VOR Suppression in Non-Gymnast Adults

The researchers hypothesize that there is a correlation between Vestibulo-ocular reflex (VOR) performance and innate athletic skill level. A similar study was conducted in female, young adult gymnasts where a correlation was shown between VOR performance and gymnastic skill level. However, the results from this study did not suggest that VOR differences develop as a result of practice; rather that the differences in VOR may simply allow some individuals to become better performers. In this study the researchers would like to extend the population to adults both with and without a background in gymnastics to determine the natural relationship between VOR and innate athletic potential.

Study Overview

• Status: Completed
• Conditions: Performance; Vestibular
• Intervention / Treatment: Behavioral: VOR and coordination measurements

Detailed Description

Sports like gymnastics, diving, and ice skating often involve rotational elements with high angular velocities. Many of these are airborne skills and have a significant element of risk. The athletes who perform these skills have to rely on sensory information from the visual and vestibular systems. It has been suggested that the vestibular system adapts to these types of inputs and the athlete no longer experiences dizziness associated with multiple rotations.

A recent Neuroscience abstract described a small study of the directional selectivity of vestibular habituation adult professional figure skaters. The results showed that figure skaters demonstrated a profound reduction in the magnitude of post-rotary nystagmus and caloric test response in their preferred direction of rotation. It was suggested that this sensitivity was a result of "habituation." The authors implied that the skaters learned to suppress vestibular receptors on the side that they turned toward. This deduction is based on patients that develop pathology on one side and learn to suppress the sensation on that side. However, we do not currently know if the developing vestibular system works the same way or if this is an inherited trait. Most of these athletes started as children, when their vestibular system was still developing, and may have a more fine-tuned vestibular system and be able to suppress certain reflexes. On the other hand, it could be that some people are born with the ability to suppress this sensation, thus allowing them to become elite athletes. Currently there isn't a defined relationship between a person's athleticism or athletic upbringing and their vestibular system performance.

A major component of vestibular performance is the Vestibular Ocular Reflex (VOR). The VOR is responsible for stabilizing the visual field on the retina during head movement. To accomplish this, the eyes are reflexively moved in a direction opposite the head. For example, in a twisting gymnast, this actually reduces the ability of gymnasts to see the landing during airborne skills. Hence, it becomes necessary for gymnasts to cancel or suppress their VOR in order to view the landing. A previous study conducted by the researchers determined that young, actively practicing gymnasts (mean age 15±2.2) had a higher ability to suppress their VOR than non-gymnasts of the same age. This previous study determined that there is a correlation between VOR performance and gymnastic skill level. However, these results do not suggest that the VOR differences develop as a result of practice.

This study aims to establish a relationship between VOR performance and athleticism. By comparing ex-gymnast adults (ages 18-30), and their age-matched, non-gymnast counterparts to the previous study results involving actively practicing, child gymnasts, a relationship between VOR performance and athletic skill can be determined. Furthermore, examining the VOR data collected from this study to data collected from tests aimed at determining athleticism, or a person's athletic potential, it may be possible to relate VOR performance to athletic skill; In other words, determining whether athletes are successful because their vestibular performance is superior to those whom are non-athletes, or it is a learned skill with practice.

• Study Type: Observational
• Enrollment (Actual): 12

Contacts and Locations

Study Locations

• United States
  • Virginia
    • Richmond, Virginia, United States, 23298
      • Virginia Commonwealth University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 30 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Approximately 12 adults (6 ex-gymnastics, and 6 age matched, non-gymnast counterparts), ages 18-30 will be obtained via a sample of convenience from the University community. Subjects will be asked to wear a measurement system (Eyelink II, SR Research) that tracks head and eye movements as they perform as set of eye and head movements to measure saccadic eye movements, VOR and VOR suppression. Periodic calibrations will be performed throughout the experiment to test the continued reliability of the data.

Description

Inclusion Criteria:

• Normal, adults will be recruited from the University community via a sample of convenience.

Exclusion Criteria:

• Children under the age of 18.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
athletic background; ex-gymnasts	Behavioral: VOR and coordination measurements; measurement of VOR and VOR suppression in addition to hand-eye coordination tasks
control; age-matched non-gymnastics background	Behavioral: VOR and coordination measurements; measurement of VOR and VOR suppression in addition to hand-eye coordination tasks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
vestibulo-ocular reflex (VOR) gain	amplitude of head v. eye velocities	2 hour data collection period (Visit 1)
NASA Task Load Index	measure of cognitive load during task performance	Immediately after 2 hour data collection period (Visit 1)

Collaborators and Investigators

• Sponsor: Virginia Commonwealth University
• Investigators: Principal Investigator: Peter Pidcoe, PT, DPT, Ph.D., Virginia Commonwealth University

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2017
• Primary Completion (ACTUAL): April 18, 2017
• Study Completion (ACTUAL): April 18, 2017

Study Registration Dates

• First Submitted: June 8, 2017
• First Submitted That Met QC Criteria: July 20, 2017
• First Posted (ACTUAL): July 24, 2017

Study Record Updates

• Last Update Posted (ACTUAL): October 26, 2017
• Last Update Submitted That Met QC Criteria: October 25, 2017
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Keywords: VOR
• Other Study ID Numbers: HM20008030

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No