The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Difference in the Static Postural Control according to the Subjective Visual Vertical Deviation and Head Orientations

  • Sang Soo Lee (Department of Health, Graduate School, Dankook University) ;
  • Sang Seok Yeo (Department of Physical Therapy, College of Health and Welfare Sciences, Dankook University)
  • Received : 2023.10.11
  • Accepted : 2023.10.26
  • Published : 2023.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study examined the effects of subjective visual vertical perception and head orientation on static balance control. Methods: The subjects were 25 young and healthy adults. The vertical perception was measured using a subjective visual vertical (SVV), and the Center of pressure (COP) parameter was analyzed by continuously measuring the movement of the COP to determine the changes in static postural control. The group was divided based on a deviation of 3° in SVV (11 of SVV≥3°, 14 of SVV<3°) and measured with different head orientations: front, up, down, left, and right in the upright and tandem positions, respectively. Results: In the upright position, the SVV≥3° group had significantly larger values for all COP parameters (Sway length, Surface, Delta X, Delta Y, and Average speed) compared to the SVV<3° group (p<0.05). In the tandem stance, only the Ellipse Surface value was significantly larger among the COP parameters in the group with SVV≥3° compared to the group with SVV<3°(p<0.05). In contrast, the other COP parameters were not significantly different (p>0.05). The effects of static balance control on the head orientation were not statistically significant (p>0.05), and the interactions between the subjective vertical perception and head orientation were not significant (p>0.05). Conclusion: These results suggest that pathological deviations in SVV are associated with impaired static balance performance. This study can provide a therapeutic rationale for using visuospatial cognitive feedback training to improve the static balance.

