Evaluation of the human vestibulo-ocular reflex at high frequencies with a helmet, driven by reactive torque.

A new technique was developed to test the VOR in humans. A tightly but comfortably fitting helmet was provided with an electronically controlled torque motor that rotated a mass around a vertical axis. Acceleration of the motor caused reactive torque of the helmet in the opposite direction which was transmitted to the (freely movable) head. Sinusoidal head oscillations in the frequency range 2-20 Hz (peak-to-peak amplitudes about 10 degrees and 0.1 degrees respectively) were easily achieved, as well as step displacements of the head with accelerations on the order of 1000 degrees/s2. Limitation of the maximum torque and lack of any rigid attachment of the head to a fixed structure made the technique safe and comfortable. Eye and head rotations were recorded, independently of head translations, with eye and head search coils in a homogeneous a.c. magnetic field. In normal subjects, gain was near unity at 2 Hz: above 8 Hz, gain increased progressively toward 1.1-1.3 at 20 Hz. Phase lag increased from a few degrees at 2 Hz to about 45 degrees at 20 Hz. Above 2 Hz, these results were unaffected by visual conditions; lower gains and increased phase lags were found in subjects with bilateral or unilateral vestibular loss. For step displacements, gain (measured in the first 100 ms) was near unity for normals, near zero after bilateral vestibular loss and strongly asymmetrical after unilateral vestibular loss. Thus, the technique seems highly effective in testing vestibular function with minimal contamination by other systems.