Evidence map›Paper›PMID 34087393›Full record

ReviewNeuroscience2021

Vestibular Precision at the Level of Perception, Eye Movements, Posture, and Neurons.

Ana Diaz-Artiles, Faisal Karmali

Registry-linked trialAbstract readReview
In one paragraph

Review in Neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07627087 (Vestibular Implant Tested in Patients With Peripheral Vestibular Damage), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07627087 narecruitingnot on this mapstarted 2026, after this paper: background citation

Vestibular Implant Tested in Patients With Peripheral Vestibular Damage: Effects on Spatial Orientation, Navigation, and Neuropsychologic Function

TypeinterventionalSponsorMassachusetts Eye and Ear InfirmaryRan2026 to 2029Enrolled20ConditionsVestibular Dysfunction, Bilateral Vestibular Loss, Vestibular ImplantArmsvestibular implant stimulation
3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

  1. Trial
  2. Horizontal vHIT gain is unaffected by moderate cognitive load: evidence from a single-distance dual-task paradigm.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Article
  4. Progression of Vestibular Deficits Following Moderate-Intensity Blast Overpressure in Rats.Journal of the Association for Research in Otolaryngology : JARO · 2026
    Article
  5. Article
  6. Vestibular implant stimulation can improve self-motion perception.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Intra-individual consistency of vestibular perceptual thresholds.Attention, perception & psychophysics · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ana Diaz-ArtilesBioastronautics and Human Performance Laboratory, Department of Aerospace Engineering, Department of Health and Kinesiology, Texas A&M University, College Station, TX 77843-3141, USA. Electronic address: https://bhp.engr.tamu.edu.
Faisal KarmaliJenks Vestibular Physiology Laboratory, Massachusetts Eye and Ear Infirmary, Boston, MA, USA; Department of Otolaryngology - Head and Neck Surgery, Harvard Medical School, Boston MA, USA. Electronic address: faisal_karmali@meei.harvard.edu.

Funding

Vestibular Precision: Physiology and PathophysiologyR01DC018287 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI KARMALI, FAISAL, LEWIS, RICHARD F · 2020 to 2024
$2.4M
Measuring and Isolating Imprecision in Vestibular Perception and ActionR03DC013635 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI KARMALI, FAISAL · 2015 to 2017
$492k
NIDCD NIH HHS R01 DC018287NIDCD NIH HHS R03 DC013635
6 · The paper itself

Abstract

Precision and accuracy are two fundamental properties of any system, including the nervous system. Reduced precision (i.e., imprecision) results from the presence of neural noise at each level of sensory, motor, and perceptual processing. This review has three objectives: (1) to show the importance of studying vestibular precision, and specifically that studying accuracy without studying precision ignores fundamental aspects of the vestibular system; (2) to synthesize key hypotheses about precision in vestibular perception, the vestibulo-ocular reflex, posture, and neurons; and (3) to show that groups of studies that are thoughts to be distinct (e.g., perceptual thresholds, subjective visual vertical variability, neuronal variability) are actually "two sides of the same coin" - because the methods used allow results to be related to the standard deviation of a Gaussian distribution describing the underlying neural noise. Vestibular precision varies with age, stimulus amplitude, stimulus frequency, body orientation, motion direction, pathology, medication, and electrical/mechanical vestibular stimulation, but does not vary with sex. The brain optimizes precision during integration of vestibular cues with visual, auditory, and/or somatosensory cues. Since a common concern with precision metrics is time required for testing, we describe approaches to optimize data collection and provide evidence that fatigue and session effects are minimal. Finally, we summarize how precision is an individual trait that is correlated with clinical outcomes in patients as well as with performance in functional tasks like balance. These findings highlight the importance of studying vestibular precision and accuracy, and that knowledge gaps remain.

Indexed as

Motion PerceptionVestibule, LabyrinthEye MovementsHumansNeuronsPerceptionPostureReflex, Vestibulo-Ocularhuman experimentssignal detection theorystandard deviationthresholdsvariabilityvestibulo-ocular reflex

Identifiers

PMID34087393
PMCPMC9188304

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.