting stimulus, the RAE diminished with time, although it remained significantly larger at 3 and 6 s when the subject remained tilted after the adapting stimulus. These data demonstrate that roll perception can be influenced by small preceding stimuli and tilt causes a persistence of the RAE.

The perception of verticality in lunar and Martian gravity conditions

Although the mechanisms of neural adaptation to weightlessness and re-adaptation to Earth-gravity have received a lot of attention since the first human space flight, there is as yet little knowledge about how spatial orientation is affected by partial gravity, such as lunar gravity of 0.16 g or Martian gravity of 0.38 g. Up to now twelve astronauts have spent a cumulated time of approximately 80 h on the lunar surface, but no psychophysical experiments were conducted to investigate their perception of verticality. We investigated how the subjective vertical (SV) was affected by reduced gravity levels during the first European Parabolic Flight Campaign of Partial Gravity. In normal and hypergravity, subjects accurately aligned their SV with the gravitational vertical. However, when gravity was below a certain threshold, subjects aligned their SV with their body longitudinal axis. The value of the threshold varied considerably between subjects, ranging from 0.03 to 0.57 g. Despite the small number of subjects, there was a significant positive correlation of the threshold with subject age, which calls for further investigation.