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1.
PLoS One ; 19(7): e0304257, 2024.
Article in English | MEDLINE | ID: mdl-38959233

ABSTRACT

An animal's environment contains many risks causing animals to scan their environment for potential predators and threats from conspecifics. How much time they invest in such vigilance depends on environmental and social factors. Most vigilance studies have been conducted in a foraging context with little known about vigilance in other contexts. Here we investigated vigilance of Gouldian finches at waterholes considering environmental and social factors. Gouldian finches are colour polymorphic with two main head colours in both sexes co-occurring in the same population, black-headed and red-headed. Data collection was done on birds sitting in trees surrounding waterholes by measuring the frequency of head movements, which reflects how frequently they change their field of view, i.e., scan different areas in their environment. A higher frequency generally reflects higher vigilance. Gouldian finches had a higher frequency of head movements when at small waterholes and when sitting in open, leafless trees. Moreover, head movements were higher when birds were alone in the tree as compared to groups of birds. Finally, birds in same head colour morph groups had a higher frequency of head movements than birds in mixed head colour groups. Results indicate heightened vigilance with increased perception of predation risk (small waterholes, open exposed perch, when alone) but that social vigilance also played a role (group composition) with particularly the aggressive red-headed birds being more vigilant when together with other red-headed birds. Future research should investigate the effect of smaller waterholes as global warming will cause smaller waterholes to become more common for longer periods of time, which can increase stress in the birds.


Subject(s)
Finches , Trees , Animals , Male , Female , Finches/physiology , Behavior, Animal/physiology , Head Movements/physiology , Predatory Behavior/physiology
2.
Proc Biol Sci ; 291(2024): 20240311, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38864337

ABSTRACT

Halteres are multifunctional mechanosensory organs unique to the true flies (Diptera). A set of reduced hindwings, the halteres beat at the same frequency as the lift-generating forewings and sense inertial forces via mechanosensory campaniform sensilla. Though haltere ablation makes stable flight impossible, the specific role of wing-synchronous input has not been established. Using small iron filings attached to the halteres of tethered flies and an alternating electromagnetic field, we experimentally decoupled the wings and halteres of flying Drosophila and observed the resulting changes in wingbeat amplitude and head orientation. We find that asynchronous haltere input results in fast amplitude changes in the wing (hitches), but does not appreciably move the head. In multi-modal experiments, we find that wing and gaze optomotor responses are disrupted differently by asynchronous input. These effects of wing-asynchronous haltere input suggest that specific sensory information is necessary for maintaining wing amplitude stability and adaptive gaze control.


Subject(s)
Drosophila melanogaster , Flight, Animal , Wings, Animal , Animals , Wings, Animal/physiology , Wings, Animal/anatomy & histology , Drosophila melanogaster/physiology , Head/physiology , Head/anatomy & histology , Mechanoreceptors/physiology , Head Movements/physiology , Sensilla/physiology , Biomechanical Phenomena
3.
Eur J Sport Sci ; 24(6): 750-757, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38874996

ABSTRACT

The purpose of this study was to clarify the temporal coordination between gaze, head, and arm movements during forehand rallies in table tennis. Collegiate male table tennis players (n = 7) conducted forehand rallies at a constant tempo (100, 120, and 150 bpm) using a metronome. In each tempo condition, participants performed 30 strokes (a total of 90 strokes). Gaze, head, and dominant arm (shoulder, elbow, and wrist) movements were recorded with an eye-tracking device equipped with a Gyro sensor and a 3-D motion capture system. The results showed that the effect of head movements relative to gaze movements was significantly higher than that of eye movements in the three tempo conditions. Our results indicate that head movements are closely associated with gaze movements during rallies. Furthermore, cross-correlation coefficients (CCs) between head and arm movements were more than 0.96 (maximum coefficient: 0.99). In addition, head and arm movements were synchronized during rallies. Finally, CCs between gaze and arm movements were more than 0.74 (maximum coefficient: 0.99), indicating that gaze movements are temporally coordinated with arm movements. Taken together, head movements could play important roles not only in gaze tracking but also in the temporal coordination with arm movements during table tennis forehand rallies.


