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Exp Brain Res (1998) 120:450460  Springer-Verlag 1998

RESEARCH ARTICLE

T. Mergner G. Schweigart F. Botti A. Lehmann

Eye movements evoked by proprioceptive stimulation


along the body axis in humans

Received: 10 October 1997 / Accepted: 22 January 1998

Abstract Proprioceptive input arising from torsional lates either leg or neck responses by selecting an appro-
body movements elicits small reflexive eye movements. priate weight for the gain of one of the pathways (phasic
The functional relevance of these eye movements is still component). The interaction results can also be simulated
unknown so far. We evaluated their slow components as when a vestibular path is added. This model has similar-
a function of stimulus frequency and velocity. The hori- ities to one we recently proposed for human self-motion
zontal eye movements of seven adult subjects were re- perception and postural control. A major difference,
corded using an infrared device, while horizontal rota- though, is that the proprioceptive input to the gaze-stabi-
tions were applied at three segmental levels of the body lizing network is weak (restricted to low velocities), un-
[i.e., between head and shoulders (neck stimulus), shoul- like that used for perception and postural control. We hold
ders and pelvis (trunk stimulus), and pelvis and feet (leg that the former undergoes involution during ontogenesis,
stimulus)]. The following results were obtained: (1) Sinu- as subjects depend on the functionally more appropriate
soidal leg stimulation evoked an eye response with the vestibulo-ocular reflex. Yet, the weak proprioceptive
slow component in the direction of the movement of the eye responses that remain may have some functional rel-
feet, while the response to trunk and neck stimulation evance. Their tonic component tends to stabilize the eyes
was oriented in the opposite direction (i.e., in that of the by slowly shifting them toward the primary head position
head). (2) In contrast, the gain behavior of all three re- relative to the body support. This applies solely to the
sponses was similar, with very low gain at mid- to high earth-horizontal plane in which the vestibular signal has
frequencies (tested up to 0.4 Hz) but increasing gain at no static sensitivity.
low frequencies (down to 0.0125 Hz). We show that this
gain behavior is mainly due to a gain nonlinearity for low Key words Proprioceptive eye response
angular velocities. (3) The responses were compatible Vestibulo-ocular reflex Cervico-ocular reflex
with linear summation when an interaction series was Interaction Self-motion perception Human
tested in which the leg stimulus was combined with a ves-
tibular stimulus. (4) There was good correspondence of
the median gain curves when eye responses were com- Introduction
pared with psychophysical responses (perceived body ro-
tation in space; additionally recorded in the interaction se- It has been known since the beginning of this century that
ries). However, correlation of gain values on a single-trial stimulation of neck afferents by torsion of the head rela-
basis was poor. (5) During transient neck stimulation tive to the trunk elicits a cervico-ocular reflex (COR;
(smoothed position ramp), the neck response noticeably Brny 1906, 1918/1919; Frenzel 1930). The reflex con-
consisted of two components an initial head-directed sists of slow (smooth) and fast (saccadic) components;
eye shift (phasic component) followed by a shift in the the present study focuses solely on the slow component
opposite direction (compensatory tonic component). Both of this reflex. In the neonate human, the COR slow com-
leg and neck responses can be described by one simple, ponent is prominent and directed counter to the head ex-
dynamic model. In the model the proprioceptive input is cursion (Brny 1918/1919; Reisman and Anderson
fed into the gaze network via two pathways which differ 1989). This direction of the COR may augment the vestib-
in their dynamics and directional sign. The model simu- ulo-ocular reflex (VOR) during head rotation on the sta-
tionary trunk (compensatory COR). In contrast, COR
)
T. Mergner ( ) G. Schweigart F. Botti A. Lehmann
magnitude in the intact adult is small and, according to
Neurologische Klinik, Neurozentrum, Universitt Freiburg,
Breisacher Str. 64, D-79106 Freiburg, Germany many previous studies, is oriented in the direction of the
e-mail: mergner@sun1.ruf.uni-freiburg.de, Fax: +49-761-270-5310 head excursion (anticompensatory COR; Takemori
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and Suzuki 1971; Barnes and Forbat 1979; Bronstein and (Botti et al. 1995), while that of the trunk response is ori-
Hood 1986; Jrgens and Mergner 1989). If the VOR is se- ented in the opposite direction (Warabi 1978), as is the
verely impaired in adults then the COR shows an increase COR.
in gain (G) and the direction becomes compensatory (for Finally, similarities exist between the COR and the
older literature, see Biemond and de Jong 1969; also neck contribution to self-motion perception. As men-
Gresty et al. 1977; Kasai and Zee 1978; Barnes 1979; tioned above, a COR of relevant gain occurs at low fre-
Leopold et al. 1983; Bles et al. 1984; Bronstein and Hood quencies. The neck contribution to the perception of head
1986; Huygen et al. 1991). This compensatory COR helps motion in space also shows a relevant magnitude only at
to stabilize gaze during eye-head gaze shifts (Dichgans et low frequencies (Mergner et al. 1991). One would like to
al. 1973; Kasai and Zee 1978; Takahashi et al. 1981, know, therefore, whether the two phenomena are related
1989). Interestingly, the modification of the COR is re- to each other. However, there also exist clear differences;
versible after recovery of vestibular functions (Bronstein while the direction of the eye responses evoked at neck or
et al. 1995). The findings in higher mammals correspond trunk differs from that at the level of the leg, the proprio-
to those in humans (see Fuller 1980; Peterson 1988). De- ceptive effects on self-motion perception are similar
spite a considerable amount of work, several questions across these segmental levels (see Mergner et al. 1997).
concerning the COR are still unresolved. It would be desireable to have formal descriptions of
For instance, it is still unclear whether the weak, anti- the two phenomena, since this would ease their compari-
compensatory COR in intact adults has a relevant func- son. There exists a dynamic model for self-motion per-
tional role for the stabilization of gaze. Previously, Meiry ception (Mergner et al. 1991). However, a comparable
(1971) has suggested that the COR supports the VOR dur- model for COR is still missing so far.
ing horizontal rotations in the range of low stimulus fre- In the present study we reevaluate the proprioceptive
quencies where the VOR shows nonideal (high-pass) eye responses in human subjects under the following four
transfer characteristics (Fernandez and Goldberg 1971). conditions: (1) Firstly, the proprioceptive responses
Consistent with Meirys suggestion, relevant values of evoked by stimuli at different segmental levels, i.e., at
COR gain occur only in the low-frequency range (Barlow the neck, the thoracic-lumbar spinal column and the legs
and Freedman 1980; Bronstein and Hood 1986; Jrgens were directly compared. (2) Secondly, we attempted to
and Mergner 1989; Huygen et al. 1991). However, as provide a quantitative comparison between frequency
mentioned above, the direction of COR (slow phase) in and velocity-dependent response behavior. (3) Further-
the intact adult is anticompensatory and therefore would more, we investigated the relationship between proprio-
attenuate rather than augment the VOR during head rota- ceptive eye responses and self-motion perception. (4) Fi-
tion. Consequently, most researchers in the oculomotor nally, based on our experimental findings, we developed
field consider the COR a relic from ontogenesis but con- a conceptual model of how we think proprioceptive input
cede that it is a useful dormant, stand-by mechanism in is fed into the gaze-stabilization network, and we com-
case of VOR loss. pared this with our previous model for human self-mo-
Furthermore, there are inconsistencies concerning pre- tion perception. Part of the work on leg-evoked eye
vious reports on the gain behavior of the COR. While movements was published in a preliminary report (Botti
some authors noted that its gain is highest at low frequen- et al. 1995).
cies (Bronstein and Hood 1986; Huygen et al. 1991), oth-
ers reported that it is highest at low angular velocities
(Doerr et al. 1981; selected patients with cervical syn- Materials and methods
dromes, Holtmann et al. 1989). A quantitative comparison
between frequency and velocity-dependent response be- Subjects, apparatus and stimuli
havior across a broad range of stimulus parameters is still
Seven healthy human subjects (2445 years of age; four men and
missing. three women) with no history of any neurological or vestibular dis-
Another point is that head turns do not arise only from order were studied. All subjects gave their informed consent to par-
