Subjective visual vertical imprecision during lateral head tilt in patients with chronic dizziness
Most prior studies of the subjective visual vertical (SVV) focus on inaccuracy of subjects’ SVV responses with the head in an upright position. Here we investigated SVV imprecision during lateral head tilt in patients with chronic dizziness compared to healthy controls. Forty-five dizzy patients and...
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| Veröffentlicht in: | Experimental brain research 2022, Vol.240 (1), p.199-206 |
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| description | Most prior studies of the subjective visual vertical (SVV) focus on inaccuracy of subjects’ SVV responses with the head in an upright position. Here we investigated SVV imprecision during lateral head tilt in patients with chronic dizziness compared to healthy controls. Forty-five dizzy patients and 45 healthy controls underwent SVV testing wearing virtual reality (VR) goggles, sitting upright (0°) and during head tilt in the roll plane (± 30°). Ten trials were completed in each of three static head positions. The SVV inaccuracy and SVV imprecision were analyzed and compared between groups, along with systematic errors during head tilt, i.e., A-effect and E-effect (E-effect is a typical SVV response during head tilts of ± 30°). The SVV imprecision was found to be affected by head position (upright/right head tilt/left head tilt,
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| doi_str_mv | 10.1007/s00221-021-06247-w |
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p
< 0.001) and underlying dizziness (dizzy patients/healthy controls,
p
= 0.005). The SVV imprecision during left head tilt was greater in dizzy patients compared to healthy controls (
p
= 0.04). With right head tilt, there was a trend towards greater SVV imprecision in dizzy patients (
p
= 0.08). Dizzy patients were more likely to have bilateral (6.7%) or unilateral (22.2%) A-effect during lateral head tilt than healthy controls (bilateral (0%) or unilateral (6.7%) A-effect,
p
< 0.01). Greater SVV imprecision in chronically dizzy patients during head tilts may be attributable to increased noise of vestibular sensory afferents or disturbances of multisensory integration. Our findings suggest that SVV imprecision may be a useful clinical parameter of underlying dizziness measurable with bedside SVV testing in VR.</description><identifier>ISSN: 0014-4819</identifier><identifier>EISSN: 1432-1106</identifier><identifier>DOI: 10.1007/s00221-021-06247-w</identifier><identifier>PMID: 34687330</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Audiometry ; Biomedical and Life Sciences ; Biomedicine ; Brain research ; Buddhism ; Causes of ; Clinical trials ; Computer applications ; Diagnosis ; Dizziness ; Dizziness - etiology ; Head ; Head Movements ; Humans ; Methods ; Neurology ; Neurosciences ; Orientation ; Patients ; Positioning ; Research Article ; Sensory integration ; Sensory neurons ; Ultrasonic imaging ; Vestibular system ; Vestibule, Labyrinth ; Virtual reality ; Visual Perception</subject><ispartof>Experimental brain research, 2022, Vol.240 (1), p.199-206</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-9abf673a141886552e494a78bf6146523282f233f6ca43e8a8d3f2d0e64b31a03</citedby><cites>FETCH-LOGICAL-c556t-9abf673a141886552e494a78bf6146523282f233f6ca43e8a8d3f2d0e64b31a03</cites><orcidid>0000-0001-6143-9023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00221-021-06247-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00221-021-06247-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34687330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winnick, Ariel A.