Keywords

References

  1. Judge JO, King MB, Whipple R et al. Dynamic balance in older persons: effects of reduced visual and proprioceptive input. J Gerontol Bio Sci Med Sci. 1995;50(5):M263-70. https://doi.org/10.1093/gerona/50A.5.M263
  2. Green AM, Angelaki DE. Internal models and neural computation in the vestibular system. Exp brain Res. 2010;200:197-222. https://doi.org/10.1007/s00221-009-2054-4
  3. Hondebrink MS, Mert A, Van der Lint R et al. Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies: a pilot study. MEDICINE. 2017;96(24).
  4. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance: suggestion from the field. Phys Ther. 1986;66(10):1548-50. https://doi.org/10.1093/ptj/66.10.1548
  5. Highstein SM, Holstein GR. The anatomical and physiological framework for vestibular prostheses. Anat Rec. 2012;295(11):2000-9. https://doi.org/10.1002/ar.22582
  6. Lopez C, Blanke O. The thalamocortical vestibular system in animals and humans. Brain Res Rev. 2011;67(1-2):119-46. https://doi.org/10.1016/j.brainresrev.2010.12.002
  7. Krebs C. Neuroscience, philadelpia, lippincott williams & wilkins, 2011.
  8. Agrawal Y, Merfeld DM, Horak FB et al. Aging, vestibular function, and balance: proceedings of a national institute on aging/national institute on deafness and other communication disorders workshop. J Gerontol. 2020;75(12):2471-80. https://doi.org/10.1093/gerona/glaa097
  9. Rambold H. Clinical value of rotational-chair testing in vestibular disease. Clin Otorhinolaryngol. 2017;1(1):13.
  10. Rosengren SM, Colebatch JG, Young AS et al. Vestibular evoked myogenic potentials in practice: methods, pitfalls and clinical applications. Glin Neurophysiol Pract. 2019;4:47-68. https://doi.org/10.1016/j.cnp.2019.01.005
  11. Chang WH. Common disorders causing balance problems. Brain Neurorehabil. 2013;6(2):54-7. https://doi.org/10.12786/bn.2013.6.2.54
  12. Chetana N, Jayesh R. Subjective visual vertical in various vestibular disorders by using a simple bucket test. Indian J Otolartngol Head Neck Surg. 2015;67:180-4. https://doi.org/10.1007/s12070-014-0760-0
  13. Cohen HS, Sangi-Haghpeykar H. Subjective visual vertical in vestibular disorders measured with the bucket test. Acta Otolaryngol. 2012;132(8):850-4. https://doi.org/10.3109/00016489.2012.668710
  14. Karlberg M, Aw ST, Halmagyi GM et al. Vibration-induced shift of the subjective visual horizontal: a sign of unilateral vestibular deficit. Arch Otolaryngol Head Neck Surg. 2002;128(1):21-7. https://doi.org/10.1001/archotol.128.1.21
  15. Bisdorff AR, Wolsley CJ, Anastasopoulos D et al. The perception of body verticality (subjective postural vertical) in peripheral and central vestibular disorders. Brain. 1996;119(5):1523-34. https://doi.org/10.1093/brain/119.5.1523
  16. Lee DJ, Kim SY, Song CH. The correlations between the balance test, functional movement, visual perception test and functional independent measure in stroke patients. J Kor Phys Ther. 2009;21(2):39-45.
  17. Tarnutzer AA, Bockisch C, Straumann D et al. Gravity dependence of subjective visual vertical variability. J Neurophysiol. 2009;102(3):1657-71. https://doi.org/10.1152/jn.00007.2008
  18. Lee TH. Dizziness of vestibular disorders. Kor J Clin Lac Sci. 2011;10.
  19. Barin K, Dodson EE. Dizziness in the elderly. Otolaryngol Clin North Am. 2011;44(2):437-54. https://doi.org/10.1016/j.otc.2011.01.013
  20. Noh H, Chae S. Change of Subjective Visual Vertical (SVV) in patients of vestibular neuritis. J Kor Bal Soc. 2007;6(2):143-9.
  21. Ferreira MM, Cunha F, Ganaca CF et al. Subjective visual vertical with the bucket method in Brazilian healthy individuals. Braz J Otorhinolaryngol. 2016;82:442-6. https://doi.org/10.1016/j.bjorl.2015.08.027
  22. Zwergal A, Rettinger N, Frenzel et al. A bucket of static vestibular function. Neurology. 2009;72(19):1689-92. https://doi.org/10.1212/WNL.0b013e3181a55ecf
  23. Sakagami M, Wada Y, Shiozaki et al. Results of subjective visual vertical tests in patients with vertigo/dizziness. Auris Nasus Larynx. 2022;49(3):342-6. https://doi.org/10.1016/j.anl.2021.08.010
  24. Seo SK, Kim SH, K Tae-Youl. Evaluation of static balance in postural tasks and visual cue in normal subjects. J Kor Phys Ther. 2009;21(4):51-6.
  25. Sozzi S, Honeine JL, Do MC et al. Leg muscle activity during tandem stance and the control of body balance in the frontal plane. Clin Neurophysiol. 2013;124(6):1175-86. https://doi.org/10.1016/j.clinph.2012.12.001
  26. Michelson PL, Mccaslin DL, Jacobson et al. Assessment of subjective visual vertical (SVV) using the "bucket test" and the virtual SVV system. Am J Audiol. 2018.;27(3):249-59. https://doi.org/10.1044/2018_AJA-17-0019
  27. Cho IH, Kwon JW, Yeo SS. Relations between gait characteristics and subjective visual vertical results in young adults. J Vestib Res. 2020;30(2):73-9. https://doi.org/10.3233/VES-200694
  28. Bonan IV, Guerttard E, Leman MC et al. Subjective visual vertical perception relates to balance in acute stroke. Arch Phys Med Rehabil. 2006;87(5):642-6. https://doi.org/10.1016/j.apmr.2006.01.019
  29. Pereira CB, Kanashiro AK, Maia FM et al. Correlation of impaired subjective visual vertical and postural instability in Parkinson's disease. J Neuro Sci. 2014;346(1-2):60-5. https://doi.org/10.1016/j.jns.2014.07.057
  30. Klatt BN, Sparto PJ, Terhorst L et al. Relationship between subjective visual vertical and balance in individuals with multiple sclerosis. Physiother Res Int. 2019;24(1):e1757.
  31. Patti A, Bianco A, Messina G et al. Evaluation of podalic support and monitoring of balance control in children with and without dyslexia: a pilot study. Sustainability. 2020;12(3):1191.
  32. Paloski WH, Wood SJ, Feiveson AH et al. Destabilization of human balance control by static and dynamic head tilts. Gait Posture. 2006;23(3):315-23. https://doi.org/10.1016/j.gaitpost.2005.04.009
  33. Tanaka H, Uetake T. Influences of head orientation on the unperturbed postural sway in human upright stance. Anthropol Sci. 2003;111(3):333-45. https://doi.org/10.1537/ase.111.333
  34. Johnson MB, Van Emmerik RE. Effect of head orientation on postural control during upright stance and forward lean. Motor Control. 2012;16(1):81-93. https://doi.org/10.1123/mcj.16.1.81
  35. Buckley JG, Anand V, Scally A et al. Does head extension and flexion increase postural instability in elderly subjects when visual information is kept constant? Gait & Posture. 2005;21(1):59-64. https://doi.org/10.1016/j.gaitpost.2003.11.005
  36. Ledin T, Hafstrom A, Fransson PA et al. Influence of neck proprioception on vibration-induced postural sway. Acta Otolaryngol. 2003;123(5):594-9. https://doi.org/10.1080/00016480310001835