Simulator Sickness Questionnaire Research Articles

Effectiveness of the Application of VR Technology in Basic Nursing Education for the Acquisition of Parenting Skills in Japan

Background: Through virtual reality (VR) technology, one can be guided through physical actions while viewing images that are equivalent to an actual environment. Because VR environments ensure safety and provide a repetitive learning environment, educational methods that use VR technology are being developed for nursing education.Purpose: To create a parenting skills program that utilizes VR technology and compare participants’ degree of independence in their parenting skills before and after the program.Methods: The researcher filmed with a digital camera using a 360-degree lens, edited the filmed video into a 5-minute program, and created a VR parenting skills program. Participants’ degree of parenting independence and subjective evaluation of sickness due to the use of VR were assessed before and after the VR parenting skills program.Results: About a third of the participants had experienced caring for a newborn and had little experience bathing them. In FY2021, the VR parenting skills program was improved in FY2020, and when comparing before and after the VR parenting skills program, participants’ level of independence in their parenting skills increased. Simulator sickness questionnaires scores before and after viewing VR did not differ significantly.Conclusion: After viewing the program, participants’ degree of independence in their nursing skills increased. In addition, because VR technology has little effect on the body, we believe this is an effective educational method for learning nursing skills.

Feasibility of Computerized Visuomotor Integration System for Visual Field Defects and Spatial Neglect in Poststroke Patients.

To develop a computerized visuomotor integration system for assessment and training of visual perception impairments and evaluate its safety and feasibility in patients with a stroke. Visual field defects and spatial neglect lead to substantial poststroke impairment. Most diagnostic assessments are anchored in traditional methods, and clinical effects of rehabilitation treatments are limited. The CoTras Vision system included two evaluations and four training modules. The evaluation modules were based on the Albert's test and Star cancellation test, and training modules were based on visual tracking, central-peripheral integration, and visuomotor perception techniques. Bland-Altman plots for agreement with the traditional paper-and-pencil test were performed, and the modified Intrinsic Motivation Inventory, Patient Satisfaction Questionnaire, and Simulator Sickness Questionnaire were conducted. Ten patients with acute stroke completed the study. Bland-Altman plots revealed good agreements for Albert's test (mean difference, -0.3±4.5) and Star cancellation test (mean difference, 0.3±0.7). The mean±standard deviation scores of the modified Intrinsic Motivation Inventory, Patient Satisfaction Survey, and Simulator Sickness Questionnaire were 84.7±30.6, 40.5±7.9, and 34.0±34.5 respectively. The CoTras Vision system is feasible and safe in patients with stroke. Most patients had a high degree of motivation to use the system and did not experience severe adverse events. Further studies are needed to confirm its usefulness in stroke patients with visual field defects and hemineglect symptoms. Furthermore, a large, well-designed, randomized controlled trial will be needed to confirm the treatment effect of the CoTras Vision system.

Domain Adaptation for Fear of Heights Classification in a VR Environment Based on EEG and ECG

AbstractThree levels of fear of heights were detected in subjects with different severities of acrophobia, based on the electroencephalographic (EEG) and electrocardiographic (ECG) signals. The study aims to demonstrate the feasibility of a data-fusion-based method for real-time assessment of the fear of heights intensity to integrate into adaptive Virtual Reality Exposure Therapy for acrophobia. The generalization performance of classification tasks on fear states is improved by exploiting both trait-based clustering and Domain Adaptation methods. Participants were gradually exposed to increasing height levels through a Virtual Reality (VR) scenario representing a canyon. The initial severity of fear of heights, the level of distress at each height, and the anxiety level before and after the exposure were assessed through the Acrophobia Questionnaire, the Subjective Unit of Distress, and the State and Trait Anxiety Inventory, respectively. The Simulator Sickness Questionnaire was administered to exclude possible motion sickness interference in the experiment. The EEG and ECG signals were acquired through a 32-channel headset and 1 Lead ECG derivation during the exposure to the eliciting VR scenario. Four classifiers (i.e. Support Vector Machines, Deep Neural Networks, Random Forests, and k-Nearest Neighbors) were adopted in the experimental environment. Preliminary tests were performed in a within-subject experiment, achieving the best classification accuracy of $$87.1 \% \pm 7.8 \%$$ 87.1 % ± 7.8 % with a Deep Neural Network. As the cross-subject approach is concerned, three strategies, namely Domain Adaptation (DA), data fusion (combining EEG with ECG), and participant clustering (based on the acrophobia severity), were evaluated. DA resulted in the most effective strategies by determining an improvement of more than 20 % in classification accuracy. Random Forest performed the best classification accuracy for the severe acrophobia cluster with a mean of $$63.6 \%$$ 63.6 % and a standard deviation of $$ 13.4 \%$$ 13.4 % over three classes by exploiting Stratified Normalization.