</creatorcontrib><creatorcontrib>Wang, Chia-Han</creatorcontrib><creatorcontrib>Ko, Yu-Hung</creatorcontrib><creatorcontrib>Chang, Tzu-Pu</creatorcontrib><title>Subjective visual vertical imprecision during lateral head tilt in patients with chronic dizziness</title><title>Experimental brain research</title><addtitle>Exp Brain Res</addtitle><addtitle>Exp Brain Res</addtitle><description>Most prior studies of the subjective visual vertical (SVV) focus on inaccuracy of subjects’ SVV responses with the head in an upright position. Here we investigated SVV imprecision during lateral head tilt in patients with chronic dizziness compared to healthy controls. Forty-five dizzy patients and 45 healthy controls underwent SVV testing wearing virtual reality (VR) goggles, sitting upright (0°) and during head tilt in the roll plane (± 30°). Ten trials were completed in each of three static head positions. The SVV inaccuracy and SVV imprecision were analyzed and compared between groups, along with systematic errors during head tilt, i.e., A-effect and E-effect (E-effect is a typical SVV response during head tilts of ± 30°). The SVV imprecision was found to be affected by head position (upright/right head tilt/left head tilt,
p
< 0.001) and underlying dizziness (dizzy patients/healthy controls,
p
= 0.005). The SVV imprecision during left head tilt was greater in dizzy patients compared to healthy controls (
p
= 0.04). With right head tilt, there was a trend towards greater SVV imprecision in dizzy patients (
p
= 0.08). Dizzy patients were more likely to have bilateral (6.7%) or unilateral (22.2%) A-effect during lateral head tilt than healthy controls (bilateral (0%) or unilateral (6.7%) A-effect,
p
< 0.01). Greater SVV imprecision in chronically dizzy patients during head tilts may be attributable to increased noise of vestibular sensory afferents or disturbances of multisensory integration. Our findings suggest that SVV imprecision may be a useful clinical parameter of underlying dizziness measurable with bedside SVV testing in VR.</description><subject>Audiometry</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Brain research</subject><subject>Buddhism</subject><subject>Causes of</subject><subject>Clinical trials</subject><subject>Computer applications</subject><subject>Diagnosis</subject><subject>Dizziness</subject><subject>Dizziness - etiology</subject><subject>Head</subject><subject>Head Movements</subject><subject>Humans</subject><subject>Methods</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Orientation</subject><subject>Patients</subject><subject>Positioning</subject><subject>Research Article</subject><subject>Sensory integration</subject><subject>Sensory neurons</subject><subject>Ultrasonic imaging</subject><subject>Vestibular system</subject><subject>Vestibule, Labyrinth</subject><subject>Virtual reality</subject><subject>Visual Perception</subject><issn>0014-4819</issn><issn>1432-1106</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kl1rFDEUhoModq3-AS8kIIheTM3XZLKXpbRaKAitXodM5sxulpnMmGR2bX99M2y1rkgJhyQnz3sI7zkIvaXkhBJSfY6EMEYLModkoip2z9CCCs4KSol8jhaEUFEIRZdH6FWMm_nKK_ISHXEhVcU5WaD6Zqo3YJPbAt66OJkObyEkZ_PB9WMA66IbPG6m4PwKdyZByE9rMA1OrkvYeTya5MCniHcurbFdh8E7ixt3d-c8xPgavWhNF-HNw36Mflycfz_7Wlx9-3J5dnpV2LKUqViaupUVN1RQpWRZMhBLYSqVs1TIknGmWMs4b6U1goMyquEtawhIUXNqCD9GH_d1xzD8nCAm3btooeuMh2GKmpVKVCqbIDP6_h90M0zB599plp0kXJS8eqRWpgPtfDukYOxcVJ_KJaWqLJXK1Ml_qLwa6J0dPLQu5w8Enw4EmUnwK63MFKO-vLk-ZD_8xWbXu7SOQzel3JN4CLI9aMMQY4BWj8H1JtxqSvQ8LXo_LZrMMU-L3mXRuwcbprqH5o_k93hkgO-BOM7th_Do0xNl7wGIrcee</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Winnick, Ariel A.</creator><creator>Wang, Chia-Han</creator><creator>Ko, Yu-Hung</creator><creator>Chang, Tzu-Pu</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>0-V</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6143-9023</orcidid></search><sort><creationdate>2022</creationdate><title>Subjective visual vertical imprecision during lateral head tilt in patients with chronic dizziness</title><author>Winnick, Ariel A. ; Wang, Chia-Han ; Ko, Yu-Hung ; Chang, Tzu-Pu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c556t-9abf673a141886552e494a78bf6146523282f233f6ca43e8a8d3f2d0e64b31a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Audiometry</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Brain