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PubMedDate not supplied

A comparison of head movement during back boarding by motorized spine-board and log-roll techniques.

CONTEXT: In a patient with a potential cervical spine injury, minimizing or eliminating movement at the head and neck during stabilization and transport is paramount because movement can exacerbate the condition. Any equipment or technique creating less movement will allow for a more effective and safe stabilization of an injured patient, reducing the likelihood of movement and potential secondary injury. OBJECTIVE: To compare the amount of head movement created during the log-roll and motorized spine-board (MSB) stabilization techniques. DESIGN: A 2-condition, repeated-measures design. SETTING: Laboratory. PATIENTS OR OTHER PARTICIPANTS: Thirteen certified athletic trainers, emergency first responders, and emergency medical technicians (6 men, 7 women). INTERVENTION(S): Subjects rotated through 4 positions for the log roll and 2 positions for the MSB. Each subject performed 3 trials while maintaining manual, inline stabilization of the model's head for each condition. MAIN OUTCOME MEASURE(S): Three-dimensional head movement was measured and expressed as degrees of motion. RESULTS: The log roll created significantly more motion in the frontal and transverse planes compared with the MSB (P = .001 for both measures). No significant difference was noted for sagittal-plane motion (P = .028). CONCLUSIONS: The MSB created less movement at the head than did the log roll in 2 planes of motion and created slightly more motion in 1 plane, although this difference was not significant. The MSB may provide emergency responders with an appropriate alternative method for stabilizing and transporting a supine injured athlete without requiring a log roll.

Journal Article↗
PubMed2005

Head movements while crossing streets: effect of vision impairment.

BACKGROUND: Crossing the street is an activity that requires gathering information over a large area. The challenge in safely crossing a street is to acquire the necessary information for a decision of when to cross within a limited window of time. The purpose of this study was to compare the head movement behavior of visually impaired pedestrians with fully sighted pedestrians at two types of complex intersections: a plus intersection and a roundabout. METHOD: We measured the head movement behavior of 12 subjects with normal vision, 11 subjects with age-related macular degeneration (AMD), and 10 subjects with glaucoma as they approached and crossed at the two intersections. The primary measures were the percentage of time the head was directed to the left, center, or right and the frequency of head turns. We compared measures across groups and relative to three criteria of head movement behavior for maximizing street-crossing safety. RESULTS: Crossing the street can be divided into three phases: walking to the curb, standing at the curb, and crossing the street. We found that while moving, the majority of subjects directed their head to the center. This was true at the plus intersection and roundabout. Group differences were found in the frequency of head turns at the plus intersection, with the AMD pedestrians having a lower frequency of head turns compared with the fully sighted pedestrians. However, the frequency of head turns increased for all the groups during the last 4 seconds before crossing, with the frequency being the greatest during the last second. Numerous subjects had head movements consistent with pedestrian safety, although there were subjects in each group who failed to demonstrate maximum safety. More of the visually impaired pedestrians exhibited less safe head movement behavior than the fully sighted pedestrians. CONCLUSIONS: The effects of visual impairment on head movement behavior were associated with pedestrian safety at critical moments in the street-crossing process. Mobility training programs aimed at teaching safe head movement behavior for street crossing could help to increase the safety of visually impaired pedestrians.

Accident Prevention↗
PubMed2004

Velocity of head movements and sensory-motor adaptation during and after short spaceflight.

To investigate to time course of sensory-motor adaptation to microgravity, we tested spatially-directed voluntary head movements before, during and after short spaceflight. We also tested the re-adaptation of postural responses to sensory stimulation after space flight. The cosmonaut performed in microgravity six cycles of voluntary head rotation in pitch, roll and yaw directions. During the first days of weightlessness the angular velocity of head movements increased. Over the next days of microgravity the velocity of head movements gradually decreased. On landing day a significant decrease of head rotation velocity was observed compared to the head movement velocity before spaceflight. Re-adaptation to Earth condition measured by body sway on soft support showed similar time course, but re-adaptation measured by postural responses to vestibular galvanic stimulation was prolonged. These results showed that the angular velocity of aimed head movements of cosmonauts is a good indicator of sensory-motor adaptation in altered gravity conditions.

