Subjective Symptoms Of Motion Sickness Research Articles

Frequency-dependent tuning of the human vestibular “sixth sense” by transcranial oscillatory currents

ObjectiveThe vestibular cortex is a multisensory associative region that, in neuroimaging investigations, is activated by slow-frequency (1–2 Hz) galvanic stimulation of peripheral receptors. We aimed to directly activate the vestibular cortex with biophysically modeled transcranial oscillatory current stimulation (tACS) in the same frequency range. MethodsThirty healthy subjects and one rare patient with chronic bilateral vestibular deafferentation underwent, in a randomized, double-blind, controlled trial, to tACS at slow (1 or 2 Hz) or higher (10 Hz) frequency and sham stimulations, over the Parieto-Insular Vestibular Cortex (PIVC), while standing on a stabilometric platform. Subjective symptoms of motion sickness were scored by Simulator Sickness Questionnaire and subjects’ postural sways were monitored on the platform. ResultstACS at 1 and 2 Hz induced symptoms of motion sickness, oscillopsia and postural instability, that were supported by posturographic sway recordings. Both 10 Hz-tACS and sham stimulation on the vestibular cortex did not affect vestibular function. As these effects persisted in a rare patient with bilateral peripheral vestibular areflexia documented by the absence of the Vestibular-Ocular Reflex, the possibility of a current spread toward peripheral afferents is unlikely. Conversely, the 10 Hz-tACS significantly reduced his chronic vestibular symptoms in this patient. ConclusionsWeak electrical oscillations in a frequency range corresponding to the physiological cortical activity of the vestibular system may generate motion sickness and postural sways, both in healthy subjects and in the case of bilateral vestibular deafferentation. SignificanceThis should be taken into account as a new side effect of tACS in future studies addressing cognitive functions. Higher frequencies of stimulation applied to the vestibular cortex may represent a new interventional option to reduce motion sickness in different scenarios.

Real-time visual feedback about postural activity increases postural instability and visually induced motion sickness

BackgroundSeveral studies have shown that the kinematics of standing body sway can be influenced by the provision of real time feedback about postural activity through visual displays. Research questionWe asked whether real time visual feedback about the position of the body’s center of pressure (COP) might affect body sway and the occurrence of visually induced motion sickness. MethodsStanding participants (women) were exposed to complex visual oscillation in a moving room, a device that nearly filled the field of view. During exposure to complex visual oscillations, we provided real time feedback about displacements of the body’s center of pressure through a visual display presented on a tablet computer. ResultsThe incidence of motion sickness was greater than in a closely related study that did not provide real time feedback. We monitored the kinematics of the body’s center of pressure before and during exposure to visual motion stimuli. Body sway differed between participants who reported motion sickness and those who did not. These differences existed before any participants experienced subjective symptoms of motion sickness. SignificanceReal time visual feedback about COP displacement did not reduce visually induced motion sickness, and may have increased it. We identified postural precursors of motion sickness that may have been exacerbated by the COP display. The results indicate that visual feedback about postural activity can destabilize postural control, leading to negative side effects. We suggest possible alternative types of visual displays that might help to stabilize posture, and reduce motion sickness.

Postural time-to-contact as a precursor of visually induced motion sickness.

The postural instability theory of motion sickness predicts that subjective symptoms of motion sickness will be preceded by unstable control of posture. In previous studies, this prediction has been confirmed with measures of the spatial magnitude and the temporal dynamics of postural activity. In the present study, we examine whether precursors of visually induced motion sickness might exist in postural time-to-contact, a measure of postural activity that is related to the risk of falling. Standing participants were exposed to oscillating visual motion stimuli in a standard laboratory protocol. Both before and during exposure to visual motion stimuli, we monitored the kinematics of the body's center of pressure. We predicted that postural activity would differ between participants who reported motion sickness and those who did not, and that these differences would exist before participants experienced subjective symptoms of motion sickness. During exposure to visual motion stimuli, the multifractality of sway differed between the Well and Sick groups. Postural time-to-contact differed between the Well and Sick groups during exposure to visual motion stimuli, but also before exposure to any motion stimuli. The results provide a qualitatively new type of support for the postural instability theory of motion sickness.