Subject(s)
Arm , Eye Movements , Head Movements , Movement , Psychomotor Performance , Tennis , Humans , Male , Arm/physiology , Young Adult , Head Movements/physiology , Tennis/physiology , Psychomotor Performance/physiology , Eye Movements/physiology , Movement/physiology , Head/physiology
4.
Sensors (Basel) ; 24(12)2024 Jun 08.
Article in English | MEDLINE | ID: mdl-38931521

ABSTRACT

Optical tracking of head pose via fiducial markers has been proven to enable effective correction of motion artifacts in the brain during magnetic resonance imaging but remains difficult to implement in the clinic due to lengthy calibration and set up times. Advances in deep learning for markerless head pose estimation have yet to be applied to this problem because of the sub-millimetre spatial resolution required for motion correction. In the present work, two optical tracking systems are described for the development and training of a neural network: one marker-based system (a testing platform for measuring ground truth head pose) with high tracking fidelity to act as the training labels, and one markerless deep-learning-based system using images of the markerless head as input to the network. The markerless system has the potential to overcome issues of marker occlusion, insufficient rigid attachment of the marker, lengthy calibration times, and unequal performance across degrees of freedom (DOF), all of which hamper the adoption of marker-based solutions in the clinic. Detail is provided on the development of a custom moiré-enhanced fiducial marker for use as ground truth and on the calibration procedure for both optical tracking systems. Additionally, the development of a synthetic head pose dataset is described for the proof of concept and initial pre-training of a simple convolutional neural network. Results indicate that the ground truth system has been sufficiently calibrated and can track head pose with an error of <1 mm and <1°. Tracking data of a healthy, adult participant are shown. Pre-training results show that the average root-mean-squared error across the 6 DOF is 0.13 and 0.36 (mm or degrees) on a head model included and excluded from the training dataset, respectively. Overall, this work indicates excellent feasibility of the deep-learning-based approach and will enable future work in training and testing on a real dataset in the MRI environment.


Subject(s)
Head , Magnetic Resonance Imaging , Humans , Magnetic Resonance Imaging/methods , Head/diagnostic imaging , Head Movements , Neural Networks, Computer , Fiducial Markers , Calibration , Image Processing, Computer-Assisted/methods , Deep Learning , Brain/diagnostic imaging , Artifacts
5.
Int J Comput Assist Radiol Surg ; 19(7): 1459-1467, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38888820

ABSTRACT

PURPOSE: To facilitate the integration of point of gaze (POG) as an input modality for robot-assisted surgery, we introduce a robust head movement compensation gaze tracking system for the da Vinci Surgical System. Previous surgical eye gaze trackers require multiple recalibrations and suffer from accuracy loss when users move from the calibrated position. We investigate whether eye corner detection can reduce gaze estimation error in a robotic surgery context. METHODS: A polynomial regressor is first used to estimate POG after an 8-point calibration, and then, using another regressor, the POG error from head movement is estimated from the shift in 2D eye corner location. Eye corners are computed by first detecting regions of interest using the You Only Look Once (YOLO) object detector trained on 1600 annotated eye images (open dataset included). Contours are then extracted from the bounding boxes and a derivative-based curvature detector refines the eye corner. RESULTS: Through a user study (n = 24), our corner-contingent head compensation algorithm showed an error reduction in degrees of visual angle of 1.20 ∘ (p = 0.037) for the left eye and 1.26 ∘ (p = 0.079) for the right compared to the previous gold-standard POG error correction method. In addition, the eye corner pipeline showed a root-mean-squared error of 3.57 (SD = 1.92) pixels in detecting eye corners over 201 annotated frames. CONCLUSION: We introduce an effective method of using eye corners to correct for eye gaze estimation, enabling the practical acquisition of POG in robotic surgery.


Subject(s)
Algorithms , Eye-Tracking Technology , Head Movements , Robotic Surgical Procedures , Humans , Robotic Surgical Procedures/methods , Robotic Surgical Procedures/instrumentation , Head Movements/physiology , Eye Movements/physiology , Male , Female , Fixation, Ocular/physiology , Adult , Calibration
6.
Exp Brain Res ; 242(7): 1797-1806, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38839617