Adaptation, Physiological↗
PubMed1999

The effect of muscle-tone-reducing procedures in athetotic head movements: partial nerve block by lidocaine and surgical release of the neck muscles.

OBJECTIVE: To investigate the effect of muscle-tone-reducing procedures (MTRPs), i.e. partial nerve block by lidocaine (PNB) and surgical release of muscle attachment to bone (SRMAB), on incessant involuntary head movements in athetotic patients. METHODS: Pre/post-MTRP changes in neck-muscle activities, glabella movement and maximum isometric forces of the head were measured in six athetotic patients with severe spondylotic myelopathy resulting from incessant involuntary head movements. RESULTS: Pre/post-MTRP changes in neck-muscle activities resembled those after gamma-block. In four patients, PNB reduced the maximum isometric force by no more than 40% of pre-PNB force, while decreasing the amount of involuntary head movements to 37-65% of the pre-PNB value in the frontal plane. MRSAB reduced the force by less than 40% of pre-SRMAB force in 4 MRSAB tested patients, while decreasing the amount of involuntary head movements to 12-45% of the pre-SRMAB value in all 6 patients. CONCLUSION: MTRPs reduced involuntary head movements significantly while preserving voluntary muscle forces relatively well. PNB and SRMAB procedures have in common the effect of reducing gain in the myotatic reflex pathway by decreasing the excitatory inflows to alpha-motoneurons via muscle spindle Ia-afferents, which resulted from blocking mainly gamma-efferent conduction by PNB, and reducing background tension in muscle spindles by SRMAB.

Adult↗
PubMed1977

Optokinetic motion sickness: continuous head movements attenuate the visual induction of apparent self-rotation and symptoms of motion sickness.

Symptoms of motion sickness are sometimes experienced during exposure to optokinetic stimulation. Two experimetns were performed to compare the symptoms of motion sickness elicited when subjects were exposed to incremental changes in optokinetic stimulation while sitting passively and while continuously executing shoulder-to-shoulder head movements. In the first experiment, a fixed head-movement frequency (20 cpm) was used, wheras in the second the subjects varied the frequency of their head movements in order to maintain suppression of illusory self-rotation. In both experiments, subjects in the head-moving condition had fewer and less severe symptoms of motion sickness and experienced illusory self-rotation after longer exposure times and at higher optokinetic velocities than in the head-stationary condition. Subjects in th- head-movement condition of the second experiment increased the frequency of their head movements as the velocity of optokinetic stimulation increased. The symptoms of motion sickness elicited during optokinetic stimulation tended to be dizziness, headache, eye-strain, and stomach awareness appearing in no fixed order. The pattern and constellation of symptoms are unlike those elicited by vestibular stimulation.

Eye Movements↗
PubMed1997

Peripheral stimulus localization by infants with eye and head movements during visual attention.

The effect of attention to a focal stimulus on 14, 20 and 26-week-old infant's peripheral stimulus localization with eye and head movements was examined in this study. Fixation was engaged on a stimulus in the central visual field and a stimulus was presented in the periphery immediately or after a delay. Peripheral stimulus localization occurred less frequently near the beginning of fixation and when a significant heart rate deceleration had occurred (sustained attention), compared with when no focal stimulus was present or after heart rate had returned to prestimulus level (attention termination). Localization was accompanied by head movements on more than two-thirds of the trials, and the likelihood of head movements was positively associated with stimulus eccentricity. The saccades to localize the peripheral stimulus had unusually high velocities in the attention conditions for the two older aged groups relative to their saccades in inattentive conditions. There were unusual "localizing head movements" in the attention conditions in the absence of localizing saccades or changes in fixation for the two older age groups. Infant attention modulates eye movement characteristics of infants. These data also support the hypothesis that eye and head movement systems are relatively independent in the infant, and that eye-head relations during infant attention may be different from during inattention.

