Vestibular Feedback Research Articles

The Influence of Visual, Vestibular, and Hindlimb Proprioceptive Ablations on Landing Preparation in Cane Toads

Coordinated landing from a jump requires preparation, which must include appropriate positioning and configuration of the landing limbs and body to be successful. While well studied in mammals, our lab has been using the cane toad (Rhinella marinus) as a model for understanding the biomechanics of controlled landing in anurans, animals that use jumping or bounding as their dominant mode of locomotion. In this article, we report new results from experiments designed to explore how different modes of sensory feedback contribute to previously identified features of coordinated landing in toads. More specifically, animals in which vision, hindlimb proprioception, or vestibular feedback were removed, underwent a series of hopping trials while high-speed video was used to record and characterize limb movements and electromyographic (EMG) activity was recorded from a major elbow extensor (anconeus). Results demonstrate that altering any sensory system impacts landing behavior, though loss of vision had the least effect. Blind animals showed significant differences in anconeus EMG timing relative to controls, but forelimb and hindlimb movements as well as the ability to successfully decelerate the body using the forelimbs were not affected. Compromising hindlimb proprioception led to distinctly different forelimb kinematics. Though EMG patterns were disrupted, animals in this condition were also able to decelerate after impact, though with less control, regularly allowing their trunks to make ground contact during landing. Animals with compromised vestibular systems showed the greatest deficits, both in takeoff and landing behavior, which were highly variable and rarely coordinated. Nevertheless, animals in this condition demonstrated EMG patterns and forelimb kinematics similar to those in control animals. The fact that no ablation entirely eliminates all aspects of landing preparation suggests that its underpinnings are complex and that there is no single sensory trigger for its initiation.

Effect of sensory-motor latencies and active muscular stiffness on stability for an ankle-hip model of balance on a balance board

To achieve human upright posture (UP) and avoid falls, the central nervous system processes visual, vestibular, and proprioceptive information to activate the appropriate muscles to accelerate or decelerate the body’s center of mass. In this process, sensory-motor (SM) latencies and muscular deficits, even in healthy older adults, may cause falls. This condition is worse for people with chronic neuromuscular deficits (stroke survivors, patients with multiple sclerosis or Parkinson’s disease). One therapeutic approach is to recover or improve quiet UP by utilizing a balance board (BB) (a rotating surface with a tunable stiffness and time delay), where a patient attempts to maintain UP while task difficulty is manipulated. While BBs are commonly used, it is unclear how UP is maintained or how changes in system parameters such as SM latencies and BB time delay affect UP stability. To understand these questions, it is important that mathematical models be developed with enough degrees-of-freedom to capture the many responses evoked during the maintenance of UP on a BB. This paper presents an ankle-hip model of balance on a BB, which is used to study the combined effect of SM latencies and active muscular stiffness of the ankle and hip joints, and the BB stiffness and time delay on UP stability. The analysis predicts that people with proprioceptive, visual, vestibular loss, or increased SM latencies may show either leaning postures or larger body-sway. The results show that the BB time delay and the visual and vestibular feedback have the largest impact on UP stability.

The effect of augmented somatosensory feedback on standing postural sway

Impaired balance resulting from reduced postural control occurs with aging and various medical conditions. Sensory input for balance control is provided by the visual, vestibular and somatosensory systems. Previous research suggests that increased proprioceptive feedback from various lower extremity devices improves balance. Mixed results have been reported with the use of orthoses such as ankle foot orthoses (AFOs). In this study, 20 healthy subjects wore footplates in their shoes or straps around their lower legs in order to imitate the somatosensory feedback produced by wearing AFOs, but without providing ankle restriction. Subjects’ standing balance was assessed using force plates and computerized dynamic posturography (the sensory organization test-SOT) to determine if either the footplates or the lower-leg straps would affect standing balance. The results revealed no significant difference with the use of the footplates, however, wearing the straps resulted in reduced postural sway for conditions when visual cue deprivation was combined with manipulation of somatosensory or vestibular feedback. This effect was more pronounced in participants with the poorest baseline measures of balance. These findings suggest that lower extremity devices, such as AFOs, may augment somatosensory feedback that could improve balance during challenging sensory deprivation conditions, independent of orthotic support at the ankle.