ABSTRACT

People with multiple sclerosis (PwMS) who report dizziness often have gaze instability due to vestibulo-ocular reflex (VOR) deficiencies and compensatory saccade (CS) abnormalities. Herein, we aimed to describe and compare the gaze stabilization mechanisms for yaw and pitch head movements in PwMS. Thirty-seven PwMS (27 female, mean ± SD age = 53.4 ± 12.4 years old, median [IQR] Expanded Disability Status Scale Score = 3.5, [1.0]. We analyzed video head impulse test results for VOR gain, CS frequency, CS latency, gaze position error (GPE) at impulse end, and GPE at 400 ms after impulse start. Discrepancies were found for median [IQR] VOR gain in yaw (0.92 [0.14]) versus pitch-up (0.71 [0.44], p < 0.001) and pitch-down (0.81 [0.44], p = 0.014]), CS latency in yaw (258.13 [76.8]) ms versus pitch-up (208.78 [65.97]) ms, p = 0.001] and pitch-down (132.17 [97.56] ms, p = 0.006), GPE at impulse end in yaw (1.15 [1.85] degs versus pitch-up (2.71 [3.9] degs, p < 0.001), and GPE at 400 ms in yaw (-0.25 [0.98] degs) versus pitch-up (1.53 [1.07] degs, p < 0.001) and pitch-down (1.12 [1.82] degs, p = 0.001). Compared with yaw (0.91 [0.75]), CS frequency was similar for pitch-up (1.03 [0.93], p = 0.999) but lower for pitch-down (0.65 [0.64], p = 0.023). GPE at 400 ms was similar for yaw and pitch-down (1.88 [2.76] degs, p = 0.400). We postulate that MS may have preferentially damaged the vertical VOR and saccade pathways in this cohort.


Subject(s)
Multiple Sclerosis , Reflex, Vestibulo-Ocular , Humans , Female , Male , Middle Aged , Multiple Sclerosis/physiopathology , Multiple Sclerosis/complications , Adult , Reflex, Vestibulo-Ocular/physiology , Aged , Fixation, Ocular/physiology , Head Movements/physiology , Saccades/physiology , Head Impulse Test/methods
7.
J Psychosom Res ; 183: 111694, 2024 Aug.
Article in English | MEDLINE | ID: mdl-38734533

ABSTRACT

OBJECTIVE: Recent neuroscientific models suggest that functional bodily symptoms can be attributed to perceptual dysregulation in the central nervous system. Evidence for this hypothesis comes from patients with functional dizziness, who exhibit marked sensorimotor processing deficits during eye-head movement planning and execution. Similar findings in eye-head movement planning in patients with irritable bowel syndrome confirmed that these sensorimotor processing deficits represent a shared, transdiagnostic mechanism. We now examine whether erroneous sensorimotor processing is also at play in functional movement disorder. METHODS: We measured head movements of 10 patients with functional movement disorder (F44.4, ICD-10), 10 patients with functional dizziness (F45.8, ICD-10), and (respectively) 10 healthy controls during an eye-head experiment, where participants performed large gaze shifts under normal, increased, and again normal head moment of inertia. Head oscillations at the end of the gaze shift served as a well-established marker for sensorimotor processing problems. We calculated Bayesian statistics for comparison. RESULTS: Patients with functional movement disorder (Bayes Factor (BF)10 = 5.36, BFincl = 11.16; substantial to strong evidence) as well as patients with functional dizziness (BF10 = 2.27, BFincl = 3.56; anecdotal to substantial evidence) showed increased head oscillations compared to healthy controls, indicating marked deficits in planning and executing movement. CONCLUSION: We replicate earlier experimental findings on erroneous sensorimotor processing in patients with functional dizziness, and show that patients with functional movement disorder show a similar impairment of sensorimotor processing during large gaze shifts. This provides an objectively measurable, transdiagnostic marker for functional disorders, highlighting important implications for diagnosis, treatment, and de-stigmatization.


Subject(s)
Dizziness , Movement Disorders , Humans , Dizziness/physiopathology , Female , Male , Adult , Middle Aged , Movement Disorders/physiopathology , Movement Disorders/diagnosis , Head Movements/physiology , Eye Movements/physiology , Bayes Theorem
8.
Nat Commun ; 15(1): 4003, 2024 May 11.
Article in English | MEDLINE | ID: mdl-38734715

ABSTRACT

Accurate perception and behavior rely on distinguishing sensory signals arising from unexpected events from those originating from our own voluntary actions. In the vestibular system, sensory input that is the consequence of active self-motion is canceled early at the first central stage of processing to ensure postural and perceptual stability. However, the source of the required cancellation signal was unknown. Here, we show that the cerebellum combines sensory and motor-related information to predict the sensory consequences of active self-motion. Recordings during attempted but unrealized head movements in two male rhesus monkeys, revealed that the motor-related signals encoded by anterior vermis Purkinje cells explain their altered sensitivity to active versus passive self-motion. Further, a model combining responses from ~40 Purkinje cells accounted for the cancellation observed in early vestibular pathways. These findings establish how cerebellar Purkinje cells predict sensory outcomes of self-movements, resolving a long-standing issue of sensory signal suppression during self-motion.