Comparative effectiveness between two types of head-mounted magnification modes using a smartphone-based virtual display.

This work shows the benefits of using two different magnification strategies to improve the reading ability of low-vision patients using a head-mounted technology. The aim of this study was to conduct a comparative clinical trial evaluating the effectiveness of two magnification strategies in a head-mounted virtual reality display. Eighty-eight eligible low-vision subjects were randomized into two arms: (1) the full-field magnification display or (2) the virtual bioptic telescope mode. Subjects completed baseline testing and received training on how to use the device properly and then took the device home for a 2- to 4-week intervention period. An adaptive rating scale questionnaire (Activity Inventory) was administered before and after the intervention (home trial) period to measure the effect of the system. A Simulator Sickness Questionnaire was also administered. Baseline and follow-up results were analyzed using Rasch analysis to assess overall effectiveness of each magnification mode for various functional domain categories. Both magnification modes showed a positive effect for reading, visual information, and the overall goals functional domain categories, with only reading reaching statistical significance after correction for multiple comparisons. However, there were no significant between-group differences between the two modes. The results of the Simulator Sickness Questionnaire showed that the magnification modes of the head-mounted display device were overall well tolerated among low-vision users. Both the full-field and virtual bioptic magnification strategies were effective in significantly improving functional vision outcomes for self-reported reading ability.

Investigating cortical activity during cybersickness by fNIRS

This study investigated brain responses during cybersickness in healthy adults using functional near-infrared spectroscopy (fNIRS). Thirty participants wore a head-mounted display and observed a virtual roller coaster scene that induced cybersickness. Cortical activation during the virtual roller coaster task was measured using fNIRS. Cybersickness symptoms were evaluated using a Simulator Sickness Questionnaire (SSQ) administered after the virtual rollercoaster. Pearson correlations were performed for cybersickness symptoms and the beta coefficients of hemodynamic responses. The group analysis of oxyhemoglobin (HbO) and total hemoglobin (HbT) levels revealed deactivation in the bilateral angular gyrus during cybersickness. In the Pearson correlation analyses, the HbO and HbT beta coefficients in the bilateral angular gyrus had a significant positive correlation with the total SSQ and disorientation. These results indicated that the angular gyrus was associated with cybersickness. These findings suggest that the hemodynamic response in the angular gyrus could be a biomarker for evaluating cybersickness symptoms.

Study of Adverse Factors During Training with Virtual Reality Simulator

Currently, the dynamic development of information technology contributes to the increasingly widespread application of Virtual Reality (VR) as modern and effective methods and training tools used in the process of self-education and/or training related to understanding the essence of the principles of operation and mastering the tasks of operating even complex systems or technical processes through simulating their actions. A significant argument for the use of virtual reality simulators in training uniformed services is the favorable cost-effect ratio and considerations of trainee safety. However, the use of VR simulators may be accompanied by the possibility of side effects or intensified symptoms of the so-called cybersickness. Bearing this in mind, the purpose of this article is to present the results of preliminary studies of adverse factors occurring during training using a VR simulator. The theoretical foundation for empirical research was provided by the results of a conducted review and analysis of literary content. Among the empirical methods, studies were conducted using a simulator sickness questionnaire and a research trial according to the parallel triangulation strategy scheme, involving the simultaneous use of quantitative and qualitative methods. The results obtained in this way can provide a valuable source of information about factors increasing the risk of adverse symptoms of cybersickness and ways of their mitigation, and can serve for further work on their development and application of VR simulators.