torsional movements at the level of the neck, but also be- ticipate in the experiments.
tween lower body segments, i.e., at the level of the thorac- Figure 1A shows the experimental setup in schematic form. Sub-
ic and lumbar spinal column or the legs. The latter stimuli jects were seated on a Brny chair for horizontal body rotation.
Their heads were fixed (15 nose-down) to a chair-mounted head-ro-
also elicit reflexive eye movements. This has been shown tation device by means of a dental bite board and a bitemporal head
with rotations of the lower trunk (Grahe 1926; Warabi clamp. The device allowed relative rotation between head and trunk.
1978) or the legs (Botti et al. 1995; active stepping, Bles This rotation device also could be used to rotate the subjects shoul-
et al. 1984; Lackner and DiZio 1984) relative to the sta- der girdle relative to pelvic girdle by adding a further clamp which
fixed the shoulder girdle to the head-holder system. Finally, the sub-
tionary (space-fixed) upper body. Noticeably, rotation of jects feet rested on a motor-driven sled that allowed the feet to ro-
the arms in the shoulder joints may also elicit a nystagmus tate relative to the pelvic girdle (circumferential path, radius 0.5 m).
(Brandt et al. 1977). However, the overall picture which All axes of rotation were vertical and passed through the crossing
emerges from these studies is by no means consistent. point of the interaural and naso-occipital lines. Rotations were gen-
erated by position-controlled servo-motors under the control of a
The direction of the leg response is compensatory, in laboratory computer.
the sense that it would be functionally synergistic with The following four stimuli were generated (Fig. 1B): (a) En bloc
the VOR during a head turn relative to the stationary feet rotation of the whole body generated the vestibular stimulus
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(VEST); (b) en bloc rotation of shoulders, pelvis, and feet relative
to the stationary head generated the neck proprioceptive stimulus
(NECK); (c) rotation of the pelvis and feet relative to the stationary
shoulders and head served as the trunk proprioceptive stimulus
(TRUNK; torsion about the spinal column mainly at lower thoracic
levels); (d) rotation of the feet relative to the stationary pelvis,
shoulders, and head served as the leg proprioceptive stimulus
(LEG; the stimulus mainly arises from the hip joints; see Mergner
et al. 1993). Combinations of these stimuli were also used as spec-
ified below.
The stimuli usually had a sinusoidal waveform. The following
frequencies were used: 0.0125, 0.025, 0.05, 0.1, 0.2, and 0.4 Hz.
In some experiments (frequency series), peak angular displace-
ment was kept constant (at 8), and peak angular velocity, vmax, co-
varied with frequency (vmax=0.63, 1.25, 2.5, 5, 10, and 20/s, respec-
tively). In other experiments (velocity series), frequency was kept
constant at 0.05 Hz or 0.2 Hz, while peak velocity was varied
(vmax=0.3, 0.63, 1.25, 2.5, 5, 10/s at 0.05 Hz, and 1.25, 2.5, 5,
10, 20, 40/s at 0.2 Hz), with peak displacement varying correspond-
ingly (1, 2, 4, 8, 16, and 32).
Considering the possibility that subjects heads might perform
small movements in space during the proprioceptive stimuli (thus
possibly giving rise to a VOR), we repeatedly controlled for head Fig. 1A, B Schematic presentation of the experimental setup (A)
stationarity. To this end, a small laser pointer was attached to each and the stimuli used (B). The setup allowed the application of
subjects head which projected a light spot outside of their visual whole-body rotation (a vestibular stimulation, VEST combined chair
fields onto a screen surrounding the chair (radius 0.9 m). Visual in- and foot rotation), of the body under the stationary head (b neck pro-
spection by an experimenter revealed that, during a NECK stimulus prioceptive stimulation, NECK combined chair and foot rotation and
of 8 at 0.1 Hz for instance, the head could slightly move in space. a head-on-trunk rotation of same magnitude, but opposite direction),
However, this movement never exceeded 0.4. Head-in-space of the lower body compared with the upper one (c trunk stimulus,
movements could no longer be detected when stimulus amplitude TRUNK same as NECK, but the shoulders were also fixed to the
was reduced below 4. Comparing these observations with mea- head-holder system), and of the feet compared with the body (d
surements of the VOR during whole-body rotations and with the leg proprioceptive stimulus, LEG rotation of foot sled about the
proprioceptive eye responses (see Results), we concluded that any chair)
contamination by a VOR stemming from imperfect head-in-space
stability was negligible.
In an interaction series we combined sinusoidal LEG and
jects fixated a red light spot (diameter 0.5 of visual angle) that was
VEST. The stimuli were in counter-phase with respect to each other
stationary in space, at a distance of 0.9 m, while they were sinuso-
(Dj=180, denoted in the following by a negative sign, e.g.,
idally rotated (VEST; f=0.1 Hz, A=8). The best three of ten trials
VEST=8, LEG=8). Psychophysical data were also obtained in
were selected and the mean compound eye response (eye-in-head
this series. Subjects indicated perceived body rotation in space with
position, EH) was taken as unity gain. The eyes were located slightly
the help of a pointer, using the same procedure as in a previous study
in front of the chair rotation axis, making the eye-in-head rotation
(Mergner et al. 1993). In short, subjects tried to maintain the chair-
angle somewhat larger than 8 (8.8); the results presented below
mounted pointer in a constant direction in space. Thus, pointer ex-
were corrected for this small error.
cursion relative to the chair, as measured with a high-precision po-
The horizontal and vertical eye-position signals, the horizontal
tentiometer, reflected the reverse of perceived body rotation in
eye-velocity signal, and the position signals of the chair, foot sled,
space. After sign reversal of the potentiometer output and correc-
and head-shoulder rotation device were fed into a computer at a
tions for operator performance (manual ability to perform the indi-
sampling rate of 100 Hz. The analysis was performed off-line.
cation; see Mergner et al. 1991), the signal was taken as a measure
The slow component of the horizontal EH signal was separated from
of perceived body-in-space rotation. Examples of the sign-reversed
the compound response under visual inspection (see Fig. 2, EH
indication signal are given in Fig. 2A, B for VEST and LEG, respec-
slow) using an interactive computer program that detected saccades
tively (note that LEG evoked a small illusion of body rotation in
of more than 0.2. The gaps in the slow EH trace were filled using a
space counter to the foot-sled rotation).
procedure that averaged eye velocity immediately before and after
In a position ramp series a smoothed position ramp was used
the saccade. The eye responses evoked by sinusoidal stimulation
as a neck stimulus to the right or left side. It started from the primary
were analyzed, after the usual drift correction, in terms of gain
body position with velocity v showing a cosine bell trajectory
and phase using the fundamental waves of a fast Fourier transforma-
which contained a single-frequency cosine [v=Afcos(2pft)+Af;
tion (FFT; gain, magnitude ratio of response to stimulus fundamen-
frequency, f=0.05 Hz; displacement, A=8; t, time; vmax=0.8/s].
tals; phase, phase difference between fundamentals, in degrees). In
The experiments were performed in darkness and subjects ears
the amplitude series, which contained stimuli of very small ampli-
were plugged in order to reduce auditory cues. Subjects performed
tude, slow EH responses were averaged prior to the FFT (six original
preinstructed mental arithmetic in order to maintain a high level
responses per subject); this data is presented as across-subjects mean
of vigilance throughout the experimental sessions (the only excep-
values. In all other series, which consisted of stimuli of more than
tion being the interaction series, where subjects performed a psycho-
4, single cycles of the sinusoidal stimulation were analyzed and
physical task).
the median gain and phase values were evaluated (n=2, 2, 4, 4,
and 8 for stimuli with f=0.025, 0.05, 0.1, 0.2, and 0.4 Hz, respective-
ly).
Eye-movement measurement and analysis The cosine-bell velocity stimulus profile was used only with
NECK. The responses evoked were generally very weak and were
Subjects horizontal and vertical eye movements were recorded us- partially masked by spontaneous eye drifts. Averaging across all
ing an infrared technique (IRIS, Skalar). The recording of the verti- subjects was performed separately for NECK in either direction
cal movements served to detect eye blinks and allowed us to exclude (seven subjects, 12 responses each), after individual responses were
considerable vertical response components arising with the horizon- submitted to a drift correction (based on an extrapolation of the pre-
tal rotations. For calibration of the horizontal eye recording, the sub- stimulus eye velocity).
453