Virtual Balancing for Studying and Training Postural Control.

Postural control during free stance has been frequently interpreted in terms of balancing an inverted pendulum. This even holds, if subjects do not balance their own, but an external body weight. We introduce here a virtual balancing apparatus, which produces torque in the ankle joint as a function of ankle angle resembling the gravity and inertial effects of free standing. As a first aim of this study, we systematically modified gravity, damping, and inertia to examine its effect on postural control beyond the physical constraints given in the real world. As a second aim, we compared virtual balancing to free stance to test its suitability for balance training in patients who are not able to balance their full body weight due to certain medical conditions. In a feasibility study, we analyzed postural control during free stance and virtual balancing in 15 healthy subjects. Postural control was characterized by spontaneous sway measures and measures of perturbed stance. During free stance, perturbations were induced by pseudorandom anterior-posterior tilts of the body support surface. In the virtual balancing task, we systematically varied the anterior-posterior position of the foot plate where the balancing forces are zero following a similar pseudorandom stimulus profile. We found that subjects' behavior during virtual balancing resembles free stance on a tilting platform. This specifically holds for the profile of body excursions as a function of stimulus frequencies. Moreover, non-linearity between stimulus and response amplitude is similar in free and virtual balancing. The overall larger stimulus induced body excursions together with an altered phase behavior between stimulus and response could be in part explained by the limited use of vestibular and visual feedback in our experimental setting. Varying gravity or damping significantly affected postural behavior. Inertia as an isolated factor had a mild effect on the response functions. We conclude that virtual balancing may be well suited to simulate conditions which could otherwise only be realized in space experiments or during parabolic flights. Further studies are needed to examine patients' potential benefit of virtual balance training.

The effect of fear of falling on vestibular feedback control of balance.

Vestibular sensation contributes to cervical‐head stabilization and fall prevention. To what extent fear of falling influences the associated vestibular feedback processes is currently undetermined. We used galanic vestibular stimulation (GVS) to induce vestibular reflexes while participants stood at ground level and on a narrow walkway at 3.85 m height to induce fear of falling. Fear was confirmed by questionnaires and elevated skin conductance. Full‐body kinematics was measured to differentiate the whole‐body centre of mass response (CoM) into component parts (cervical, axial trunk, appendicular short latency, and medium latency). We studied the effect of fear of falling on each component to discern their underlying mechanisms. Statistical parametric mapping analysis provided sensitive discrimination of early GVS and height effects. Kinematic analysis revealed responses at 1 mA stimulation previously believed marginal through EMG and force plate analysis. The GVS response comprised a rapid, anode‐directed cervical‐head acceleration, a short‐latency cathode‐directed acceleration (cathodal buckling) of lower extremities and pelvis, an anode‐directed upper thorax acceleration, and subsequently a medium‐latency anode‐directed acceleration of all body parts. At height, head and upper thorax early acceleration were unaltered, however, short‐latency lower extremity acceleration was increased. The effect of height on balance was a decreased duration and increased rate of change in the CoM acceleration pattern. These results demonstrate that fear modifies vestibular control of balance, whereas cervical‐head stabilization is governed by different mechanisms unaffected by fear of falling. The mechanical pattern of cathodal buckling and its modulation by fear of falling both support the hypothesis that short‐latency responses contribute to regulate balance.

Cervical Joint Position Sense in Hypobaric Conditions: A Randomized Double-Blind Controlled Trial.

