The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients.
Identifieur interne : 000649 ( Main/Exploration ); précédent : 000648; suivant : 000650The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients.
Auteurs : Angelique Van Ombergen [Belgique] ; Astrid J. Lubeck [Pays-Bas] ; Vincent Van Rompaey [Belgique] ; Leen K. Maes [Belgique] ; John F. Stins [Pays-Bas] ; Paul H. Van De Heyning [Belgique] ; Floris L. Wuyts [Belgique] ; Jelte E. Bos [Pays-Bas]Source :
- PloS one [ 1932-6203 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Maladies vestibulaires (physiopathologie), Mâle (MeSH), Sensation vertigineuse (physiopathologie), Stimulation lumineuse (MeSH), Traitement spatial (physiologie), Vertige (physiopathologie), Équilibre postural (physiologie), Études cas-témoins (MeSH).
- MESH :
- physiologie : Traitement spatial, Équilibre postural.
- physiopathologie : Maladies vestibulaires, Sensation vertigineuse, Vertige.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Stimulation lumineuse, Études cas-témoins.
English descriptors
- KwdEn :
- MESH :
- physiology : Postural Balance, Spatial Processing.
- physiopathology : Dizziness, Vertigo, Vestibular Diseases.
- Adult, Case-Control Studies, Female, Humans, Male, Middle Aged, Photic Stimulation.
Abstract
BACKGROUND
Vestibular patients occasionally report aggravation or triggering of their symptoms by visual stimuli, which is called visual vestibular mismatch (VVM). These patients therefore experience discomfort, disorientation, dizziness and postural unsteadiness.
OBJECTIVE
Firstly, we aimed to get a better insight in the underlying mechanism of VVM by examining perceptual and postural symptoms. Secondly, we wanted to investigate whether roll-motion is a necessary trait to evoke these symptoms or whether a complex but stationary visual pattern equally provokes them.
METHODS
Nine VVM patients and healthy matched control group were examined by exposing both groups to a stationary stimulus as well as an optokinetic stimulus rotating around the naso-occipital axis for a prolonged period of time. Subjective visual vertical (SVV) measurements, posturography and relevant questionnaires were assessed.
RESULTS
No significant differences between both groups were found for SVV measurements. Patients always swayed more and reported more symptoms than healthy controls. Prolonged exposure to roll-motion caused in patients and controls an increase in postural sway and symptoms. However, only VVM patients reported significantly more symptoms after prolonged exposure to the optokinetic stimulus compared to scores after exposure to a stationary stimulus.
CONCLUSIONS
VVM patients differ from healthy controls in postural and subjective symptoms and motion is a crucial factor in provoking these symptoms. A possible explanation could be a central visual-vestibular integration deficit, which has implications for diagnostics and clinical rehabilitation purposes. Future research should focus on the underlying central mechanism of VVM and the effectiveness of optokinetic stimulation in resolving it.
DOI: 10.1371/journal.pone.0154528
PubMed: 27128970
PubMed Central: PMC4851359
Affiliations:
- Belgique, Pays-Bas
- Province d'Anvers, Province de Flandre-Orientale, Région flamande
- Anvers, Gand
- Université d'Anvers, Université de Gand
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Lubeck</name><affiliation wicri:level="1"><nlm:affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam</wicri:regionArea><wicri:noRegion>VU University Amsterdam</wicri:noRegion></affiliation></author><author><name sortKey="Van Rompaey, Vincent" sort="Van Rompaey, Vincent" uniqKey="Van Rompaey V" first="Vincent" last="Van Rompaey">Vincent Van Rompaey</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Maes, Leen K" sort="Maes, Leen K" uniqKey="Maes L" first="Leen K" last="Maes">Leen K. Maes</name><affiliation wicri:level="1"><nlm:affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine and Health Sciences, Department of Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Faculty of Medicine and Health Sciences, Department of Speech, Language and Hearing Sciences, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author><author><name sortKey="Stins, John F" sort="Stins, John F" uniqKey="Stins J" first="John F" last="Stins">John F. Stins</name><affiliation wicri:level="1"><nlm:affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam</wicri:regionArea><wicri:noRegion>VU University Amsterdam</wicri:noRegion></affiliation></author><author><name sortKey="Van De Heyning, Paul H" sort="Van De Heyning, Paul H" uniqKey="Van De Heyning P" first="Paul H" last="Van De Heyning">Paul H. Van De Heyning</name><affiliation wicri:level="1"><nlm:affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp</wicri:regionArea><orgName type="university">Université d'Anvers</orgName><placeName><settlement type="city">Anvers</settlement><region>Région flamande</region><region type="district" nuts="2">Province d'Anvers</region></placeName></affiliation></author><author><name sortKey="Wuyts, Floris L" sort="Wuyts, Floris L" uniqKey="Wuyts F" first="Floris L" last="Wuyts">Floris L. Wuyts</name><affiliation wicri:level="1"><nlm:affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp</wicri:regionArea><wicri:noRegion>Antwerp</wicri:noRegion></affiliation></author><author><name sortKey="Bos, Jelte E" sort="Bos, Jelte E" uniqKey="Bos J" first="Jelte E" last="Bos">Jelte E. Bos</name><affiliation wicri:level="1"><nlm:affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam</wicri:regionArea><wicri:noRegion>VU University Amsterdam</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>TNO Perceptual and Cognitive Systems, Soesterberg, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>TNO Perceptual and Cognitive Systems, Soesterberg</wicri:regionArea><wicri:noRegion>Soesterberg</wicri:noRegion></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Dizziness (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Photic Stimulation (MeSH)</term><term>Postural Balance (physiology)</term><term>Spatial Processing (physiology)</term><term>Vertigo (physiopathology)</term><term>Vestibular Diseases (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies vestibulaires (physiopathologie)</term><term>Mâle (MeSH)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Stimulation lumineuse (MeSH)</term><term>Traitement spatial (physiologie)</term><term>Vertige (physiopathologie)</term><term>Équilibre postural (physiologie)</term><term>Études cas-témoins (MeSH)</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Traitement spatial</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Spatial Processing</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies vestibulaires</term><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Vertigo</term><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Case-Control Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Photic Stimulation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Stimulation lumineuse</term><term>Études cas-témoins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Vestibular patients occasionally report aggravation or triggering of their symptoms by visual stimuli, which is called visual vestibular mismatch (VVM). These patients therefore experience discomfort, disorientation, dizziness and postural unsteadiness.