Saturday, November 2, 2013

Ballet: A Prescription for Vertigo?

Physiology test number two is over and it is time to dance this Halloween weekend away! Hopefully you have not only been studying about the inner ear but you have also been practicing those dance moves. Remember, the vestibular organs of the ear are important for maintaining balance and proprioception. And, according to a recent study at the Imperial College of London, you can train your vestibular organs to “feel” less dizzy. More specifically the area in the cerebellum that interprets spinning as feeling dizzy becomes smaller with more practice (Nigmatullin 2013). Therefore, keep up those dance moves and you won’t mess up your next dancing date.

During this study the researches compared the area in the cerebellum where vestibular information is processed, the area that “feels” dizziness in trained dancers. This is what we call vertigo, the perception of rotary self-movement. Ballerinas showed a much smaller active area of the gray matter of vestibular cerebellum and reported feeling much less dizzy compared to the control group (Nigmatullin 2013). Also, the amount of dancing experience correlated to the amount of reduction in the activated area in the cerebellum. The more you practice “whole-body rotations,” the less vestibular response.

Normally, pirouetting/spinning also stimulates a reflexive vestibulo-ocular reflex, in other words it will cause a reflex in the eye muscles. The perception of spinning usually matches the reflex of the eye. However, the trained dancers did not show this coupling effect, and showed less activation of the eye muscle reflex (Nigmatullin 2013).  Since we know that synapse à integration, this is an interesting example where an adaptation reduces the integration instead of increasing integration.

Does this mean that doctors could prescribe ballet lesson for people with chronic vertigo?


References:

Nigmatullin Y, Hellyer PJ, Parashkev N, Sharp DJ, Seemungal BM.  2013. Thenueroanatomical correlates of training-related perceptuo-reflex uncoupling in dancers. Cerebral Cortex. 23(11). Retrieved from http://cercor.oxfordjournals.org/content/early/2013/09/24/cercor.bht266.short

Imperial College London (2013, September 26). Ballet dancers' brains adapt to stop them
getting in a spin. ScienceDaily. Retrieved from http://www.sciencedaily.com/releases/2013/09/130926204725.htm

2 comments:

  1. Mia,

    Thank you for this blog post! Next time when I am teaching classes on Sundays, I will allow my six-year-olds to spin around recklessly rather than stopping them, which I have been doing! Essentially, by letting them become twisters in the classroom, I can help them reduce their chances of having to take anti-vertigo drugs. Aside from that, this post is very interesting--particularly the last paragraph. You stated that ballet dancers lack the coupling effect of pirouetting and the vestibulo-ocular reflex. Do you think this might also be due to the "spotting" technique that these dancers use? Spotting is a technique used while spinning, particularly, keeping the eyes fixed on a specific location. As the body begins to spin, the head is the last to move, but first to return to the initial location. I've always heard that ballerinas believe that this is what is preventing them from feeling dizzy. I didn't know if "spotting" was a contributing factor to the findings on the studies you looked at. Also, while you were doing your research, did you find anything on figure skaters since they seem to be doing a lot of spinning as well? Personally, my guess is that the specific brain region dealing with dizziness for these individuals is also reduced.

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    1. Great questions, Doan. From what I found, they did not investigate the dancer's "spotting" technique. It is possible the spotting technique is used during training and therefore part of this uncoupling (change in gating) response. This article did not mention any research that had been done on figure skaters, but I would agree with your assumption. It makes me wonder about other sports and the benefits of uncoupling responses to training concurrently with increased networks in white matter. On another note, it was interesting to see that the control group was a number of rowers (to match for age and physical fitness). Now if I can uncouple studying and distractions..

      The primary article would make a great TBL paper:
      http://cercor.oxfordjournals.org/content/early/2013/09/24/cercor.bht266.full.pdf+html

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