Real sounds influence postural stability in people with vestibular loss but not in healthy controls.

IF 2.9 3区 综合性期刊 Q1 MULTIDISCIPLINARY SCIENCES
PLoS ONE Pub Date : 2025-01-24 eCollection Date: 2025-01-01 DOI:10.1371/journal.pone.0317955
Anat V Lubetzky, Maura Cosetti, Daphna Harel, Marlee Sherrod, Zhu Wang, Agnieszka Roginska, Jennifer Kelly
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引用次数: 0

Abstract

Objective: What we hear may influence postural control, particularly in people with vestibular hypofunction. Would hearing a moving subway destabilize people similarly to seeing the train move? We investigated how people with unilateral vestibular hypofunction and healthy controls incorporated broadband and real-recorded sounds with visual load for balance in an immersive contextual scene.

Design: Participants stood on foam placed on a force-platform, wore the HTC Vive headset, and observed an immersive subway environment. Each 60-second condition repeated twice: static or dynamic visual with no sound or static white noise or real recorded subway station sounds [real] played from headphones.

Setting: Human motion laboratory.

Participants: 41 healthy controls (mean age 52 years, range 22-78) and 28 participants with unilateral peripheral vestibular hypofunction (mean age 61.5, 27-82).

Main outcome measures: We collected center-of-pressure (COP, anterior-posterior, medio-lateral) from the force-platform and head (anterior-posterior, medio-lateral, pitch, yaw, roll) from the headset and quantified root mean square velocity (cm/s or rad/s).

Results: Adjusting for age, the vestibular group showed significantly more sway than controls on: COP medio-lateral (no sound or real with static or dynamic visual); COP anterior-posterior (only on dynamic visuals in the presence of either sound); head medio-lateral and anterior-posterior (all conditions), head pitch and yaw (only on dynamic visuals in the presence of either sound). A significant increase in sway with sounds was observed for the vestibular group only on dynamic visuals COP anterior-posterior and head yaw (real) and head anterior-posterior and pitch (either sound).

Conclusions: The addition of auditory stimuli, particularly contextually-accurate sounds, to a challenging, standing balance task in real-life simulation increased sway in people with vestibular hypofunction but not in healthy controls.

Trial registration: Clinical trial registrationThis study was registered on clinicaltrials.gov at the following link: https://clinicaltrials.gov/study/NCT04479761.

真实的声音影响前庭功能丧失患者的姿势稳定性,但对健康对照组没有影响。
目的:我们听到的声音可能影响姿势控制,尤其是前庭功能障碍患者。听到移动的地铁会像看到火车移动一样让人不稳定吗?我们调查了单侧前庭功能障碍患者和健康对照者如何将宽带和实时录制的声音与视觉负荷相结合,以在沉浸式情境中保持平衡。设计:参与者站在放置在受力平台上的泡沫上,佩戴HTC Vive耳机,观察沉浸式地铁环境。每个60秒的条件重复两次:静态或动态视觉无声音或静态白噪音或真实记录的地铁站声音[真实]从耳机播放。设置:人体运动实验室。参与者:41名健康对照者(平均年龄52岁,范围22-78岁)和28名单侧前庭外周功能障碍患者(平均年龄61.5岁,范围27-82岁)。主要结果测量:我们收集了力平台的压力中心(COP、前后、中外侧)和头戴式头盔的头部(前后、中外侧、俯仰、偏转、侧滚),并量化了均方根速度(cm/s或rad/s)。结果:调整年龄后,前庭组在COP中外侧(无声音或真实,静态或动态视觉)上的摇摆明显大于对照组;COP前后(仅在两种声音存在时的动态视觉上);头部中外侧和前后(所有情况),头部俯仰和偏航(仅在任何声音存在的动态视觉上)。在前庭组中,仅在动态视觉上(真实的)前后偏航和头前后偏航以及头前后偏航和音高(任何一种声音)上观察到明显的摇摆增加。结论:在现实生活模拟中,在具有挑战性的站立平衡任务中加入听觉刺激,特别是情境准确的声音,会增加前庭功能障碍患者的摇摆,但在健康对照组中没有。试验注册:临床试验注册本研究已在clinicaltrials.gov上注册,链接如下:https://clinicaltrials.gov/study/NCT04479761。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PLoS ONE
PLoS ONE 生物-生物学
CiteScore
6.20
自引率
5.40%
发文量
14242
审稿时长
3.7 months
期刊介绍: PLOS ONE is an international, peer-reviewed, open-access, online publication. PLOS ONE welcomes reports on primary research from any scientific discipline. It provides: * Open-access—freely accessible online, authors retain copyright * Fast publication times * Peer review by expert, practicing researchers * Post-publication tools to indicate quality and impact * Community-based dialogue on articles * Worldwide media coverage
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