Examining the Relationship Between Cybersickness, Postural Instability and Its Impact on Virtual Reality Experience

Abstract :This study aimed to investigate in the gaming population, if Immersive Virtual Reality (VR) induces cybersickness and impacts equilibrium coordination in gamers, which has become a negative consequence of degrading the interface for VR users. Various abnormalities can cause quantifiable changes in body awareness when donning a Head Mounted Display (HMD) in a Virtual Environment (VE), which VR headsets provide to match the actual world and allow users to have a range of experiences. The research used a cross-sectional observational analysis and recruited 40 subjects in and around bengaluru, based on selection criteria, with the intervention lasting 6 months. The after-effects of the virtual environment were evaluated using a Simulator Sickness Questionnaire, which holds a single period for measuring motion sickness. Equilibrium tests were done thrice, before gaming, at the exit, and after 10 mins. Statistical analyses were performed using paired t-tests. The results showed that the participants experienced cybersickness, as indicated by their Simulator Sickness Questionnaire (SSQ) scores and t-value. The study also found that the participants' average equilibrium coordination deteriorated before gaming to exit, and improved from exit, indicating a stabilizing condition. However, further research is needed to determine whether cybersickness affects equilibrium coordination. Although virtual reality in video games is still developing, integrating gameplay action into the VR experience will necessitate significant study and development.

Virtual Reality–Based Neurorehabilitation Support Tool for People With Cognitive Impairments Resulting From an Acquired Brain Injury: Usability and Feasibility Study

Background Acquired brain injury (ABI) is a prominent cause of disability globally, with virtual reality (VR) emerging as a promising aid in neurorehabilitation. Nonetheless, the diversity among VR interventions can result in inconsistent outcomes and pose challenges in determining efficacy. Recent reviews offer best practice recommendations for designing and implementing therapeutic VR interventions to evaluate the acceptance of fully immersive VR interventions. Objective This study aims to evaluate the usability and feasibility of a co-designed VR-based neurorehabilitation support tool by conducting multiple proof-of-concept trials in a sample of patients with ABI within a hospital setting. Methods A single session deploying custom immersive serious games to train cognitive functions using a new-generation head-mounted display was conducted among a sample of inpatients with ABI. Structured questionnaires were administered at the end of the session to evaluate the usability of the system and the intervention, participants’ familiarity with the technology, and any adverse effects related to cybersickness. Additionally, the training duration while wearing the headset and the demographic characteristics of the participants were considered. Results A total of 20 patients with ABI participated in a 1-hour proof-of-concept trial. The mean usability score was 37 (SD 2.6) out of 40, the technology familiarity level was 9.2 (SD 2.9) out of 12, and the Simulator Sickness Questionnaire total score was 1.3 (SD 2). On average, participants wore the headset for approximately 25.6 (SD 4.7) minutes during the intervention. There were no substantial differences in usability and technology familiarity levels based on patients’ etiology or age, with no notable symptoms of cybersickness reported. Significantly strong correlations were noted between cybersickness symptoms and various usability categories, including exposure, motivation, interactivity, task specificity, and immersion aspects. Further, there was a significant association between the intervention time and the number of tasks performed (P<.001). Furthermore, patients who derived enjoyment from VR sessions expressed a heightened interest in incorporating VR into their daily neurorehabilitation practice (P<.001). Moreover, oculomotor issues were found to be highly sensitive to the onset of disorientation sickness symptoms (P<.001). Conclusions Through a collaborative approach, this study showcases the usability and feasibility of a VR-based support tool for cognitive rehabilitation among inpatients with ABI. Key components of such interventions encompass a multidisciplinary array of immersive experiences integrating neurorehabilitation principles and serious games techniques.

Motion Sickness in Mixed-Reality Situational Awareness System

This research focuses on enhancing the user experience within a Mixed-Reality Situational Awareness System (MRSAS). The study employed the Simulator Sickness Questionnaire (SSQ) in order to gauge and quantify the user experience and to compare the effects of changes to the system. As the results of SSQ are very dependant on inherent motion sickness susceptibility, the Motion Sickness Susceptibility Questionnaire (MSQ) was used to normalize the results. The experimental conditions were tested on a simulated setup which was also compared to its real-life counterpart. This simulated setup was adjusted to best match the conditions found in the real system by using post-processing effects. The test subjects in this research primarily consisted of 17–28 years old university students representing both male and female genders as well as a secondary set with a larger age range but predominantly male. In total, there were 41 unique test subjects in this study. The parameters that were analyzed in this study were the Field of View (FoV) of the headset, the effects of peripheral and general blurring, camera distortions, camera white balance and users adaptability to VR over time. All of the results are presented as the average of multiple user results and as scaled by user MSQ. The findings suggest that SSQ scores increase rapidly in the first 10–20 min of testing and level off at around 40–50 min. Repeated exposure to VR reduces MS buildup, and a FoV of 49–54 is ideal for a MRSAS setup. Additionally camera based effects like lens distortion and automatic white balance had negligible effests on MS. In this study a new MSQ based SSQ normalization technique was also developed and utilized for comparison. While the experiments in this research were primarily conducted with the goal of improving the physical Vegvisir system, the results themselves may be applicable for a broader array of VR/MR awareness systems and can help improve the UX of future applications.