End-tidal CO2 relates to seasickness susceptibility: A study in Antarctic voyages

ObjectiveTo investigate the relationship between end-tidal CO2 (EtCO2) and seasickness (motion sickness at sea) during an Antarctic voyage. MethodsIn this study, we measured EtCO2 and severity of seasickness using the subjective symptoms of motion sickness (SSMS). We sampled EtCO2 and SSMS every 3–4h for 3 days from the date of sail in 16 healthy subjects. This experiment was performed on an icebreaker (standard displacement: 12,650t). ResultsSince 2 subjects dropped out because of severe motion sickness, available data were collected from 14 subjects. On analysis of all data of all subjects grouped together, there seemed to be a significant negative correlation between EtCO2 and SSMS (R=−0.27, P=0.0005). However, in individual subjects, this correlation was not obvious. During the voyage, EtCO2 level in the seasickness susceptible group was lower than that in the non-susceptible group (P=0.018). Both EtCO2 increasing in the non-susceptible group and decreasing in the susceptible group contribute to the difference in EtCO2 levels. We suggest that the cause of this increase in EtCO2 level in the non-susceptible group was unwitting slow and deep breathing to resist seasickness. ConclusionWe revealed that for seasickness during an Antarctic voyage, EtCO2 level relates to susceptibility, but not occurrence or severity. Measurement of EtCO2 levels may be useful to identify seasickness-susceptible persons and to efficiently prevent seasickness.

Motion control, motion sickness, and the postural dynamics of mobile devices

Drivers are less likely than passengers to experience motion sickness, an effect that is important for any theoretical account of motion sickness etiology. We asked whether different types of control would affect the incidence of motion sickness, and whether any such effects would be related to participants' control of their own bodies. Participants played a video game on a tablet computer. In the Touch condition, the device was stationary and participants controlled the game exclusively through fingertip inputs via the device's touch screen. In the Tilt condition, participants held the device in their hands and moved the device to control some game functions. Results revealed that the incidence of motion sickness was greater in the Touch condition than in the Tilt condition. During game play, movement of the head and torso differed as a function of the type of game control. Before the onset of subjective symptoms of motion sickness, movement of the head and torso differed between participants who later reported motion sickness and those that did not. We discuss implications of these results for theories of motion sickness etiology.

Body load and the postural precursors of motion sickness

Physical properties of the body affect the control of standing body sway. One example occurs when loads are added to the body, such as occurs when wearing a backpack. Other research has shown that subjective symptoms of motion sickness are preceded by differences in body sway between individuals who later report motion sickness and those who do not. In the present study we asked whether loads worn on the body would affect relations between body sway and motion sickness. We measured standing body sway without load and then with loads worn at the shoulders or thighs. Then participants were exposed to potentially nauseogenic visual motion stimulation while wearing shoulder or thigh loads. We measured body sway continuously during exposure to visual motion. Thirteen of 36 participants (36%) reported motion sickness. Body sway was affected by loads and by load position, consistent with previous research. Also consistent with previous research, sway differed between well and sick participants both before and during exposure to visual motion stimuli. In addition, during room motion the well and sick participants responded differently to loads. The results are consistent with the hypothesis that physical properties of the body can affect relations between body sway and motion sickness.

Pre-Bout Standing Body Sway Differs between Adult Boxers Who Do and Do Not Report Post-Bout Motion Sickness

BackgroundMotion sickness is characterized by subjective symptoms that include dizziness and nausea. Studies have shown that subjective symptoms of motion sickness are preceded by differences in standing body sway between those who experience the symptoms and those who are not. Boxers often report dizziness and nausea immediately after bouts. We predicted that pre-bout standing body sway would differ between boxers who experienced post-bout motion sickness and those who did not.Methodology/Principal FindingsWe collected data on standing body sway before bouts. During measurement of body sway participants performed two visual tasks. In addition, we varied stance width (the distance between the heels). Postural testing was conducted separately before and after participants' regular warm-up routines. After bouts, we collected self-reports of motion sickness incidence and symptoms. Results revealed that standing body sway was greater after warm-up than before warm-up, and that wider stance width was associated with reduced sway. Eight of 15 amateur boxers reported motion sickness after a bout. Two statistically significant interactions revealed that standing body sway before bouts differed between participants who reported post-bout motion sickness and those who did not.Conclusions/SignificanceThe results suggest that susceptibility to motion sickness in boxers may be manifested in characteristic patterns of body sway. It may be possible to use pre-bout data on postural sway to predict susceptibility to post-bout motion sickness.

