Abstract
We maintain a stable perception of the visual world despite continuous movements of our eyes, head and body. Perception of upright is a key aspect of such orientation constancy. Here we investigated whether changes in upright perception during sustained head tilt were related to simultaneous changes in torsional position of the eyes. We used a subjective visual vertical (SVV) task, modified to track changes in upright perception over time, and a custom video method to measure ocular torsion simultaneously. We tested 12 subjects in upright position, during prolonged (~15 min) lateral head tilts of 20 degrees, and also after the head returned to upright position. While the head was tilted, SVV drifted in the same direction as the head tilt (left tilt: −5.4 ± 1.4° and right tilt: +2.2 ± 2.1°). After the head returned to upright position, there was an SVV aftereffect with respect to the pre-tilt baseline, which was also in the same direction as the head tilt (left tilt: −3.9 ± 0.6° and right tilt: +2.55 ± 1.0°). Neither the SVV drift nor the SVV aftereffect were correlated with the changes in ocular torsion. Using the Bayesian spatial-perception model we show that the pattern of SVV drift and aftereffect in our results could be explained by a drift and an adaptation in sensory inputs that encode head orientation. The fact that ocular torsion (mainly driven by the otoliths) could not account for the perceptual changes suggests that neck proprioception could be the primary source of drift in upright perception during head tilt, and subsequently the aftereffect in upright position.
Introduction
We maintain a stable perception of the visual world despite continuous movements of our eyes, head and body. A key aspect of such “orientation constancy” is the internal estimate of the direction of gravity that is used by the brain to compensate for the changes in the head and body positions. As a result, the visual scene is perceived as upright despite its changing orientation on the retina. This internal estimate of upright is often studied by measuring a perceived orientation of a visual line in an otherwise dark room, referred to as the subjective visual vertical (SVV; Howard, ; Van Beuzekom and Van Gisbergen, ).
To estimate upright orientation during the SVV task, the brain must integrate information about the visual line on the retina with other sensory inputs that encode head, eye and body orientations. In upright position, the vertical meridians of the eye, head and body are all aligned with the gravity axis, and SVV remains accurate usually within 2° of the earth vertical (Howard, ; Van Beuzekom and Van Gisbergen, ). With a lateral head tilt towards the shoulder, there is a compensatory torsional eye movement known as the ocular counterroll, which is usually far less than the amount of head tilt (5–25%). Therefore, during a lateral head tilt, the vertical meridian of the eyes no longer aligns with the axis of gravity and the images do tilt on the retina (Collewijn et al., ; Groen et al., ; Bockisch and Haslwanter, ). Now, to estimate upright orientation, the brain has to integrate information about the head and body positions in space and the eye position in head. This complex process leads to systematic errors and lower precision of SVV during head tilt than in upright position. With a large head tilt (beyond 60°) the SVV error is typically in the direction of the head tilt (known as Aubert or A effect), whereas with a smaller head tilt (below 60°) the SVV error may be in the direction opposite to the head tilt (known as Müller or E effect; Howard, ; Van Beuzekom and Van Gisbergen, ).
Perception of upright and torsional position of the eyes may not remain steady during a static head tilt (Wade, ; Pansell et al., ; Tarnutzer et al., , ). The pattern of drift in SVV responses could be variable across individual subjects (Tarnutzer et al., ). SVV often drifts in the direction of the head tilt and also shows a post-tilt bias referred to as the aftereffect (Wade, , ; Tarnutzer et al., , , ; Kheradmand et al., ). Ocular torsion may also drift, usually in the direction of the head tilt (Diamond and Markham, ; Pansell et al., ). Such drifts have important implications for understating the mechanisms behind orientation constancy with changes in head or eye position.
Here we measured SVV and ocular torsion simultaneously to address whether the drift in upright perception during head tilt was related to torsional eye position. We used a modified SVV paradigm to track changes in upright perception over time. While it is technically challenging to measure torsional eye position, we have developed a novel video method that allows tracking ocular torsion in real time (Otero-Millan et al., ). First, we examined the correlation between changes in SVV and ocular torsion during head tilt and their corresponding aftereffects when the head was brought back to upright position. Second, we examined the correlation between the drift and aftereffect separately for SVV and ocular torsion. Finally, we used a Bayesian spatial-perception model to simulate our findings and discuss a possible mechanism for the drift in upright perception during head tilt (De Vrijer et al., ).