Analysis of Visual and Vestibular Information on Motion Sickness in Flight Simulation

Virtual reality (VR) is in its nascent technological advancement and market diffusion stages. Interestingly, the scientific exploration concerning the impact of non-isometric mapping disparities within visual–vestibular stimuli on motion sickness remains deficient. This investigation focuses on scrutinizing the visual–vestibular implications for motion sickness within the context of flight simulation. The developed motion platform, offering specific pitch and roll ranges of ±16 and ±17 degrees, respectively, was employed to induce varying ratios of simulated visual–vestibular cues. Involving a cohort of five participants, the study exposed them to two prevalent simulated mission profiles, subsequently assessing their motion sickness symptoms. Sixty responses were analyzed using the subjective assessment of the Simulator Sickness Questionnaire (SSQ). The findings reveal a reduction in cybersickness severity with congruent visual–vestibular stimuli in proportion to the variance observed among visual–vestibular coupling ratios. A comparative analysis of SSQ sub-categories demonstrates that disorientation holds the most significance in the hierarchy of motion sickness contributors, followed by oculomotor discomfort, with nausea manifesting as the least influential. This study can lead to situation awareness analysis by integrating VR-based flight-simulation setups in the formal training of pilots and UAV operators.

Cybersickness in People with Multiple Sclerosis Exposed to Immersive Virtual Reality.

Together with the wide range of possible benefits for the rehabilitation/training of people with multiple sclerosis (pwMS) and other neurologic conditions, exposure to immersive virtual reality (VR) has often been associated with unpleasant symptoms, such as transient dizziness, headache, nausea, disorientation and impaired postural control (i.e., cybersickness). Since these symptoms can significantly impact the safety and tolerability of the treatment, it appears important to correctly estimate their presence and magnitude. Given the existing data scarcity, this study aims to assess the existence and severity of possible adverse effects associated with exposure to immersive VR in a cohort of pwMS using both objective measurements of postural control effectiveness and subjective evaluations of perceived symptoms. To this aim, postural sway under upright quiet posture (in the presence and absence of visual input) of 56 pwMS with an Expanded Disability Status Scale score (EDSS) in the range of 0-6.5 (mean EDSS 2.3) and 33 unaffected individuals was measured before and after a 10-min immersive VR session and at 10 min follow-up on the basis of center of pressure (COP) trajectories. The severity of cybersickness symptoms associated with VR exposure was also self-rated by the participants using the Italian version of the Simulator Sickness Questionnaire (SSQ). Temporary impairments of postural control in terms of significantly increased sway area were observed after the VR session only in pwMS with mild-moderate disability (i.e., EDSS in the range of 2.5-6.5) in the presence of visual input. No changes were observed in pwMS with low disability (EDSS 0-2) and unaffected individuals. In contrast, when the visual input was removed, there was a decrease in sway area (pwMS with mild-moderate disability) and COP path length relating to the use of VR (pwMS with mild-moderate disability and unaffected individuals), thus suggesting a sort of "balance training effect". Even in this case, the baseline values were restored at follow-up. All participants, regardless of their status, experienced significant post-VR side effects, especially in terms of blurred vision and nausea. Taken together, the findings of the present study suggest that a short immersive VR session negatively (eyes open) and positively (eyes closed) impacts the postural control of pwMS and causes significant disorientation. However, such effects are of limited duration. While it is reasonable to state that immersive VR is sufficiently safe and tolerable to not be contraindicated in the rehabilitation/training of pwMS, in order to reduce possible negative effects and maximize the efficacy, safety and comfort of the treatment, it appears necessary to develop specific guidelines that consider important factors like individual susceptibility, maximum exposure time according to the specific features of the simulation, posture to adopt and protocols to assess objective and perceived effects on participants.

