Individuals with a vestibular-related disorder use a somatosensory-dominant strategy for postural orientation after inclined stance

Acta Neurol Scand. 2017 Jun;135(6):635-640. doi: 10.1111/ane.12658. Epub 2016 Aug 14.

Abstract

Objectives: The visual, somatosensory, and vestibular systems are critical for establishing a sensorimotor set for postural control and orientation. The goal of this study was to assess how individuals with a vestibular-related disorder keep their balance following prolonged stance on an inclined surface. We hypothesize that subjects will show greater reliance on the somatosensory system than age-matched controls as inferred by the presence of a forward postural lean aftereffect following the inclined stance (i.e., a positive response).

Results: The results revealed an underlying somatosensory-dominant strategy for postural control in the vestibular group: 100% of the subjects tested positive compared to 58% in the control group (P=.006).

Conclusion: Individuals with a vestibular-related disorder use a somatosensory-dominant strategy for postural orientation following prolonged inclined stance. The implications for the management of this population are discussed.

Keywords: balance control; postural control; somatosensory; vestibular; vision.

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orientation, Spatial*
  • Postural Balance
  • Posture*
  • Sensation*
  • Vestibular Diseases / diagnosis
  • Vestibular Diseases / physiopathology*
  • Vestibule, Labyrinth / physiopathology