A Knowledge Discovery in Motion Sickness: A Comprehensive Literature Review

Koohestani, Afsaneh; Nahavandi, Darius; Asadi, Houshyar; Kebria, Parham M.; Khosravi, Abbas; Alizadehsani, Roohallah; Nahavandi, Saeid · 2019 · IEEE Access

DOI: 10.1109/access.2019.2922993

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Summary

This comprehensive literature review addresses the physiological and psychological mechanisms of motion sickness (MS) and visually induced motion sickness (VIMS), aiming to standardize understanding across disparate research findings. The study is motivated by the increasing prevalence of MS in virtual environments, such as cybersickness and simulator sickness, which hinder the adoption of immersive technologies in medical, military, and entertainment fields. The authors seek to clarify the causes of MS, compare existing measurement methodologies, identify factors contributing to result discrepancies, and propose practical mitigation strategies. The paper synthesizes existing research to analyze the primary causes of MS, focusing on sensory conflicts between visual, vestibular, and somatosensory inputs. It details how mismatches in the vestibular system—specifically between semicircular canals detecting angular velocity and otolith organs detecting linear acceleration—provoke symptoms like nausea and disorientation. The review also examines the role of eye movements, such as optokinetic nystagmus, and postural instability. A significant portion of the analysis is dedicated to "vection," the illusory perception of self-motion, categorizing its definitions and measurement techniques. The authors compare subjective assessment tools, including the Motion Sickness Susibility Questionnaire (MSSQ) and Simulator Sickness Questionnaire (SSQ), against objective physiological metrics. These metrics include electroencephalography (EEG), electrogastrogram (EGG), electrooculogram (EOG), skin conductance level (SCL), heart rate (HR), and blood pressure (BP). Key findings highlight significant inconsistencies in physiological data across different experimental setups. For instance, EEG studies show conflicting results regarding alpha, beta, and theta power bands depending on whether the stimulus involves road simulation, flight, or drum rotation. Similarly, while skin conductance and heart rate generally increase with MS severity, correlations vary based on display type (HMD vs. monitor) and direction of motion. The review notes that nausea and disorientation symptoms typically peak within 10 to 60 minutes of exposure. The authors identify that factors such as age, gender, display size, and specific experimental conditions heavily influence these physiological responses, explaining the lack of consensus in prior literature. The significance of this work lies in its systematic comparison of MS detection methods and its identification of practical mitigation techniques. The authors conclude that minimizing MS requires addressing sensory conflicts through methods such as improved air ventilation, homogenized visual features, and pre-movement conditioning. By clarifying the relationship between physiological signals and vection, the paper provides a framework for developing more reliable, objective measures of motion sickness. This contributes to the broader field by offering insights into how to reduce the negative side effects of immersive technologies, thereby enhancing user comfort and safety in both virtual and autonomous real-world environments.

Key finding

The review identifies significant inconsistencies in physiological measurement results across different studies and environments, while proposing practical methods like air ventilation and pre-movement conditioning to minimize motion sickness.

Methodology

review

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