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J Appl Physiol (December 18, 2008). doi:10.1152/japplphysiol.90594.2008
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Submitted on April 30, 2008
Revised on December 11, 2008
Accepted on December 13, 2008

EFFECTS OF GALVANIC MASTOID STIMULATION IN SEATED HUMAN SUBJECTS

Zaid Ghanim1, Jean-Charles Lamy, Alexandra Lackmy, Valerie Achache, Nicolas Roche, Anne Penicaud, Sabine Meunier2, and Rose Katz3*

1 UMR S 731 INSERM ; UPMC Univ. Paris 06
2 INSERM/UPMC
3 U731 INSERM ; UPMC

* To whom correspondence should be addressed. E-mail: rose.katz{at}chups.jussieu.fr.

The vestibular responses evoked by transmastoid galvanic stimulation (GS) in the rectified soleus electromyogram (EMG) in freely standing human subjects disappear when seated. However, a GS-induced facilitation of the soleus monosynaptic (H and tendon jerk) reflex has been described in few experiments in subjects lying prone or seated. This study addresses the issue of whether this reflex facilitation while seated is of vestibulospinal origin. GS-induced responses in the soleus (modulation of the rectified ongoing EMG and of the monosynaptic reflexes) were compared in the same normal subjects while freely standing and sitting with back and head support. The polarity-dependent biphasic responses in the free-standing position were replaced by a non polarity-dependent twofold facilitation while seated. The effects of GS were hardly detectable in the rectified ongoing voluntary EMG activity, weak for the H reflex, but large and constant for the tendon jerk. They were subject to habituation. Anaesthesia of the skin beneath the GS electrodes markedly reduced the reflex facilitation, while a similar, though weaker, facilitation of the tendon jerk was observed when GS was replaced with purely cutaneous stimulation, a tap to the tendon of the sterno-mastoid muscle or an auditory click. The stimulation polarity independence of the GS-induced reflex facilitation argues strongly against a vestibular response. However, the vestibular afferent volley, insufficient to produce a vestibular reflex response while seated, could summate with the GS-induced tactile or proprioceptive volley to produce a startle-like response responsible for the reflex facilitation.







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