Head Stabilization during Locomotion: Perturbations Induced by Vestibular Disorders

Abstract

Head kinematics was studied in 10 normal subjects (NS) and 7 patients (P) with bilateral vestibular deficit while they executed various locomotor tasks. The movement of the body was recorded with a video system which allowed a computer reconstruction of the motion of joint articulations and other selected points on the body in three dimensions. Analyses focus on head translation along the vertical axis and rotation in the sagittal plane. Two conditions were studied: free walking (W) and hopping (H). The subjects were tested in light and in darkness. In NS, while walking in darkness, mean head position was tilted downward. In contrast, this flexion was not systematic in P. Darkness did not significantly influence the amplitude and velocity of head angular displacement during W, but, during H the amplitude decreased by 37% for NS. During H in darkness, head stabilization decreased for P. These results suggest that head kinematics, during natural locomotor tasks, could be used to evaluate vestibular deficiencies.