{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T18:10:41Z","timestamp":1789668641088,"version":"4.0.1"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vestibular Research"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The vestibulo-ocular reflex (VOR) is critical for stabilizing vision during head motion and for daily multitasking activities. The suppression head impulse paradigm (SHIMP) complements the head impulse paradigm (HIMP) and is considered more sensitive for residual vestibular function. This study examined the impact of cognitive and motor dual-tasking on SHIMP in healthy adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-two participants performed single-task HIMP and SHIMP alongside two cognitive dual-task SHIMP (serial subtraction, map navigation) and one motor dual-task SHIMP (counter clicking). Outcomes included VOR gain and anti-compensatory saccade parameters (number, latency, amplitude, duration, and peak velocity).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      VOR gain was lower in SHIMP than HIMP (0.827 \u00b1 0.140 vs 0.941 \u00b1 0.123;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Cognitive dual-task markedly affected anti-compensatory saccade, reducing saccade number (15\u201322%), prolonging latency (39\u201347%), decreasing amplitude (20%), shortening duration (\u223c5%), and reducing peak velocity (\u223c10%) (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). Motor dual-task modestly increased gain (0.868 \u00b1 0.131 vs 0.827 \u00b1 0.140;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.025) but only increased anti-compensatory saccade latency by 17% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dual-tasking exerted distinct effects on SHIMP outcomes. VOR gain remained largely preserved, whereas anti-compensatory saccades were substantially impaired. These findings highlight the contribution of central and attentional mechanisms to anti-compensatory saccade generation and suggest that these parameters may provide complementary information to VOR gain during SHIMP testing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09574271261487756","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T22:20:17Z","timestamp":1789510817000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive\u2013motor interference during the suppression head impulse paradigm"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2912-2533","authenticated-orcid":false,"given":"Noa","family":"Rozendorn","sequence":"first","affiliation":[{"name":"Tel Aviv University"},{"name":"Sheba Medical Center, Tel Hashomer"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitay","family":"Sterenberg","sequence":"additional","affiliation":[{"name":"University of Haifa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idit","family":"Tessler","sequence":"additional","affiliation":[{"name":"Tel Aviv University"},{"name":"Sheba Medical Center, Tel Hashomer"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nir","family":"Livneh","sequence":"additional","affiliation":[{"name":"Tel Aviv University"},{"name":"Sheba Medical Center, Tel Hashomer"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Wolfovitz","sequence":"additional","affiliation":[{"name":"Tel Aviv University"},{"name":"Sheba Medical Center, Tel Hashomer"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoav","family":"Gimmon","sequence":"additional","affiliation":[{"name":"Tel Aviv University"},{"name":"Sheba Medical Center, Tel Hashomer"},{"name":"University of Haifa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/21695717.2017.1353774"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181bacf85"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0061488"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002827"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10071182"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2016.00160"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2017.00419"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110921"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1297707"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcm.2017.06.001"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20130386"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000004470"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002453"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27107"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2021.748990"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2023.22860"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.21790\/rvs.2019.18.4.91"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092444"},{"key":"e_1_3_6_20_2","volume-title":"Mechanisms of VOR Suppression in Brainstem Pathology: Insights from the Absence of Anti-Compensatory Saccades Despite Normal VOR Gain","author":"Tramontano M","year":"2025","unstructured":"Tramontano M, Conti L, Ferri N, et al. Mechanisms of VOR Suppression in Brainstem Pathology: Insights from the Absence of Anti-Compensatory Saccades Despite Normal VOR Gain. Audiology Research, 2025, 15(6):154. https:\/\/doi.org\/10.3390\/audiolres15060154"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2023.21387"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06085-6"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/pri.70274"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13050492"}],"container-title":["Journal of Vestibular Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09574271261487756","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09574271261487756","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09574271261487756","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T17:48:13Z","timestamp":1789667293000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09574271261487756"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,15]]},"references-count":23,"alternative-id":["10.1177\/09574271261487756"],"URL":"https:\/\/doi.org\/10.1177\/09574271261487756","relation":{},"ISSN":["0957-4271","1878-6464"],"issn-type":[{"value":"0957-4271","type":"print"},{"value":"1878-6464","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,15]]},"article-number":"09574271261487756"}}