Subject(s)
Macaca mulatta , Purkinje Cells , Animals , Purkinje Cells/physiology , Male , Head Movements/physiology , Cerebellum/physiology , Cerebellum/cytology , Vestibule, Labyrinth/physiology , Motion Perception/physiology
9.
BMC Musculoskelet Disord ; 25(1): 376, 2024 May 13.
Article in English | MEDLINE | ID: mdl-38741076

ABSTRACT

OBJECTIVES: The traditional understanding of craniocervical alignment emphasizes specific anatomical landmarks. However, recent research has challenged the reliance on forward head posture as the primary diagnostic criterion for neck pain. An advanced relationship exists between neck pain and craniocervical alignment, which requires a deeper exploration of diverse postures and movement patterns using advanced techniques, such as clustering analysis. We aimed to explore the complex relationship between craniocervical alignment, and neck pain and to categorize alignment patterns in individuals with nonspecific neck pain using the K-means algorithm. METHODS: This study included 229 office workers with nonspecific neck pain who applied unsupervised machine learning techniques. The craniocervical angles (CCA) during rest, protraction, and retraction were measured using two-dimensional video analysis, and neck pain severity was assessed using the Northwick Park Neck Pain Questionnaire (NPQ). CCA during sitting upright in a comfortable position was assessed to evaluate the resting CCA. The average of midpoints between repeated protraction and retraction measures was considered as the midpoint CCA. The K-means algorithm helped categorize participants into alignment clusters based on age, sex and CCA data. RESULTS: We found no significant correlation between NPQ scores and CCA data, challenging the traditional understanding of neck pain and alignment. We observed a significant difference in age (F = 140.14, p < 0.001), NPQ total score (F = 115.83, p < 0.001), resting CCA (F = 79.22, p < 0.001), CCA during protraction (F = 33.98, p < 0.001), CCA during retraction (F = 40.40, p < 0.001), and midpoint CCA (F = 66.92, p < 0.001) among the three clusters and healthy controls. Cluster 1 was characterized by the lowest resting and midpoint CCA, and CCA during pro- and -retraction, indicating a significant forward head posture and a pattern of retraction restriction. Cluster 2, the oldest group, showed CCA measurements similar to healthy controls, yet reported the highest NPQ scores. Cluster 3 exhibited the highest CCA during protraction and retraction, suggesting a limitation in protraction movement. DISCUSSION: Analyzing 229 office workers, three distinct alignment patterns were identified, each with unique postural characteristics; therefore, treatments addressing posture should be individualized and not generalized across the population.


Subject(s)
Neck Pain , Posture , Unsupervised Machine Learning , Humans , Neck Pain/physiopathology , Male , Female , Adult , Posture/physiology , Middle Aged , Cluster Analysis , Head , Cervical Vertebrae/physiopathology , Cervical Vertebrae/diagnostic imaging , Movement/physiology , Pain Measurement/methods , Young Adult , Head Movements/physiology
10.
Article in English | MEDLINE | ID: mdl-38709603

ABSTRACT

Neck muscle weakness due to amyotrophic lateral sclerosis (ALS) can result in dropped head syndrome, adversely impacting the quality of life of those affected. Static neck collars are currently prescribed to hold the head in a fixed upright position. However, these braces are uncomfortable and do not allow any voluntary head-neck movements. By contrast, powered neck exoskeletons have the potential to enable head-neck movements. Our group has recently improved the mechanical structure of a state-of-the-art neck exoskeleton through a weighted optimization. To evaluate the effect of the structural changes, we conducted an experiment in which patients with ALS were asked to perform head-neck tracking tasks while using the two versions of the neck exoskeleton. We found that the neck muscle activation was significantly reduced when assisted by the structurally enhanced design compared to no assistance provided. The improved structure also improved kinematics tracking performance, allowing users to better achieve the desired head poses. In comparison, the previous design did not help reduce the muscle effort required to perform these tasks and even slightly worsened the kinematic tracking performance. It was also found that biomechanical benefits gained from using the structurally improved design were consistent across participants with both mild and severe neck weakness. Furthermore, we observed that participants preferred to use the powered neck exoskeletons to voluntarily move their heads and make eye contact during a conversation task rather than remain in a fixed upright position. Each of these findings highlights the importance of the structural design of neck exoskeletons in achieving desired biomechanical benefits and suggests that neck exoskeletons can be a viable method to improve the daily life of patients with ALS.


