Evidence of progressive delay of motor development in children with sensorineural hearing loss and concurrent vestibular dysfunction.

Gross motor development, and the effect of age, sex and vestibular function on it, was examined in 39 24- to 83-mo.-old children with sensorineural hearing impairment. Repeated testing was completed on 18 children. Delayed gross motor development was evident regardless of age, but only children less than 5 years of age had developmental balance deficits on initial testing. Both gross motor and balance development scores were lower on repeated testing. Furthermore, vestibular function scores facilitated identification of those children with a deficit in balance development as well as those with a progressive delay in motor or balance development. Implications for practice are discussed.

Visual-vestibular habituation and balance training for motion sickness.

BACKGROUND AND PURPOSE: This case report describes physical therapy for motion sickness in a 34-year-old woman. The purpose of the report is twofold: (1) to provide an overview of the literature regarding motion sickness syndrome, causal factors, and rationale for treatment and (2) to describe the evaluation and treatment of a patient with motion sickness. CASE DESCRIPTION AND OUTCOMES: The patient initially had moderate to severe visually induced motion sickness, which affected her functional abilities and prevented her from working. Following 10 weeks of a primarily home-based program of visual-vestibular habituation and balance training, her symptoms were alleviated and she could resume all work-related activities. DISCUSSION: Although motion sickness affects nearly one third of all people who travel by land, sea, or air, little documentation exists regarding prevention or management.

Extraretinal eye position signals determine perceived target location when they conflict with visual cues.

To examine the role of extraretinal eye position information (EEPI) in visual perception of target location in normal room illumination, subjects participated in experiments in which EEPI was manipulated using the eye press maneuver with either monocular or binocular viewing. The viewing condition and eye press caused EEPI and retinal information about target location to conflict. Pointing responses in eye press trials were all in the direction of EEPI showing that EEPI is the dominant source of information in egocentric visual space perception. In binocular viewing, version and vergence occur in response to the eye press to maintain fusion and EEPI based on these movements also determine perceived location. An unanticipated finding was that the eye press was variable in its effectiveness in rotating the eye, which contributed to large variability in pointing errors and suggested the method would be a poor choice for future work.

Head and trunk movement responses in healthy children to induced versus self-induced lateral tilt.

The purpose of our study was to determine head and trunk movement responses that occur in healthy 7-year-old children during induced and self-induced lateral tilt. Twenty subjects, while tailor sitting on a tiltboard, participated in three trials of both induced and self-induced left and right lateral displacements. Measurements of neck and trunk lateral flexion; trunk counterrotation; and neck, trunk, and body anterior-posterior movement were obtained from slide transparencies made at three stages of tilt (original position, initial tilt, and full tilt). For each subject in the two test conditions, changes in these measurements between the stages of tilt were determined and compared. Based on the results of multivariate analysis of variance procedures, we concluded that 1) a significant difference in trunk counterrotation existed between the two types of tilt, with the greatest degree of counterrotation occurring with induced displacement; 2) no significant difference existed in neck or trunk lateral flexion; and 3) no significant differences existed in neck, trunk, or body anterior-posterior movement between tilts. We also found that a wide variability of response existed among the children over the three testing trials. Clinical application of our results suggests that different and unique motor programs exist for automatic and willed balance responses. These differences should be considered when planning treatment strategies.