Effect of screen configuration on the neck angle, muscle activity, and simulator sickness symptoms in virtual reality.

There is a lack of information about the optimal setup of multiple screen configurations in virtual reality (VR) office work. The objective of this study was to evaluate the effects of different screen configurations on neck flexion, rotation, neck muscle activity, and simulator sickness symptoms during Virtual Reality (VR) office work. Twelve participants (7 males; 21 to 27 years old) performed copy-paste and drag-drop tasks in three different screen configurations (single screen, primary-secondary screen, and double screen) in a randomized order. Optical motion capture system, electromyography (EMG) device, and simulator sickness questionnaire (SSQ) were used to measure the users' responses. Neck rotation angles, muscle activities, and VR sickness were significantly affected by the screen configurations (p < 0.021). The primary-secondary screen showed the highest right rotation angle (median: -33.47°) and left sternocleidomastoid (SCM) muscle activities (median: 12.57% MVC). Both single (median: 22.42) and primary-secondary (median: 22.40) screen showed the highest value of SSQ. The screen configurations in VR could be an important design factor affecting the users' physical demands of the neck and VR sickness symptoms. Asymmetric neck rotations caused by the primary-secondary screen conditions should be avoided.

Tracking motion sickness in dynamic VR environments with EDA signals

Virtual reality (VR) has emerged as a mainstream commercial technology with multiple sensory channels, including advanced user interfaces (human-computer). However, the number of users complaining of VR motion sickness (MS) has been rapidly increasing. In this study, VR MS was investigated using subjective questionnaires: simulator sickness questionnaire (SSQ), virtual reality sickness questionnaire (VRSQ), and fast motion sickness scale (FMS) and objective physiological methods: electrodermal activity (EDA). To track VR MS based on symptoms, a model was constructed by applying a polynomial regression method. In addition, this study attempted to determine whether there are differences in MS according to the degree of immersion in a VR environment. Twenty participants (10 males and 10 females) were exposed to a dynamic VR environment through a simple operation method using a head-mounted display (HMD). The coefficients of determination of the objective measurement components were high before and after the rest. In particular, both the SSQ and VRSQ were highest for disorientation, that is, dizziness disorder and difficulty concentrating. This suggests that the timing of the EDA signal data extraction with respect to the rest may be critical. In addition, subjects placed in an immersive VR environment performed the experiment in an unstable and dynamic posture; accordingly, the VR MS score was higher for subjects who participated in the experiment in a more dynamic position. Therefore, we confirmed the possibility of a significant association between VR sickness and postural stability. This study demonstrates the possibility of tracking MS in a dynamic VR environment according to intervals and symptoms using EDA signals, and the stability of posture should be considered in immersed VR environments.Relevance to industry: The findings here provide insights into the model of tracking motion sickness using the EDA signal to prevent or reduce VR motion sickness. The EDA signal model can benefit the design or development of an immersive VR environment.

Who says you are so sick? An investigation on individual susceptibility to cybersickness triggers using EEG, EGG and ECG.

In this research paper, we conducted a study to investigate the connection between three objective measures: Electrocardio-gram(EGG), Electrogastrogram (EGG), and Electroencephalogram (EEG), and individuals' susceptibility to cybersickness. Our primary objective was to identify which of these factors plays a central role in causing discomfort when experiencing rotations along three different axes: Roll, Pitch, and Yaw. This study involved 35 participants who were tasked with destroying asteroids using their eye gaze while undergoing passive rotations in four separate sessions. The results, when combined with subjective measurements (specifically, Fast motion sickness questionnaire (FMS) and Simulator sickness questionnaire (SSQ) score), demonstrated that EGG measurements were superior in detecting symptoms associated with nausea. As for ECG measurements, our observations did reveal significant changes in Heart Rate Variability (HRV) parameters. However, we caution against relying solely on ECG as a dependable indicator for assessing the extent of cybersickness. Most notably, EEG signals emerged as a crucial resource for discerning individual differences related to these rotational axes. Our findings were significant not only in the context of periodic activities but also underscored the potential of aperiodic activities in detecting the severity of cybersickness and an individual's susceptibility to rotational triggers.

