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最佳人类被动前庭眼反射适应不依赖于被动训练。

Optimal Human Passive Vestibulo-Ocular Reflex Adaptation Does Not Rely on Passive Training.

作者信息

Mahfuz M Muntaseer, Schubert Michael C, Figtree William V C, Todd Christopher J, Khan Serajul I, Migliaccio Americo A

机构信息

Balance and Vision Laboratory, Neuroscience Research Australia, Sydney, NSW, 2031, Australia.

University of New South Wales, Sydney, NSW, 2033, Australia.

出版信息

J Assoc Res Otolaryngol. 2018 Jun;19(3):261-271. doi: 10.1007/s10162-018-0657-9. Epub 2018 Feb 20.

DOI:10.1007/s10162-018-0657-9
PMID:29464411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5962472/
Abstract

The vestibulo-ocular reflex (VOR) is the main vision-stabilising system during rapid head movements in humans. A visual-vestibular mismatch stimulus can be used to train or adapt the VOR response because it induces a retinal image slip error signal that drives VOR motor learning. The training context has been shown to affect VOR adaptation. We sought to determine whether active (self-generated) versus passive (externally imposed) head rotation vestibular training would differentially affect adaptation and short-term retention of the active and passive VOR responses. Ten subjects were tested, each over six separate 1.5-h sessions. We compared active versus passive head impulse (transient, rapid head rotations with peak velocity ~ 150 °/s) VOR adaptation training lasting 15 min with the VOR gain challenged to increment, starting at unity, by 0.1 every 90 s towards one side only (this adapting side was randomised to be either left or right). The VOR response was tested/measured in darkness at 10-min intervals, 20-min intervals, and two single 60-min interval sessions for 1 h post-training. The training was active or passive for the 10- and 20-min interval sessions, but only active for the two single 60-min interval sessions. The mean VOR response increase due to training was ~ 10 % towards the adapting side versus ~2 % towards the non-adapting side. There was no difference in VOR adaptation and retention between active and passive VOR training. The only factor to affect retention was exposure to a de-adaptation stimulus. These data suggest that active VOR adaptation training can be used to optimally adapt the passive VOR and that adaptation is completely retained over 1 h as long as there is no visual feedback signal driving de-adaptation.

摘要

前庭眼反射(VOR)是人类快速头部运动时主要的视觉稳定系统。视觉 - 前庭不匹配刺激可用于训练或调整VOR反应,因为它会诱发视网膜图像滑动误差信号,驱动VOR运动学习。研究表明训练环境会影响VOR适应性。我们试图确定主动(自我产生)与被动(外部施加)头部旋转前庭训练是否会对主动和被动VOR反应的适应性及短期保持产生不同影响。对10名受试者进行了测试,每人进行6次单独的1.5小时训练。我们比较了主动与被动头部脉冲(瞬态、峰值速度约为150°/秒的快速头部旋转)VOR适应性训练,训练持续15分钟,VOR增益受到挑战而增加,从1开始,每90秒向一侧增加0.1(适应侧随机为左侧或右侧)。在训练后1小时内,每隔10分钟、20分钟以及两个单独的60分钟时间段在黑暗中测试/测量VOR反应。在10分钟和20分钟时间段的训练中,训练为主动或被动,但在两个单独的60分钟时间段的训练中仅为主动。训练导致的VOR反应平均增加在适应侧约为10%,在非适应侧约为2%。主动和被动VOR训练在VOR适应性和保持方面没有差异。影响保持的唯一因素是暴露于去适应刺激。这些数据表明,主动VOR适应性训练可用于最佳地调整被动VOR,并且只要没有驱动去适应的视觉反馈信号,适应性在1小时内可完全保持。

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本文引用的文献

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The Effect of Visual Contrast on Human Vestibulo-Ocular Reflex Adaptation.视觉对比度对人体前庭眼反射适应性的影响。
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Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review.前庭康复训练对改善单侧外周性前庭功能减退后的头晕及功能是否有效?Cochrane系统评价的节略版。
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Velocity-selective adaptation of the horizontal and cross-axis vestibulo-ocular reflex in the mouse.小鼠水平和交叉轴前庭眼反射的速度选择性适应
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