research</topic><topic>Buddhism</topic><topic>Causes of</topic><topic>Clinical trials</topic><topic>Computer applications</topic><topic>Diagnosis</topic><topic>Dizziness</topic><topic>Dizziness - etiology</topic><topic>Head</topic><topic>Head Movements</topic><topic>Humans</topic><topic>Methods</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Orientation</topic><topic>Patients</topic><topic>Positioning</topic><topic>Research Article</topic><topic>Sensory integration</topic><topic>Sensory neurons</topic><topic>Ultrasonic imaging</topic><topic>Vestibular system</topic><topic>Vestibule, Labyrinth</topic><topic>Virtual reality</topic><topic>Visual Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Winnick, Ariel A.</creatorcontrib><creatorcontrib>Wang, Chia-Han</creatorcontrib><creatorcontrib>Ko, Yu-Hung</creatorcontrib><creatorcontrib>Chang, Tzu-Pu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Experimental brain research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Winnick, Ariel A.</au><au>Wang, Chia-Han</au><au>Ko, Yu-Hung</au><au>Chang, Tzu-Pu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subjective visual vertical imprecision during lateral head tilt in patients with chronic dizziness</atitle><jtitle>Experimental brain research</jtitle><stitle>Exp Brain Res</stitle><addtitle>Exp Brain Res</addtitle><date>2022</date><risdate>2022</risdate><volume>240</volume><issue>1</issue><spage>199</spage><epage>206</epage><pages>199-206</pages><issn>0014-4819</issn><eissn>1432-1106</eissn><abstract>Most prior studies of the subjective visual vertical (SVV) focus on inaccuracy of subjects’ SVV responses with the head in an upright position. Here we investigated SVV imprecision during lateral head tilt in patients with chronic dizziness compared to healthy controls. Forty-five dizzy patients and 45 healthy controls underwent SVV testing wearing virtual reality (VR) goggles, sitting upright (0°) and during head tilt in the roll plane (± 30°). Ten trials were completed in each of three static head positions. The SVV inaccuracy and SVV imprecision were analyzed and compared between groups, along with systematic errors during head tilt, i.e., A-effect and E-effect (E-effect is a typical SVV response during head tilts of ± 30°). The SVV imprecision was found to be affected by head position (upright/right head tilt/left head tilt,
p
< 0.001) and underlying dizziness (dizzy patients/healthy controls,
p
= 0.005). The SVV imprecision during left head tilt was greater in dizzy patients compared to healthy controls (
p
= 0.04). With right head tilt, there was a trend towards greater SVV imprecision in dizzy patients (
p
= 0.08). Dizzy patients were more likely to have bilateral (6.7%) or unilateral (22.2%) A-effect during lateral head tilt than healthy controls (bilateral (0%) or unilateral (6.7%) A-effect,
p
< 0.01). Greater SVV imprecision in chronically dizzy patients during head tilts may be attributable to increased noise of vestibular sensory afferents or disturbances of multisensory integration. Our findings suggest that SVV imprecision may be a useful clinical parameter of underlying dizziness measurable with bedside SVV testing in VR.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34687330</pmid><doi>10.1007/s00221-021-06247-w</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6143-9023</orcidid></addata></record> |
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| subjects | Audiometry Biomedical and Life Sciences Biomedicine Brain research Buddhism Causes of Clinical trials Computer applications Diagnosis Dizziness Dizziness - etiology Head Head Movements Humans Methods Neurology Neurosciences Orientation Patients Positioning Research Article Sensory integration Sensory neurons Ultrasonic imaging Vestibular system Vestibule, Labyrinth Virtual reality Visual Perception |
| title | Subjective visual vertical imprecision during lateral head tilt in patients with chronic dizziness |
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