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Biomedical subjects

C M Oman

Publications and source records attributed to C M Oman.

At least 19 recordsLinked to original sources

Transient cardio-respiratory responses to visually induced tilt illusions.

Although the orthostatic cardio-respiratory response is primarily mediated by the baroreflex, studies have shown that vestibular cues also contribute in both humans and animals. We have demonstrated a visually mediated response to illusory tilt in some human subjects. Blood pressure, heart and respiration rate, and lung volume were monitored in 16 supine human subjects during two types of visual stimulation, and compared with responses to real passive whole body tilt from supine to head 80 degrees upright. Visual tilt stimuli consisted of either a static scene from an overhead mirror or constant velocity scene motion along different body axes generated by an ultra-wide dome projection system. Visual vertical cues were initially aligned with the longitudinal body axis. Subjective tilt and self-motion were reported verbally. Although significant changes in cardio-respiratory parameters to illusory tilts could not be demonstrated for the entire group, several subjects showed significant transient decreases in mean blood pressure resembling their initial response to passive head-up tilt. Changes in pulse pressure and a slight elevation in heart rate were noted. These transient responses are consistent with the hypothesis that visual-vestibular input contributes to the initial cardiovascular adjustment to a change in posture in humans. On average the static scene elicited perceived tilt without rotation. Dome scene pitch and yaw elicited perceived tilt and rotation, and dome roll motion elicited perceived rotation without tilt. A significant correlation between the magnitude of physiological and subjective reports could not be demonstrated.

Adult↗

Yaw sensory rearrangement alters pitch vestibulo-ocular reflex responses.

Ten male subjects underwent two types of adaptation paradigm designed either to enhance or to attenuate the gain of the canal-ocular reflex (COR), before undergoing otolith-ocular reflex (OOR) testing with constant velocity, earth horizontal axis and pitch rotation. The adaptation paradigm paired a 0.2 Hz sinusoidal rotation about an earth vertical axis with a 0.2 Hz optokinetic stimulus that was deliberately mismatched in peak velocity or phase and was designed to produce short-term changes in the COR. Preadaptation and postadaptation OOR tests occurred at a constant velocity of 60 degrees/sec in the dark and produced a modulation component of the slow phase velocity with a frequency of 0.16 Hz due to otolithic stimulation by the sinusoidally changing gravity vector. Of the seven subjects who showed enhancement of the COR gain, six also showed enhancement of the OOR modulation component. Of the seven subjects who showed attenuation of the COR gain, five also showed attenuation of the OOR modulation component. The probability that these two cross-axis adaptation effects would occur by chance is less than 0.02. This suggests that visual-vestibular conditioning of the yaw axis COR also induced changes in the pitch axis OOR. We thus postulate that the central nervous system pathways that process horizontal canal yaw stimuli have elements in common with those processing otolithic stimuli about the pitch axis.

Adaptation, Psychological↗

Horizontal angular VOR changes in orbital and parabolic flight: human neurovestibular studies on SLS-2.

Further evidence was found for adaptive changes in the vestibular "velocity storage" (VS) component of the vestibuloocular reflex in four shuttle astronauts tested in parabolic flight and before, during, and after a 14-day mission. Nystagmus was recorded during and after 1 min of 120 degrees/s rotation. Gains and time constants were determined by computer analysis. Responses correlated with experience. Two subjects were making their first spaceflight. In parabolic flight, their time constants shortened to an average of 60% of 1 G values, presumably because unfamiliar otolith cues reduced VS. However, after 4-10 days in orbit, their time constants were similar or greater than those preflight, indicating VS recovery. The other two subjects had previously flown in space. Their time constants shortened in orbit to an average of 69% of 1 G values, indicating a persisting reduction of VS. This correlation with spaceflight experience has been seen in 9 of 11 subjects on 3 missions. Head pitch did not significantly "dump" nystagmus as it does on Earth.

Adult↗

A multidimensional model of the effect of gravity on the spatial orientation of the monkey.

A "sensory conflict" model of spatial orientation was developed. This mathematical model was based on concepts derived from observer theory, optimal observer theory, and the mathematical properties of coordinate rotations. The primary hypothesis is that the central nervous system of the squirrel monkey incorporates information about body dynamics and sensory dynamics to develop an internal model. The output of this central model (expected sensory afference) is compared to the actual sensory afference, with the difference defined as "sensory conflict." The sensory conflict information is, in turn, used to drive central estimates of angular velocity ("velocity storage"), gravity ("gravity storage"), and linear acceleration ("acceleration storage") toward more accurate values. The model successfully predicts "velocity storage" during rotation about an earth-vertical axis. The model also successfully predicts that the time constant of the horizontal vestibulo-ocular reflex is reduced and that the axis of eye rotation shifts toward alignment with gravity following postrotatory tilt. Finally, the model predicts the bias, modulation, and decay components that have been observed during off-vertical axis rotations (OVAR).