Postural activity and motion sickness during video game play in children and adults

Research has confirmed that console video games give rise to motion sickness in many adults. During exposure to console video games, there are differences in postural activity (movement of the head and torso) between participants who later experience motion sickness and those who do not, confirming a prediction of the postural instability theory of motion sickness. Previous research has not addressed relations between video games, movement and motion sickness in children. We evaluated the nauseogenic properties of a commercially available console video game in both adults and 10-year-old children. Individuals played the game for up to 50min and were instructed to discontinue immediately if they experienced any symptoms of motion sickness, however mild. During game play, we monitored movement of the head and torso. Motion sickness was reported by 67% of adults and by 56% of children; these rates did not differ. As a group, children moved more than adults. Across age groups, the positional variability of the head and torso increased over time during game play. In addition, we found differences in movement between participants who later reported motion sickness and those who did not. Some of these differences were general across age groups but we also found significant differences between the movement of adults and children who later reported motion sickness. The results confirm that console video games can induce motion sickness in children and demonstrate that changes in postural activity precede the onset of subjective symptoms of motion sickness in children.

Stance Width Influences Postural Stability and Motion Sickness

We examined the influence of stance width (the distance between the feet) on postural sway and visually induced motion sickness. Stance width influences the magnitude of body sway, and changes in sway precede the subjective symptoms of motion sickness. Thus, manipulation of stance width may influence motion sickness incidence. Participants (healthy young adults) were exposed to complex, low-frequency oscillation of a moving room. Participants stood with their feet 5 cm, 17 cm, or 30 cm apart. During exposure to visual motion, the widest stance (30 cm) was associated with reduced incidence of motion sickness. For all stance widths, motion sickness was preceded by significant changes in motion of the head and torso. The results support the postural instability theory of motion sickness and suggest practical implications for the prevention of motion sickness. Adoption of wider stance may decrease the risk of motion sickness in operational situations.

Susceptibility to Nausea and Motion Sickness as a Function of the Menstrual Cycle

The present study examined whether susceptibility to nausea and other symptoms of vection-induced motion sickness vary as a function of phase of the menstrual cycle, as research findings in this area are sparse and contradictory. Ninety young women (42 current users of oral contraceptives) were exposed to a rotating optokinetic drum during the peri-menses or peri-ovulatory phase of the menstrual cycle in an independent-groups, quasi-experimental design. Nausea and motion sickness symptoms were assessed using the Nausea Profile (NP) and the Subjective Symptoms of Motion Sickness (SSMS) questionnaire. Among women not on oral contraceptives, reports of nausea and motion sickness by women in the peri-menses phase were more severe than reports by women in the peri-ovulatory phase. By contrast, among women taking oral contraceptives, reports of nausea and motion sickness did not differ by the same categorical phase of the menstrual cycle. We speculate that fluctuating estrogen levels over the course of the menstrual cycle may influence the experience of or susceptibility to nausea and motion sickness during illusory self-motion and other nauseogenic contexts.

Motion Sickness and Postural Sway in Console Video Games

We tested the hypotheses that (a) participants might develop motion sickness while playing "off-the-shelf" console video games and (b) postural motion would differ between sick and well participants, prior to the onset of motion sickness. There have been many anecdotal reports of motion sickness among people who play console video games (e.g., Xbox, PlayStation). Participants (40 undergraduate students) played a game continuously for up to 50 min while standing or sitting. We varied the distance to the display screen (and, consequently, the visual angle of the display). Across conditions, the incidence of motion sickness ranged from 42% to 56%; incidence did not differ across conditions. During game play, head and torso motion differed between sick and well participants prior to the onset of subjective symptoms of motion sickness. The results indicate that console video games carry a significant risk of motion sickness. Potential applications of this research include changes in the design of console video games and recommendations for how such systems should be used.

