The (in)effectiveness of anticipatory vibrotactile cues in mitigating motion sickness.

The introduction of (fully) automated vehicles has generated a re-interest in motion sickness, given that passengers suffer much more from motion sickness compared to car drivers. A suggested solution is to improve the anticipation of passive self-motion via cues that alert passengers of changes in the upcoming motion trajectory. We already know that auditory or visual cues can mitigate motion sickness. In this study, we used anticipatory vibrotactile cues that do not interfere with the (audio)visual tasks passengers may want to perform. We wanted to investigate (1) whether anticipatory vibrotactile cues mitigate motion sickness, and (2) whether the timing of the cue is of influence. We therefore exposed participants to four sessions on a linear sled with displacements unpredictable in motion onset. In three sessions, an anticipatory cue was presented 0.33, 1, or 3 s prior to the onset of forward motion. Using a new pre-registered measure, we quantified the reduction in motion sickness across multiple sickness scores in these sessions relative to a control session. Under the chosen experimental conditions, our results did not show a significant mitigation of motion sickness by the anticipatory vibrotactile cues, irrespective of their timing. Participants yet indicated that the cues were helpful. Considering that motion sickness is influenced by the unpredictability of displacements, vibrotactile cues may mitigate sickness when motions have more (unpredictable) variability than those studied here.

Self-motion perception without sensory motion.

Various studies have demonstrated a role for cognition on self-motion perception. Those studies all concerned modulations of the perception of a physical or visual motion stimulus. In our study, however, we investigated whether cognitive cues could elicit a percept of oscillatory self-motion in the absence of sensory motion. If so, we could use this percept to investigate if the resulting mismatch between estimated self-motion and a lack of corresponding sensory signals is motion sickening. To that end, we seated blindfolded participants on a swing that remained motionless during two conditions, apart from a deliberate perturbation at the start of each condition. The conditions only differed regarding instructions, a secondary task and a demonstration, which suggested either a quick halt ("Distraction") or continuing oscillations of the swing ("Focus"). Participants reported that the swing oscillated with larger peak-to-peak displacements and for a longer period of time in the Focus condition. That increase was not reflected in the reported motion sickness scores, which did not differ between the two conditions. As the reported motion was rather small, the lack of an effect on the motion sickness response can be explained by assuming a subthreshold neural conflict. Our results support the existence of internal models relevant to sensorimotor processing and the potential of cognitive (behavioral) therapies to alleviate undesirable perceptual issues to some extent. We conclude that oscillatory self-motion can be perceived in the absence of related sensory stimulation, which advocates for the acknowledgement of cognitive cues in studies on self-motion perception.

How feelings of unpleasantness develop during the progression of motion sickness symptoms.

To mitigate motion sickness in self-driving cars and virtual reality, one should be able to quantify its progression unambiguously. Self-report rating scales either focus on general feelings of unpleasantness or specific symptomatology. Although one generally feels worse as symptoms progress, there is anecdotal evidence suggesting a non-monotonic relationship between unpleasantness and symptomatology. This implies that individuals could (temporarily) feel better as symptoms progress, which could trouble an unambiguous measurement of motion sickness progression. Here we explicitly investigated the temporal development of both unpleasantness and symptomatology using subjective reports, as well as their mutual dependence using psychophysical scaling techniques. We found symptoms to manifest in a fixed order, while unpleasantness increased non-monotonically. Later manifesting symptoms were generally judged as more unpleasant, except for a reduction at the onset of nausea, which corresponded to feeling better. Although we cannot explicate the origin of this reduction, its existence is of importance to the quantification of motion sickness. Specifically, the reduction at nausea onset implies that rating how bad someone feels does not give you an answer to the question of how close someone is to the point of vomiting. We conclude that unpleasantness can unambiguously be inferred from symptomatology, but an ambiguity exists when inferring symptomatology from unpleasantness. These results speak in favor of rating symptomatology when prioritizing an unambiguous quantification of motion sickness progression.

Grasping an object comfortably: orientation information is held in memory.

