Visual Occlusion Decreases Motion Sickness in a Flight Simulator.

Sensory conflict theories of motion sickness (MS) assert that symptoms may result when incoming sensory inputs (e.g., visual and vestibular) contradict each other. Logic suggests that attenuating input from one sense may reduce conflict and hence lessen MS symptoms. In the current study, it was hypothesized that attenuating visual input by blocking light entering the eye would reduce MS symptoms in a motion provocative environment. Participants sat inside an aircraft cockpit mounted onto a motion platform that simultaneously pitched, rolled, and heaved in two conditions. In the occluded condition, participants wore "blackout" goggles and closed their eyes to block light. In the control condition, participants opened their eyes and had full view of the cockpit's interior. Participants completed separate Simulator Sickness Questionnaires before and after each condition. The posttreatment total Simulator Sickness Questionnaires and subscores for nausea, oculomotor, and disorientation in the control condition were significantly higher than those in the occluded condition. These results suggest that under some conditions attenuating visual input may delay the onset of MS or weaken the severity of symptoms. Eliminating visual input may reduce visual/nonvisual sensory conflict by weakening the influence of the visual channel, which is consistent with the sensory conflict theory of MS.

The Effects of Training on Anxiety and Task Performance in Simulated Suborbital Spaceflight.

INTRODUCTION: In commercial spaceflight, anxiety could become mission-impacting, causing negative experiences or endangering the flight itself. We studied layperson response to four varied-length training programs (ranging from 1 h-2 d of preparation) prior to centrifuge simulation of launch and re-entry acceleration profiles expected during suborbital spaceflight. We examined subject task execution, evaluating performance in high-stress conditions. We sought to identify any trends in demographics, hemodynamics, or similar factors in subjects with the highest anxiety or poorest tolerance of the experience. METHODS: Volunteers participated in one of four centrifuge training programs of varied complexity and duration, culminating in two simulated suborbital spaceflights. At most, subjects underwent seven centrifuge runs over 2 d, including two +Gz runs (peak +3.5 Gz, Run 2) and two +Gx runs (peak +6.0 Gx, Run 4) followed by three runs approximating suborbital spaceflight profiles (combined +Gx and +Gz, peak +6.0 Gx and +4.0 Gz). Two cohorts also received dedicated anxiety-mitigation training. Subjects were evaluated on their performance on various tasks, including a simulated emergency. RESULTS: Participating in 2-7 centrifuge exposures were 148 subjects (105 men, 43 women, age range 19-72 yr, mean 39.4 ± 13.2 yr, body mass index range 17.3-38.1, mean 25.1 ± 3.7). There were 10 subjects who withdrew or limited their G exposure; history of motion sickness was associated with opting out. Shorter length training programs were associated with elevated hemodynamic responses. Single-directional G training did not significantly improve tolerance. DISCUSSION: Training programs appear best when high fidelity and sequential exposures may improve tolerance of physical/psychological flight stressors. The studied variables did not predict anxiety-related responses to these centrifuge profiles.Blue RS, Bonato F, Seaton K, Bubka A, Vardiman JL, Mathers C, Castleberry TL, Vanderploeg JM. The effects of training on anxiety and task performance in simulated suborbital spaceflight. Aerosp Med Hum Perform. 2017; 88(7):641-650.

A Wearable Device Providing a Visual Fixation Point for the Alleviation of Motion Sickness Symptoms.

OBJECTIVES: Motion sickness (MS) can be problematic for many military operations. Some pharmaceutical countermeasures are effective but can lead to side effects. Non-pharmaceutical countermeasures vary in effectiveness and can require time to be beneficial (e.g., desensitization). Previous research suggests that visual fixation can alleviate MS symptoms. In the current experiment we tested the effectiveness of a user-worn device that provides a visual fixation point that moves with the user. METHODS: Fourteen subjects viewed the interior of a rotating optokinetic drum (60°/s) through a visor that displayed either a clear view of the scene (control) or the scene with a fixation point (experimental). After 5 minutes of viewing, symptoms were assessed using (1) the Simulator Sickness Questionnaire that yields four scores (total, nausea, oculomotor, and disorientation) and (2) a 0 to 10 MS overall scale. RESULTS: Viewing the fixation point resulted in significantly lower scores for all measures. Control condition scores were as much as 400% higher than when the fixation point was viewed. CONCLUSIONS: A wearable device that presents a visual fixation point that moves with the user may reduce MS. The device's portability suggests that it may be suitable for some military operations, and additional research in the field is warranted.

Visual blur and motion sickness in an optokinetic drum.

BACKGROUND: The most commonly cited hypotheses for motion sickness (MS) focus on inconsistent sensory inputs. Visual/vestibular conflicts may lead to MS, but visual input from retinal regions/neural pathways that are sensitive to motion might bear more weight in MS etiology. We hypothesized that inducing blurred vision in an optokinetic drum would attenuate the influence of foveal (parvocellular) input, but not peripheral (magnocellular) input that is sensitive to motion. Increased relative influence of peripheral visual input was predicted to subsequently lead to more visual/vestibular conflict and subsequently more severe MS symptoms. METHODS: Through goggles that were either clear or frosted, 15 subjects (5 men, 10 women, mean age = 24.9 yr, range = 18-49) viewed the interior of a rotating (60° · s(-1)) optokinetic drum for 10 min. Subjects completed the Simulator Sickness Questionnaire (SSQ) before and after viewing. Overall subjective sickness ratings (0-10) and visually induced self-motion perception (vection) ratings (0-10) were also recorded. RESULTS: Postexposure SSQ scores obtained in the blur condition (total - 52.9, oculomotor - 38.9, disorientation - 69.6) were significantly higher than those obtained in the control condition (total - 30.4, oculomotor - 21.7, disorientation - 37.8). Overall sickness ratings and vection ratings were also significantly higher in the blur condition. CONCLUSIONS: These results suggest that visual blur can exacerbate MS, perhaps because of differential influences of visual pathways. Although these results were obtained with an optokinetic drum, possible effects of visual blurring in motion provocative environments such aircraft, watercraft, spacecraft, and land vehicles should be considered.

