Ballet dancers’ brains adapt to stop them going dizzy

Years of training in “spotting”, the technique of quickly and repeatedly bringing your gaze to two specific points in front and behind you, certainly helps, but new research suggests that the brain’s ability to adapt plays a powerful role.

If you’ve ever tried spinning in circles while looking up to the sky, you’ll know the accompanying dizziness that can follow. But what stops ballet dancers, who pirouette endlessly for a living, from falling into each other like a set of dominoes?

Years of training in “spotting”, the technique of quickly and repeatedly bringing your gaze to two specific points in front and behind you, certainly helps, but new research suggests that the brain’s ability to adapt plays a powerful role. And it could help better treat and diagnose people who suffer from chronic dizziness.

Neuroscientists at Imperial College London recruited 29 female ballet dancers and spun them around in a chair in a dark room. When the chair was stopped, the dancers were asked to turn a lever to indicate how quickly they still felt they were spinning. This measured their perception response to dizziness. Eye reflexes – the quick flicking of the eyes from moving around rapidly – were also measured. In normal people, these two responses correlate well, but in the dancers there appeared to be an uncoupling: while their eye reflexes kept going, their perception response fell.

A group of 20 female rowers, who were similar in age and fitness, were also recruited as a control group. Brain scans were then taken to analyse the brain structures of all the individuals.

Powerful resistance

In cases of chronic dizziness, tests are usually taken of the vestibular organs in the inner ear. These fluid-filled organs use tiny hairs to sense the movement of the fluid, which in turn send signals to the brain. The continued movement of fluid explains one of the reasons you can continue to feel dizzy after you’ve stopped moving. But this doesn’t go far enough to explain dizziness in chronic suffers, said Barry Seemungal, co-author of the study, published in Cerebral Cortex.

“We measured sensation perception and eye reflexes and found dancers were much more resistant to non-dancers,” he said. “In the rowers, sensation correlated very well to reflexes, but in dancers the two were not correlated – they had de-coupled. In a person with chronic dizziness, the duration of their perceptual response is much longer; there’s a disproportionately higher reaction compared to a dancer who shows powerful resistance.”

An MRI scan then looked at the amount of grey matter (the bit that calculates) and the white matter (the part of the brain that makes connections) in the cerebellum. This also threw up differences between dancers and non-dancers.

“A statistical comparison between brain structures showed that in dancers an area of the cerebellum was smaller than in the rowers. This part of the brain also known to be involved in processing signals from the ear. And the more experienced the dancer, the smaller it is. The cerebellum can process signals that are then sent to areas of the brain linked to perception. In dancers it reduces the flow of signals – it acts like a gate.”

The researchers then looked at the cerebral cortex, which is associated in perception, and found stronger white matter in the control group. “More white matter means you’re more likely to be dizzy – in dancers we didn’t see it,” Seemungal said.

Seeing is believing

So how can these findings help people with chronic dizziness? For a start, we now have recognition that the brain is the organ that controls balance and, crucially, that it’s able to adapt.

“Traditional testing considers the ear as the organ of balance,” Seemungal said. “I’m a neurologist so I consider it as the brain.”

“The brain takes in lots of different information to make an assessment and compensates if it needs to. The ear is one source, vision is another. If you hear a noise to the right and move your head to look at it, your brain combines the estimates and places greater weight on the more reliable, in this case the eye.”

“But vision can be ambiguous – for example when you’re sat on a train and another one moves and you think you’re the one moving. As a general principle the brain prioritises visual motion over vestibular organs [the ear]. Another example is the ventriloquist’s doll, it combines the auditory and visual inputs but relies more on the visual so you think it’s the doll that’s talking.”

“If your vestibular organs aren’t working well, your brain won’t trust them and even trivial visual stimuli can trigger a dizzy sensation. But traditional testing relies on testing the vestibular organs, which might indicate nothing is wrong.”

People with chronic dizziness can be treated for underlying causes but also longer-term physio treatment. Depending on the form of the condition, this can include exposing them to self-motion (the swaying we all do but don’t notice if we don’t suffer from dizziness) and visual motion to get the brain more habituated.

