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Logo of bmcneulBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Neurology
 
BMC Neurol. 2007; 7: 25.
Published online 2007 August 29. doi:  10.1186/1471-2377-7-25
PMCID: PMC2014758
Vestibular signal processing in a subject with somatosensory deafferentation: The case of sitting posture
Jean Blouin,corresponding author1 Normand Teasdale,2,3 and Laurence Mouchnino1
1Laboratoire de Neurobiologie de la Cognition, CNRS and Aix Marseille Université, 3 Place Victor Hugo, 13331 Marseille, France
2Faculté de Médecine, Division de kinésiologie, Université Laval, Québec, Canada
3Centre de recherche du CHA et Centre d'excellence sur le vieillissement, Hôpital Saint-Sacrement, Québec
corresponding authorCorresponding author.
Jean Blouin: jean.blouin/at/univ-provence.fr; Normand Teasdale: normand.teasdale/at/kin.msp.ulaval.ca; Laurence Mouchnino: laurence.mouchnino/at/univmed.fr
Received March 20, 2007; Accepted August 29, 2007.
Abstract
Background
The vestibular system of the inner ear provides information about head translation/rotation in space and about the orientation of the head with respect to the gravitoinertial vector. It also largely contributes to the control of posture through vestibulospinal pathways. Testing an individual severely deprived of somatosensory information below the nose, we investigated if equilibrium can be maintained while seated on the sole basis of this information.
Results
Although she was unstable, the deafferented subject (DS) was able to remain seated with the eyes closed in the absence of feet, arm and back supports. However, with the head unconsciously rotated towards the left or right shoulder, the DS's instability markedly increased. Small electrical stimulations of the vestibular apparatus produced large body tilts in the DS contrary to control subjects who did not show clear postural responses to the stimulations.
Conclusion
The results of the present experiment show that in the lack of vision and somatosensory information, vestibular signal processing allows the maintenance of an active sitting posture (i.e. without back or side rests). When head orientation changes with respect to the trunk, in the absence of vision, the lack of cervical information prevents the transformation of the head-centered vestibular information into a trunk-centered frame of reference of body motion. For the normal subjects, this latter frame of reference enables proper postural adjustments through vestibular signal processing, irrespectively of the orientation of the head with respect to the trunk.
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