Thirty-six healthy subjects (Neck Disability Index < 5) volunteered to participate. Neck position sense was evaluated using a three-dimensional motion analyzer. To create the environment, a hypobaric chamber was used to simulate artificial moderate altitude. Head repositioning error was measured by asking the subject to perform a head-to-neutral task after submaximal flexion-extension and right/left rotation movements, and a head-to-target task, in which the subjects had to return to a 30° right and left rotation position. Exposure to artificial acute moderate altitude of 7,000 feet had no significant effects on cervical joint position sense measured by head repositioning accuracy in healthy subjects. Discussion/impact/recommendations: Postural control mechanisms are very sensitive to acute mild hypoxia and have been recently investigated. Acute hypobaric hypoxia at moderate and high altitudes has a negative effect on postural control. However, which part of the postural system is affected has not yet been determined and proprioception has been little investigated. The results from this study highlighted that in healthy subjects with good cervical spine proprioception at baseline, artificial hypoxia induced by the simulation of moderate altitude does not increase head repositioning error. Further studies should investigate cervical joint position sense in real aircraft, at different altitudes and in a group of experienced helicopter pilots, to evaluate the impact of moderate altitude on cervical joint position sense in a different population. Conducting the same experiments in a population of pilots and in real flight conditions should be considered, since various factors such as the level of proprioception, head posture, type of movement, head load, muscle fatigue, flight altitude, and the length of flight time might influence the kinesthetic sensitivity.

Sensory contributions to stabilization of trunk posture in the sagittal plane

Trunk stabilization is required to control posture and movement during daily activities. Various sensory modalities, such as muscle spindles, Golgi tendon organs and the vestibular system, might contribute to trunk stabilization and our aim was to assess the contribution of these modalities to trunk stabilization. In 35 healthy subjects, upper-body sway was evoked by continuous unpredictable, force-controlled perturbations to the trunk in the anterior direction. Subjects were instructed to either ‘maximally resist the perturbation’ or to ‘relax but remain upright’ with eyes closed. Frequency response functions (FRFs) of admittance, the amount of movement per unit of force applied, and reflexes, the modulation of trunk extensor activity per unit of trunk displacement, were obtained. To these FRFs, we fitted physiological models, to estimate intrinsic trunk stiffness and damping, as well as feedback gains and delays. The different model versions were compared to assess which feedback loops contribute to trunk stabilization. Intrinsic stiffness and damping and muscle spindle (short-delay) feedback alone were sufficient to accurately describe trunk stabilization, but only with unrealistically low reflex delays. Addition of muscle spindle acceleration feedback or inhibitory Golgi tendon organ feedback yielded realistic delays and improved the model fit, with a significantly better model fit with acceleration feedback. Addition of vestibular feedback did not improve the model fit. In conclusion, muscle spindle feedback and intrinsic mechanical properties are sufficient to describe trunk stabilization in the sagittal plane under small mechanical perturbations, provided that muscle spindles encode acceleration in addition to velocity and position information.

Dynamic head-neck stabilization and modulation with perturbation bandwidth investigated using a multisegment neuromuscular model

The human head-neck system requires continuous stabilization in the presence of gravity and trunk motion. We investigated contributions of the vestibulocollic reflex (VCR), the cervicocollic reflex (CCR), and neck muscle co-contraction to head-in-space and head-on-trunk stabilization, and investigated modulation of the stabilization strategy with the frequency content of trunk perturbations and the presence of visual feedback.We developed a multisegment cervical spine model where reflex gains (VCR and CCR) and neck muscle co-contraction were estimated by fitting the model to the response of young healthy subjects, seated and exposed to anterior-posterior trunk motion, with frequency content from 0.3 up to 1, 2, 4 and 8Hz, with and without visual feedback.The VCR contributed to head-in-space stabilization with a strong reduction of head rotation (<8Hz) and a moderate reduction of head translation (>1Hz). The CCR contributed to head-on-trunk stabilization with a reduction of head rotation and head translation relative to the trunk (<2Hz). The CCR also proved essential to stabilize the individual intervertebral joints and prevent neck buckling. Co-contraction was estimated to be of minor relevance. Control strategies employed during low bandwidth perturbations most effectively reduced head rotation and head relative displacement up to 3Hz while control strategies employed during high bandwidth perturbations reduced head global translation between 1 and 4Hz. This indicates a shift from minimizing head-on-trunk rotation and translation during low bandwidth perturbations to minimizing head-in-space translation during high bandwidth perturbations. Presence of visual feedback had limited effects suggesting increased usage of vestibular feedback.

Gait ataxia in humans: vestibular and cerebellar control of dynamic stability.