It has been shown that memorized information can influence real-time visuomotor control. For instance, a previously seen object (prime) influences grasping movements toward a target object. In this study, we examined how general the priming effect is: does it depend on the orientation of the target object and the similarity between the prime and the target? To do so, we examined whether priming effects occured for different orientations of the prime and the target objects and for primes that were either identical to the target object or only half of the target object. We found that for orientations of the target object that did not require an awkward grasp, the orientation of the prime could influence the initiation time and the final grip orientation. The priming effects on initiation time were only found when the whole target object was presented as prime, but not when only half of the target object was presented. The results suggest that a memory effect on real-time control is constrained by end-state comfort and by the relevance of the prime for the grasping movement, which might mean that the interactions between the ventral and dorsal pathways are task specific.

Torques do not influence proprioceptive localization of the hand.

Because muscle torques counteracting gravity vary systematically during a movement of the arm, it has been suggested that torque differences that occur during a movement provide important information for judging the distance moved away from the body. To test this suggestion, we examined whether external vertical forces applied to the hand (and the torque differences due to these forces) influence proprioception. In a first experiment, the added vertical forces were constant, resulting in a change in torque that was proportional to the gravitational torque, as when holding an object in your hand. This did not affect proprioception. In a second experiment, gradient force fields were used to dramatically change the torque differences. Again, no effect on proprioception was found. Thus, vertical forces caused by hand-held objects do not play an important role in judging the position or movement of the hand.

Online manual movement adjustments in response to target position changes and apparent target motion.

This study set out to determine whether the fastest online hand movement corrections are only responses to changing judgments of the targets' position or whether they are also influenced by the apparent target motion. Introducing a gap between when a target disappears and when it reappears at a new position in a double-step paradigm disrupts the apparent motion, so we examined the influence of such a gap on the intensity of the response. We found that responses to target perturbations with disrupted apparent motion were less vigorous. The response latency was 10 ms shorter when there was a gap, which might be related to the gap effect that has previously been described for initiating eye and hand movements.

Studying the role of vision in cycling: critique on restricting research to fixation behaviour.

In a recent study published in Accident Analysis & Prevention, Vansteenkiste et al. (2013)--as one of the first in this field--investigated the visual control of bicycle steering. They undertook the interesting task of testing cyclists' eye fixation behaviour against Donges' two-level model of steering, i.e. the guidance level to anticipate alternations in the course of the road and the stabilization level for lane keeping. Although the laboratory experiment itself is well conducted, we believe that its results cannot be used to test the two-level model of steering as developed for driving. The test track was only 15m long, was completely straight and was known in advance. Accordingly, it did not provide adequate conditions for testing the guidance level. Furthermore, as the experimental lanes were much narrower than real-world cycling lanes, the stabilization level differed considerably from that in the real world. The study by Vansteenkiste et al. (2013) may provide valuable insight into the role of vision in 'precision steering', but, as we discuss in the paper, more elaborate research paradigms are needed to achieve more comprehensive knowledge of the role of vision in real-world cycling and cycling safety.

Ultra-fast selection of grasping points.

To grasp an object one needs to determine suitable positions on its surface for placing the digits and to move the digits to those positions. If the object is displaced during a reach-to-grasp movement, the digit movements are quickly adjusted. Do these fast adjustments only guide the digits to previously chosen positions on the surface of the object, or is the choice of contact points also constantly reconsidered? Subjects grasped a ball or a cube that sometimes rotated briefly when the digits started moving. The digits followed the rotation within 115 ms. When the object was a ball, subjects quickly counteracted the initial following response by reconsidering their choice of grasping points so that the digits ended at different positions on the rotated surface of the ball, and the ball was grasped with the preferred orientation of the hand. When the object was a cube, subjects sometimes counteracted the initial following response to grasp the cube by a different pair of sides. This altered choice of grasping points was evident within ∼160 ms of rotation onset, which is shorter than regular reaction times.

The effect of different inter-pad distances on the determination of active drag using the Measuring Active Drag system.

The Measuring Active Drag (MAD) system was developed to determine active drag in swimming by measuring the push-off force exerted at fixed pads placed below the waterline. The imposed inter-pad distance, which to date has been kept constant while using the MAD system, could affect the active drag because it requires the use of different stroke frequencies. The aim of the present study was therefore to determine the effect of inter-pad distance on active drag at a given speed. In particular, drag-velocity curves at three different inter-pad distances (1.25m, 1.35m and 1.45m) were determined using the MAD system for eleven competitive swimmers. Variation of 16% in inter-pad distance (14% change in stroke frequency) revealed no significant difference in calculated active drag between different inter-pad distances and a low (<5%) average coefficient of variation over different inter-pad distances was found. In addition, inter-test reliability, which was determined for the two 1.35m conditions only, was high (ICC>0.90) for measurements on two consecutive days. The results suggest that it may not be necessary to adapt the inter-pad distance of the MAD system based on anthropometric characteristics of the subject or the velocity-related stroke length in free swimming.