Trunk stimulation

Rotation of the subjects pelvis and feet under the station-


ary head and shoulder yielded a weak response (G<0.2) at
high frequency, which increased at low frequency
(G=0.43 at 0.0125 Hz; Fig. 3C). The response was anti-
compensatory (i.e., approximately in phase with head ex-
cursion relative to lower trunk and feet), the phase re-
maining essentially constant across frequencies.

Neck stimulation

Median gain and phase values of our subjects COR are


given in Fig. 3D. Gain was very low at high frequencies
Fig. 2A, B Examples of original recordings obtained with vestib- but increased at low frequencies (G=0.41 at 0.0125 Hz).
ular stimulation (A VEST) and leg stimulation (B LEG). Position The response was approximately anticompensatory at
traces of turntable, foot sled, pointer indication of perceived body high frequencies (i.e., in phase with head excursion),
rotation in space, eye in head (EH), and slow component of EH. but showed a clear phase lead at low frequencies.
Note that in B an EH response is missing for the first cycle of
leg stimulation Note from Fig. 3AD that the gain of the propriocep-
tive responses showed considerable variability between
subjects (large confidence intervals), which was compara-
ble with that of the VOR. In contrast, phase variability
Results was considerably smaller for the VOR than for the pro-
prioceptive responses (exception, VOR at 0.025 Hz). No-
Frequency series ticeably, variations in the phase of proprioceptive re-
sponses were smallest at high frequency, despite very
Vestibular stimulation low gain, and increased considerably at lower frequen-
cies, when the gain was higher.
VOR was recorded in all subjects to test the integrity of
their vestibular system. The obtained data also served as
comparisons with the proprioceptive eye responses. An Velocity series
example of an original VOR recording from one subject
is shown in Fig. 2A. All subjects median gain and phase In the frequency series described above, peak angular
values (and the 95% confidence intervals of the medians) displacement was kept constant (8), while peak veloc-
are given in Fig. 3A. They show the typical VOR behav- ity covaried with frequency (see Materials and Methods).
ior known for sinusoidal stimulation in the dark; the gain Thus, the observed changes of the proprioceptive re-
is clearly below unity at high frequency and is further at- sponses with frequency (Fig. 3BD) might actually re-
tenuated at low frequencies, where the phase develops flect a dependency on stimulus velocity rather than fre-
some lead with respect to ideal compensation quency. To test this possibility, we performed an addi-
(Dj=180 re head position in space). Note that the rather tional experimental series for both NECK and LEG, in
low gain of the VOR is an artifact known to occur with which frequency was kept constant and peak velocity
periodic (here sinusoidal) stimulation (e.g., Gauthier and was varied.
Vercher 1990).
Leg stimulation