One lucky find (for the researchers anyway) was that one of the dancers involved in the study later went on to develop chronic dizziness. This enabled the team to test her against their original findings. They found that although her reflex functions had remained the same, her perception response had become stronger.

Professor Nicky Clayton, a Professor of Comparative Cognition at Cambridge and Scientist in Residence at Rambert, the contemporary dance company, said: “As a dancer you learn tricks that allow your body to move in very flamboyant ways but without losing control. One of the tricks I learned was that when you get that sense of spinning, you use your core muscles to pull up; and that you’re disengaging with that feeling of fluidity and creating a stabilising energy.

She added: “Dancers think in very abstract ways … The way in which the brain talks to the cognitive system, whether through its plasticity or psychologically, is more than just spotting. Spotting helps you to focus but it’s not the only thing.”

Simon Lloyd, an ENT specialist, said: “The tests could potentially be useful because at the moment we have no effective way of testing how well parts of the balance system within the brain are working. Testing this would also allow us to measure how people are responding to treatment.”

The Conversation

This article was originally published at The Conversation. Read the original article.

Dancers of Cuba national ballet perform during a rehearsal for Swan Lake in Madrid in 2009. Photo: AFP/Getty Images

Jo Adetunji is the commissioning editor for health and medicine at The Conversation UK.

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When faith found its Article 50: exploring the theology of Martin Luther

New books by Lyndal Roper and Diarmaid MacCulloch reveal the scatalogy and theology of one of history's best known theologians.

Protestantism was the first great Eurosceptic thing, the setting up of local power bases against a shared wisdom. Almost five centuries have passed since Martin Luther nailed (or glued? – there seems to be some doubt about the matter) his Ninety-Five Theses to the castle door in Wittenberg in 1517. Luther himself never mentioned the event.

In the year before the anniversary of that momentous act by a firebrand Augustinian friar at the age of 33, two of our finest historians have given us food for thought. Diarmaid MacCulloch, whose Reformation: Europe’s House Divided (2003) has achieved classic status, gives us a powerful set of essays, chiefly concerned with the effects of the Reformation in England. He revisits some of the main figures of the period – Cranmer, Byrd, Hooker (an especially good profile) – and gives insightful readings of the changing historiography of the Reformation phenomenon. Lyndal Roper, Regius Professor of History at Oxford, has retold the life of Luther. Hers is the bigger book. MacCulloch has wise things to say about the Book of Common Prayer, the King James Bible and the religion of the Tudor monarchs. But no one on the English scene can quite match the figure of that crazed Wittenberg friar. Indeed, there would not have been an English Reformation at all, had it not already begun in Germany.

Nor would Luther have been so famous, had not Johann Gutenberg (circa 1398-1468) invented printing, and had Luther’s inflammatory tracts – and even more so the anti-Catholic woodcuts to accompany them – not spread like wildfire, the Latin writings among the whole European intelligentsia, the illustrated ones in German among a semi-literate peasantry. At Wartburg Castle today, guides will show you the splodge on the wall where Luther supposedly threw an inkpot at the Devil. Lyndal Roper says this is a misinterpretation of Luther’s claim that he would fight Satan with ink (meaning “with printer’s ink”).

The single feeling I took away from these two inspirational books is that the Reformation was a series of political events, driven by secular concerns, in Germany by the power games of the nobility – above all of Friedrich III, “the Wise”, Elector of Saxony – and in England by the sordid politicking of Henry VIII. Until the Reformation happened, it had been perfectly possible to excoriate abuse in the Church (as when Chaucer mocked the Pardoner) without invoking Article 50.

This tolerance changed when the Holy Roman emperor Charles V convened the Diet of Worms. The assembly was intended to reassert twin bulwarks: the emperor’s personal power over huge tracts of Europe and, more specifically, the maintenance of the Catholic faith against the rumblings of the new teaching. Luther was summoned to appear before it in order either to reaffirm his views or to recant.

There was a crowd of over 2,000 people waiting to see him when he arrived in Worms, in the Rhineland, on 16 April 1521, paraded in an open wagon. The choice of vehicle was deliberate; Luther, and his followers, wanted him to be seen. This austere, still tonsured friar, with his huge, bony face divided by a long, asymmetrical nose, with dark, electrifying eyes and curling, ­satirical lips, was a figure who had become a celebrity, almost in the modern sense.

