Schweigart Georg, Chien Rey-Djin, Mergner Thomas
Neurologische Klinik, Universität Freiburg, Breisacher Str. 64, 79106 Freiburg, Germany.
Exp Brain Res. 2002 Nov;147(1):89-97. doi: 10.1007/s00221-002-1218-2. Epub 2002 Sep 18.
Vestibular functions are known to show some deterioration with age. Vestibular deterioration is often thought to be compensated for by an increase in neck proprioceptive gain. We studied this presumed compensatory mechanism by measuring psychophysical responses to vestibular (horizontal canal), neck and combined stimuli in 50 healthy human subjects as a function of age (range 15-76 years). After passive horizontal rotations of head and/or trunk (torso) in complete darkness (dominant frequencies 0.05, 0.1, and 0.4 Hz), subjects readjusted a visual target to its remembered prerotational location in space. (1) Vestibular-only stimulus(whole-body rotation); subjects' responses were shifted towards postrotatory body position, this only slightly at 0.4 Hz and pronounced at 0.1 and 0.05 Hz. These errors reflect the known physiological drop of vestibular gain at low rotational frequency. They exhibited a slight but significant increase with age. (2) Neck-only stimulus(trunk rotated, head stationary); the responses showed errors similar to those upon vestibular stimulation (with offset towards postrotatory trunk position) and this again slightly more with increasing age. (3) Vestibular-neck stimulus combinationduring head rotation on stationary trunk; the errors were close to zero, independent of stimulus frequency and the subjects' age. (4) Opposite stimulus combination(trunk rotated in the same direction as the head, but with double amplitude); the errors were clearly enhanced, essentially reflecting the sum of those with vestibular-only and neck-only stimulation. Taken together, we find a parallel increase in neck- and vestibular-related errors with age, in seeming contrast to previous studies. We explain our and the previous findings by a vestibular-neck interaction model in which two different neck signals are involved. One neck signal is used, in combination with the vestibular signal, for estimating trunk-in-space rotation. It is internally shaped to always match the vestibular signal, so that these two signals cancel each other out when summed during head rotation on stationary trunk. Because of this matching, perceived trunk stationariness during head rotation on the stationary trunk is independent of vestibular deterioration (related to stimulus frequency, age, ototoxic medication, etc.). The other neck proprioceptive signal, coding head-on-trunk rotation, is superimposed on the estimate of trunk-in-space rotation, thereby yielding a notion of head-in-space. This neck signal remains essentially unchanged with vestibular deterioration. Generally, we hold that the transformation of the vestibular signal from the head down to the trunk proceeds further to include the hip and the legs as well as the haptically perceived body support surface; by this, subjects yield a notion of support kinematics in space. As a consequence, spatial orientation is impaired by chronic vestibular deterioration only to the extent that the body support is moving in space, while it is unimpaired (determined by proprioception alone) during body motion with respect to a stationary support.
已知前庭功能会随着年龄增长而出现一定程度的衰退。人们通常认为,前庭功能衰退可通过颈部本体感受增益的增加来代偿。我们通过测量50名健康受试者(年龄范围为15至76岁)对前庭(水平半规管)、颈部及联合刺激的心理物理反应,来研究这种假定的代偿机制。在完全黑暗的环境中被动水平旋转头部和/或躯干(躯体)(主导频率为0.05、0.1和0.4赫兹)后,受试者将视觉目标重新调整到其记忆中的旋转前空间位置。(1)仅前庭刺激(全身旋转);受试者的反应朝着旋转后身体位置偏移,在0.4赫兹时偏移较小,在0.1和0.05赫兹时较为明显。这些误差反映了低旋转频率下前庭增益已知的生理下降。它们随年龄增长略有但显著增加。(2)仅颈部刺激(躯干旋转,头部静止);反应显示出与前庭刺激时类似的误差(向旋转后躯干位置偏移),且随着年龄增长这种偏移再次略有增加。(3)前庭 - 颈部刺激组合(头部在静止躯干上旋转时);误差接近零,与刺激频率和受试者年龄无关。(4)相反刺激组合(躯干与头部同向旋转,但幅度加倍);误差明显增大,基本上反映了仅前庭刺激和仅颈部刺激时误差的总和。综合来看,我们发现与年龄相关的颈部和前庭相关误差呈平行增加,这似乎与先前的研究结果相反。我们通过一个涉及两种不同颈部信号的前庭 - 颈部相互作用模型来解释我们的发现以及先前的研究结果。一种颈部信号与前庭信号结合,用于估计躯干在空间中的旋转。它在内部被塑造为始终与前庭信号匹配,这样在头部在静止躯干上旋转时,这两个信号相加时会相互抵消。由于这种匹配,在头部在静止躯干上旋转时感知到的躯干静止状态与前庭衰退(与刺激频率、年龄、耳毒性药物等有关)无关。另一种编码头部相对于躯干旋转的颈部本体感受信号叠加在前庭对躯干在空间中旋转的估计上,从而产生头部在空间中的概念。这种颈部信号在前庭衰退时基本保持不变。一般来说,我们认为前庭信号从头部向下传递到躯干的过程会进一步扩展到包括髋部、腿部以及触觉感知的身体支撑表面;由此,受试者产生空间中支撑运动学的概念。因此,慢性前庭衰退仅在身体支撑在空间中移动的程度上损害空间定向,而在身体相对于静止支撑运动时(仅由本体感觉决定)空间定向不受损害。