Figure 3 E shows the data for both 0.05 Hz and 0.2 Hz


Leg stimulation (mean gain and phase values only; see Materials and
methods). The curves for 0.05 Hz and 0.2 Hz show sim-
Rotation of subjects feet with head, shoulders, and pelvis ilar increases in gain with decreasing velocity. The curves
stationary elicited a small eye response (representative are also similar to the data of the previous frequency se-
example in Fig. 2B). Median gain was small in the mid- ries (replotted from Fig. 3B as a function of peak veloci-
to high-frequency range, but increased considerably when ty). The phase curve for 0.05 Hz lags the exact counter-
stimulus frequency was decreased (Fig. 3B). The direc- phase of head displacement relative to the feet by a sim-
tion of the LEG response was approximately compensato- ilar amount, as was seen in the frequency series at 0.05 Hz.
ry (i.e., counter to the head rotation relative to the feet). No mean phase values were evaluated for the 0.2-Hz
Median phase slightly lagged exact compensation (180) stimuli, because they were rather unreliable with the
by about 18, on average. low amplitudes of the stimuli.
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Fig. 3AF Results of frequency series (AD) and velocity series (E, Mergner 1989). We therefore concentrated here on vestib-
F). Gain and phase values of eye responses obtained with sinusoidal ular-leg interaction. Five different stimulus combinations
horizontal rotations are plotted as a function of stimulus frequency
and peak stimulus velocity, respectively (AD interconnected medi- were applied, each at 0.025, 0.05, 0.1, 0.2, and 0.4 Hz. In
an values and their 95% confidence intervals; E, F mean values). all combinations VEST was constant (peak displacement
Stimulus modality as indicated at top of each panel. Note in AD 8), while LEG was varied (16, 12, 8, 4, and 0; mi-
that the phase of the LEG response is compensatory, like that of nus sign indicating counter-phase between the two sinuso-
the VEST response, whereas the TRUNK and the NECK responses
are anticompensatory. The data in E and F suggest that the proprio-
idal stimuli). Subjects performed a psychophysical task
ceptive responses are mainly dependent on stimulus velocity rather during the trials, which were presented in random order
than on frequency (see Materials and methods).
Figure 4 A gives median gain and phase values of the
eye responses as a function of both stimulus combination
Neck stimulation and frequency. In the combination VEST=8, LEG=0
The gain curves for both 0.05 Hz and 0.2 Hz almost overlay (VEST only), the results described above for VEST were
each other (Fig. 3F) and also overlay the replotted frequen- reproduced (compare Fig. 3A). When LEG stimuli were
cy series data (taken from Fig. 3D). The phase curve for added, the gain remained approximately unchanged at
0.2 Hz shows only a slight lead with respect to head excur- high stimulus frequencies. However, at low frequencies,
sion relative to the feet, but that for the 0.05-Hz series the magnitude of the reduction in gain that is normally
shows a more pronounced lead (exception, 0.63/s), corre- seen, gradually diminished as LEG amplitude increased.
sponding closely to what we observed before for the fre- This can be appreciated, for instance, for the combination
quency series at 0.2 Hz and 0.05 Hz, respectively. Apart in which LEG amplitude was equal and opposite to VEST
from the exception mentioned, the phase curves for 0.2 Hz (LEG, 8; en bloc rotation of head, shoulder, and pelvis
and 0.05 Hz are almost constant across stimulus velocity. about the stationary feet). However, the effect saturated,
when LEG amplitude was further enlarged, with gain re-
maining essentially constant (e.g., to 16; foot rotation in
Combined VEST-LEG stimulation (interaction series) space of same magnitude as, but counter to the head rota-
tion in space). LEG had only a minor effect on the phase
Eye responses during vestibular-neck interaction have of the response, in that the slight phase advance observed
been studied in some detail previously (Jrgens and with VEST-only at low frequencies became less.
455
Fig. 4A Eye responses obtained
during combined leg and ves-
tibular stimulation. Median gain
and phase values are plotted as a
function of stimulus combina-
tion and frequency (three-di-
mensional plot). Note that the
LEG stimulus slightly improves
gain and phase of the eye re-
sponses. B Correlation of eye
movement with perceptual data.
Gain values of eye-in-head (EH)
responses are plotted against
gain of concurrently indicated
body-in-space rotation for the
vestibular-leg stimulus combi-
nations at 0.025 Hz (a) and
LEG-only stimulation (b). Note
that correlations are weak, but
they are statistically significant
(VEST-LEG combinations,
a P<0.05; LEG-only,
b P<0.001)

difference was that, at low frequency, the psychophysical


response continuously increased with the increase in LEG
amplitude (0 to 16), whereas the eye response saturat-
ed when LEG amplitude exceeded 8. Furthermore, a
high similarity between the median curves for eye re-
sponse and perception was observed for LEG alone
(LEG-only; a repetition of the series shown in Fig. 3B).
We wondered whether such a similarity also exists on
a single-trial basis. Correlations for gain between eye and
perceptual responses were calculated for two conditions
in which gain varied as a function of LEG. This applied
to the VEST-LEG combinations at 0.025 Hz as well as
to LEG-only across frequency. Only weak, though statis-
tically significant, correlations were observed for the
VEST-LEG combination (r=0.37, P<0.05; Fig. 4B, a)
Fig. 5A, B Slow eye responses (grand means) to a smoothed, ramp- and LEG-only (r=0.53, P<0.001; Fig. 4B, b).
like NECK stimulus (superpositions of individual stimuli) toward
the right (A) and the left (B). Stimulus curves represent rotations
of chair-mounted head gear (head-on-trunk rotation; see Materials
and methods). Note that the eye responses show a phasic anticom-
Neck response to a position ramp
pensatory component (in the direction of the head) which is super-
imposed on a tonic compensatory component There are anecdotal reports in the literature that the COR
may consist of two components, one compensatory and
the other anticompensatory (see Discussion). In our data
Relation between LEG-evoked eye response we found no clear evidence for two COR components.
and self-motion perception However, to counter the possibility that the frequency
range of our sinusoidal stimuli was too small to identify
The psychophysical data obtained in the interaction series two distinct components from the frequency behavior,
(indication of subjective body rotation in space) closely we applied a transient NECK stimulus.
resembled those previously obtained in a psychophysical The eye responses to the rightward and leftward
study on human self-motion perception (Mergner et al. NECK stimuli (position ramp series) are shown in
1993) and therefore are not presented here. The median Fig. 5. These responses did indeed show two components.
curves of the psychophysical data closely corresponded There was an initial eye shift in the direction of NECK,
to those of the eye responses shown in Fig. 4A. The only i.e., that of head-on-trunk excursion (which will be de-
456

