Behavioural And Physiological Tests Of Clinical Indicators Of Vestibular Function.
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
Part of the inner ear is responsible for our sense of balance and for maintaining clear vision and stable posture. Recurring vertigo attacks and persistent imbalance can disrupt the most productive years of patients' lives and balance-related falls account for more the half of accidental deaths in the elderly. Despite this most doctors find dizziness difficult to diagnose and impossible to treat, so specialist Balance Disorders Clinics see many patients a year but still have very long waiting ti ....Part of the inner ear is responsible for our sense of balance and for maintaining clear vision and stable posture. Recurring vertigo attacks and persistent imbalance can disrupt the most productive years of patients' lives and balance-related falls account for more the half of accidental deaths in the elderly. Despite this most doctors find dizziness difficult to diagnose and impossible to treat, so specialist Balance Disorders Clinics see many patients a year but still have very long waiting times. There is then clearly a major need to improve the understanding and the treatment of dizzy patients and improvement will come about through scientific understanding of vestibular dysfunction, and technological realization of improvements in the assessment and treatment of patients. This project seeks to identify whether 3 simple new indicators of balance function are valid, using tests on guinea pigs to understand the way in which they work.Read moreRead less
Oculomotor Tests Of Otolith Function Using Human Centrifugation
Funder
National Health and Medical Research Council
Funding Amount
$284,450.00
Summary
The effects of dysfunction of the balance system of the inner ear (the vestibular system) can range from mild brief episodes of dizziness to almost complete incapacitation: where the patient feels unstable, their posture is unstable, their vision is unstable. In order to guide appropriate treatment and rehabilitation, diagnostic tests are needed to identify whether the dysfunction is due to a brain problem or a problem in the inner ear, and if an ear problem - which part of the inner ear system ....The effects of dysfunction of the balance system of the inner ear (the vestibular system) can range from mild brief episodes of dizziness to almost complete incapacitation: where the patient feels unstable, their posture is unstable, their vision is unstable. In order to guide appropriate treatment and rehabilitation, diagnostic tests are needed to identify whether the dysfunction is due to a brain problem or a problem in the inner ear, and if an ear problem - which part of the inner ear system is affected. By combining basic research with clinically feasible methods my colleagues and I have, with NH and MRC support, developed some of the most widely used clinical tests of balance function available today (see Halmagyi, Cremer and Curthoys 2003 for a review). In this Project I seek to continue the development of a test of part of the balance system (the utricular macula) for which there are few acceptable tests. I will do that by using the unique facilities available at Sydney University and RPA Hospital, presenting controlled stimuli (linear accelerations) to healthy human subjects and patients with known vestibular losses, and measuring precisely their eye movement responses to these stimuli using computerized image processing techniques. The experiments will test an hypothesis about how part of the vestibular system, the utricular macula, works and controls eye movements. One eye movement response, rolling of the eye around the line of sight (called ocular torsion) during maintained roll head-tilts (to the patients left or right) may be due to the joint activation of two regions of the balance receptors: the utricular and saccular maculae. As a result of a recent direct test we have managed to conduct on two normal subjects, we think that hypothesis should be thoroughly re-tested on subjects and patients with known vestibular losses and in doing so provide new understanding of otolith function which may lead to new clinical tests.Read moreRead less
We do not possess a clinical test to assess balance pathways to the trunk and lower limbs. This project will use vibration pulses and a gentle electrical pulses to activate inner ear balance organs and evoke a postural response. We will assess healthy volunteers across age groups and dizzy patients . We will develop and disseminate a simplified test for widespread clinical use. Our findings will be used to refine and validate a predictive model of postural responses to electrical stimulation.
Experimental Validation Of A Clinical Indicator Of Utricular Function.
Funder
National Health and Medical Research Council
Funding Amount
$198,689.00
Summary
The vestibular system is responsible for our sense of balance, it is located in the inner ear and is responsible for maintaining posture and helping an organism to make appropriate eye movements when the head moves. Damage to the vestibular system by disease or accident is extremely debilitating for a patient. A chief goal of our research program is to develop simple tests of the vestibular system that can be used in the clinic to diagnose vestibular disorders. Most present clinical tests only t ....The vestibular system is responsible for our sense of balance, it is located in the inner ear and is responsible for maintaining posture and helping an organism to make appropriate eye movements when the head moves. Damage to the vestibular system by disease or accident is extremely debilitating for a patient. A chief goal of our research program is to develop simple tests of the vestibular system that can be used in the clinic to diagnose vestibular disorders. Most present clinical tests only test the part of the vestibular system that responds to angular rotations (the semicircular canals). There are few good tests that can reliably diagnose problems concerned with sensed position (the otoliths). Recent evidence from human studies has shown that by delivering small electrical currents (galvanic stimulation) via electrodes located on the surface of the skin behind the ears, a characteristic pattern of eye movement occurs. Our hypothesis is that the distinctive pattern of eye movement produced is a result of otolith stimulation. The aim of this project is to determine exactly how these small currents produce the eye movements and if these eye movements are in fact mediated by the otoliths. To determine the physiology that underlies these types of responses we are unable to conduct these experiments in humans. Our present program will therefore use both behavioural and physiological experiments on guinea pigs to test our hypotheses about galvanic stimulation and otolith function. The significance of this work lies in that it will lead to a new way of evaluating the function of the gravity sensing part of the human vestibular system which appear to be uniquely important for patients with balance problems.Read moreRead less
Vestibulo-ocular Reflex Physiology, Pathology And Diagnosis.
Funder
National Health and Medical Research Council
Funding Amount
$387,489.00
Summary
A sensation of movement from the inner ear is used to stabilise vision during head movements. Without it, every time you walk, run, or drive on a bumpy road, the world would appear to bounce. It can be debilitating when this sense doesn't work due to various diseases. This research examines what causes these disorders and how the brain responds to help recovery. A diagnostic technique, that we will develop for wide clinical use, will be used to assess and identify treatments.
Cellular Mechanisms Underlying The Sense Of Balance
Funder
National Health and Medical Research Council
Funding Amount
$192,960.00
Summary
Dizziness, vertigo, and imbalance are major reasons for visits to the doctor, particularly by the elderly. For example, balance related falls account for an astonishing 50% of accidental deaths in people over 65. Inner ear disturbances account for 85% of these cases. Illness, infections, disease, head trauma or simply the natural aging process cause these disturbances and it is thought that they result in abnormal signals being sent from the inner ear to the brain. In spite of the health costs a ....Dizziness, vertigo, and imbalance are major reasons for visits to the doctor, particularly by the elderly. For example, balance related falls account for an astonishing 50% of accidental deaths in people over 65. Inner ear disturbances account for 85% of these cases. Illness, infections, disease, head trauma or simply the natural aging process cause these disturbances and it is thought that they result in abnormal signals being sent from the inner ear to the brain. In spite of the health costs associated with disorders of balance, very little is known about how signals are generated in our vestibular organs, let alone what abnormal changes may occur. Our attempts to understand balance in humans have been hampered by the lack of suitable experimental models. This proposal takes advantage of a newly developed mouse preparation to study key problems that could not be realistically addressed in whole animal or dissociated cells. We will investigate three critical components of balance organs. These components are: 1) hair cells that detect motion; 2) nerve endings that send information from hair cells to the brain; and 3) nerve endings that bring information from the brain. The aim of this proposal is to understand how these components interact with each other to provide us with a sense of balance. This knowledge will be the first of its kind and contribute significantly to our understanding of human vestibular function and pathology.Read moreRead less