Alignment to natural and imposed mismatches between the senses.

Does the nervous system continuously realign the senses so that objects are seen and felt in the same place? Conflicting answers to this question have been given. Research imposing a sensory mismatch has provided evidence that the nervous system realigns the senses to reduce the mismatch. Other studies have shown that when subjects point with the unseen hand to visual targets, their end points show visual-proprioceptive biases that do not disappear after episodes of visual feedback. These biases are indicative of intersensory mismatches that the nervous system does not align for. Here, we directly compare how the nervous system deals with natural and imposed mismatches. Subjects moved a hand-held cube to virtual cubes appearing at pseudorandom locations in three-dimensional space. We alternated blocks in which subjects moved without visual feedback of the hand with feedback blocks in which we rendered a cube representing the hand-held cube. In feedback blocks, we rotated the visual feedback by 5° relative to the subject's head, creating an imposed mismatch between vision and proprioception on top of any natural mismatches. Realignment occurred quickly but was incomplete. We found more realignment to imposed mismatches than to natural mismatches. We propose that this difference is related to the way in which the visual information changed when subjects entered the experiment: the imposed mismatches were different from the mismatch in daily life, so alignment started from scratch, whereas the natural mismatches were not imposed by the experimenter, so subjects are likely to have entered the experiment partly aligned.

Do humans prefer to see their grasping points?

To grasp an object the digits need to be placed at suitable positions on its surface. The selection of such grasping points depends on several factors. Here the authors examined whether being able to see 1 of the selected grasping points is such a factor. Subjects grasped large cylinders or oriented blocks that would normally be grasped with the thumb continuously visible and the final part of the index finger's trajectory occluded by the object in question. An opaque screen that hid the thumb's usual grasping point was used to examine whether individuals would choose a grip that was oriented differently to maintain vision of the thumb's grasping point. A transparent screen was used as a control. Occluding the thumb's grasping point made subjects move more carefully (adopting a larger grip aperture) and choose a slightly different grip orientation. However, the change in grip orientation was much too small to keep the thumb visible. The authors conclude that humans do not particularly aim for visible grasping points.

Do obstacles affect the selection of grasping points?

The selection of grasping points, the positions at which the digits make contact with an object's surface in order to pick it up, depends on several factors. In this study, we examined the influence of obstacles on the selection of grasping points. Subjects reached to grasp a sphere placed on a table. Obstacles were placed either near the anticipated grasping points or near the anticipated elbow position at the time of contact with the object. In all cases, subjects adjusted the way they moved when there was an obstacle nearby, but only obstacles near the thumb had a consistent influence across subjects. In general, the influence of the obstacle increased as it was placed closer to the digit or elbow, rather than the subject grasping in a manner that would be appropriate for all conditions. This suggests that under these circumstances the configuration of the arm and hand at the moment of contact was a critical factor when selecting at which points to grasp the objects.

Introduction of the "Rotterdam mandibular distractor" and a biomechanical skull analysis of mandibular midline distraction.

The Rotterdam mandibular distractor (RMD) is a slim, rigid, boneborne distractor for use in midline distraction of the mandible. We did a biomechanical study to compare the RMD with the Trans Mandibular Distractor-flex (TMD-flex). This included an anatomical biomechanical study that was conducted on 9 dentate human cadaveric heads using both the RMD and the TMD-flex. In the vertical plane less tipping was measured in the RMD group than in the TMD-flex group. Significantly less skeletal tipping was found in the horizontal plane in the RMD group (P=0.021). There was minimal difference in the intercondylar distance between the groups. As the amount of lateral displacement of the condyle was similar in both groups and there was less rotational movement in the RMD group, the TMD-flex would be expected to increase stress on the temporomandibular joint. As a result of the increased parallel widening in the vertical plane, more basal bone is being created and less relapse is expected using the RMD. The study design involves an in vitro anatomical model and conclusions must be drawn with care. At present clinical studies are under way and results will follow.

Relative finger position influences whether you can localize tactile stimuli.

