Malone Alexander K, Hungerford Michelle E, Smith Spencer B, Chang Nai-Yuan N, Uchanski Rosalie M, Oh Yong-Hee, Lewis Richard F, Hullar Timothy E
ENT and Allergy Associates of Florida, Boca Raton, Florida.
VA RR&D National Center for Rehabilitative Auditory Research, VA Portland Health Care System, Portland, Oregon.
Semin Hear. 2023 Jun 22;45(1):110-122. doi: 10.1055/s-0043-1770137. eCollection 2024 Feb.
Maintaining balance involves the combination of sensory signals from the visual, vestibular, proprioceptive, and auditory systems. However, physical and biological constraints ensure that these signals are perceived slightly asynchronously. The brain only recognizes them as simultaneous when they occur within a period of time called the temporal binding window (TBW). Aging can prolong the TBW, leading to temporal uncertainty during multisensory integration. This effect might contribute to imbalance in the elderly but has not been examined with respect to vestibular inputs. Here, we compared the vestibular-related TBW in 13 younger and 12 older subjects undergoing 0.5 Hz sinusoidal rotations about the earth-vertical axis. An alternating dichotic auditory stimulus was presented at the same frequency but with the phase varied to determine the temporal range over which the two stimuli were perceived as simultaneous at least 75% of the time, defined as the TBW. The mean TBW among younger subjects was 286 ms (SEM ± 56 ms) and among older subjects was 560 ms (SEM ± 52 ms). TBW was related to vestibular sensitivity among younger but not older subjects, suggesting that a prolonged TBW could be a mechanism for imbalance in the elderly person independent of changes in peripheral vestibular function.
维持平衡涉及来自视觉、前庭、本体感觉和听觉系统的感觉信号的组合。然而,物理和生物限制确保这些信号被略微异步地感知。只有当这些信号在一个称为时间绑定窗口(TBW)的时间段内同时出现时,大脑才会将它们识别为同时发生。衰老会延长TBW,导致多感觉整合过程中的时间不确定性。这种效应可能导致老年人失衡,但尚未针对前庭输入进行研究。在这里,我们比较了13名年轻受试者和12名老年受试者在绕地球垂直轴进行0.5Hz正弦旋转时的前庭相关TBW。以相同频率呈现交替双耳听觉刺激,但相位不同,以确定两种刺激至少75%的时间被感知为同时出现的时间范围,即TBW。年轻受试者的平均TBW为286毫秒(标准误±56毫秒),老年受试者为560毫秒(标准误±52毫秒)。TBW与年轻受试者而非老年受试者的前庭敏感性有关,这表明延长的TBW可能是老年人失衡的一种机制,与外周前庭功能的变化无关。