PreprintReviewVersion 1Preserved in Portico This version is not peer-reviewed
A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies
Version 1
: Received: 3 May 2024 / Approved: 3 May 2024 / Online: 3 May 2024 (10:24:55 CEST)
How to cite:
Longridge, N. S.; Mallinson, A. I. A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies. Preprints2024, 2024050187. https://doi.org/10.20944/preprints202405.0187.v1
Longridge, N. S.; Mallinson, A. I. A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies. Preprints 2024, 2024050187. https://doi.org/10.20944/preprints202405.0187.v1
Longridge, N. S.; Mallinson, A. I. A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies. Preprints2024, 2024050187. https://doi.org/10.20944/preprints202405.0187.v1
APA Style
Longridge, N. S., & Mallinson, A. I. (2024). A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies. Preprints. https://doi.org/10.20944/preprints202405.0187.v1
Chicago/Turabian Style
Longridge, N. S. and Arthur I. Mallinson. 2024 "A Review of the Literature to Outline How the Vestibular Efferent System Correlates the Complexity of Routine Balance Maintenance with Management of Emergency Fall Prevention Strategies" Preprints. https://doi.org/10.20944/preprints202405.0187.v1
Abstract
A correlation of basic science and clinical symptoms in the human to propose a new theory for how the vestibular system works Neil S. Longridge Professor Emeritus, Division of Otolaryngology Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC CANADA *Arthur I. Mallinson, Clinical Associate Professor, Division of Otolaryngology Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC CANADA NS Longridge † *AI Mallinson † These authors contributed equally to this work. ABSTRACT; Bipedalism is unique among mammals. Until modern times, a fall and resulting leg fracture could be fatal. Balance maintenance after a destabilizing event requires instantaneous decision-making. The vestibular system plays an essential role in this process, initiating an emergency response. The afferent otolithic neural response is the first directionally oriented information to reach the cortex, and can then be used to initiate an appropriate protective response. Some vestibular efferent axons feed directly into the type I vestibular hair cells. This allows for rapid vestibular feedback via the striated organelle (STO), which has been largely ignored in most texts. We propose that this structure is essential in emergency fall prevention, and also that the system of sensory detection and resultant motor response works by having efferent movement information transmitted to the maculae simultaneously with the movement commands. This results in the otolithic membrane positioning itself precisely for the planned movement, and any error is due to an unexpected external cause. Error is fed back via the vestibular afferent system. The efferent system through the STO causes macular otolithic membrane movement which occurs simultaneously with the initiating motor command. As a result, no vestibular afferent activity occurs unless an error must be dealt with.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