In the Germany of the 1520s, so superbly evoked in Roper’s book, people knew something “seismic” was happening. Worms is the place where Luther did, or did not, say: “Here I stand. I can do no other.” MacCulloch tells us that these are words that Luther probably never spoke, “but he ought to have said them, because they sum up a little of what it is like being a Protestant”.

Roper’s account of the diet and of ­Luther’s appearance before it is one of the most remarkable passages in her magnificent book. On the late afternoon of 17 April, he found himself standing before John Eck, the imperial orator. The papal nuncio Jerome Alexander had warned against giving Luther such publicity. Even as the titles of his many books were read out, they demonstrated, in Roper’s words, “the depth and range of Luther’s attack on the papacy and the established Church”. In reply to Eck’s questions, Luther spoke quietly, saying he was more used to the cells of monks than to courts. It was his fanbase that reported, or invented, the celebrated words.

Luther, standing alone before that assembly, is a type of what makes Protestantism so alluring. We do not need intermediaries, whether popes or priests or emperors, on our journey towards Truth; our inward conscience is king. Luther can be seen as the archetypical dissident, the instigator of what eventually became Democracy and Romanticism. But Roper’s Luther is deeply rooted in the 16th century, and in his own appalling ego. (When he was a monk, he would spend six hours making his confession.)

A large part of her story is the sheer coarseness of his language, the deranged coprology that fed his many hatreds, in particular of the Jews and of the popes. The “Devil has . . . emptied his stomach again and again, that is a true relic, which the Jews and those who want to be a Jew, kiss, eat and drink and worship . . .” he wrote. “He stuffs and squirts them so full that it overflows and swims out of every place, pure Devil’s filth, yes it tastes so good to their hearts, and they guzzle it like sows.”

The pope, likewise, was castigated by Luther as a sodomite and a transvestite – “the holy virgin, Madame Pope, St Paula III”. In his virulent text “Against the Roman Papacy, an Institution of the Devil” (1545), Luther had him say, “Come here, Satan! And if you had more worlds than this, I would accept them all, and not only worship you, but also lick your behind.” He ended his diatribe: “All of this is sealed with the Devil’s own
dirt, and written with the ass-pope’s farts.”

When you think of a world without proper plumbing, the wonder is that all of our forebears were not faecally obsessed. Luther, however, was a special case. His cloacal and theological preoccupations were inextricably linked. One of the many enemies he made in life – and most of his academic colleagues and religious allies at Wittenberg finally fell into this category – was Simon Lemnius, a pupil of Luther’s sometime ally Philippus Melanchthon. Luther said he would no longer preach in Wittenberg until Lemnius was executed, and in time he was. But not before Lemnius had written a poem that went:

 

You suffer yourself from dysentery and you scream when you shit, and that which you wished on others you now suffer yourself. You called others shitters, now you have become a shitter and are richly blessed with shit. Earlier anger opened your crooked mouth, now your arse opens the load of your stomach. Your anger didn’t just come out of your mouth – now it flows from your backside.

 

It was indelicate but true. After he escaped from Worms in disguise, Luther sometimes went for up to six days without passing a motion. The “Lord strikes me in my posterior with serious pain”, he wrote. “Now I sit in pain like a woman in childbirth, ripped up, bloody and I will have little rest tonight.” And with the constipation came visitations from the Devil. “I have many evil and astute demons with me,” he wrote at this time, surely accurately.

The man’s very name has lavatorial connotations. As he told his table companions in 1532, his “Reformation moment”, his central theological idea – that the just shall live by faith alone – came upon him “like a thunderbolt”, in the privy tower of the monastery at Wittenberg. Thereafter, Luder, which was his father’s surname, became known as “the Freed One” (in Greek “Eleutherios”, in modern German “Luther”). Conversion was a laxative.

Roper argues that “we probably know more about his inner life than about any other 16th-century individual”. As a husband (which he became when he abandoned his Augustinian vows and married Katharina von Bora, a Cistercian nun 15 years his junior), he could be genial and loving. His household was clearly a place of hospitality. And yet, even by the standards of the age, he was harsh. When his nephew Florian took a knife from one of Luther’s sons, he wrote to the boys’ schoolmaster asking him to beat Florian every day for three days until the blood ran: “If the [arse-]licker were still here, I’d teach him to lie and steal!”