Subject(s)
Amyotrophic Lateral Sclerosis , Exoskeleton Device , Neck Muscles , Humans , Amyotrophic Lateral Sclerosis/physiopathology , Male , Female , Middle Aged , Neck Muscles/physiopathology , Biomechanical Phenomena , Aged , Electromyography , Head Movements , Neck/physiopathology , Equipment Design , Adult , Muscle Weakness/physiopathology
11.
Sci Rep ; 14(1): 12329, 2024 05 29.
Article in English | MEDLINE | ID: mdl-38811593

ABSTRACT

Mental rotation is the ability to rotate mental representations of objects in space. Shepard and Metzler's shape-matching tasks, frequently used to test mental rotation, involve presenting pictorial representations of 3D objects. This stimulus material has raised questions regarding the ecological validity of the test for mental rotation with actual visual 3D objects. To systematically investigate differences in mental rotation with pictorial and visual stimuli, we compared data of N = 54 university students from a virtual reality experiment. Comparing both conditions within subjects, we found higher accuracy and faster reaction times for 3D visual figures. We expected eye tracking to reveal differences in participants' stimulus processing and mental rotation strategies induced by the visual differences. We statistically compared fixations (locations), saccades (directions), pupil changes, and head movements. Supplementary Shapley values of a Gradient Boosting Decision Tree algorithm were analyzed, which correctly classified the two conditions using eye and head movements. The results indicated that with visual 3D figures, the encoding of spatial information was less demanding, and participants may have used egocentric transformations and perspective changes. Moreover, participants showed eye movements associated with more holistic processing for visual 3D figures and more piecemeal processing for pictorial 2D figures.


Subject(s)
Eye Movements , Humans , Female , Male , Eye Movements/physiology , Young Adult , Adult , Rotation , Reaction Time/physiology , Photic Stimulation/methods , Space Perception/physiology , Virtual Reality , Visual Perception/physiology , Head Movements/physiology , Saccades/physiology
12.
PLoS One ; 19(5): e0304040, 2024.
Article in English | MEDLINE | ID: mdl-38814896

ABSTRACT

This study investigates head nods in natural dyadic German Sign Language (DGS) interaction, with the aim of finding whether head nods serving different functions vary in their phonetic characteristics. Earlier research on spoken and sign language interaction has revealed that head nods vary in the form of the movement. However, most claims about the phonetic properties of head nods have been based on manual annotation without reference to naturalistic text types and the head nods produced by the addressee have been largely ignored. There is a lack of detailed information about the phonetic properties of the addressee's head nods and their interaction with manual cues in DGS as well as in other sign languages, and the existence of a form-function relationship of head nods remains uncertain. We hypothesize that head nods functioning in the context of affirmation differ from those signaling feedback in their form and the co-occurrence with manual items. To test the hypothesis, we apply OpenPose, a computer vision toolkit, to extract head nod measurements from video recordings and examine head nods in terms of their duration, amplitude and velocity. We describe the basic phonetic properties of head nods in DGS and their interaction with manual items in naturalistic corpus data. Our results show that phonetic properties of affirmative nods differ from those of feedback nods. Feedback nods appear to be on average slower in production and smaller in amplitude than affirmation nods, and they are commonly produced without a co-occurring manual element. We attribute the variations in phonetic properties to the distinct roles these cues fulfill in turn-taking system. This research underlines the importance of non-manual cues in shaping the turn-taking system of sign languages, establishing the links between such research fields as sign language linguistics, conversational analysis, quantitative linguistics and computer vision.