During human locomotion, vestibular feedback control is fundamental for maintaining dynamic stability and adapting the gait pattern to external circumstances. Within the supraspinal locomotor network, the cerebellum represents the key site for the integration of vestibular feedback information. The cerebellum is further important for the fine-tuning and coordination of limb movements during walking. The aim of this review article is to highlight the shared structural and functional sensorimotor principles in vestibular and cerebellar locomotion control. Vestibular feedback for the maintenance of dynamic stability is integrated into the locomotor pattern via midline, caudal cerebellar structures (vermis, flocculonodular lobe). Hemispheric regions of the cerebellum facilitate feed-forward control of multi-joint coordination and higher locomotor functions. Characteristic features of the gait disorder in patients with vestibular deficits or cerebellar ataxia are increased levels of spatiotemporal gait variability in the fore-aft and the medio-lateral gait dimension. In the fore-aft dimension, pathologic increases of gait fluctuations critically depend on the locomotion speed and predominantly manifest during slow walking velocities. This feature is associated with an increased risk of falls in both patients with vestibular hypofunction as well as patients with cerebellar ataxia. Pharmacological approaches for the treatment of vestibular or cerebellar gait ataxia are currently not available. However, new promising options are currently tested in randomized, controlled trials (fampridine/FACEG; acetyl-DL-leucine/ALCAT).

Task-dependent vestibular feedback responses in reaching

When reaching for an earth-fixed object during self-rotation, the motor system should appropriately integrate vestibular signals and sensory predictions to compensate for the intervening motion and its induced inertial forces. While it is well established that this integration occurs rapidly, it is unknown whether vestibular feedback is specifically processed dependent on the behavioral goal. Here, we studied whether vestibular signals evoke fixed responses with the aim to preserve the hand trajectory in space or are processed more flexibly, correcting trajectories only in task-relevant spatial dimensions. We used galvanic vestibular stimulation to perturb reaching movements toward a narrow or a wide target. Results show that the same vestibular stimulation led to smaller trajectory corrections to the wide than the narrow target. We interpret this reduced compensation as a task-dependent modulation of vestibular feedback responses, tuned to minimally intervene with the task-irrelevant dimension of the reach. These task-dependent vestibular feedback corrections are in accordance with a central prediction of optimal feedback control theory and mirror the sophistication seen in feedback responses to mechanical and visual perturbations of the upper limb.NEW & NOTEWORTHY Correcting limb movements for external perturbations is a hallmark of flexible sensorimotor behavior. While visual and mechanical perturbations are corrected in a task-dependent manner, it is unclear whether a vestibular perturbation, naturally arising when the body moves, is selectively processed in reach control. We show, using galvanic vestibular stimulation, that reach corrections to vestibular perturbations are task dependent, consistent with a prediction of optimal feedback control theory.

Vestibular feedback maintains reaching accuracy during body movement.

Key points Reaching movements can be perturbed by vestibular input, but the function of this response is unclear.Here, we applied galvanic vestibular stimulation concurrently with real body movement while subjects maintained arm position either fixed in space or fixed with respect to their body.During the fixed‐in‐space conditions, galvanic vestibular stimulation caused large changes in arm trajectory consistent with a compensatory response to maintain upper‐limb accuracy in the face of body movement.Galvanic vestibular stimulation responses were absent during the body‐fixed task, demonstrating task dependency in vestibular control of the upper limb.The results suggest that the function of vestibular‐evoked arm movements is to maintain the accuracy of the upper limb during unpredictable body movement, but only when reaching in an earth‐fixed reference frame. When using our arms to interact with the world, unintended body motion can introduce movement error. A mechanism that could detect and compensate for such motion would be beneficial. Observations of arm movements evoked by vestibular stimulation provide some support for this mechanism. However, the physiological function underlying these artificially evoked movements is unclear from previous research. For such a mechanism to be functional, it should operate only when the arm is being controlled in an earth‐fixed rather than a body‐fixed reference frame. In the latter case, compensation would be unnecessary and even deleterious. To test this hypothesis, subjects were gently rotated in a chair while being asked to maintain their outstretched arm pointing towards either earth‐fixed or body‐fixed memorized targets. Galvanic vestibular stimulation was applied concurrently during rotation to isolate the influence of vestibular input, uncontaminated by inertial factors. During the earth‐fixed task, galvanic vestibular stimulation produced large polarity‐dependent corrections in arm position. These corrections mimicked those evoked when chair velocity was altered without any galvanic vestibular stimulation, indicating a compensatory arm response to a sensation of altered body motion. In stark contrast, corrections were completely absent during the body‐fixed task, despite the same chair movement profile and arm posture. These effects persisted when we controlled for differences in limb kinematics between the two tasks. Our results demonstrate that vestibular control of the upper limb maintains reaching accuracy during unpredictable body motion. The observation that such responses occurred only when reaching within an earth‐fixed reference frame confirms the functional nature of vestibular‐evoked arm movement.