Vertical Display Oscillation Effects on Forward Vection and Simulator Sickness

The current study investigated the effects that vertical display oscillation had on the development of both vection and simulator sickness. There were 16 subjects who were exposed to optic flow displays which simulated either: 1) constant velocity forward self-motion (pure radial flow); or 2) combined constant velocity forward and vertically oscillating self-motion (radial flow with vertical oscillation at one of three frequencies: 1.8, 3.7, or 7.4 Hz). During each 10-min display exposure, subjects rated the strength of their vection and eight symptoms listed on the Subjective Symptoms of Motion Sickness (SSMS) scale at 2-min intervals. Subjects also completed the Simulator Sickness Questionnaire (SSQ) designed by Kennedy and colleagues before and after each trial, which generated a total SSQ score and three SSQ subscores (nausea, oculomotor symptoms, and disorientation). Vertically oscillating displays (mean = 5.51; SD = 2.5) were found to produce significantly stronger vection ratings than non-oscillating displays (mean = 3.56; SD = 2.1). Vertically oscillating displays (mean = 58.18; SD = 32.2) were also found to produce significantly more severe sickness (as rated by total SSQ scores) than non-oscillating displays (mean = 29.67; SD = 24.7). Both vection and sickness symptoms increased in magnitude with prolonged exposure to optic flow. Our findings appear to represent a special case in visual self-motion perception where high-frequency vertical oscillation both enhances vection and increases simulator sickness when it is incorporated into an optic flow display simulating constant velocity self-motion in depth.

Gastric Arrhythmia and Nausea of Motion Sickness Induced in Healthy Japanese Subjects Viewing an Optokinetic Rotating Drum

The purpose of this study was to investigate whether nausea or gastric dysrhythmia, including tachygastria, which was determined by electrogastrography (EGG), were observed during optokinetic motion sickness in healthy Japanese volunteers. Twelve volunteers (9 men and 3 women) participated in the study. The subjects were asked to sit in a chair with their heads positioned in the center of a drum whose inside had been painted with black and white stripes. After a 15 min resting period, the drum was rotated at a speed of 60 degree/sec for 15 min. The EGG was continuously recorded for a total of 45 min (15 min resting period, 15 min rotation period, and 15 min recovery period). The severity of nausea was evaluated with a visual analogue scale (VAS) before, immediately after, and 15 min after the cessation of drum rotation. Other motion sickness symptoms were evaluated by scores of subjective symptoms of motion sickness (SSMS). Of 12 subjects who completed the study, 10 complained of nausea immediately after cessation of drum rotation. The VAS score for nausea immediately after the drum rotation period and 15 min after cessation of the rotation was significantly higher than during the resting period. The EGG during the drum rotation period showed a decrease in normogastria, which was accompanied with an increase in tachygastria. We conclude that gastric tachyarrhythmia and nausea may be induced by viewing an optokinetic rotating drum in healthy Japanese subjects who may have a hypersusceptibility to vection-induced motion sickness. The gastric dysrhythmia obtained with EGG could be a useful observation to support the appearance of nausea induced by optokinetic motion sickness.

Protein‐predominant meals inhibit the development of gastric tachyarrhythmia, nausea and the symptoms of motion sickness

Meal ingestion has been suggested to reduce susceptibility to the development of gastric tachyarrhythmia, the abnormal activity of the stomach that frequently accompanies nausea. To determine the types of meal that are most effective in preventing the development of gastric tachyarrhythmia, nausea and the symptoms of motion sickness provoked by a rotating optokinetic drum. Participants received a carbohydrate beverage, a protein-predominant beverage or nothing immediately before exposure to the rotating drum. Subjective symptoms of motion sickness and electrogastrograms were collected during a 6-min baseline period and a subsequent 16-min drum rotation period. Subjective symptoms of motion sickness scores were significantly more severe during the no-meal condition than during either the protein or carbohydrate condition. Central, peripheral and, to some extent, gastrointestinal symptoms were more severe during the carbohydrate condition than during the protein condition. Gastric tachyarrhythmia increased significantly less from baseline to drum rotation during both the protein and carbohydrate conditions than during the no-meal condition. Liquid protein-predominant meals were most effective in suppressing both the development of gastric tachyarrhythmia and the entire spectrum of motion sickness symptoms, including nausea.

Association of anterior cingulate cortex (ACC) activation with psychoscial distress and pain reports

assigned to one of the four groups. Those with high control were given a hand-held device that could stop the drum's rotation at their discretion; those with low control passively viewed the rotation of the dram as it was operated by an experimenter from an adjacent room. Those with high predictability were told for exactly how long the drum would rotate, and were given updates every 2 rain of the amount of time remaining; those with low predictability were not given any such information. Subjective symptoms of motion sickness (SSMS) and electrogastrograms (EGGs) were obtained during a 6 rain baseline period and a subsequent 16 rain drum rotation period. Results: SSMS scores were significantly lower among participants with high control than among those with low control, and were stgnificandy lower among participants with high predictability than among those with low predictability. Estimates of gasmc tachyarrhythmia obtained from the EGG during drum rotation were significantly lower among participants with high predictability than among those with low predictability Although gastric tachyarrhythmia during drum rotation was lower among participants with hgh control than among those with low control, the difference was not statistically significant Conclusions: The results of this study suggest that stronger perceptions of control-and predictability may temper the development of nausea and dysrhythmic gastric activity during exposure to provocative motion. Participants who knew they were able to stop the drum's rotation as soon as they deemed necessary, and those who knew how long they needed to endure the drum's stressful stimulation tended to develop fewer and less severe symptoms of nausea and motion sickness. These results may have implications for the effective, nonpharmaco[ogical treatment of nausea in various evocative contexts.