Aging↗
PubMed1977

Predictive head-movements during automobile mirror-sampling.

Eye-head response patterns of 3 novice, 3 young experienced, and 3 mature drivers were recorded by television cameras as they sampled their vehicle's mirrors just prior to making freeway left-lane changes, right-lane changes, and entrance merges. Eye-head responses were called "classical" if the eyes moved before the head and "predictive" if the head moved before the eyes. Drivers made about twice as many predictive responses as classical ones. Data suggested that the rate of making predictive head-movements was 90 msec. and that of classical responses was 45 msec. Latency was not related to the amount of driving experience.

Adult↗
PubMedDate not supplied

Effects of long duration centrifugation on head movements and a psychomotor task.

Previous investigations suggest strong similarities between aftereffects of an 1.5-hour 3 gx centrifuge run (Sickness Induced by Centrifugation; SIC) and the Space Adaptation Syndrome (SAS). Head movements proved to be especially nauseogenic in both cases. Until recently, during SIC experimentation, the performance of head movements was not adequately operationalized, which hampered a statistical evaluation. For this purpose, a test was designed by which head movements in four directions (left, right, up, and down) were provoked and registered, once before and once after a 1-h 3 g centrifuge run. Subjects had to execute these head movements in order to perform well on a psychomotor task. The results indicate that the test described is sensitive in discriminating between subjects who are seriously affected after a long duration centrifugation and those who are not. Because differences in performance were found only on those parts of the task in which head movements were involved, objective evidence is obtained in favour of a vestibular cause in the etiology of SIC.

Centrifugation↗
PubMed1990

Electromyographic study of the sternocleidomastoid muscle in head movements.

The function of the sternocleidomastoid muscle in head movements of 30 young individuals (19-28 years old, both sexes) was studied electromyographically using a TECA TE-4 electromyograph and Beckman surface electrodes. Action potentials were found in the following head movements: free heterolateral rotation; free homolateral inclination; free and counter-resistance protraction; free and counter-resistance flexion and free extension. These movements were performed with the subjects seated and in supine position.

Action Potentials↗
PubMed1999

Contribution of the cerebellar flocculus to gaze control during active head movements.

The flocculus and ventral paraflocculus are adjacent regions of the cerebellar cortex that are essential for controlling smooth pursuit eye movements and for altering the performance of the vestibulo-ocular reflex (VOR). The question addressed in this study is whether these regions of the cerebellum are more globally involved in controlling gaze, regardless of whether eye or active head movements are used to pursue moving visual targets. Single-unit recordings were obtained from Purkinje (Pk) cells in the floccular region of squirrel monkeys that were trained to fixate and pursue small visual targets. Cell firing rate was recorded during smooth pursuit eye movements, cancellation of the VOR, combined eye-head pursuit, and spontaneous gaze shifts in the absence of targets. Pk cells were found to be much less sensitive to gaze velocity during combined eye-head pursuit than during ocular pursuit. They were not sensitive to gaze or head velocity during gaze saccades. Temporary inactivation of the floccular region by muscimol injection compromised ocular pursuit but had little effect on the ability of monkeys to pursue visual targets with head movements or to cancel the VOR during active head movements. Thus the signals produced by Pk cells in the floccular region are necessary for controlling smooth pursuit eye movements but not for coordinating gaze during active head movements. The results imply that individual functional modules in the cerebellar cortex are less involved in the global organization and coordination of movements than with parametric control of movements produced by a specific part of the body.

Animals↗
PubMedDate not supplied

Relationship between time- and frequency-domain analyses of angular head movements in the squirrel monkey.

