Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.

Patients with bilateral vestibular loss suffer from severe balance deficits during normal everyday movements. Ballet dancers, figure skaters, or slackliners, in contrast, are extraordinarily well trained in maintaining balance for the extreme balance situations that they are exposed to. Both trainin...

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Main Authors: Nadine Hummel, Katharina Hüfner, Thomas Stephan, Jennifer Linn, Olympia Kremmyda, Thomas Brandt, Virginia L Flanagin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4002428?pdf=render
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author Nadine Hummel
Katharina Hüfner
Thomas Stephan
Jennifer Linn
Olympia Kremmyda
Thomas Brandt
Virginia L Flanagin
author_facet Nadine Hummel
Katharina Hüfner
Thomas Stephan
Jennifer Linn
Olympia Kremmyda
Thomas Brandt
Virginia L Flanagin
author_sort Nadine Hummel
collection DOAJ
description Patients with bilateral vestibular loss suffer from severe balance deficits during normal everyday movements. Ballet dancers, figure skaters, or slackliners, in contrast, are extraordinarily well trained in maintaining balance for the extreme balance situations that they are exposed to. Both training and disease can lead to changes in the diffusion properties of white matter that are related to skill level or disease progression respectively. In this study, we used diffusion tensor imaging (DTI) to compare white matter diffusivity between these two study groups and their age- and sex-matched controls. We found that vestibular patients and balance-trained subjects show a reduction of fractional anisotropy in similar white matter tracts, due to a relative increase in radial diffusivity (perpendicular to the main diffusion direction). Reduced fractional anisotropy was not only found in sensory and motor areas, but in a widespread network including long-range connections, limbic and association pathways. The reduced fractional anisotropy did not correlate with any cognitive, disease-related or skill-related factors. The similarity in FA between the two study groups, together with the absence of a relationship between skill or disease factors and white matter changes, suggests a common mechanism for these white matter differences. We propose that both study groups must exert increased effort to meet their respective usual balance requirements. Since balance training has been shown to effectively reduce the symptoms of vestibular failure, the changes in white matter shown here may represent a neuronal mechanism for rehabilitation.
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spelling doaj.art-d26ce02e552f4e36b1e3af55d473a8992022-12-22T01:13:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9566610.1371/journal.pone.0095666Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.Nadine HummelKatharina HüfnerThomas StephanJennifer LinnOlympia KremmydaThomas BrandtVirginia L FlanaginPatients with bilateral vestibular loss suffer from severe balance deficits during normal everyday movements. Ballet dancers, figure skaters, or slackliners, in contrast, are extraordinarily well trained in maintaining balance for the extreme balance situations that they are exposed to. Both training and disease can lead to changes in the diffusion properties of white matter that are related to skill level or disease progression respectively. In this study, we used diffusion tensor imaging (DTI) to compare white matter diffusivity between these two study groups and their age- and sex-matched controls. We found that vestibular patients and balance-trained subjects show a reduction of fractional anisotropy in similar white matter tracts, due to a relative increase in radial diffusivity (perpendicular to the main diffusion direction). Reduced fractional anisotropy was not only found in sensory and motor areas, but in a widespread network including long-range connections, limbic and association pathways. The reduced fractional anisotropy did not correlate with any cognitive, disease-related or skill-related factors. The similarity in FA between the two study groups, together with the absence of a relationship between skill or disease factors and white matter changes, suggests a common mechanism for these white matter differences. We propose that both study groups must exert increased effort to meet their respective usual balance requirements. Since balance training has been shown to effectively reduce the symptoms of vestibular failure, the changes in white matter shown here may represent a neuronal mechanism for rehabilitation.http://europepmc.org/articles/PMC4002428?pdf=render
spellingShingle Nadine Hummel
Katharina Hüfner
Thomas Stephan
Jennifer Linn
Olympia Kremmyda
Thomas Brandt
Virginia L Flanagin
Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
PLoS ONE
title Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
title_full Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
title_fullStr Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
title_full_unstemmed Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
title_short Vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy.
title_sort vestibular loss and balance training cause similar changes in human cerebral white matter fractional anisotropy
url http://europepmc.org/articles/PMC4002428?pdf=render
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