Subject(s)
Phonetics , Sign Language , Humans , Germany , Male , Head/physiology , Female , Language , Head Movements/physiology
13.
Neuroimage ; 294: 120646, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38750907

ABSTRACT

Deep learning can be used effectively to predict participants' age from brain magnetic resonance imaging (MRI) data, and a growing body of evidence suggests that the difference between predicted and chronological age-referred to as brain-predicted age difference (brain-PAD)-is related to various neurological and neuropsychiatric disease states. A crucial aspect of the applicability of brain-PAD as a biomarker of individual brain health is whether and how brain-predicted age is affected by MR image artifacts commonly encountered in clinical settings. To investigate this issue, we trained and validated two different 3D convolutional neural network architectures (CNNs) from scratch and tested the models on a separate dataset consisting of motion-free and motion-corrupted T1-weighted MRI scans from the same participants, the quality of which were rated by neuroradiologists from a clinical diagnostic point of view. Our results revealed a systematic increase in brain-PAD with worsening image quality for both models. This effect was also observed for images that were deemed usable from a clinical perspective, with brains appearing older in medium than in good quality images. These findings were also supported by significant associations found between the brain-PAD and standard image quality metrics indicating larger brain-PAD for lower-quality images. Our results demonstrate a spurious effect of advanced brain aging as a result of head motion and underline the importance of controlling for image quality when using brain-predicted age based on structural neuroimaging data as a proxy measure for brain health.


Subject(s)
Brain , Deep Learning , Magnetic Resonance Imaging , Neural Networks, Computer , Humans , Brain/diagnostic imaging , Magnetic Resonance Imaging/methods , Adult , Male , Female , Middle Aged , Young Adult , Aging/physiology , Aged , Head Movements/physiology , Artifacts , Image Processing, Computer-Assisted/methods , Adolescent
14.
Nat Commun ; 15(1): 4053, 2024 May 14.
Article in English | MEDLINE | ID: mdl-38744848

ABSTRACT

The role of the hippocampus in spatial navigation has been primarily studied in nocturnal mammals, such as rats, that lack many adaptations for daylight vision. Here we demonstrate that during 3D navigation, the common marmoset, a new world primate adapted to daylight, predominantly uses rapid head-gaze shifts for visual exploration while remaining stationary. During active locomotion marmosets stabilize the head, in contrast to rats that use low-velocity head movements to scan the environment as they locomote. Pyramidal neurons in the marmoset hippocampus CA3/CA1 regions predominantly show mixed selectivity for 3D spatial view, head direction, and place. Exclusive place selectivity is scarce. Inhibitory interneurons are predominantly mixed selective for angular head velocity and translation speed. Finally, we found theta phase resetting of local field potential oscillations triggered by head-gaze shifts. Our findings indicate that marmosets adapted to their daylight ecological niche by modifying exploration/navigation strategies and their corresponding hippocampal specializations.


Subject(s)
Callithrix , Hippocampus , Spatial Navigation , Animals , Callithrix/physiology , Spatial Navigation/physiology , Hippocampus/physiology , Male , Locomotion/physiology , Vision, Ocular/physiology , Pyramidal Cells/physiology , Head Movements/physiology , Interneurons/physiology , Female , Behavior, Animal/physiology , CA1 Region, Hippocampal/physiology , CA1 Region, Hippocampal/cytology
15.
Parkinsonism Relat Disord ; 123: 106958, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38640831

ABSTRACT

INTRODUCTION: Cervical dystonia is defined by excessive contraction of muscles that produce abnormal postures and movements of the head, neck, and sometimes the shoulders. Many affected individuals also have pain, local muscle hypertrophy, and/or abnormally increased EMG activity. However, abnormal movements are considered the defining feature. CASES: Three cases are described suggesting that some features of cervical dystonia may occur without abnormal movements. In these cases, the only clinical features are pain, local muscle hypertrophy, or abnormal EMG activity. These features may occur years before abnormal movements emerge, or they may occur coincidentally with dystonia affecting regions other than the neck. In some cases, some features associated with cervical dystonia may occur without any obvious abnormal movements. CONCLUSIONS: Some symptoms of cervical dystonia may occur without abnormal movements of the head or neck. The purpose of this report is not to question current diagnostic criteria for cervical dystonia, but to call attention to a phenomenon that deserves further attention. Such cases may be considered to have a pro-dromal form of cervical dystonia or a formes fruste of cervical dystonia. Whatever diagnostic label is applied, the phenomenon is important to recognize, because symptoms may be readily alleviated with botulinum toxin.