To investigate whether the relative positions of the fingers influence tactile localization, participants were asked to localize tactile stimuli applied to their fingertips. We measured the location and rate of errors for three finger configurations: fingers stretched out and together so that they are touching each other, fingers stretched out and spread apart maximally and fingers stretched out with the two hands on top of each other so that the fingers are interwoven. When the fingers contact each other, it is likely that the error rate to the adjacent fingers will be higher than when the fingers are spread apart. In particular, we reasoned that localization would probably improve when the fingers are spread. We aimed at assessing whether such adjacency was measured in external coordinates (taking proprioception into account) or on the body (in skin coordinates). The results confirmed that the error rate was lower when the fingers were spread. However, there was no decrease in error rate to neighbouring fingertips in the fingers spread condition in comparison with the fingers together condition. In an additional experiment, we showed that the lower error rate when the fingers were spread was not related to the continuous tactile input from the neighbouring fingers when the fingers were together. The current results suggest that information from proprioception is taken into account in perceiving the location of a stimulus on one of the fingertips.

A new binocular cue for absolute distance: Disparity relative to the most distant structure.

When an object is presented binocularly at various distances in complete darkness the range of distances is usually underestimated. We found that adding a second object can reduce the extent to which the range of distances is underestimated. However this only happens if the second object is further than the one of which the distance is to be judged. We propose that the relative disparity between the two objects limits the possible distances of the nearer object because the lines connecting the further object to each of the two eyes must converge in the distance.

Different cue weights at the same place.

The visual system uses multiple cues to estimate properties of interest. Since the errors in the estimates from different cues for the same property are generally different, a weighted average of the cues provides a better overall estimate. The most precise estimate is found when each cue's weight is proportional to its reliability. We here show that the weights given to cues for surface slant can differ between two transparent surfaces that are at the same location at the same time. Thus the weights must be assigned separately for each structure, rather than for each location.

The use of proprioception and tactile information in haptic search.

To investigate how tactile and proprioceptive information are used in haptic object discrimination we conducted a haptic search task in which participants had to search for either a cylinder, a bar or a rotated cube within a grid of aligned cubes. Tactile information from one finger is enough to detect a cylinder amongst the cubes. For detecting a bar or a rotated cube amongst cubes touch alone is not enough. For the rotated cube this is evident because its shape is identical to that of the non-targets, so proprioception must provide information about the orientation of the fingers and hand when touching it. For the bar one either needs proprioceptive information about the distance and direction of a single finger's movements along the surfaces, or proprioceptive information from several fingers when they touch it simultaneously. When using only one finger, search times for the bar were much longer than those for the other two targets. When the whole hand or both hands were used the search times were similar for all shapes. Most errors were made when searching for the rotated cube, probably due to systematic posture-related biases in judging orientation on the basis of proprioception. The results suggest that tactile and proprioceptive information are readily combined for shape discrimination.

Haptic search is more efficient when the stimulus can be interpreted as consisting of fewer items.

In a typical haptic search task, separate items are presented to individual fingertips. The time to find a specific item generally increases with the number of items, but is it the number of items or the number of fingers that determines search time? To find out, we conducted haptic search experiments in which horizontal lines made of swell paper were presented to either two, four or six of the participants' fingertips. The task for the participant was to lift the finger under which they did not feel (part of) a line. In one of the conditions separate non-aligned lines were presented to the fingertips so that the number of items increased with the number of fingers used. In two other conditions the participants had to find an interruption in a single straight line under one of the fingertips. These conditions differed in the size of the gap. If only the number of items in the tactile display were important, search times would increase with the number of fingers in the first condition, but not depend on the number of fingers used in the other two conditions. In all conditions we found that the search time increased with the number of fingers used. However, this increase was smaller in the single line condition in which the gap was large enough for one finger to not make any contact with the line. Thus, the number of fingers involved determines the haptic search time, but search is more efficient when the stimulus can be interpreted as consisting of fewer items.

Parallel and serial search in haptics.

We propose a model that distinguishes between parallel and serial search in haptics. To test this model, participants performed three haptic search experiments in which a target and distractors were presented to their fingertips. The participants indicated a target's presence by lifting the corresponding finger, or its absence by lifting all fingers. In one experiment, the target was a cross and the distractors were circles. In another, the target was a vertical line and the distractors were horizontal lines. In both cases, we found a serial search pattern. In a final experiment, the target was a horizontal line and the distractors were surfaces without any contours. In this case, we found a parallel search pattern. We conclude that the model can describe our data very well.