PMID: 6969515May 1, 1980Paper

The mechanism of physiological height vertigo. I. Theoretical approach and psychophysics

Acta Oto-laryngologica
T BrandtT S Kapteyn

Abstract

A theory is presented supporting a geometrical explanation of physiological height vertigo as a 'distance vertigo' created by visual destabilization of posture when the distance between the observer and visible stationary contrasts becomes critically large. Though height vertigo is generally regarded as a psychopathological process, we hypothesize that it might instead result from an intersensory mismatch when visual information is at variance with vestibular and proprioceptive inputs. Psychophysical experiments confirming the hypothesis revealed that: 1) height vertigo is clearly related to body position, being the greatest in the upright stance; 2) it is the eye-object distance rather than the direction of gaze which is critical; 3) there is a saturation of height vertigo magnitude. Subjective vertigo increases with increasing altitude only below 20 metres. Physiological 'distance vertigo' must be distinguished from psychological 'acrophobia'. Its postural consequences may be ameliorated by strategies gleaned from knowledge of its mechanism such as providing nearby stationary contrasts in the peripheral visual field.

References

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Citations

Sep 24, 2013·Der Nervenarzt·G KuglerT Brandt
Sep 20, 2011·Journal of Neurology·Thomas BrandtDoreen Huppert
May 16, 2012·Journal of Neurology·Matthias BauerThomas Brandt
Oct 17, 2012·Journal of Neurology·Doreen HuppertThomas Brandt
Aug 28, 2013·Journal of Neurology·Doreen HuppertThomas Brandt
Jun 5, 2001·Journal of Anxiety Disorders·J M Furman, R G Jacob
Jun 5, 2001·Journal of Anxiety Disorders·M S RedfernA M Bronstein
May 10, 2001·Ergonomics·H Hsiao, P Simeonov
Sep 22, 2001·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·P Simeonov, H Hsiao
Aug 27, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Florian SchäfflerEva Grill
Sep 23, 2008·European Archives of Psychiatry and Clinical Neuroscience·Catarina C BoffinoRenato T Ramos
Apr 28, 2004·Acta otorrinolaringológica española·E Martín SanzJ M Baydal
Mar 14, 2009·Journal of Anxiety Disorders·Carlos M CoelhoGuy Wallis
Nov 26, 2008·Neurophysiologie clinique = Clinical neurophysiology·M Guerraz, A M Bronstein
Jul 3, 2007·Journal of Anxiety Disorders·Georg W Alpers, Dirk Adolph
Apr 22, 2011·Journal of Clinical Nursing·Susan Holmes, Nigel D Padgham
Jan 7, 2014·Brain and Behavior·Doreen HuppertThomas Brandt
Mar 13, 2014·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Khalid A AlahmariSusan L Whitney
Dec 3, 2014·Neuroscience and Biobehavioral Reviews·Carlos M Coelho, Carey D Balaban
Sep 30, 2014·European Archives of Psychiatry and Clinical Neuroscience·Hans-Peter KapfhammerThomas Brandt
Nov 5, 2013·Gait & Posture·Chip WadeWendi H Weimar
Dec 30, 2014·Frontiers in Human Neuroscience·Roman SchnieppThomas Brandt
Oct 19, 2006·Journal of Anxiety Disorders·Mark S RedfernRolf G Jacob
Oct 6, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·H NakaharaH Tsuruoka
Jan 13, 2006·Journal of Psychopharmacology·Renato T Ramos
Dec 16, 2010·Psychological Science·Anthony M MayoThomas A Stoffregen
Jun 1, 2013·Psychological Science·Audun DahlMarianne Barbu-Roth
Aug 15, 2003·Human Factors·Peter I SimeonovDouglas E Ammons
Aug 1, 1983·American Journal of Medical Genetics·W A Renie, E A Murphy
Feb 28, 2015·Annals of the New York Academy of Sciences·Thomas BrandtDoreen Huppert
Nov 1, 1987·Journal of Neurology, Neurosurgery, and Psychiatry·W PaulusT H Brandt
May 1, 1980·Acta Oto-laryngologica·W BlesF Arnold
May 1, 1997·Psychosomatic Medicine·R G JacobS M Turner
Sep 11, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·R TeggiE Mira
Sep 19, 2020·Experimental Brain Research·Tiphanie E RaffegeauPeter C Fino
May 24, 2020·Journal of Neurology·Doreen HuppertThomas Brandt
Nov 13, 2018·Frontiers in Neurology·Brandon G RasmanJean-Sébastien Blouin

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