scribed as initial anticompensatory component), but trast, is oriented in the opposite direction, although show-
clearly before the stimulus ended the response reversed; ing a similar gain behavior. The discrepancy concerning
it developed a shift in the opposite direction and crossed the direction appears puzzling, since work on human
the baseline (late compensatory component). This late self-motion perception suggests that neck, trunk, and leg
component continued somewhat after the stimulus ended, proprioceptive inputs may be viewed as one propriocep-
shifting the eye toward the trunk and foot position. tive system along the body axis, yielding equivalent sig-
nals of head-on-foot excursion at the different interseg-
mental levels (Mergner et al. 1997). Taken together, the
Discussion findings suggest that the effect of proprioceptive input
on gaze stabilization of the adult human is weak.
In line with previous work, we found that the COR slow Why, then, study the slow proprioceptive eye respons-
component is anticompensatory and only has appreciable es? We think it is worth identifying, on a behavioral basis,
gain at low stimulus frequencies (see Introduction). Our the vestibular-proprioceptive interaction network in the
findings clarify the question of whether the gain mainly intact adult. This will help us understand the modification
depends on frequency or velocity; we show that the gain of the network which occurs during ontogenesis and adap-
is determined mainly by a velocity nonlinearity (velocity tation. Furthermore, it is of interest to compare the net-
saturation). Furthermore, we show that the eye response work for gaze with that for self-motion perception and
resulting from trunk proprioceptive stimulation is similar posture control. As a basis for comparison and discussion,
to the COR with respect to its gain behavior and its anti- we first give a description of our findings, on both the
compensatory direction (exception: it does not show the neck and leg response, in the form of a dynamic model
phase lead of the COR at low frequencies). The eye re- (the most parsimonious form of description we can think
sponse evoked by leg proprioceptive stimulation, in con- of), before considering functional aspects. In the model,
we designed a common single mechanism for both re-
Fig. 6 A Model of proprioceptive input to the gaze-stabilizing net- sponses, rather than trying to invent a particular mecha-
work (HB _ head-on-body velocity, BF _ body-on-feet velocity, HS nism for each intersegmental level. We think that the
head-in-space velocity). The proprioceptive input (box PROP) model, although still speculative, also applies to many
shows ideal transfer characteristics (1), whereas the vestibular input
(VEST) shows high pass characteristics (icon for high pass filter). previous observations in the literature.
In the direct proprioceptive path (I) the signal is mainly shaped by a
satturation (a), whereas in the modifying path (II) there is an addi-
tional high pass filtering (d) and a gain element (e). Further details in Model
text. BD Simulation data obtained with the model in A for sinuso-
idal LEG (B input BF) and NECK (C input HB) _ stimulation (a, fre-
quency series; b velocity series) and for the position-ramp stimulus As a point of departure, we start with the leg response. Its
(D dotted curve, LEG response; thick solid curve, NECK response) gain depends on stimulus velocity, while the phase re-
457

mains constant across frequency and velocity. This find- (G=1.6). The simulations yielded results which closely re-
ing was implemented in the model (Fig. 6A) by a satura- sembled the experimental data, with respect to the gain
tion residing at a central site where the proprioceptive sig- and phase curves of both the frequency series (a in
nal encodes angular velocity (step a; input: body velocity Fig. 6B, C) and the amplitude series (b in Fig. 6B, C).
relative to the feet, BF;_ box PROP contains ideal, 1, For the transient stimulus, the same low- and high-gain
transfer characteristics). The signal is used, via a direct values were used, yielding an essentially tonic compensa-
path (I), after sign reversal (b) and an integration (c), to tory leg response, and an initially anticompensatory,
yield a tonic EH signal as output, which is directed coun- then later compensatory neck response, respectively
ter to the body-on-foot excursion (referred to as tonic (Fig. 6D). Note that a change of the gain element in the
compensatory component in the following text). This di- model modifies the phase of the responses, without much
rect proprioceptive path might correspond to that de- affecting the gain behavior of the system. The model was
scribed earlier in the decerebrate cat for the COR by also used to simulate the vestibular-leg interaction data
Hikosaka and Maeda (1973). According to their study, a (Fig. 4A). For the implementation of a vestibular path
rightward head turn, for instance, activates neck afferents (VOR), we adopted the model of Robinson (1977) and ad-
on the left side. These, in turn, activate abducens moto- justed its parameters to meet the VOR in our subjects (all
neurons on the left side via a double-crossing pathway transfer characteristics contained in the box VEST of
through the vestibular nuclei on the right side, yielding Fig. 6A). The simulated data (not shown) closely corre-
a leftward (compensatory) eye response. The neck pro- sponded to the ones depicted in Fig. 4A, indicating that
prioceptive input might reach the vestibular nuclei via the improvement of the VOR at low frequency, when
the central cervical nucleus (Sato et al. 1997). It appears there is an additional leg stimulus, can be described sim-
to stem mainly from muscle spindle afferents (Richmond ply by a summation of the VOR with the LEG input (es-
and Abrahams 1979; Mergner et al. 1982). sentially the direct path).
For the neck responses (anticompensatory COR) ob- Interestingly, without velocity saturation and with
tained in our experiments, we assume that it is based on G=1, the neck input in the model (HB) _ would exactly
the direct mechanism just described, but in addition con- compensate the deficiency of the vestibular transfer func-
tains a frequency-dependent (phasic) and sign-reversed tion (compare the idea of Meiry, 1971, in the Introduc-
(anticompensatory) component that overrides the com- tion): For example, in conditions in which HS _ HB _
pensatory tonic one. The evidence for this assumption is (head-in-space velocity equals head-on-body velocity),
based on the frequency-dependent phase behavior of the _
EHlHS+(1l) _ (l, nonideal vestibular transfer
HB
sinusoid response (Fig. 3D) and on the response with function, symbolized in Fig. 6A by high-pass icons). This
the transient stimulus (Fig. 5). In the model of Fig. 6A form of the model largely corresponds to that previously
we account for the neck proprioceptive part of the system designed for human self-motion perception (Mergner et
by using the same network as before, but giving it a dif- al. 1991, 1993, 1997). The latter also includes two pro-
_ in re-
ferent input (head velocity relative to the body, HB; prioceptive signals. One of these carries l and is sign-re-
ality there would almost certainly be a chain of several versed (analogous to pathway II). Perceptually, it is used
networks, one for each intersegmental joint). The phasic to channel the vestibular signal down, along all the body
anticompensatory component is implemented in the form segments, to the body support, in order to evaluate the ki-
of a modifying path (II) which contains a high-pass fil- nematic state of the support (proprioceptive down-chan-
ter (Fig. 6A, d) and has the opposite sign to the direct one. neling). The other shows essentially ideal transfer char-
The filter has a time constant of 16 s which, noticeably, acteristics (analogous to pathway I) and is used to per-
corresponds to the known behavioral time constant of ceive movements of our body segments relative to the
the VOR. The strength of this pathway is determined by support (proprioceptive up-channeling). For perceived
a modifiable gain element (Fig. 6A, e) which, if high en- head-in-space rotation during neck stimulation, the down-
ough, reverses the direction of the EH output, making it and up-going proprioceptive signals do not cancel each
anticompensatory. Interestingly, there have been reports other completely; the stimulus evokes a head-turning illu-
in the literature that the COR, although being mostly an- sion which is small at high frequencies, but increases in
ticompensatory, may become intermittently compensato- magnitude at low frequencies, similar to the eye response.
ry, or that its direction may vary across individuals Noticeably, the down and up channeling concept also ap-
(e.g., Fuller 1980; Holtmann et al. 1989; Reisman and plies to postural control of human upright stance
Anderson 1989). These findings may indicate that the (Mergner et al. 1997), to perception of visual object mo-
modifiable path is variable across individuals and time. tion in space (Mergner et al. 1992) and to the updating of
We assume it is also variable across the different inter- visual object location in space (Maurer et al. 1997).
segmental joints, possibly depending on how a given seg- Thus, from a global view, there is a high similarity be-
ment is used most frequently in gaze control. tween the networks used for self-motion perception and
Simulations of the model were performed with the si- gaze stabilization. Parts of the two networks may be iden-
nusoidal stimuli and the transient stimulus (Fig. 6BD). tical early in ontogenesis or at early stages of central pro-
For sinusoidal leg stimulation (input BF) _ the gain of cessing (vestibular-proprioceptive interaction already
the modifying path (II) was set at a low value (G=0.3), starts at the level of vestibular nuclear neurons: Boyle
but for neck stimulation (input HB) _ it was accentuated and Pompeiano 1981; Anastasopoulos and Mergner
458