Impaired stationarity perception is associated with increased virtual reality sickness.

Stationarity perception refers to the ability to accurately perceive the surrounding visual environment as world-fixed during self-motion. Perception of stationarity depends on mechanisms that evaluate the congruence between retinal/oculomotor signals and head movement signals. In a series of psychophysical experiments, we systematically varied the congruence between retinal/oculomotor and head movement signals to find the range of visual gains that is compatible with perception of a stationary environment. On each trial, human subjects wearing a head-mounted display execute a yaw head movement and report whether the visual gain was perceived to be too slow or fast. A psychometric fit to the data across trials reveals the visual gain most compatible with stationarity (a measure of accuracy) and the sensitivity to visual gain manipulation (a measure of precision). Across experiments, we varied 1) the spatial frequency of the visual stimulus, 2) the retinal location of the visual stimulus (central vs. peripheral), and 3) fixation behavior (scene-fixed vs. head-fixed). Stationarity perception is most precise and accurate during scene-fixed fixation. Effects of spatial frequency and retinal stimulus location become evident during head-fixed fixation, when retinal image motion is increased. Virtual Reality sickness assessed using the Simulator Sickness Questionnaire covaries with perceptual performance. Decreased accuracy is associated with an increase in the nausea subscore, while decreased precision is associated with an increase in the oculomotor and disorientation subscores.

A mirror therapy system using virtual reality and an actuated exoskeleton for the recovery of hand motor impairments: a study of acceptability, usability, and embodiment

Hand motor impairments are one of the main causes of disabilities worldwide. Rehabilitation procedures like mirror therapy are given crucial importance. In the traditional setup, the patient moves the healthy hand in front of a mirror; the view of the mirrored motion tricks the brain into thinking that the impaired hand is moving as well, stimulating the recovery of the lost hand functionalities. We propose an innovative mirror therapy system that leverages and couples cutting-edge technologies. Virtual reality recreates an immersive and effective mirroring effect; a soft hand exoskeleton accompanies the virtual visual perception by physically inducing the mirrored motion to the real hand. Three working modes of our system have been tested with 21 healthy users. The system is ranked as acceptable by the system usability scale; it does not provoke adverse events or sickness in the users, according to the simulator sickness questionnaire; the three execution modes are also compared w.r.t. the sense of embodiment, evaluated through another customized questionnaire. The achieved results show the potential of our system as a clinical tool and reveal its social and economic impact.

Cybersickness as the virtual reality sickness questionnaire (VRSQ) measures it!? –an environment-specific revision of the VRSQ

Background: Virtual Reality (VR) does not only include the use of stereoscopic images, but also possibilities for an interaction with and participation in a computer-generated environment. However, laboratory studies primarily focus on the first part of the definition only. In this context, comparing results from different VR applications with diverging goals becomes difficult. This is especially true in the field of cybersickness research (visually induced motion sickness in VR), as self-report symptom questionnaires are used. The prominent Simulator Sickness Questionnaire (SSQ) is criticized for the lack of specificity, the double factorial loadings, the outdatedness, and the unrepresentative sample. VR-specific revisions like the Virtual Reality Sickness Questionnaire (VRSQ) address these criticisms but lack generalizability.Methods: The current paper uses a Confirmatory Factor Analysis of the VRSQ with data from three different VR environments and a sample size of N = 244. The environments had different setups, visual complexities, and interaction possibilities. These characteristics influenced the factorial structure of the VRSQ as a moderator. Furthermore, to control for VR-unrelated effects Baseline ratings were taken into account.Results: The Confirmatory Factor Analysis indicated a moderate fit for the global model, but a misspecification for two of the three environments. Only the environment similar to the original VRSQ paper converged with the model.Conclusions: In conclusion, a detailed description of the VR environment is required in scientific method reports. Focusing on VR accessibility for physically impaired in addition to healthy subjects, an added Baseline measurement can address the discriminant validity. Until generalizable VR-specific revisions of the SSQ are validated, the paper suggests using the Δ-SSQ in aggregated raw format.

