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1 How We Move Sensory Processing 2015 MFMER slide MFMER slide-7 Motor Processing 2015 MFMER slide MFMER slide-8 Central Processing Vestibular Somatosensation Visual Macular Peri-macular 2015 MFMER slide MFMER slide-9 1

2 Sensory Balance Processes Vestibular Angular (turning) movement Head about spinal cord Linear movements linear accelerations Head tilts Reflexes vestibular.wustl.edu/ figures/figure-2.jpg Human Vision: A Tail of Two Systems Vision Macular Color vision Reconstruct world Peri-macular Night vision Motion detection 2015 MFMER slide MFMER slide-13 Sensory Balance Processes Vestibular Somatosensory Joint perception Pressure and tactile perception Body position in space (relative to gravity) Haptics Macular System Cerebral Level Fovea CN II, Optic Chiasm Projections to Occipital Lobes Reconstruct world Objects Events Space / depth 2015 MFMER slide MFMER slide-14 Sensory Balance Processes Vestibular Somatosensory Vision Human Vision: A Tail of Two Systems 2015 MFMER slide MFMER slide-15 2

3 Eye Movements and Foveal Vision Gaze Identify and place visual distinctive feature on fovea Peri-Macular Vision Rod cells Night vision Motion detection 2015 MFMER slide MFMER slide-19 Perspective and Depth Cues Peri-Macular System Very sensitive to movement / optical flow and low light. Optical flow: Surround moves systematically with eye or head movement. Example: Expansion optical flow 2015 MFMER slide MFMER slide-20 Scene Reconstruction Laminar Ocular Flow: significant portion of scene moves in one direction - movement cue Top: laminar flow associated with eye movement Bottom: laminar flow affected by fixation point (head movement) Top Down process of expectancy set 2015 MFMER slide MFMER slide-21 3

4 Video Clips 2015 MFMER slide MFMER slide MFMER slide MFMER slide-26 Near Objects and Self Motion 2015 MFMER slide MFMER slide-27 4

5 No for Distant Objects Implication: Loose Depth Cues Loose self movement cues Reactions to Loss of Visual Flow Visual destabilization results in varying reactions from collapse to height imbalance or height disorientation Common to all is a sense of vulnerability / danger 2015 MFMER slide MFMER slide-31 Visual Flow and Movement When we are standing still we are not really still Small body movements reflected in visual flow 20 minute arch minimum required for peripheral retina to detect motion When objects are close (3 m for example), normal sway of 2 cm generates movement induced visual flow Height Imbalance Counter measures: Fixate on near objects Suppress reliance on self movement induced visual flow, MFMER slide MFMER slide-32 Visual Flow and Movement As eye object distance increases, sway must increase to induce visual flow At meter of eye-object distance, self sway must be greater than 10 cm to induce visual flow This can approach or exceed the limits of stability, depending on posture. Height Imbalance Counter measures: Rely on other senses (vestibular, proprioceptive and haptic), MFMER slide MFMER slide-33 5

6 Height Imbalance Thermaling Counter measures: Develop motor skills (strength and coordination) to respond to ambiguous or misleading visual cues MFMER slide MFMER slide-37 Physiology of Postural Control and Heights Confidence despite ambiguous sensorium Wide range of inter-individual but narrow range of intra-individual variability. This would suggest intolerance vs. tolerance in normal subjects is due to different psychological responses to heights or danger. Air Sickness 2015 MFMER slide MFMER slide-38 Thermals Space shuttle and football Open versus Closed Loop Movement Confident Expectancy 2015 MFMER slide MFMER slide-39 6

7 How We Move 2015 MFMER slide-40 Motor pre-planning & initiation Fear Reactions Pyramidal activation Extra-pyramidal support Vestibular Somatosensory Visual Macular Peri-macular Final common pathway 2015 MFMER slide-41 How We Move Points Vestibular system is a small but important part of our system of balance control and movement. Vestibulopathy may cause dizziness, but not necessarily vertigo Roll of sensory information in motor planning varies by situational context Confident Expectancy versus Fear 2015 MFMER slide-42 7

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