1982). However, there are also differences between the ular births (according to him, the response was obscured
two, apart from the fact that the output signals for self- at later tests by visual input). The only other related work
motion perception and gaze stabilization have opposite we are aware of is by Reisman and Anderson (1989), who
signs. The most relevant difference for us would be the performed quantitative eye-movement recordings in the
modifiable gain in the gaze network, which allows for a dark in 2- and 4-month-old infants. With neck stimula-
reversal of response direction; nothing comparable was tion, the slow COR components could be either compen-
found for perception. Other findings also let us assume satory or anticompensatory, with the gain of both compo-
a separation of the two systems, at least at higher levels nents depending on rotational frequency (larger at 0.1 Hz
of processing. For instance, despite the fact that the medi- than at 0.5 Hz). The compensatory component was found
an curves for the perceptual and the eye responses in the to be larger in the 2-month-old (G=0.77 at 0.1 Hz) than in
interaction series were similar, the correlation between the 4-month-old infant (G=0.38). Furthermore, anticom-
them on the basis of the single-trial data was very weak pensatory components were hardly observed in the 2-
(Fig. 4B). In this context it should also be mentioned that month-old infants, but regularly in the 4-month-old in-
it is certainly not the self-motion perception which deter- fants. Considering also that the COR in adults is anticom-
mines the eye response: during low-frequency neck stim- pensatory and weak, it appears that there is an involution
ulation, perceived head and trunk turning in space have of the COR during ontogenesis with respect to its re-
opposite directions; shifting attention from one to the oth- sponse gain, and that the compensatory response becomes
er perception does not considerably affect the COR slow obscured by the anticompensatory one (compare Fig. 5).
component (Jrgens and Mergner 1989). What signal(s) could induce the involution of the COR
gain? We deem it likely that it is mainly a vestibular
head-in-space velocity signal which becomes effective
Functional relevance of the proprioceptive eye responses when the VOR develops functional relevance in early in-
fancy. As mentioned above, an eye-in-space stabilization
Before dealing with our findings, we would like to briefly by the VOR is certainly more functionally relevant for vi-
consider three general aspects. First, we deem it likely sion than an eye-relative-to-body (or foot) stabilization by
that under most normal conditions (an illuminated envi- the COR, so that the former suppresses the latter. Why is
ronment) visual mechanisms overrule the proprioceptive the proprioceptive input to the gaze network then not
ones for gaze stabilization and therefore are more relevant completely removed? This may be related to the nonideal
for accurate vision. In the range of low stimulus frequen- vestibular canal dynamics, by which the VOR deteriorates
cies or velocities, where the proprioceptive responses at low stimulus frequency during earth-horizontal rota-
reach a considerable gain, the optokinetic and smooth- tions, unlike during vertical rotations, where the canal sig-
pursuit closed-loop systems clearly dominate in both nals are complemented by otolith signals. There are, to
monkey and man (see Schweigart et al. 1995, 1997). Sec- our knowledge, no COR studies related to this problem
ond, we believe that in the intact adult the proprioceptive in humans, but there is work on the COR in rabbit which
input is more important for gaze reorientation than for sta- is compensatory. This work supports the hypothesis; the
bilization, i.e., for the generation of saccades that shift vertical COR is poor compared with the horizontal
gaze into a new direction, as suggested earlier (animal ex- COR (Barmack et al. 1981), and the horizontal COR
periments: Mirenowicz and Hardy 1992; humans: Jrgens maintains its spatiotopic plane when head and trunk of
and Mergner 1989). Third, proprioceptive eye responses the animal are tilted together (brought about by a compen-
can by no means fully substitute the VOR, because the satory change in orbitotopic coordinates, induced by oto-
latter compensates head motion in space (e.g., evoked lith input; Pettorossi et al. 1987).
by motion of the body support), whereas the propriocep- What kind of adaptation of the proprioceptive eye re-
tive responses react solely to inter-segmental rotations. sponses occur in the adult and how can they be related
Since in many behavioral situations the head-in-space to the model in Fig. 6A? A compensatory COR with in-
movement does not match the head-on-trunk movement, creased gain is found in patients within several weeks fol-
or both may even have opposite directions, Fuller lowing loss of the VOR, although the gain that is reached
(1980) considered the possibility of short-term modifica- appears to vary considerably among patients (Gresty et al.
tions of the COR, or even a switching of its direction, de- 1977; Kasai and Zee 1978; Barnes 1979; Leopold et al.
pending on the particular situation. However, there is no 1983; Bles et al. 1984; Bronstein and Hood 1986; Huygen
experimental evidence for this rapid modification, at least et al. 1991). It is generally held that this COR helps the
in humans (Jrgens and Mergner 1989). Yet, as men- patients to stabilize gaze, but the exact mechanism is still
tioned before, the slow, proprioceptive eye responses not understood. There is general agreement that the COR
are of interest, not only for comparison with perception found with passive stimulation alone (passive COR)
but also in view of their development during ontogenesis would be insufficient to compensate for VOR loss, and
and their role for adaptation after loss of the VOR. that its latency would be too long if one considers saccad-
Studies on the ontogenesis of the COR are scarce, but ic gaze shifts containing rapid head movements (Gresty
the pattern which emerges from them is rather clear. 1976). Therefore, the compensatory mechanisms must in-
Barany (1918/1919) observed a tonic, compensatory volve some central (e.g., efference copy) signal arising
COR in premature babies and also up to 3 days after reg- with active head movements (Dichgans et al. 1973; Taka-
459