The menstrual cycle and susceptibility to coriolis-induced sickness

Survey studies on motion sickness susceptibility suggest that females tend to report greater severity in illness and higher incidence of vomiting than males. Menstruation is said to be a contributing factor. A recent study suggested that females were least susceptible to seasickness during ovulation in a "round the world" yacht race. Sixteen subjects (18-36 years old) were exposed to Coriolis cross-coupling stimulation in the laboratory. They were tested once during permenstruation (Day 1-5), ovulation (Day 12-15) and premenstruation (Day 24-28), based on a normalized 28-day cycle, in a randomised design. Physiological measurements of motion sickness included forearm and calf cutaneous blood flow. Subjective evaluation of sickness symptoms was based on Graybiel's diagnostic criteria and Golding's rating method. Our results indicated that under controlled laboratory conditions, different phases of the menstrual cycle appear to have no influence on subjective symptoms of motion sickness or on cutaneous blood flow increase in the forearm and calf. The lack of commonality between the types and levels of hormones that are released during motion sickness and those that are involved in different menstrual phases appears to support our findings.

Absence of habituation to repeated exposures to a rotating optokinetic drum with brief intersession intervals.

The purpose of this study was to investigate whether participants would habituate to repeated exposures to a rotating drum with brief intersession intervals. Participants were 41 college students, divided into a High Susceptibility group and a Low Susceptibility group based on their subjective symptoms of motion sickness during the first exposure to the rotating drum. The study consisted of three 16-min. exposures to a rotating drum with intersession intervals of 30 min. Contrary to expectation, for the High Susceptibility group, the symptom score mean of the first session was significantly less than that of the second and third sessions; and the drum viewing time of the first session was longer than that of the second and third sessions. In the Low Susceptibility group, the symptom score and drum viewing time were not significantly different among the three sessions. In conclusion, participants did not habituate to three repeated exposures to a rotating drum with intersession intervals of 30 min. Instead, a sensitization response occurred for the participants high in susceptibility.

Postural Instability and Motion Sickness in a Fixed-Base Flight Simulator

We evaluated the prediction that postural instability would precede the subjective symptoms of motion sickness in a fixed-base flight simulator. Participants sat in a cockpit in a video projection dome and were exposed to optical flow that oscillated in the roll axis with exposure durations typical of flight simulation. The frequencies of oscillation were those that characterize spontaneous postural sway during stance. Head motion was measured prior to and during exposure to imposed optical flow. Of 14 participants, 6 were classified as motion sick, either during or after exposure to the optical oscillation. Prior to the onset of subjective symptoms, head motion among participants who later became sick was significantly greater than among participants who did not become motion sick. We argue that the results support the postural instability theory of motion sickness. Actual or potential applications include the prevention or mitigation of motion sickness in virtual environments.

Electrical acustimulation relieves vection-induced motion sickness

The aim of this study was to examine the effects of electrical acustimulation on gastric myoelectric activity and severity of symptoms of motion sickness. In experiment 1, 16 Chinese subjects received electrical acustimulation in one of two sessions. In experiment 2, 45 white and black American subjects were randomly divided into three groups: acustimulation, sham acustimulation, and control. Each subject sat in an optokinetic drum for 15 minutes baseline and 15 minutes of drum rotation. Subjects' electrogastrograms and subjective symptoms of motion sickness were obtained. In experiment 1, the mean symptom score and tachyarrhythmia during acustimulation sessions were significantly lower than during no-acustimulation sessions. In experiment 2, the mean symptom score of the acustimulation group was significantly lower than that of the sham-stimulation group and the control group; tachyarrhythmia in the acustimulation group was significantly less than that of the control group but not the sham-stimulation group. In conclusion, electrical acustimulation reduces the severity of symptoms of motion sickness and appears to decrease gastric tachyarrhythmia.