We used the three-dimensional magnetic search-coil recording technique to study the range of active angular head movements made by squirrel monkeys. There were two goals in this study: (1) to determine the range of angular velocities and accelerations as well as the bandwidth and other frequency characteristics of active head movements and (2) to compare analyses of transients of velocity and acceleration that are studied by residual analysis, Fourier transform, and wavelet transform of the head velocity signal. The residual analysis showed that the shape and duration of the transients affected the bandwidth. During the time after the head had begun to accelerate, the frequency content of the head movement extended into the range of 6 to 12 Hz. When considering all three planes of rotation, approximately 75% of the transients had peak acceleration between 2,000 and 10,000 deg/s(2) and a peak velocity of 50 to 400 deg/s. A peak acceleration of >10,000 deg/s(2) was recorded in 10% of the transients. These findings indicate that active head movements in squirrel monkeys cover a higher range of frequencies, accelerations, and velocities than have typically been used in previous eye-movement and neuronal studies of the reflexes that control gaze. We further conclude that the choice of a method for analyzing transient, time-varying biological signals is dependent on the desired information. Residual analysis provides detailed resolution in the time domain, but estimation of the frequency content of the signal is dependent on the portions selected for analysis and the choice of filters. Fourier transform provides a representation of the power spectrum in the frequency domain but without any inherent temporal resolution. We show that the wavelet transform, a novel method as applied to the signal analysis goals of this study, is the most useful technique for relating time- and frequency-domain information during a continuous signal.

Acceleration↗
PubMedDate not supplied

Eye-head movement coordination: vestibulo-ocular reflex suppression with head-fixed target fixation.

To maintain clear vision, the images on the retina must remain reasonably stable. Head movements are generally dealt with successfully by counter-rotation of the eyes induced by the combined actions of the vestibulo-ocular reflex (VOR) and the optokinetic reflex. A problem of importance relates to the value of the so-called intrinsic gain of the VOR (VORG) in man, and how this gain is modulated to provide appropriate eye movements. We have studied these problems in two situations: 1. fixation of a stationary object of the visual space while the head moves; 2. fixation of an object moving with the head. These two situations were compared to a basic condition in which no visual target was allowed in order to induce "pure" VOR. Eye movements were recorded in seated subjects during stationary sinusoidal and transient rotations around the vertical axis. Subjects were in total darkness (DARK condition) and involved in mental arithmetic. Alternatively, they were provided with a small foveal target, either fixed with respect to earth (earth-fixed target: EFT condition), or moving with them (chair-fixed-target: CFT condition). The stationary rotation experiment was used as baseline for the ensuing experiment and yielded control data in agreement with the literature. In all 3 visual conditions, typical responses to transient rotations were rigorously identical during the first 200 ms. They showed, sequentially, a 16-ms delay of the eye behind the head and a rapid increase in eye velocity during 75 to 80 ms, after which the average VORG was 0.9 +/- 0.15. During the following 50 to 100 ms, the gain remained around 0.9 in all three conditions. Beyond 200 ms, the VORG remained around 0.9 in DARK and increased slowly towards 1 or decreased towards zero in the EFT and CFT conditions, respectively. The time-course of the later events suggests that visual tracking mechanisms came into play to reduce retinal slip through smooth pursuit, and position error through saccades. Our data also show that in total darkness VORG is set to 0.9 in man. Lower values reported in the literature essentially reflect predictive properties of the vestibulo-ocular mechanism, particularly evident when the input signal is a sinewave.

Dark Adaptation↗
PubMed1987

Eye and head movements to visual and auditory targets.

Coordinated eye-head movements evoked by the presentation of visual, auditory and combined audio-visual targets were studied in 24 human subjects. At 60 deg located targets latencies of eye and head movements were shorter for auditory than for visual stimuli. Latencies were shorter for bisensory than for monosensory targets. The eye and head latencies were differently influenced by the modality of the stimulus when the eccentricity of the target was changed, but not by the variation of the stimulus duration. The different responses of the eye and the head depending on target modality and target eccentricity can be partially attributed to perceptual and central processing mechanisms, and are important to answer the question about the initial event in coordinated eye-head orientation.

Acoustic Stimulation↗