hashi et al. 1981, 1989). In the model in Fig. 6A, a com- Boyle R, Pompeiano O (1981) Convergence and interaction of neck
pensatory COR of considerable gain can be obtained by and macular vestibular inputs on vestibular neurons. J Neuro-
physiol 45:852868
setting the gain of the modifying pathway close to zero Brandt T, Bchele W, Arnold F (1977) Arthrokinetic nystagmus and
and opening the velocity saturation. Since the restriction ego-motion sensation. Exp Brain Res 30:331338
of the neck input to low velocities (saturation) is a result Bronstein AM, Hood JD (1986) The cervico-ocular reflex in normal
of involution, its reversal to higher values certainly would subjects and patients with absent vestibular function. Brain Res
373:399408
take considerable time. This may explain why the in- Bronstein AM, Morland AB, Ruddock KH, Gresty MA (1995) Re-
crease in COR gain following VOR loss occurs slowly covery from bilateral vestibular failure: implications for visual
(Dichgans et al. 1973) as compared to the well-known ad- and cervico-ocular function. Acta Otolaryngol (Stockh) [Suppl]
aptation of the VOR by altered visual input, for instance. 520:405407
Such a visually induced plastic change is also observed Dichgans J, Bizzi E, Morasso P, Taglisaco V (1973) Mechanisms
underlying recovery of eye-head coordination following bilater-
for the COR in vestibular-loss patients after minutes to al labyrinthectomy in monkeys. Exp Brain Res 18:548562
hours (Heimbrand et al. 1996). However, it is likely to in- Doerr M, Leopold HC, Thoden U (1981) Vestibulo-ocular reflex
volve mechanisms other than those considered in the (VOR), cervico-ocular reflex (COR) and its interaction in active
model. head movements. Arch Psychiat Nervenkr 230:117127
Fernandez C, Goldberg JM (1971) Physiology of peripheral neurons
Given that the proprioceptive eye responses in the in- innervating semicircular canals of the squirrel monkey. II. Re-
tact adult are weak and restricted to horizontal stimuli at sponse to sinusoidal stimulation and dynamics of peripheral ves-
low frequency, one could still ask whether they play a tibular system. J Neurophysiol 34:66175
functional role. We speculate that the tonic compensatory Frenzel H (1930) Rucknystagmus als Halsreflex und Schlagfeldver-
lagerung des labyrinthren Drehnystagmus durch Halsreflexe. Z
component might serve to stabilize the eyes in the hori- Hals Nasen Ohrenheilk 21:177187
zontal plane by shifting them slowly to the primary Fuller JH (1980) The dynamic neck-eye reflex in mammals. Exp
head-on-foot position; this as a default, because there is Brain Res 41:2935
no static vestibular set point value in this plane. Given Gauthier GM, Vercher JL (1990) Visual vestibular interaction: ves-
that an eye shift in the direction of the trunk or feet by tibulo-ocular reflex suppression with head-fixed target fixation.
Exp Brain Res 81:150160
the tonic component is not desireable, it can transiently Grahe K (1926) Beckenreflexe auf die Augen beim Menschen und
be neutralized by the phasic one. The finding of a phasic ihre Bedeutung fr die Drehschwachreizprfung des Vestibular-
component in the neck, but not in the leg response, can be apparates. Z Hals Nasen Ohrenheilk 13:613616
related to functional aspects; reorienting gaze shifts nor- Gresty MA (1976) A reexamination of neck reflex eye movements
in the rabbit. Acta Otolaryngol 81:386394
mally involve head movements at the level of the neck Gresty MA, Hess K, Leech J (1977) Disorders of the vestibulo-oc-
(or upper trunk), but rarely at the level of the legs, so it ular reflex producing oscillopsia and mechanisms compensating
is likely that no phasic response ever developed for the for loss of labyrinthine function. Brain 100:693716
latter condition. Heimbrand S, Bronstein AM, Gresty MA, Faldon ME (1996) Opti-
cally induced plasticity of the cervico-ocular reflex in patients
with bilateral absence of vestibular function. Exp Brain Res
Acknowledgement This work was supported by DFG Me 715. 112:372380
Hikosaka O, Maeda M (1973) Cervical effects on abducens moto-
neurons and their interaction with vestibulo-ocular reflex. Exp
Brain Res 18:512530
References Holtmann S, Reiman V, Scherer H (1989) Cervico-ocular eye move-
ments in relation to different neck-torsion velocities. Acta Oto-
Anastasopoulos D, Mergner T (1982) Canal-neck interaction in ves- laryngol (Stockh) [Suppl] 468:191196
tibular nuclear neurons of the cat. Exp Brain Res 46:269280 Huygen PLM, Verhagen WIM, Nicolasen MGM (1991) Cervico-oc-
Brny R (1906) Augenbewegungen durch Thoraxbewegungen ular reflex enhancement in labyrinthine-defective and normal
ausgelst. Zentralbl Physiol 20:298302 subjects. Exp Brain Res 87:457464
Brny R (1918/1919) ber einige Augen- und Halsmuskelreflexe Jrgens R, Mergner T (1989) Interaction between cervico-ocular and
