Department of Otolaryngology, Tokyo Medical and Dental University, Tokyo, Japan.
Acta Otolaryngol. 2023 May;143(5):387-391. doi: 10.1080/00016489.2023.2201275. Epub 2023 Apr 21.
Dynamic cervico- (COR) and vestibulo-ocular reflex (VOR) contribute to stabilise visual images in the retina. The gain in dynamic COR is small in healthy individuals but increases in patients with vestibular dysfunction. Conversely, static COR has not been directly observed in healthy individuals.
To elucidate the presence of static COR and quantify it in normal individuals in the roll plane.
Eleven healthy participants were included in the study. Eye torsions were measured using video oculography to evaluate the static COR induced by lateral neck flexion during a head-upright-with-body-tilt position at 15°, 30°, and 45°. The ocular counterroll (OCR) was compared during whole-body and head tilts to assess the influence of static COR on OCR.
Static COR was significantly observed as eye torsion in the direction opposite to the body tilt. The head tilt OCR was significantly smaller than the whole-body tilt OCR to the right side but not to the left side.
Static COR exists in healthy individuals and tends to show higher amplitude as neck flexion stimulation increases.
动态颈(COR)和前庭眼反射(VOR)有助于稳定视网膜上的视觉图像。健康个体的动态 COR 增益较小,但前庭功能障碍患者的增益增加。相反,在健康个体中尚未直接观察到静态 COR。
阐明在正常个体中在滚转轴平面上存在静态 COR 并对其进行定量。
研究纳入了 11 名健康参与者。使用视频眼动描记术测量眼扭转,以评估在头部直立与身体倾斜 15°、30°和 45°的头位时,侧向颈部弯曲引起的静态 COR。比较整个身体倾斜和头部倾斜时的眼反向滚动(OCR),以评估静态 COR 对 OCR 的影响。
观察到与身体倾斜方向相反的眼扭转的静态 COR。右侧头部倾斜的 OCR 明显小于整个身体倾斜的 OCR,但左侧则不然。
健康个体中存在静态 COR,并且随着颈部弯曲刺激的增加,其幅度趋于增加。