Animals↗

Spatial orientation and posture during and following weightlessness: human experiments on Spacelab Life Sciences 1.

The 4 payload crew members of the Spacelab Life Sciences 9-day space flight in 1991 were subjected to limited vestibular testing in flight as well as pre and post flight. Major differences in individual "perceptual style" appeared in their reaction to the visual-vestibular stimuli in the rotating dome experiment, and especially in the extent to which nondirectional tactile cues served to anchor the subjective vertical and body postural reactions. The ability of subjects to point to remembered target positions was degraded in space, which produced a tendency to point low in some subjects in flight. The eye movements and subjective response to sudden stops and head pitching following continuous spinning (dumping) were measured both in space and on the ground. Although subjective duration of inflight rotation for the dumping tests was shorter than that for the preflight tests, the postrotatory nystagmus, with or without head pitch, was lengthened in time constant relative to preflight. Ground tests, in addition to the flight experiments, investigated the changes following weightlessness in subjective and oculomotor reactions to whole body tilt, the ability to balance with eyes open and closed; leg muscles strength and stamina as related to posture; visual field dependence; and the perceptual and oculomotor reactions to horizontal linear acceleration. Several of these tests, as well as post-flight measures of motion sickness susceptibility, revealed subtle evidence of neurovestibular alterations that lasted a week or more following the 10-day orbital exposure.

Adaptation, Physiological↗

Horizontal angular VOR, nystagmus dumping, and sensation duration in spacelab SLS-1 crewmembers.

In 1G, the apparent time constant (Td) of postrotatory SPV decay with the head tilted face down is 55% of that with head erect (Te). This phenomenon is called "nystagmus dumping" and has been attributed to G effects on VOR velocity storage. Similarly, postrotatory sensation duration with head tilted (Dd) is 32% of that when head erect (De). In parabolic flight, Te and De are 70% of 1-G values, but a pitch back dumping movement produces no further change. Te, Td, and Dd have not previously been measured in orbital flight. VOR and sensation duration was tested in 4 crewmembers in 4 preflight, 1 inflight (days 4 or 5) and 4 post flight sessions. Bitemporal EOG was recorded with eyes open in darkness. Instructions were to "gaze straight ahead," and indicate when "rotation sensation disappears or becomes ambiguous". Subjects were rotated CW and CCW head erect for 1 min at 120 degrees/s, stopped, and EOG was recorded for another 1 min. This procedure was then used to study dumping, except that immediately after chair stop, subjects pitched their head forward 90 degrees. SPV was calculated using order statistic filtering, and dropouts removed using an iterative model fitting method. Te and Td were determined by logarithmic linear regression of mean SPV for each subject. In orbit, 90 degrees pitch movement produced rapid subjective dumping, but not nystagmus dumping. Dd was noticeably shorter ("almost instantaneous") compared to preflight Dd. Te and Td in orbit were similar to preflight Te for 3/4 subjects (rather than to preflight Td as expected). No consistent VOR gain changes were seen in orbit. Although Te is known to decrease acutely in parabolic flight, a longer time constant was measured in 3/4 subjects after 4-5 days adaptation to weightlessness, suggesting a return of angular velocity storage.

Adult↗

The dynamics of spatial orientation during complex and changing linear and angular acceleration.

The dynamics of spatial orientation perception were examined in a series of experiments in which a total of 43 subjects were passively exposed to various combinations of linear and angular acceleration during centrifuge runs. Perceptual effects during deceleration were much stronger than effects during acceleration. The dynamics of spatial orientation perception differed substantially from changes in the vestibulo-ocular reflex (VOR). VOR was fairly well predicted by a current model, but our experiments revealed perceived change in attitude (roll, pitch, yaw tilt position in space) and perceived angular velocity in space that was not reflected by parallel changes in the plane or magnitude of the VOR. This series of experiments establishes several facts concerning spatial orientation perception beyond the predictive domain of any current model. New concepts are needed and several are suggested to deal with changing reactions to complex combinations of linear and angular accelerations.

Acceleration↗

Motion sickness: a synthesis and evaluation of the sensory conflict theory.