Vision can recalibrate the vestibular reafference signal used to re-establish postural equilibrium following a platform perturbation.

Visuo-vestibular recalibration, in which visual information is used to alter the interpretation of vestibular signals, has been shown to influence both oculomotor control and navigation. Here we investigate whether vision can recalibrate the vestibular feedback used during the re-establishment of equilibrium following a perturbation. The perturbation recovery responses of nine participants were examined following exposure to a period of 11s of galvanic vestibular stimulation (GVS). During GVS in VISION trials, occlusion spectacles provided 4s of visual information that enabled participants to correct for the GVS-induced tilt and associate this asymmetric vestibular signal with a visually provided 'upright'. NoVISION trials had no such visual experience. Participants used the visual information to assist in realigning their posture compared to when visual information was not provided (p<0.01). The initial recovery response to a platform perturbation was not impacted by whether vision had been provided during the preceding GVS, as determined by peak centre of mass and pressure deviations (p=0.09). However, after using vision to reinterpret the vestibular signal during GVS, final centre of mass and pressure equilibrium positions were significantly shifted compared to trials in which vision was not available (p<0.01). These findings support previous work identifying a prominent role of vestibular input for re-establishing postural equilibrium following a perturbation. Our work is the first to highlight the capacity for visual feedback to recalibrate the vertical interpretation of vestibular reafference for re-establishing equilibrium following a perturbation. This demonstrates the rapid adaptability of the vestibular reafference signal for postural control.

Sensory feedback and coordinating asymmetrical landing in toads.

Coordinated landing requires anticipating the timing and magnitude of impact, which in turn requires sensory input. To better understand how cane toads, well known for coordinated landing, prioritize visual versus vestibular feedback during hopping, we recorded forelimb joint angle patterns and electromyographic data from five animals hopping under two conditions that were designed to force animals to land with one forelimb well before the other. In one condition, landing asymmetry was due to mid-air rolling, created by an unstable takeoff surface. In this condition, visual, vestibular and proprioceptive information could be used to predict asymmetric landing. In the other, animals took off normally, but landed asymmetrically because of a sloped landing surface. In this condition, sensory feedback provided conflicting information, and only visual feedback could appropriately predict the asymmetrical landing. During the roll treatment, when all sensory feedback could be used to predict an asymmetrical landing, pre-landing forelimb muscle activity and movement began earlier in the limb that landed first. However, no such asymmetries in forelimb preparation were apparent during hops onto sloped landings when only visual information could be used to predict landing asymmetry. These data suggest that toads prioritize vestibular or proprioceptive information over visual feedback to coordinate landing.