Subject(s)
Torticollis , Humans , Torticollis/physiopathology , Torticollis/diagnosis , Female , Male , Middle Aged , Electromyography , Neck/physiopathology , Aged , Head Movements/physiology , Adult , Head/physiopathology , Neck Muscles/physiopathology
16.
J Binocul Vis Ocul Motil ; 74(2): 69-74, 2024.
Article in English | MEDLINE | ID: mdl-38656210

ABSTRACT

PURPOSE: To elucidate the induced effects of horizontal strabismus on the Bielschowsky Head Tilt Test (BHTT). DESIGN: Prospective clinical study. METHODS: Prospective analysis of BHTT testing in 85 patients with exotropia and 71 patients with esotropia who were examined in a strabismus clinic. RESULTS: Eighty-four of 85 patients with exotropia (98.82%) showed a positive BHTT with an induced hyperdeviation on the side of the tilt (to both sides in 67% and to one side in 32%). Fifty-seven of 71 patients with esotropia (80.2%) showed a positive BHTT with an induced hypodeviation on the side of the tilt (to both sides in 57.7% and to one side in 22.5%). These induced vertical deviations were greater in patients with larger horizontal deviations and in those with constant rather than intermittent deviations; however, they were not influenced by the presence or absence of associated primary oblique muscle overaction. CONCLUSIONS: Exotropia and esotropia produce hyperdeviations during BHTT testing, with a hyperdeviation on the side of the tilt observed in patients with exotropia, and hypotropia on the side of the tilt observed in patients with esotropia. These diametrical results are not attributable to any preexistent alteration of neurologic output inherent to these two forms of horizontal strabismus or to associated torsion. Rather, they arise directly from the altered anatomical positions of the two eyes, which cause the eyes to approximate their visual axes more closely to the vertical rectus muscles (in exotropia) and the oblique muscles (in esotropia), enabling the vertical actions of specific cyclovertical muscles to predominate in response to altered utricular output generated by the BHTT.


Subject(s)
Esotropia , Exotropia , Oculomotor Muscles , Humans , Prospective Studies , Male , Female , Exotropia/physiopathology , Exotropia/diagnosis , Esotropia/physiopathology , Esotropia/diagnosis , Adult , Child , Oculomotor Muscles/physiopathology , Adolescent , Child, Preschool , Young Adult , Middle Aged , Vision, Binocular/physiology , Eye Movements/physiology , Aged , Diagnostic Techniques, Ophthalmological , Strabismus/physiopathology , Strabismus/diagnosis , Head Movements/physiology
17.
Musculoskelet Sci Pract ; 71: 102950, 2024 06.
Article in English | MEDLINE | ID: mdl-38574577

ABSTRACT

BACKGROUND: The CROM instrument is widely used clinically and in research to measure neck range of motion. However, its measurement proprieties during the assessment of protraction and retraction movements were not examined so far. OBJECTIVE: To analyse the intra- and inter-rater reliability, the concurrent validity of the CROM for measuring head posture, retraction and protraction in healthy subjects. METHODS: Thirty-three asymptomatic subjects were recruited and assigned in a random order to one of two raters. After a 10-min break, they were examined by a second rater (Assessment 1). After a 30-min break, both raters repeated the examination (Assessment 2). The examination consisted of measuring the head posture, maximum head protraction and maximum retraction. Each movement was repeated 3 times and measured simultaneously with the CROM and with a 3D capture system laboratory. RESULTS: The intra-rater reliability of the CROM was excellent for both raters for head posture and all head movements (ICC>0.9, 95% CI: 0.82-0.99, p < 0.01). The inter-rater reliability was excellent for head posture (ICC>0.95, 95% CI: 0.92-0.98, p < 0.01) and good-to-excellent for all movements at both time-points (ICC = 0.73-0.98, 95%CI: 0.45-0.99, p < 0.01). The validity analysis showed moderate-to-strong correlation between instruments for the head posture and head movements [(r) = -0.47 to -0.78), 95% CI: 0.99 to -0.24, p < 0.01]. CONCLUSION: The CROM instrument has good-to-excellent reliability and adequate validity for measuring cervical position and displacement in the sagittal plane.


