Oculomotor strategies and their effect on reducing gaze position error

Michael C. Schubert, Courtney D. Hall, Vallabh Das, Ronald J. Tusa, Susan J. Herdman

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Objective: Vestibular adaptation exercises have been shown to improve gaze stability during active head rotation in individuals with vestibular hypofunction. Little is known, however, of the types of eye movements used during passive head rotation and their effect on gaze stability in individuals with vestibular hypofunction. The primary purpose of this study was to determine differences in oculomotor strategies and their effect on stabilizing gaze during ipsilesional passive and active head rotations in vestibular hypofunction. Patients: Subjects with unilateral (n = 4) and bilateral (n = 3) vestibular hypofunction and healthy subjects (n = 4) based on bithermal caloric and rotational chair testing. Intervention: Diagnostic. Main Outcome Measure: Head and eye velocity and position data measured with scleral search coil. Results: Subjects with unilateral and bilateral vestibular hypofunction generated 3 types of gaze-stabilizing eye movements with ipsilesional head impulses: slow vestibular ocular reflex, compensatory, and corrective saccades. The types of eye movements generated during active and passive head impulses were highly individualized. Gaze position error was reduced when compensatory saccades were recruited as part of the gaze-stabilizing strategy. Conclusion: Rehabilitation for individuals with vestibular hypofunction should identify individuals' unique gaze stability preferences and attempt to facilitate compensatory saccades.

Original languageEnglish (US)
Pages (from-to)228-231
Number of pages4
JournalOtology and Neurotology
Issue number2
StatePublished - Feb 2010


  • Compensatory saccades
  • Oculomotor
  • Vestibular hypofunction
  • Vestibulo-ocular reflex

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology


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