Materials and Methods
Experimental Setup
The experiments were approved by the Johns Hopkins institutional review board and informed consent was obtained from all the participants. Twelve healthy volunteers (mean age 29 years, 9 females) participated in this study. SVV and ocular torsion were recorded simultaneously in a completely dark room. The head was immobilized using a molded bite bar while the visual stimulus appeared on a CRT monitor (1280 pixel by 1024 pixel) 135 cm away from the subject. We mounted the bite bar on a rotary motor (Zaber Technologies Inc., Vancouver, BC, Canada) in order to change the head tilt position remotely. Each subject participated in two experiment sessions, one with the head tilted 20° to the right, and one with the head tilted 20° to the left, in a random order across subjects. We chose to tilt the head on the body as it has been previously shown that it can produce a relatively large SVV tilt and aftereffect (Wade, ). In each session, the subject stayed on the bite bar for the whole time. The SVV was first recorded in upright position, and after 100 trials the bite bar was tilted remotely to record 500 trials while the head remained in the static tilt position. The bite bar was then tilted back to upright to record 150 more trials (total of 750 trials). We added a 30-s pause in the SVV paradigm after each time the head changed position (Figure 1D), in order to avoid residual effects from the semicircular canal stimulation during head movement.
Figure 1
Ocular Torsion
We used RealEyes xDVR system manufactured by Micromedical Technologies Inc., Chatham, IL, USA and a custom software to record torsional eye position. This system uses two cameras (Firefly MV, PointGrey Research Inc., Richmond, BC, Canada) mounted on goggles to capture infrared images of each eye. To measure and track torsional eye position, we used a method developed by our group (Figure 1A) that operates binocularly in real time at 100 Hz and with a noise level less than 0.1° (Otero-Millan et al.,
Adaptive SVV Paradigm
The software that controlled the SVV paradigm was written in Matlab (Mathworks) using Psychtoolbox (Kleiner et al.,
Data Analysis
SVV was calculated by fitting a psychometric curve to the responses using a logistic function and a generalized linear regression model (Matlab fitglm). The SVV value was the angle at which the probability of left or right responses was 50% (point of subjective equality). The SVV precision was calculated as the difference between the 50% and 75% points on the psychometric curve.
In order to compare ocular torsion and SVV responses, we first calculated the average torsional position of the two eyes during each trial in the SVV paradigm. Then within a window of 100 trials, we calculated the average ocular torsion and fitted a psychometric curve to the responses from these 100 trials to calculate the SVV value (Figure 1E). The window then advanced in steps of 50 trials to obtain more SVV and ocular torsion values. The first 50 trials were discarded as the range of angles in these initial trials was not narrow enough to get a reliable SVV value (Figure 1D). We used a simple linear regression to measure the drift over time and estimate the rate of change for both SVV and ocular torsion. To calculate correlations across subjects, we first averaged the values for the right and left head tilts and then used Spearman method to obtain the coefficient. For comparisons, we used t-test with a significant p-value less than 0.01.
Results
We used an adaptive psychophysical paradigm to track temporal changes in perception of upright during head tilt, while simultaneously recording ocular torsion. Subjects started in upright position and after 100 trials the head was passively rolled 20° to the left or right. Then after 500 more trials (~15 min) the head was brought back to upright position. Figure 2 shows the averages of SVV reports and ocular torsion during the experiment. The initial recording in the upright position served as the baseline for torsional position of the eyes. Thus, all subsequent torsion measurements were relative to this baseline value.
