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Simulator sickness incidence and susceptibility during neck motion-controlled virtual reality tasks

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Abstract

To determine the incidence, severity, and predisposing factors to simulator sickness (SS) when using the neck virtual reality (VR) device in asymptomatic individuals to understand the risk of provoking SS in the development of neck VR as a rehabilitation tool. Thirty-two participants used the VR system. Postural stability was measured before and after each VR module [range of motion (ROM), velocity, and accuracy]. The duration of each module was recorded, and participants reported their SS using a visual analogue scale (SS–VAS)/100 mm. Following the VR assessment, participants completed the Motion Sickness Susceptibility Questionnaire (MSSQ) (child and adult subsections) and Simulator Sickness Questionnaire (SSQ). The incidence of motion sickness during the VR immersion was 28 %, and the mean severity was 17.2 mm on VAS. There was a significant difference in ROM time, total time, MSSQ score, and SSQ score (p < 0.05) between those who reported any level of SS–VAS and those with no SS–VAS. The SS–VAS score displayed significant positive correlations with SSQ score, change in postural stability time pre to post, ROM time, and total time. Results indicate a relatively high incidence but low severity of SS which was associated with the MSSQ child subsection score and exposure time.

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References

  • Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J (1984) Decrease in timed balance test scores with aging. Phys Ther 64(7):1067–1070

    Google Scholar 

  • Bos JE, Bles W, Groen EL (2008) A theory on visually induced motion sickness. Displays 29(2):47–57

    Article  Google Scholar 

  • Braithwaite MG, Braithwaite BD (1990) Simulator sickness in an army simulator. J Soc Occup Med 40(3):105–110

    Article  Google Scholar 

  • Brotherton SS, Williams HG, Gossard JL, Hussey JR, McClenaghan BA, Eleazer P (2005) Are measures employed in the assessment of balance useful for detecting differences among groups that vary by age and disease state? J Geriatr Phys Ther 28(1):14–19

    Article  Google Scholar 

  • Bryanton C, Bosse J, Brien M, McLean J, McCormick A, Sveistrup H (2006) Feasibility, motivation, and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy. CyberPsychol Behav 9(2):123–128

    Article  Google Scholar 

  • Cobb SVG (1998) Measurement of postural stability before and after immersion in a virtual environment. Appl Ergon 30(1):47–57

    Article  Google Scholar 

  • Cobb SVG, Nichols SC (1999) Static posture tests for the assessment of postural instability after virtual environment use. Brain Res Bull 47(5):459–464

    Article  Google Scholar 

  • Corneil BD, Olivier E, Munoz DP (2002) Neck muscle responses to stimulation of monkey superior colliculus: topography and manipulation of stimulation parameters. J Neurophysiol 88(4):1980–1999

    Google Scholar 

  • Draper MH, Viirre ES, Furness TA, Gawron VJ (2001) Effects of image scale and system time delay on simulator sickness within head-coupled virtual environments. Hum Factors J Hum Factors Ergon Soc 43(1):129–146

    Article  Google Scholar 

  • Eisenman LM (2009) Motion sickness may be caused by a neurohumoral action of acetylcholine. Med Hypotheses 73(5):790–793

    Article  Google Scholar 

  • Feipel V, Rondelet B, LePallec JP, DeWitte O, Rooze M (1999) The use of disharmonic motion curves in problems of the cervical spine. Int Orthop 23(4):205–209

    Article  Google Scholar 

  • Frank LH, Casali JG, Wierwille WW (1988) Effects of visual display and motion system delays on operator performance and uneasiness in a driving simulator. Hum Factors J Hum Factors Ergon Soc 30(2):201–217

    Google Scholar 

  • Golding JF (2006a) Motion sickness susceptibility. Auton Neurosci Basic Clin 129(1–2):67–76

    Article  Google Scholar 

  • Golding JF (2006b) Predicting individual differences in motion sickness susceptibility by questionnaire. Personal Individ Differ 41(2):237–248

    Article  Google Scholar 

  • Golding JF, Gresty MA (2005) Motion sickness. Curr Opin Neurol 18(1):29–34

    Article  Google Scholar 

  • Jerome C, Darnell R, Oakley B, Pepe A (2005) The effect of presence and time of exposure on simulator sickness. Hum Factors J Hum Factors Ergon Soc 49(25):2258–2262

    Article  Google Scholar 

  • Kennedy RS, Stanney KM (1996) Postural instability induced by virtual reality exposure: development of a certification protocol. Int J Hum Comput Interact 8(1):25–47

    Article  Google Scholar 

  • Kennedy RS, Hettinger LJ, Lilienthal MG (1990) Simulator sickness. In Crampton GH (ed) Motion and space sickness, CRC press, Inc., Florida, pp 317–341

  • Kennedy RS, Lane NE, Berbaum KS, Lilienthal MG (1993) Simulator sickness questionnaire: an enhanced method for quantifying simulator sickness. Int J Aviat Psychol 3(3):203–220

    Article  Google Scholar 

  • Kennedy RS, Berbaum KS, Lilienthal MG (1997) Disorientation and postural ataxia following flight simulation. Aviat Space Environ Med 68(1):13

    Google Scholar 

  • Kennedy RS, Stanney KM, Dunlap WP (2000) Duration and exposure to virtual environments: sickness curves during and across sessions. Presence Teleoperators Virtual Environ 9(5):463–472

    Article  Google Scholar 

  • Keshavarz B, Hecht H (2011) Validating an efficient method to quantify motion sickness. Hum Factors 53(4):415–426

