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Otoliths are the primary gravity sensors of the vestibular system and are responsible for the ocular counter-roll (OCR). This compensatory eye torsion ensures gaze stabilization and is sensitive to a head roll with respect to gravity and the Gravito-Inertial Acceleration vector during, e.g., centrifugation. To measure the effect of prolonged spaceflight on the otoliths, we quantified the OCR induced by off-axis centrifugation in a group of 27 cosmonauts in an upright position before and after their 6-month space mission to the International Space Station. We observed a significant decrease in OCR early postflight, larger for first-time compared to experienced flyers. We also found a significantly larger torsion for the inner eye, the eye closest to the rotation axis. Our results suggest that experienced cosmonauts have acquired the ability to adapt faster after G-transitions. These data provide a scientific basis for sending experienced cosmonauts on challenging missions that include multiple g-level transitions.
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http://dx.doi.org/10.1038/s41526-022-00208-5 | DOI Listing |
Eur Arch Otorhinolaryngol
July 2025
Department of Otolaryngology, Umraniye Training and Research Hospital, University of Health Sciences, Umraniye, Istanbul, Turkey.
Objective: This study aimed to objectively evaluate utricular dysfunction in patients with posterior canal benign paroxysmal positional vertigo (BPPV) using the video Ocular Counter-Roll (vOCR) test and to monitor functional changes following the Epley maneuver.
Methods: The study included 30 patients diagnosed with BPPV (19 with right posterior canal involvement, 11 with left) and 30 age- and sex-matched healthy controls. After diagnosis was confirmed by the Dix-Hallpike test, all patients underwent the static vOCR test twice: before the Epley maneuver and during the follow-up examination in which nystagmus and vertigo were no longer observed in the Dix-Hallpike test.
J Am Acad Audiol
January 2025
‡Faculty of Medicine, Department of Otorhinolaryngology, Istanbul Medeniyet University, Kadıköy, Istanbul, Turkey.
There is a need for more laboratory tests in the diagnosis of Ménière's disease (MD). The adequacy of the findings of the video ocular counter-roll reflex (OCR) test to support the diagnosis of patients with unilateral MD in the nonattack period was investigated. Hearing tests, ocular and cervical vestibular evoked myogenic potential (VEMP), Dizziness Handicap Inventory, and video OCR tests were performed on 31 patients with unilateral MD and 30 healthy controls, and the findings were compared.
View Article and Find Full Text PDFJ Vestib Res
March 2025
Department of Audiology, Faculty of Health Sciences, Hamidiye University of Health Sciences, Istanbul, Turkey.
BackgroundThe ocular counter roll (OCR) is a component of the vestibulo-ocular reflex (VOR) characterized by torsional eye movements in the opposite direction of the head during head tilt.ObjectiveThis study aimed to determine the test-retest reliability of the video ocular counter-roll (vOCR) test, based on video-oculography (VOG) measurements, in assessing otolith function.MethodsThe study included 40 healthy participants (25 females and 15 males) aged 18-44 years.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
May 2025
Department of Otolaryngology-Head and Neck Surgery, Sheba Medical Center, Tel Hashomer, Israel.
Objective: The video ocular counter-roll (vOCR) test is a novel method that uses video-oculography (VOG) goggles to detect vestibular dysfunction, potentially offering a simpler alternative to current vestibular function tests. In this study, we aim to compare the vOCR test with the caloric test for diagnosing vestibular dysfunction and to assess its clinical applicability.
Study Design: A retrospective cohort study.
Am J Audiol
March 2025
Department of Communication Disorders and Sciences, Viterbo University, La Crosse, WI.
Purpose: The purpose of this study was to evaluate the effect of noise exposure on otolith function measures of video ocular counter roll (vOCR), ocular vestibular evoked myogenic potential (oVEMP), cervical VEMP (cVEMP), and subjective visual vertical (SVV). Additionally, this study compared the vOCR results with other otolith function measures: cVEMP, oVEMP, and SVV.
Method: This was a cross-sectional, between-group prospective study that compared otolith function tests between noise exposure groups.