"Motion sickness" is the general term describing a group of common nausea syndromes originally attributed to motion-induced cerebral ischemia, stimulation of abdominal organ afferents, or overstimulation of the vestibular organs of the inner ear. Seasickness, car sickness, and airsickness are commonly experienced examples. However, the identification of other variants such as spectacle sickness and flight simulator sickness in which the physical motion of the head and body is normal or even absent has led to a succession of "sensory conflict" theories that offer a more comprehensive etiologic perspective. Implicit in the conflict theory is the hypothesis that neural and (or) humoral signals originate in regions of the brain subserving spatial orientation, and that these signals somehow traverse to other centers mediating sickness symptoms. Unfortunately, our present understanding of the neurophysiological basis of motion sickness is incomplete. No sensory conflict neuron or process has yet been physiologically identified. This paper reviews the types of stimuli that cause sickness and synthesizes a mathematical statement of the sensory conflict hypothesis based on observer theory from control engineering. A revised mathematical model is presented that describes the dynamic coupling between the putative conflict signals and nausea magnitude estimates. Based on the model, what properties would a conflict neuron be expected to have?

Animals↗

Effects of scopolamine and dextroamphetamine on human performance.

The effects of two drugs used to prevent symptoms of motion sickness in the operational environment were examined in this study of human performance as measured by computer-based tests of cognitive and psychomotor skills. Each subject was exposed repetitively to five tests: Symbol-Digit Substitution, Simple Reaction Time, Pattern Recognition, Digit Span Memory, and Pattern Memory. Although there have been previous reports of decreases in human performance in similar testing with higher dosages of scopolamine or dextroamphetamine, no significant decrements were observed with the operational-level combined dose used in this study (0.4 mg oral scopolamine and 5.0 mg oral dextroamphetamine.) The controversy over the use of combination drug therapy in this environment is discussed along with the indications for further research based on the findings.

Attention↗

Spacelab experiments on space motion sickness.

Recent research results from ground and flight experiments on motion sickness and space sickness conducted by the Man Vehicle Laboratory are reviewed. New tools developed include a mathematical model for motion sickness, a method for quantitative measurements of skin pallor and blush in ambulatory subjects, and a magnitude estimation technique for ratio scaling of nausea or discomfort. These have been used to experimentally study the time course of skin pallor and subjective symptoms in laboratory motion sickness. In prolonged sickness, subjects become hypersensitive to nauseogenic stimuli. Results of a Spacelab-1 flight experiment are described in which four observers documented the stimulus factors for and the symptoms/signs of space sickness. The clinical character of space sickness differs somewhat from acute laboratory motion sickness. However SL-1 findings support the view that space sickness is fundamentally a motion sickness. Symptoms were subjectively alleviated by head movement restriction, maintenance of a familiar orientation with respect to the visual environment, and wedging between or strapping onto surfaces which provided broad contact cues confirming the absence of body motion.

Adaptation, Physiological↗

M.I.T./Canadian vestibular experiments on the Spacelab-1 mission: 1. Sensory adaptation to weightlessness and readaptation to one-g: an overview.

Experiments on human spatial orientation were conducted on four crewmembers of Space Shuttle Spacelab Mission 1. This introductory paper presents the conceptual background of the project, the relationship among the experiments and their relevance to a "sensory reinterpretation hypothesis". Detailed experiment procedures and results are presented in the accompanying papers in this series. The overall findings are discussed in this article as they pertain to the following aspects of hypothesized sensory reinterpretation in weightlessness: utricular otolith afferent signals are reinterpreted as indicating head translation rather than tilt, sensitivity of reflex responses to footward acceleration is reduced, and increased weighting is given to visual and tactile cues in orientation perception and posture control. Three subjects developed space motion sickness symptoms, which abated after several days. Head movements, as well as visual and tactile cues to orientation influenced symptoms in a manner consistent with the sensory-motor conflict theory of space motion sickness. Six short duration tests of motion sickness susceptibility, conducted pre-flight, failed to predict sickness intensity in weightlessness. An early otolith-spinal reflex, measured by electromyography from the gastrocnemius-soleus muscles during sudden footward acceleration, was inhibited immediately upon entering weightlessness and declined further during the flight, but was unchanged from pre-flight when measured shortly after return to earth. Dynamic visual-vestibular interaction was studied by measuring subjective roll self-motion created by looking into a spinning drum. Results suggest increased weighting of visual cues and reduced weighting of graviceptor signals in weightlessness. Following the 10 day flight, erect posture with eyes closed was disturbed for several days.(ABSTRACT TRUNCATED AT 250 WORDS)

Adaptation, Physiological↗

M.I.T./Canadian vestibular experiments on the Spacelab-1 mission: 4. Space motion sickness: symptoms, stimuli, and predictability.