Figure 2

SVV and torsional position of the eyes during prolonged head tilts. (A) Average SVV during head tilts to the right (red) and left (blue). Each point corresponds with the SVV calculated from responses within 100 trials. The gaps in the data correspond with the first 50 trials in the new head position where SVV estimates were not reliable and were discarded. (B) Average torsional eye position during head tilts to the right (red) and left (blue). As in the SVV plot, each point corresponds with the average ocular torsion within the blocks of 100 trials, and the gap in the data corresponds with the first 50 trials that were discarded. (C) Top and middle: same data as in (A,B) during head tilt aligned in time (instead of trial numbers) show the same pattern of drift in SVV and ocular torsion. The averages are shown for the time points where the SVV data was available from more than half of the subjects. Bottom panel: number of subjects from which data was recorded at each time point during the right and left head tilts. Subjects took different amounts of time to complete the 500 trials. In all panels, the error bars correspond with SEM across subjects.
There was an average SVV of −0.2 ± 0.6° at the baseline upright position, combining both head tilt positions. Separating left and right head tilt positions, the average SVV responses during the baseline upright position were −0.7° and 0.2° respectively, and not significantly different (t-test, p = 0.4). At the beginning of the head tilt, subjects showed an initial bias in SVV responses that was measured during the first 100 trials. In this initial tilt period, more subjects were biased away from the head tilt (i.e., showed an E effect) than towards the head tilt (i.e., showed an A effect), consistent with previous reports of E-effect for a small head tilt (20° in our case; Van Beuzekom and Van Gisbergen,
Neither SVV nor ocular torsion remained stable during head tilt. SVV drifted towards the direction of the head tilt in 10 of 12 subjects. That is, when the head was tilted to the right, SVV drifted towards the right, and when the head was tilted to the left, the SVV drifted towards the left. By approximating the drift as a linear function, an average drift was determined as the slope of the linear fit to the data from all subjects. The group average for the SVV drift during 500 trials (~15 min) was −5.4 ± 1.4° for the left head tilt and +2.2 ± 2.1° for the right head tilt. The drift was symmetrical, i.e., there was no difference between the values for the right tilt and the reversed values for the left tilt (t-test p = 0.2), and it was significantly different from zero (t-test p = 0.007). The ocular torsion also drifted in some subjects. This drift was always towards the direction of the head tilt. The average drift for the ocular torsion was −0.8 ± 0.3° during 500 trials (~15 min) with the left head tilt and +0.6 ± 0.2° with the right head tilt. The drift of ocular torsion was also significantly different from zero (t-test p = 0.001) and symmetrical (t-test p = 0.5).
Once the head returned to upright position, there was an aftereffect with a significant difference in SVV compared with the baseline in upright position before the head was tilted (p = 0.001). The average SVV aftereffect among subjects was −3.9 ± 0.6° following the left head tilt, which was significantly different from the average SVV aftereffect of +2.55 ± 1.0° following the right head tilt (t-test p = 0.00002). These aftereffects were however symmetrical after reversing the direction of individual aftereffects for one head tilt position (t-test p = 0.3). The average aftereffect in the ocular torsion was +0.2 ± 0.3° after the right head tilt and −0.2 ± 0.3° after the left head tilt. There was no significant difference between torsion aftereffects with right and left head tilt (p = 0.3; Figure 2B).
Even though the SVV drift and aftereffect were consistently in the same direction, the amount of aftereffect did not show a significant correlation with the amount of drift (p = 0.4). That is, SVV drifts to the left or right were usually followed by aftereffects to the left or right respectively, although larger drifts were not necessarily followed by larger aftereffects (Figure 3). The correlation between the drift and aftereffect for ocular torsion was also not significant (p = 0.07). Next we looked at the relationship between the drifts in SVV and ocular torsion during head tilt and also their aftereffects when the head returned to upright position. There was no significant correlation between the drifts of SVV and ocular torsion (r = 0.02, p = 0.6) or their aftereffects (r = 0.2, p = 0.6; Figure 4).
Figure 3

SVV and torsional position of the eyes during prolonged head tilts are shown in individual subjects. (A) Each point corresponds with the SVV calculated from 100 trials for the right (red) and left (blue) head tilts. The gaps in the data correspond with the first 50 trials in the new head position where SVV estimates were not reliable and were discarded. (B) As in the SVV plot, each point corresponds with the average ocular torsion from blocks of 100 trials for the right (red) and left (blue) head tilts. The gap in the data also corresponds with the first 50 trials that was discarded. Solid lines in both SVV and torsion plots represent linear regressions used to estimate the amount of drift.