bei Neugeborenen. Acta Otolaryngol (Stockh) 1:97102 vestibulo-ocular reflexes in normal adults. Exp Brain Res 77:
Barlow D, Freedman W (1980) Cervico-ocular reflex in the normal 381390
adult. Acta Otolaryngol (Stockh) 89:487496 Kasai T, Zee DS (1978) Eye-head coordination in labyrinthine-de-
Barmack NH, Nastos MA, Pettorossi VE (1981) The horizontal and fective human beings. Brain Res 144:123141
vertical cervico-ocular reflexes of the rabbit. Brain Res 224: Lackner JR, and DiZio P (1984) Some efferent and somatosensory
261278 influences on body orientation and oculomotor control. In: Spill-
Barnes GR (1979) Head-eye coordination in normals and patients mann L, Wooten BR (eds) Sensory experience, adaptation and
with vestibular disorders. Adv Otorhinolaryngol 25:197201 perception. Erlbaum, Hillsdale. NJ, pp 281301
Barnes GR, Forbat LN (1979) Cervical and vestibular afferent con- Leopold HC, Doerr M, Thoden U (1983) Cervico-ocular responses
trol of oculomotor response in man. Acta Otolaryngol (Stockh) (COR) during slow sinusoidal head movements in subjects with
88:7987 bilateral labyrinthine lesions. Arch Psychiatr Nervenkr 233:439
Biemond A, Jong JMBV de (1969) On cervical nystagmus and relat- 447
ed disorders. Brain 92:437458 Maurer C, Kimmig H, Trefzer A, Mergner T (1997) Visual object
Bles W, Jong JMBV de, Wit G de (1984) Somatosensory compen- localization through vestibular and neck inputs. 1. Localization
sation for loss of labyrinthine function. Acta Otolaryngol with respect to space and relative to the head and trunk mid-sag-
(Stockh) 97:213221 ittal planes. J Vestib Res 7:119135
Botti FM, Schweigart G, Mergner T (1995) Eye movements evoked Meiry JL (1971) Vestibular and proprioceptive stabilization of eye
by leg-proprioceptive and vestibular stimulation. In: Findlay movements. In: Bach-y-Rita P, Collins CC, Hyde JE (eds) The
JM (ed) Eye movement research. Elsevier, Amsterdam, pp control of eye movements. Academic Press, New York, pp
109118 483496
460
Mergner T, Anastasopoulos D, Becker W (1982) Neuronal respons- Robinson DA (1977) Vestibular and optokinetic symbiosis: an ex-
es to horizontal neck deflection in the group X region of the ample of explaining by modeling. In: Baker R, Berthoz A
cats medullary brainstem. Exp Brain Res 45:196206 (eds) Control of gaze by brain stem neurons. Elsevier, Amster-
Mergner T, Siebold C, Schweigart G, Becker W (1991) Human per- dam, pp 4958
ception of horizontal head and trunk rotation in space during Sato H, Ohkawa T, Uchino Y, Wilson VJ (1997) Excitatory connec-
vestibular and neck stimulation. Exp Brain Res 85:389404 tions between neurons of the central cervical nucleus and vestib-
Mergner T, Rottler G, Kimmig H, Becker W (1992) Role of vestib- ular neurons in the cat. Exp Brain Res 115:381386
ular and neck inputs for the perception of object motion in Schweigart G, Mergner T, Becker W (1995) Eye stabilization by
space. Exp Brain Res 89:655668 vestibulo-ocular reflex (VOR) and optokinetic reflex (OKR) in
Mergner T, Hlavacka F, Schweigart G (1993) Interaction of vestib- macaque monkey: which helps which? Acta Otolaryngol 115:
ular and proprioceptive inputs. J Vestib Res 3:4157 1925
Mergner T, Huber W, Becker W (1997) Vestibular-neck interaction Schweigart G, Mergner T, Evdokimidis I, Morand S, Becker W
and transformation of sensory coordinates. J Vestib Res 7:347367 (1997) Gaze stabilization by optokinetic reflex (OKR) and ves-
Mirenowicz J, Hardy O (1992) Characteristics of saccades induced tibulo-ocular reflex (VOR) during active head rotation in man.
by neck torsion: a re-examination in the normal guinea pig. Vision Res 37:16431652
Brain Res 592:17 Takahashi M, Uemura T, Fujishiro T (1981) Compensatory eye
Peterson BW (1988) Cervico-collic and cervicoocular reflexes. In: movement and gaze fixation during active head rotation in pa-
Peterson BW, Richmond FJ (eds) Control of head movement. tients with labyrinthine disorders. Ann Otol Rhinol Laryngol
Oxford University Press, New York Oxford, pp 9099 90:241245
Pettorossi VE, Errico P, Ferraresi A, Fedeli R (1987) Vestibular con- Takahashi M, Saito A, Okada Y, Yoshida A (1989) Recovery of
tribution to the orientation of cervico-ocular reflex in rabbit. gaze disturbance in bilateral labyrinthine loss. ORL J Otorhino-
Brain Res 403:5865 laryngol Relat Spec 51:305310
Reisman JE, Anderson JH (1989) Compensatory eye movements dur- Takemori S, Suzuki JI (1971) Eye deviations from neck torsion in
ing head and body rotation in infants. Brain Res 484:119129 humans. Ann Otol Rhinol Laryngol 80:439444
Richmond FJR, Abrahams VC (1979) What are the proprioceptors Warabi T (1978) Trunk ocular reflex. Neurosci Lett 9:267270
of the neck? In: Granit R, Pompeiano O (eds) Reflex control
of posture and movement. Prog Brain Res 50:245254

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