Brightness and contrast do not affect visually induced motion sickness in a passively-flown fixed-base flight simulator

BackgroundVisually Induced Motion Sickness (VIMS) or simulator sickness is often elicited by a visual stimulus that lacks the appropriate vestibular or proprioceptive feedback. In this study, we chose to investigate the effects of brightness and contrast of the visual scene on VIMS. HypothesisWe hypothesized that visual environments differing in brightness or contrast would differentially induce VIMS. The symptoms of VIMS should be most severe for the combination of high brightness and high contrast and conversely lowest for the low brightness and low contrast condition. Methods33 healthy subjects were tested in a fixed-base flight simulator. Each subject flew in four consecutive but counterbalanced conditions during one large experimental session. The four conditions consisted of identical recorded flight paths, differing only in brightness and contrast in a fully crossed design. VIMS was assessed with the Simulator Sickness Questionnaire and the Fast Motion Sickness scale administered during and after each condition. Postural Sway (PS) was measured after each condition. ResultsAll four brightness and contrast conditions were found to be effective in that they increased PS and elicited moderate VIMS. However, there were no main or interaction effects for brightness or contrast. ConclusionsOur findings suggest that brightness and contrast do not modulate the induction of VIMS. This conclusion may be limited to moderately provocative stimuli.

Optic flow stabilizes flight in ruby-throated hummingbirds.

Flying birds rely on visual cues for retinal image stabilization by negating rotation-induced optic flow, the motion of the visual panorama across the retina, through corrective eye and head movements. In combination with vestibular and proprioceptive feedback, birds may also use visual cues to stabilize their body during flight. Here, we test whether artificially induced wide-field motion generated through projected visual patterns elicits maneuvers in body orientation and flight position, in addition to stabilizing vision. To test this hypothesis, we present hummingbirds flying freely within a 1.2 m cylindrical visual arena with a virtual surround rotated at different speeds about its vertical axis. The birds responded robustly to these visual perturbations by rotating their heads and bodies with the moving visual surround, and by adjusting their flight trajectories, following the surround. Thus, similar to insects, hummingbirds appear to use optic flow cues to control flight maneuvers as well as to stabilize their visual inputs.

Trunk stabilization during sagittal pelvic tilt: from trunk-on-pelvis to trunk-in-space due to vestibular and visual feedback.

The goal of this study was to investigate the human ability to stabilize the trunk in space during pelvic tilt. Upper body sway was evoked in kneeling-seated healthy subjects by angular platform perturbations with a rotation around a virtual low-back pivot point between the L4 and L5 vertebrae. To investigate motor control modulation, variations in task instruction (balance naturally or minimize trunk sway), vision (eyes open or closed), and perturbation bandwidth (from 0.2 up to 1, 3, or 10 Hz) were applied. Cocontraction and proprioceptive muscle spindle feedback were associated with minimizing low-back flexion/extension (trunk-on-pelvis stabilization), while vestibular and visual feedback were supposed to contribute to trunk-in-space stabilization. Trunk-in-space stabilization was only observed with the minimize trunk sway task instruction, while the task instruction to balance naturally led to trunk-on-pelvis stabilization with trunk rotations even exceeding the perturbations. This indicates that vestibular feedback is used when minimizing trunk sway but has only a minor contribution during natural trunk stabilization in the sagittal plane. The eyes open condition resulted in reduced global trunk rotations and increased global trunk reflexive responses, demonstrating effective visual contributions to trunk-in-space stabilization. On the other hand, increasing perturbation bandwidth caused a decreased feedback contribution leading to deteriorated trunk-in-space stabilization.

Motion Effects Synthesis for 4D Films.

4D film is an immersive entertainment system that presents various physical effects with a film in order to enhance viewers' experiences. Despite the recent emergence of 4D theaters, production of 4D effects relies on manual authoring. In this paper, we present algorithms that synthesize three classes of motion effects from the audiovisual content of a film. The first class of motion effects is those responding to fast camera motion to enhance the immersiveness of point-of-view shots, delivering fast and dynamic vestibular feedback. The second class moves viewers as closely as possible to the trajectory of slowly moving camera. Such motion provides an illusional effect of observing the scene from a distance while moving slowly within the scene. For these two classes, our algorithms compute the relative camera motion and then map it to a motion command to the 4D chair using appropriate motion mapping algorithms. The last class is for special effects, such as explosions, and our algorithm uses sound for the synthesis of impulses and vibrations. We assessed the subjective quality of our algorithms by user experiments, and results indicated that our algorithms can provide compelling motion effects.