Space motion sickness and motion sickness: symptoms and etiology.

The adverse symptoms of space motion sickness (SMS) have remained problematic since the beginning of manned spaceflight. Despite over 50 yr of research SMS remains a problem that affects about half of all space travelers during the first 24-72 h of a spaceflight. SMS has been treated as another form of motion sickness (MS) despite distinct differences in symptomology. In this review SMS and MS differences are examined and documented based on available data. Vestibular biomechanics that occur during weightlessness coupled with theoretical assertions regarding human evolution have led us to propose a two-component model of SMS. The first component involves conflicting sensory signals inherent to the otolith organs that occur during weightlessness. The second component is a bimodal conflict between the otoliths and semicircular canals that can occur during normal head movements in weightlessness. Both components may inadvertently, and mistakenly, signal that a vestibular malfunction has occurred, hence initiating a protective mechanism that may produce symptoms that discourage activity.

Motion sickness adaptation to Coriolis-inducing head movements in a sustained G flight simulator.

BACKGROUND: Technological advances have allowed centrifuges to become more than physiological testing and training devices; sustained G, fully interactive flight simulation is now possible. However, head movements under G can result in vestibular stimulation that can lead to motion sickness (MS) symptoms that are potentially distracting, nauseogenic, and unpleasant. In the current study an MS adaptation protocol was tested for head movements under +Gz. METHODS: Experienced pilots made 14 predetermined head movements in a sustained G flight simulator (at 3 +Gz) on 5 consecutive days and 17 d after training. Symptoms were measured after each head turn using a subjective 0-10 MS scale. The Simulator Sickness Questionnaire (SSQ) was also administered before and after each daily training session. RESULTS: After five daily training sessions, normalized mean MS scores were 58% lower than on Day 1. Mean total, nausea, and disorientation SSQ scores were 55%, 52%, and 78% lower, respectively. During retesting 17 d after training, nearly all scores indicated 90-100% retention of training benefits. DISCUSSION: The reduction of unpleasant effects associated with sustained G flight simulation using an adaptation training protocol may enhance the effectiveness of simulation. Practical use of sustained G simulators is also likely to be interspersed with other types of ground and in-flight training. Hence, it would be undesirable and unpleasant for trainees to lose adaptation benefits after a short gap in centrifuge use. However, current results suggest that training gaps in excess of 2 wk may be permissible with almost no loss of adaptation training benefits.

Simulated angular head oscillation enhances vection in depth.

Research has shown that adding simulated linear head oscillation to radial optic flow displays enhances the illusion of self-motion in depth (ie linear vection). We examined whether this oscillation advantage for vection was due to either the added motion parallax or retinal slip generated by insufficient compensatory eye movement during display oscillation. We constructed radial flow displays which simulated 1 Hz horizontal linear head oscillation (generates motion parallax) or angular head oscillation in yaw (generates no motion parallax). We found that adding simulated angular or linear head oscillation to radial flow increased the strength of linear vection in depth. Neither type of simulated head oscillation significantly reduced vection onset latencies relative to pure radial flow. Simultaneous eye-movement recordings showed that slow-phase ocular following responses (OFRs) were induced in both linear and angular viewpoint oscillation conditions. Vection strength was significantly reduced by active central fixation when viewing displays which simulated angular, but not linear, head oscillation. When these displays with angular oscillation were viewed without stable fixation, vection strength was found to increase with the velocity and regularity of the OFR. We conclude that vection improvements observed during central viewing of displays with angular viewpoint oscillation depend on the generation of eye movements.

The sickening rug: a repeating static pattern that leads to motion-sickness-like symptoms.

The nauseogenic properties of a patterned rug that reputedly caused motion-sickness-like symptoms in those who viewed it was the topic of this study. Naive observers viewed a 1:1 scale image of the black-and-white patterned rug and a homogeneous gray region of equivalent luminance in a counterbalanced within-subjects design. After 5 min of viewing, symptoms were assessed with the simulator sickness questionnaire (SSQ), yielding a total SSQ score and sub-scores for nausea, oculomotor symptoms, and disorientation. All four scores were significantly higher in the rug condition. Observers also reported significantly more self-motion perception in the rug condition, even though they were seated during the experiment. Results are consistent with findings that suggest that neurologically normal individuals who view a repeating static pattern can experience unpleasant symptoms, some of which are similar to motion sickness.

Simulated viewpoint jitter shakes sensory conflict accounts of vection.

Sensory conflict has been used to explain the way we perceive and control our self-motion, as well as the aetiology of motion sickness. However, recent research on simulated viewpoint jitter provides a strong challenge to one core prediction of these theories -- that increasing sensory conflict should always impair visually induced illusions of self-motion (known as vection). These studies show that jittering self-motion displays (thought to generate significant and sustained visual-vestibular conflict) actually induce superior vection to comparable non-jittering displays (thought to generate only minimal/transient sensory conflict). Here we review viewpoint jitter effects on vection, postural sway, eye-movements and motion sickness, and relate them to recent behavioural and neurophysiological findings. It is shown that jitter research provides important insights into the role that sensory interaction plays in self-motion perception.