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Firstly, we aimed to get a better insight in the underlying mechanism of VVM by examining perceptual and postural symptoms. Secondly, we wanted to investigate whether roll-motion is a necessary trait to evoke these symptoms or whether a complex but stationary visual pattern equally provokes them.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Nine VVM patients and healthy matched control group were examined by exposing both groups to a stationary stimulus as well as an optokinetic stimulus rotating around the naso-occipital axis for a prolonged period of time. Subjective visual vertical (SVV) measurements, posturography and relevant questionnaires were assessed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>No significant differences between both groups were found for SVV measurements. Patients always swayed more and reported more symptoms than healthy controls. Prolonged exposure to roll-motion caused in patients and controls an increase in postural sway and symptoms. However, only VVM patients reported significantly more symptoms after prolonged exposure to the optokinetic stimulus compared to scores after exposure to a stationary stimulus.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>VVM patients differ from healthy controls in postural and subjective symptoms and motion is a crucial factor in provoking these symptoms. A possible explanation could be a central visual-vestibular integration deficit, which has implications for diagnostics and clinical rehabilitation purposes. Future research should focus on the underlying central mechanism of VVM and the effectiveness of optokinetic stimulation in resolving it.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27128970</PMID><DateCompleted><Year>2017</Year><Month>04</Month><Day>12</Day></DateCompleted><DateRevised><Year>2019</Year><Month>02</Month><Day>19</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>11</Volume><Issue>4</Issue><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS One</ISOAbbreviation></Journal><ArticleTitle>The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients.</ArticleTitle><Pagination><MedlinePgn>e0154528</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0154528</ELocationID><Abstract><AbstractText Label="BACKGROUND">Vestibular patients occasionally report aggravation or triggering of their symptoms by visual stimuli, which is called visual vestibular mismatch (VVM). These patients therefore experience discomfort, disorientation, dizziness and postural unsteadiness.</AbstractText><AbstractText Label="OBJECTIVE">Firstly, we aimed to get a better insight in the underlying mechanism of VVM by examining perceptual and postural symptoms. Secondly, we wanted to investigate whether roll-motion is a necessary trait to evoke these symptoms or whether a complex but stationary visual pattern equally provokes them.</AbstractText><AbstractText Label="METHODS">Nine VVM patients and healthy matched control group were examined by exposing both groups to a stationary stimulus as well as an optokinetic stimulus rotating around the naso-occipital axis for a prolonged period of time. Subjective visual vertical (SVV) measurements, posturography and relevant questionnaires were assessed.</AbstractText><AbstractText Label="RESULTS">No significant differences between both groups were found for SVV measurements. Patients always swayed more and reported more symptoms than healthy controls. Prolonged exposure to roll-motion caused in patients and controls an increase in postural sway and symptoms. However, only VVM patients reported significantly more symptoms after prolonged exposure to the optokinetic stimulus compared to scores after exposure to a stationary stimulus.</AbstractText><AbstractText Label="CONCLUSIONS">VVM patients differ from healthy controls in postural and subjective symptoms and motion is a crucial factor in provoking these symptoms. A possible explanation could be a central visual-vestibular integration deficit, which has implications for diagnostics and clinical rehabilitation purposes. Future research should focus on the underlying central mechanism of VVM and the effectiveness of optokinetic stimulation in resolving it.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Van Ombergen</LastName><ForeName>Angelique</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lubeck</LastName><ForeName>Astrid J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Rompaey</LastName><ForeName>Vincent</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maes</LastName><ForeName>Leen K</ForeName><Initials>LK</Initials><AffiliationInfo><Affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine and Health Sciences, Department of Speech, Language and Hearing Sciences, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stins</LastName><ForeName>John F</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van de Heyning</LastName><ForeName>Paul H</ForeName><Initials>PH</Initials><AffiliationInfo><Affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp, Belgium.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wuyts</LastName><ForeName>Floris L</ForeName><Initials>FL</Initials><AffiliationInfo><Affiliation>Antwerp University Research centre for Equilibrium and Aerospace (AUREA), University of Antwerp, Antwerp, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bos</LastName><ForeName>Jelte E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Research Institute MOVE, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>TNO Perceptual and Cognitive Systems, Soesterberg, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>04</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010775" MajorTopicYN="N">Photic Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" 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Bos</name><name sortKey="Bos, Jelte E" sort="Bos, Jelte E" uniqKey="Bos J" first="Jelte E" last="Bos">Jelte E. Bos</name><name sortKey="Stins, John F" sort="Stins, John F" uniqKey="Stins J" first="John F" last="Stins">John F. Stins</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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