Simulator Adaptation Syndrome (SAS) and the Vestibular System: An Exploratory Study

Driving simulators are increasingly being used for the evaluation and rehabilitation of fitness-to-drive. However, difficulties with Simulator Adaptation Syndrome (SAS) are commonly reported in the literature. In this study, the authors investigated the relationship between SAS and incongruences between vestibular and visual inputs. Fifteen individuals (age = 61±13 years, 9 females) who developed SAS (SAS+) and 10 individuals (age = 58±13 years, 4 females) who did not develop SAS (SAS-) during two recently completed simulator-based driving studies participated in this study. Participants were each administered the six conditions of the Sensory Organization Test (SOT), made to rest for 30 minutes, and then drove four Wii®-based programs. Performance on the six SOT conditions and on the four the Wii®-based driving programs by SAS+ participants were compared to those of the SAS- participants. No participant reported feeling sick during the SOT. Participants in the SAS+ group performed better (p = 0.0053) than those in the SAS- group only on the SOT fifth condition, which required reliance on vestibular input for maintaining balance control. Four participants in the SAS+ versus one in the SAS- group experienced SAS during the Wii®-based driving (chi-square = 4.63, p = .0314). The results of the study suggest that individuals who developed SAS in the driving simulator probably relied more heavily on their vestibular system than individuals who did not develop SAS, and thus performed better when in situations that required significant integration of vestibular input for maintenance of equilibrium. The independent effect of the driving simulator versus the Wii driving game also suggests that specific characteristics of simulator environment immersion also likely played a role in eliciting SAS. Individuals who rely heavily on their vestibular system for balance control may be more prone to developing SAS in virtual environments that provide only minimal vestibular feedback. More studies are needed to better understand SAS and develop more effective strategies to mitigate it.

Auditory white noise reduces postural fluctuations even in the absence of vision.

The contributions of somatosensory, vestibular, and visual feedback to balance control are well documented, but the influence of auditory information, especially acoustic noise, on balance is less clear. Because somatosensory noise has been shown to reduce postural sway, we hypothesized that noise from the auditory modality might have a similar effect. Given that the nervous system uses noise to optimize signal transfer, adding mechanical or auditory noise should lead to increased feedback about sensory frames of reference used in balance control. In the present experiment, postural sway was analyzed in healthy young adults where they were presented with continuous white noise, in the presence and absence of visual information. Our results show reduced postural sway variability (as indexed by the body's center of pressure) in the presence of auditory noise, even when visual information was not present. Nonlinear time series analysis revealed that auditory noise has an additive effect, independent of vision, on postural stability. Further analysis revealed that auditory noise reduced postural sway variability in both low- and high-frequency regimes (> or <0.3Hz) of sway, suggesting that both spontaneous and feedback-driven aspects of postural fluctuations were influenced by acoustic noise. Our results support the idea that auditory white noise reduces postural sway, suggesting that auditory noise might be used for therapeutic and rehabilitation purposes in older individuals and those with balance disorders.

Bioinspired dynamic inclination measurement using inertial sensors

Biologically, the vestibular feedback is critical to the ability of human body to balance in different conditions. This balancing ability inspires analysis of the reference equilibrium position in dynamic environments. The research proposes and experimentally validates the concept of equilibrium for the human body modeled as an inverted pendulum, which is instrumental in explaining why we align the body along the surface normal when standing on a surface but not on an incline, and tend to lean backward or forward on non-static surfaces e.g. accelerating or decelerating bus. This equilibrium position—the dynamic equilibrium axis—is dependent only on the acceleration of surface of contact (e.g. gravity) and acts as the reference to the orientation measurements. The research also draws design inspiration from the two human ears—symmetry and plurality of inertial sensors. The vestibular dynamic inclinometer and planar vestibular dynamic inclinometer consist of multiple (two or four) symmetrically placed accelerometers and a gyroscope. The sensors measure the angular acceleration and absolute orientation, not the change in orientation, from the reference equilibrium position and are successful in separating gravity from motion for objects moving on ground. The measurement algorithm is an analytical solution that is not time-recursive, independent of body dynamics and devoid of integration errors. The experimental results for the two sensor combinations validate the theoretically (kinematics) derived analytical solution of the measurement algorithm.