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Influence of hearing on vestibulospinal control in healthy subjects

Einfluss des Hörens auf die vestibulospinale Kontrolle bei gesunden Probanden

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Abstract

Background

Balance control is based on multisensory interaction. In addition to vestibular, proprioceptive and visual information, it seems that auditory input also plays an important role.

Objectives

The aim of the study was to investigate the effect of hearing on vestibulospinal coordination and to obtain deeper knowledge about mechanisms of audiovestibular interaction.

Materials and methods

In normal hearing, healthy subjects who performed the Unterberger (Fukuda) stepping test with and without frontal presentation of noise, the distance of displacement, the angle of displacement and the angle of rotation were measured by means of ultrasound based cranio-corpo-graphy (CCG). Additionally, subjective estimation of the effect of auditory input was compared to objective test results.

Results

In the noise condition, there was a significant improvement in the distance of displacement (mean with noise 66.9 cm± 33.5 standard deviation, SD, mean without noise 77.0 cm±32.7 SD, p< 0.001) and in the angle of rotation (mean with noise 14.2°± 10.1 SD, mean without noise 28.3°± 20.2 SD, p< 0.001), while no difference was found within the conditions regarding the angle of displacement (mean with noise 29.1°± 33.5 SD, mean without noise 30.0°± 34.0 SD, p= 0.641). Side-specific analysis revealed a positive correlation between angle of displacement and angle of rotation in the condition without noise (Spearman r = 0.441, p< 0.001). The rate of agreement between subjective estimation of noise influence and objective test results ranged between only 43% and 63%, depending on the question and endpoint.

Conclusion

Hearing had a clearly beneficial effect of auditory inputs on vestibulospinal coordination, especially for distance of displacement and angle of rotation.

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Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Halle (Saale), Martin Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany

    I. Seiwerth, J. Jonen, T. Rahne & S. K. Plontke

  2. Department of Orthopedic and Trauma Surgery, University Hospital Halle (Saale), Martin Luther University Halle-Wittenberg, Halle (Saale), Germany

    R. Schwesig & A. Lauenroth

  3. School of Medicine, Department of Otolaryngology—Head and Neck Surgery, Oregon Health & Science University, Portland, OR, USA

    T. E. Hullar

Authors
  1. I. Seiwerth
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  2. J. Jonen
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  3. T. Rahne
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  4. R. Schwesig
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  5. A. Lauenroth
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  6. T. E. Hullar
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  7. S. K. Plontke
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Corresponding author

Correspondence to I. Seiwerth.

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Conflict of interest

I. Seiwerth, J. Jonen, T. Rahne, R. Schwesig, A. Lauenroth, T.E. Hullar, and S.K. Plontke declare that they have no competing interests.

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Nr. 2016-45), and with the 1975 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

The supplement containing this article is not sponsored by industry.

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Seiwerth, I., Jonen, J., Rahne, T. et al. Influence of hearing on vestibulospinal control in healthy subjects. HNO 66 (Suppl 2), 49–55 (2018). https://doi.org/10.1007/s00106-018-0520-7

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  • DOI: https://doi.org/10.1007/s00106-018-0520-7

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