Figure 4

Correlations between the SVV and ocular torsion. (A) During head tilt and (B) after the head returned to upright position. The drift during head tilt for each subject is estimated as the slope of a linear fit to the SVV responses or ocular torsion. The plots include the values for the right head tilt (red) and the left head tilt (blue). The values for the right head tilt are reversed and shown along with the values for the left head tilt. There is no significant correlation between the drifts of SVV and ocular torsion (r = 0.02, p = 0.6) or their aftereffects (r = 0.2, p = 0.6).
Our SVV paradigm was partially time constrained and the recording duration depended on the reaction time for individual trials. Thus some subjects finished the experiment faster as they were quicker in their responses. We tested whether there was a relationship between the reaction time and SVV error, SVV drift or SVV aftereffect, but there was no such correlation (p > 0.5 in all cases). When SVV and ocular torsion were aligned in time instead of trial numbers, the same patterns of drift were seen during head tilt (Figure 2C). The drift aligned in time was symmetrical, i.e., no difference between the values for the right tilt and the reversed values for the left tilt (t-test; SVV p = 0.3, torsion p = 0.6), and it was significantly different from zero (t-test; SVV p = 0.01, torsion p = 0.003).
We also compared the total duration of head positions (16.1 ± 0.6 min for right head tilts and 15.7 ± 0.3 min for left head tilts) among subjects, which showed no significant difference, either for SVV drift or aftereffect (p > 0.05 in all cases). The reaction time was significantly larger during head tilt (686 ± 25 ms) when compared with the baseline in upright position (640 ± 28 ms; t-test, p = 0.004). There was no significant difference between the reaction times in the baseline (640 ± 28 ms) and post-tilt upright positions (661 ± 30 ms, t-test, p = 0.2). Moreover, there was no significant drift in the reaction time during the head tilts (p = 0.7).
We also measured SVV precision with a metric defined as the the difference between two points on the psychometric curve. These points correspond with 50% (chance level) and 75% correct responses for reporting the right tilt during the SVV task. We did not find a significant drift in precision during the head tilts (p = 0.4). The precision was worse (2.0 ± 0.3°) while the head was tilted when compared with the baseline in upright position (0.7 ± 0.1°; t-test, p < 0.001). It was also worse when the head returned to upright position (1.3 ± 0.1°) when compared with the baseline in upright position (t-test, p < 0.001). We also tested if there was a relationship between the SVV precision and SVV error, SVV drift or SVV aftereffect but there was no significant correlation (p > 0.5 in all cases). These results suggest that the drift in SVV responses was not related to the lack of attention or fatigue.
Discussion
SVV Drift and Ocular Torsion
Our results show that perception of upright may drift over time during a static head tilt, reflected by a significant change in SVV responses in the direction of the head tilt. This finding is consistent with previous reports of SVV drift during head tilt (Wade,
SVV Aftereffect and Ocular Torsion
We found a significant SVV bias in the tilt direction after the head returned to upright position. There was however no significant aftereffect in ocular torsion following head tilt. Others studies have also shown aftereffect in upright perception using either visual (i.e., SVV) or haptic tasks, however ocular torsion has not been measured previously (Wade and Day,
We did not find a significant correlation between the drift in SVV responses and aftereffect consistent with findings from Tarnutzer et al. (
SVV Drift and Aftereffect Explained by the Bayesian Spatial-Perception Model
An intuitive and effective computational model for static upright perception in the dark is based on the Bayesian approach (MacNeilage et al.,
The SVV error in the Bayesian spatial-perception model is determined by the head-in-space and eye-in-space estimates:
In Equation (1) μsvv represents SVV error, Hs actual head-in-space position, estimated head-in-space position, EH actual eye-in-head position, and estimated eye-in-head position. As a convention, all the sensory inputs are denoted by the hat symbol (∧) and all the estimates obtained by sensory integration are denoted by the tilde symbol (~). For example, represents the head orientation in space as measured by the head-in-space sensors, and represents the final head-in-space estimate by the brain. Among the sensory inputs to the model, the head-in-space input () is noisy but unbiased by systematic errors (with a variance of ), and the prior (with variance of ) is taken into account to estimate head position (). Since we spend most of our time in upright position, the prior for head position is a Gaussian distribution that peaks at zero (i.e., upright position). This results in an underestimation of upright at larger head tilt angles as the weighted estimate of head position is biased by the prior (i.e., A effect). De Vrijer et al. (
in which α0 represents the noise in upright position and α1 accounts for the proportional increase of noise with head tilt. Note that this model assumes a vertical orientation of the trunk. Thus, the sensed head orientation in space () is a combination of the otolith and proprioception signals.