On the larger, national scale his political activity makes for painful reading. Without the patronage of Friedrich III he would never have got anywhere. The agricultural workers who heeded his rallying cries did so because of the absenteeism of the Saxon bishops and priests. Yet when the Peasants’ War broke out, inspired mainly by Luther, he accused them of doing the Devil’s work. After thousands had been put to the sword, his comment was that “one must kill a mad dog”. The Magdeburg preachers rightly called him a “flatterer of princes”.

And yet, as Roper leads us through the unfolding of the Reformation by way of the psychological experiences of this monster/master thinker, there is something thrilling going on here. No one has ever equalled Luther in the extent to which he teased out the radicalism of Christianity: Paul’s theology filtered through Augustine, but honed to its existential extreme in the German preacher. “I do not wish to be given free will!” he exclaimed. He anticipated the determinisms of Darwin, Marx and Freud.

His starting point was the sheer irrelevance of either human will or human reason in the grand scheme of things. Other Reformation figures took as their starting point the ineluctable sinfulness of all human action, the impossibility of our earning salvation or working for grace. None expressed himself with quite Luther’s vigour and, yes, poetic force.

Roper reminds us that his translation of the New Testament from the Greek, which was accomplished at top speed, was “a work of genius. Luther’s New Testament reshaped the German language itself . . .” And it is no surprise, she notes, that the Faust legend began to locate the scholar-egomaniac’s journey in Wittenberg. No surprise, either, that Hamlet studied there. This is the place, for good or ill, where the individual consciousness stood up against the group. No sooner had it done so than private judgement, paradoxically, began to debunk the freedom of the will. Luther’s
response to a hundred years of humanist wisdom and the revival of Greek learning was to distrust the “damned whore, Reason”. In this, and in his pathological anti-Semitism, he was sowing teeth that would spring up in later centuries as dragons.

Many would regard the end of monastic life as the greatest tragedy of the Reformation. Civilisations need men and women who retreat from the conventional burdens of property and carnality to find something else, whether they are Pythagoreans eschewing beans or Buddhist monks wandering the Indian countryside with begging bowls. The ruined British monasteries remind us of what was lost from our philistine land (not least, women’s education). Diarmaid MacCulloch, in a fine essay on Henry VIII, says that “at no time” during the eight years when most of the religious houses in Britain were destroyed “did the government officially condemn the practice of the monastic life”. Surely that makes it more, not less, painful. They were eliminated merely for money. At least Luther, in his angry way, did object to the monastic life on principle. He came to oppose the thing that most of us would think religious houses were for, namely their quietness. One of the most fascinating things in Roper’s biography is the discussion of the concept of Gelassenheit, or calm, letting go.

MacCulloch finds this beautiful quality in the Church of England, and concludes an essay on “The Making of the English Prayer Book” with a sense of the “gentle . . . understated hospitality” of Anglican worship, and its feeling, conveyed in George Herbert’s “Love bade me welcome” of . . . well, of Gelassenheit.

No modern pope would dispute Luther’s view that it was wrong to sell indulgences. Most of the abuses of the Catholic Church to which he objected were swept away by the Church itself. Both of these books will divide us. Some readers will finish them with a sense that the Reformation was a spiritual laxative by which constipated Luder became the liberated Eleutherios, thereby loosening and releasing the Inner Farage of northern Europe. Other readers will be ­sorry that the Catholic humanists such as Erasmus and More did not win the day. For such readers as this, Luther and pals must seem like brutal wreckers of a cultural cohesion that we still miss.

A N Wilson is most recently the author of “The Book of the People: How to Read the Bible” (Atlantic Books)

Martin Luther: Renegade and Prophet by Lyndal Roper is published by The Bodley Head (577pp, £30)

All Things Made New: Writings on the Reformation by Diarmaid MacCulloch is published by Allen Lane (450pp, £25)

This article first appeared in the 28 July 2016 issue of the New Statesman, Summer Double Issue