Predicting VR cybersickness and its impact on visuomotor performance using head rotations and field (in)dependence

Introduction: This exploratory study aims to participate in the development of the VR framework by focusing on the issue of cybersickness. The main objective is to explore the possibilities of predicting cybersickness using i) field dependence-independence measures and ii) head rotations data through automatic analyses. The second objective is to assess the impact of cybersickness on visuomotor performance.Methods: 40 participants completed a 13.5-min VR immersion in a first-person shooter game. Head rotations were analyzed in both their spatial (coefficients of variations) and temporal dimensions (detrended fluctuations analyses). Exploratory correlations, linear regressions and clusters comparison (unsupervised machine learning) analyses were performed to explain cybersickness and visuomotor performance. Traditional VR human factors (sense of presence, state of flow, video game experience, age) were also integrated.Results: Results suggest that field dependence-independence measured before exposure to VR explain ¼ of the variance of cybersickness, while the Disorientation scale of the Simulator Sickness Questionnaire predicts 16.3% of the visuomotor performance. In addition, automatic analyses of head rotations during immersion revealed two different clusters of participants, one of them reporting more cybersickness than the other.Discussion: These results are discussed in terms of sensory integration and a diminution of head rotations as an avoidance behavior of negative symptoms. This study suggests that measuring field dependence-independence using the (Virtual) Rod and Frame Test before immersion and tracking head rotations using internal sensors during immersion might serve as powerful tools for VR actors.

Assessments of Order-Picking Tasks Using a Paper List and Augmented Reality Glasses with Different Order Information Displays

This study investigated the effects of wearing AR devices on users’ performance and comfort ratings while performing order-picking (OP) tasks. In addition to a picking-by-paper list, two AR devices combined with three order information display designs were examined. Thirty adult participants joined. They searched for and found the boxes in the order list, picked them up, and returned to the origin. The time to complete the task and the number of incorrect boxes picked up were analyzed to assess the performance of the tasks. The subjective ratings of the participants on the comfort rating scale (CRS) and the simulator sickness questionnaire (SSQ) were collected to assess the designs of both the AR devices and the order information displays. It was found that the participants could complete the OP tasks faster when adopting the order map (4.97 ± 1.57 min) or the 3D graph display (4.87 ± 1.50 min) using either one of the AR devices than when using a paper list (6.03 ± 1.28 min). However, they needed more time to complete the OP tasks when wearing both types of AR glasses when the Quick Response (QR) code option was adopted (10.16 ± 4.30 min) than when using a paper list. The QR code scanning and display design using either one of the AR devices guaranteed 100% accuracy but sacrificed efficiency in task completion. The AR device with a binocular display and hand gesture recognition functions had a significantly lower CRS score in the dimensions of attachment and movement (5.6 and 6.3, respectively) than the corresponding dimensions (8.0 and 8.3, respectively) of the other device with a monocular and hand touch input design. There were complaints of eye strain after using both AR devices examined in this study. This implies that these AR devices may not be suitable to wear for extended periods of time. Users should take off the AR device whenever they do not need to view the virtual image to avoid eye strain and other discomfort symptoms.

Development of a virtual reality-based intervention for community walking post stroke: an integrated knowledge translation approach

Purpose To develop a virtual reality (VR) based intervention targeting community walking requirements. Methods Two focus groups each involving 7 clinicians allowed exploring optimal features, needed support and perceived favorable/unfavorable factors associated with the use of the VR-based intervention from the clinicians’ perspective. Three stroke survivors and 2 clinicians further interacted with the intervention and filled questionnaires related to acceptability and favorable/unfavorable perceptions on the VR intervention. Stroke participants additionally rated their perceived effort (NASA Tax Load Index), presence (Slater-Usoh-Steed) and cybersickness (Simulator Sickness Questionnaire). Results Results identified optimal features (patient eligibility criteria, task complexity), needed support (training, human assistance), as well as favorable (cognitive stimulation, engagement, representativeness of therapeutic goals) and unfavorable factors (misalignment with a natural walking pattern, client suitability, generalization to real-life) associated with the intervention. Acceptability scores following the interaction with the tool were 28 and 42 (max 56) for clinicians and ranged from 43 to 52 for stroke participants. Stroke participants reported moderate perceptions of effort (range:20-33/max:60), high levels of presence (29-42/42) and minimal cybersickness (0-3/64). Conclusion Findings collected in the early development phase of the VR intervention will allow addressing favorable/unfavorable factors and incorporating desired optimal features, prior to conducting effectiveness and implementation studies.