Subject(s)
Posture , Range of Motion, Articular , Humans , Male , Female , Adult , Posture/physiology , Reproducibility of Results , Range of Motion, Articular/physiology , Head/physiology , Head Movements/physiology , Neck/physiology , Observer Variation , Healthy Volunteers , Young Adult
18.
J Acoust Soc Am ; 155(4): 2460-2469, 2024 Apr 01.
Article in English | MEDLINE | ID: mdl-38578178

ABSTRACT

Head-worn devices (HWDs) interfere with the natural transmission of sound from the source to the ears of the listener, worsening their localization abilities. The localization errors introduced by HWDs have been mostly studied in static scenarios, but these errors are reduced if head movements are allowed. We studied the effect of 12 HWDs on an auditory-cued visual search task, where head movements were not restricted. In this task, a visual target had to be identified in a three-dimensional space with the help of an acoustic stimulus emitted from the same location as the visual target. The results showed an increase in the search time caused by the HWDs. Acoustic measurements of a dummy head wearing the studied HWDs showed evidence of impaired localization cues, which were used to estimate the perceived localization errors using computational auditory models of static localization. These models were able to explain the search-time differences in the perceptual task, showing the influence of quadrant errors in the auditory-aided visual search task. These results indicate that HWDs have an impact on sound-source localization even when head movements are possible, which may compromise the safety and the quality of experience of the wearer.


Subject(s)
Hearing Aids , Sound Localization , Acoustic Stimulation , Head Movements
19.
Sci Rep ; 14(1): 8750, 2024 04 16.
Article in English | MEDLINE | ID: mdl-38627418

ABSTRACT

This paper introduces a novel cable-driven robotic platform that enables six degrees-of-freedom (DoF) natural head-neck movements. Poor postural control of the head-neck can be a debilitating symptom of neurological disorders such as amyotrophic lateral sclerosis and cerebral palsy. Current treatments using static neck collars are inadequate, and there is a need to develop new devices to empower movements and facilitate physical rehabilitation of the head-neck. State-of-the-art neck exoskeletons using lower DoF mechanisms with rigid linkages are limited by their hard motion constraints imposed on head-neck movements. By contrast, the cable-driven robot presented in this paper does not constrain motion and enables wide-range, 6-DoF control of the head-neck. We present the mechatronic design, validation, and control implementations of this robot, as well as a human experiment to demonstrate a potential use case of this versatile robot for rehabilitation. Participants were engaged in a target reaching task while the robot applied both assistive and resistive moments on the head during the task. Our results show that neck muscle activation increased by 19% when moving the head against resistance and decreased by 28-43% when assisted by the robot. Overall, these results provide a scientific justification for further research in enabling movement and identifying personalized rehabilitation for motor training. Beyond rehabilitation, other applications such as applying force perturbations on the head to study sensory integration and applying traction to achieve pain relief may benefit from the innovation of this robotic platform which is capable of applying controlled 6-DoF forces/moments on the head.


Subject(s)
Exoskeleton Device , Nervous System Diseases , Robotic Surgical Procedures , Robotics , Humans , Robotics/methods , Movement/physiology , Head Movements/physiology
20.
Sci Rep ; 14(1): 8907, 2024 04 17.
Article in English | MEDLINE | ID: mdl-38632334

ABSTRACT

In natural environments, head movements are required to search for objects outside the field of view (FoV). Here we investigate the power of a salient target in an extended visual search array to facilitate faster detection once this item comes into the FoV by a head movement. We conducted two virtual reality experiments using spatially clustered sets of stimuli to observe target detection and head and eye movements during visual search. Participants completed search tasks with three conditions: (1) target in the initial FoV, (2) head movement needed to bring the target into the FoV, (3) same as condition 2 but the periphery was initially hidden and appeared after the head movement had brought the location of the target set into the FoV. We measured search time until participants found a more salient (O) or less salient (T) target among distractors (L). On average O's were found faster than T's. Gaze analysis showed that saliency facilitation occurred due to the target guiding the search only if it was within the initial FoV. When targets required a head movement to enter the FoV, participants followed the same search strategy as in trials without a visible target in the periphery. Moreover, faster search times for salient targets were only caused by the time required to find the target once the target set was reached. This suggests that the effect of stimulus saliency differs between visual search on fixed displays and when we are actively searching through an extended visual field.


Subject(s)
Eye Movements , Head Movements , Humans , Visual Fields
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