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Age-related decline in vestibulo-ocular reflex gain is associated with an increased sway response to electrical vestibular stimulation

Year: 2026
Type: article
Abstract: Up to 40% of vestibular hair cells are lost by age 70, but eye movements are only mildly affected, suggesting peripheral loss is mitigated by increasing neural gain. We investigated this hypothesis by applying electrical vestibular stimulation (EVS) to estimate central gain in volunteers aged 20-87 yr. EVS-evoked balance responses systematically increased with age, whereas vestibular-ocular reflex gain reduced. This is consistent with an increase in central neural gain to compensate for age-related peripheral loss.
Language: English
Subfield: Neurology
Open Access status: hybrid
OpenAlex ID: W7212087164
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Cites: 66
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