Space sickness symptoms were observed by 4 specially trained observers on Spacelab-1. Three reported persistent symptoms, and vomited repeatedly during the first and/or second day of flight. Head movements on all axes were provocative, particularly in pitch and roll. Head acceleration data recorded from 2 symptomatic crewmen showed that after several hours of physical activity in orbit, symptoms appeared, and thereafter both crewmen were compelled to limit head movements. Firm body contact with motionless surfaces helped alleviate symptoms. When crewmembers floated into unfamiliar body orientations in the cabin, inherent ambiguities in static visual orientation cues sometimes produced spatial reorientation episodes which were also provocative. Symptoms largely resembled those of other forms of prolonged motion sickness, superimposed upon other symptoms attributable to fluid shift. All 4 eventually used anti-motion sickness drugs. When they did, vomiting frequency was reduced. By the 4th day, symptoms subsided, and head accelerations again increased in magnitude and variability. Sickness intensity in orbit was not predicted by statistically concordant results of 6 acute preflight susceptibility tests. However, results from a longer duration preflight prism goggles test showed an apparent correlation. All subjects were asymptomatic making head movements in parabolic flight 4 days after the mission, but not 1 year later. Overall, results support the view that space sickness is a motion sickness.

Acceleration↗

Spatial orientation in weightlessness and readaptation to earth's gravity.

Unusual vestibular responses to head movements in weightlessness may produce spatial orientation illusions and symptoms of space motion sickness. An integrated set of experiments was performed during Spacelab 1, as well as before and after the flight, to evaluate responses mediated by the otolith organs and semicircular canals. A variety of measurements were used, including eye movements, postural control, perception of orientation, and susceptibility to space sickness.

Acceleration↗

Visual and graviceptive influences on lower leg EMG activity in humans during brief falls.

Human subjects were suspended in a safety harness 28 cm above the floor by a steel cable connected to a computer controlled force generator (electromagnetic brake). After the subjects were unexpectedly released, various controlled patterns of downward acceleration (less than 1 g) could be produced. During the falls, EMG activity was recorded simultaneously from the gastrocnemius, soleus, tibialis anterior, rectus femoris, and biceps femoris, along with knee and ankle joint angle in one leg. Subjects were tested eyes closed and also eyes open, both in darkness and in light using a wide field visual display. The display scene could be moved downwards at exactly the same velocity as the moving subject, left fixed with respect to the laboratory ("normal" visual field), or moved upwards at a speed equal to the subject's falling speed (upward moving visual field). Ten vestibularly normal subjects each underwent a total of 45 drops, experiencing three replications of each vision/motion combination used. Under normal visual field conditions, both short and long latency postural responses were seen, which were dependent on the magnitude of the acceleration stimulus. Several of the visual conditions significantly altered both the short and the long latency responses in most of the muscles tested. Effects were particularly prominent in the gastrocnemius and soleus, and were also more pronounced during slow (0.5 g) falls. The upward moving visual field condition increased the short latency EMG reaction in gastrocnemius and soleus for 0.5 g falls. A preliminary scheme for visual-vestibular interaction in short latency EMG responses is presented. Long latency responses are more variable and not conducive to a simple interpretation.

Acceleration↗

A heuristic mathematical model for the dynamics of sensory conflict and motion sickness.

The etiology of motion sickness is now usually explained in terms of a qualitatively formulated "sensory conflict" hypothesis. By consideration of the information processing task faced by the central nervous system in estimating body spatial orientation and in controlling active body movement using an "internal model" referenced control strategy, a mathematical model for sensory conflict generation is developed. The model incorporates and extends models proposed by von Holst, Held, and Reason, and is congruent with multisensory models for spatial orientation developed by Young and coworkers. The model postulates a major dynamic functional role for sensory conflict signals in movement control, as well as in sensory-motor adaptation. It accounts for the role of active movement in creating motion sickness symptoms in some experimental circumstances, and in alleviating them in others. The relationship between motion sickness produced by "sensory rearrangement" and that resulting from external motion disturbances is explicitly defined. A nonlinear conflict averaging model is proposed which describes dynamic aspects of experimentally observed subjective discomfort sensation, and suggests resulting behaviours. The model admits several possibilities for adaptive mechanisms which do not involve internal model updating. Further systematic efforts to experimentally refine and validate the model are indicated.

Conflict, Psychological↗

Dynamics of subjective discomfort in motion sickness as measured with a magnitude estimation method.

Eight subjects, wearing left-right vision reversing goggles, executed sequences of controlled active head movements to provoke motion sickness. Head movement sequences were interspaced with periods of eye closure and no head movement to permit partial remission of symptoms between sequences. Subjects reported the level of discomfort experienced by using a magnitude estimation technique derived from Stevens' (1957) ratio scaling method. Using this approach, we demonstrated that the time course of subjective discomfort exhibits a profile, similar in all our subjects, characterized by both fast and slow response components. The potential usefulness of magnitude estimation for research on the dynamic properties of the mechanism generating motion sickness symptoms is discussed.

Humans↗