We used individual fit parameters of the Bayesian model to simulate the pattern of SVV drift and aftereffect. These parameters included the prior for head position (HSp), the head-in-space sensory input () and the sensory noise with tilt angle (α1; Figure 5). Since the model does not allow for large changes in SVV from small changes in ocular torsion—see Equation (1)—and because we did not observe a large drift in ocular torsion, ΔEH was not included as a possible source of SVV drift. Equation (1) was also modified to allow the head position prior (HSp) to drift as a function of time with values different from zero:
Figure 5

Simulations of the SVV drift and aftereffect during and after prolonged head tilt (dashed red lines) by the Bayesian spatial-perception model. The top panels show changes in the individual parameters of the model over time and the bottom panels show the SVV drift produced by the model in each scenario (blue lines). For these sample simulations, we used the parameter values from subject SR in Table 2, De Vrijer et al. (
Among all the fit parameters, only the drift in head-in-space sensory inputs () could produce the pattern of SVV drift and aftereffect in our data (Figure 5A). The head-in-space information is a combination of the otolith and proprioceptive inputs. Since the changes in ocular torsion during head tilt were much smaller than the changes in SVV and there was no significant correlation between the drifts of SVV and ocular torsion, the proprioceptive inputs—and not the otoliths—could be the main source of the drift in the head-in-space sensory input (). This finding is line with previous studies that suggest neck proprioception is the source of SVV drift and aftereffect (Wade and Day,
In sum, our results show that SVV drift during head tilt and its corresponding aftereffect in upright position were not correlated with changes in ocular torsion. These results along with simulations from the Bayesian spatial-perception model suggest that proprioception could be the source of drift in upright perception during head tilt, and subsequently the aftereffect in upright position. To verify this hypothesis, SVV drift and ocular torsion could be measured under different combinations of whole-body and head-on-body tilts. For example, we expect to find smaller drifts in upright perception during whole-body tilts. To estimate head orientation from neck proprioception, the brain must also estimate body orientation (Clemens et al.,
Funding
This work was supported by grants from the National Institute of Deafness and Other Communication Disorders (NIDCD); 5K23DC013552, and the Leon Levy and Fight for Sight foundations.
Statements
Author contributions
JO-M and AK contributed to all aspects of this study including the conception and design of the experiments and acquisition, analysis and interpretation of the data.
Acknowledgments
We thank Ariel Winnick and Dale Roberts for assistance and David S. Zee for his helpful comments.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
subjective visual vertical, SVV, upright perception, torsional eye position, ocular torsion, aftereffect, head tilt
Citation
Otero-Millan J and Kheradmand A (2016) Upright Perception and Ocular Torsion Change Independently during Head Tilt. Front. Hum. Neurosci. 10:573. doi: 10.3389/fnhum.2016.00573
Received
21 July 2016
Accepted
28 October 2016
Published
17 November 2016
Volume
10 - 2016
Edited by
Rachael D. Seidler, University of Michigan, USA
Reviewed by
Tim Kiemel, University of Maryland College Park, USA; Torin K. Clark, University of Colorado Boulder, USA
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© 2016 Otero-Millan and Kheradmand.
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*Correspondence: Amir Kheradmand akherad@jhu.edu
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