    Article  Google Scholar 

  • Lampton DR, Rodriguez ME, Cotton JE (2000) Simulator sickness symptoms during team training in immersive virtual environments. Proc Hum Factors Ergon Soc Ann Meet 44:530–533

    Article  Google Scholar 

  • Ling Y, Nefs HT, Brinkman W, Qu C, Heynderickx I (2013) The relationship between individual characteristics and experienced presence. Comput Hum Behav 29(4):1519

    Article  Google Scholar 

  • Liu J, Thornell L, Pedrosa-Domellof F (2003) Muscle spindles in the deep muscles of the human neck: a morphological and immunocytochemical study. J Histochem Cytochem 51(2):175–186

    Article  Google Scholar 

  • Meehan M, Razzaque S, Whitton M C, Brooks Jr FP (2003) Effect of latency on presence in stressful virtual environments. Paper presented at the virtual reality, 2003. Proceedings. IEEE

  • Merhi O, Faugloire E, Flanagan M, Stoffregen TA (2007) Motion sickness, console video games, and head-mounted displays. Hum Factors J Hum Factors Ergon Soc 49(5):920–934

    Article  Google Scholar 

  • Mirelman A, Bonato P, Deutsch JE (2009) Effects of training with a robot-virtual reality system compared with a robot alone on the gait of individuals after stroke. J Cereb Circ 40(1):169–174

    Article  Google Scholar 

  • Money KE (1970) Motion sickness. Physiol Rev 50(1):1–39

    Google Scholar 

  • Moss J, Muth E (2011) Characteristics of head-mounted displays and their effects on simulator sickness. Hum Factors J Hum Factors Ergon Soc 53(3):308–319

    Article  Google Scholar 

  • Öhberg F, Grip H, Wiklund U, Sterner Y, Karlsson JS, Gerdle B (2003) Chronic whiplash associated disorders and neck movement measurements: an instantaneous helical axis approach. IEEE Trans Inf Technol Biomed 7(4):274–282

    Article  Google Scholar 

  • Regan EC, Price KR (1994) The frequency of occurrence and severity of side-effects of immersion virtual reality. Aviat Space Environ Med 65:527–530

    Google Scholar 

  • Rizzo A, Kim GJ (2005) A SWOT analysis of the field of virtual reality rehabilitation and therapy. Presence Teleoperators Virtual Environ 14(2):119–146

    Article  Google Scholar 

  • Röijezon U, Djupsjöbacka M, Björklund M, Häger-Ross C, Grip H, Liebermann DG (2010) Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study. BMC Musculoskelet Disord 11(1):222

    Article  Google Scholar 

  • Sarig Bahat H, Takasaki H, Chen X, Bet-Or Y, Treleaven J (2015) Cervical kinematic training with and without interactive VR training for chronic neck pain—a randomized clinical trial. Man ther 20(1):68–78. doi:10.1016/j.math.2014.06.008

    Article  Google Scholar 

  • Sarig-Bahat H, Weiss PLT, Laufer Y (2009) Cervical motion assessment using virtual reality. Spine 34(10):1018–1024

    Article  Google Scholar 

  • Sarig-Bahat H, Weiss PLT, Laufer Y (2010) Neck pain assessment in a virtual environment. Spine 35(4):105–112

    Article  Google Scholar 

  • Selbie WS, Thomson DB, Richmond FJ (1993) Suboccipital muscles in the cat neck: morphometry and histochemistry of the rectus capitis muscle complex. J Morphol 216(1):47–63

    Article  Google Scholar 

  • Sharar SR, Miller W, Teeley A, Soltani M, Hoffman HG, Jensen MP, Patterson DR (2008) Applications of virtual reality for pain management in burn-injured patients. Expert Rev Neurother 8(11):1667–1674

    Article  Google Scholar 

  • Sharples S, Cobb S, Moody A, Wilson JR (2008) Virtual reality induced symptoms and effects (VRISE): comparison of head mounted display (HMD), desktop and projection display systems. Displays 29(2):58–69

    Article  Google Scholar 

  • Sjölander P, Michaelson P, Jaric S, Djupsjöbacka M (2008) Sensorimotor disturbances in chronic neck pain: range of motion, peak velocity, smoothness of movement, and repositioning acuity. Man Ther 13(2):122–131

    Article  Google Scholar 

  • Stanney KM, Hash P (1998) Locus of user-initiated control in virtual environments: influences on cybersickness. Presence Teleoperators Virtual Environ 7(5):447–459

    Article  Google Scholar 

  • Stanney KM, Kennedy RS (1998) Aftereffects from virtual environment exposure: how long do they last? Proc Hum Factors Ergon Soc Ann Meet 42(21):1476–1480

    Article  Google Scholar 

  • Stanney KM, Kennedy RS, Drexler JM, Harm DL (1999a) Motion sickness and proprioceptive aftereffects following virtual environment exposure. Appl Ergon 30(1):27–38

    Article  Google Scholar 

  • Stanney KM, Lanham DS, Kennedy RS, Breaux R (1999b) Virtual environment exposure drop-out thresholds. Proc Hum Factors Ergon Soc Ann Meet 43(22):1223–1227

    Article  Google Scholar 

  • Stanney KM, Kingdon KS, Kennedy RS (2002) Dropouts and aftereffects: examining general accessibility to virtual environment technology. Proc Hum Factors Ergon Soc Ann Meet 46(26):2114–2118

    Article  Google Scholar 

  • Stanney KM, Hale KS, Nahmens I, Kennedy RS (2003) What to expect from immersive virtual environment exposure: influences of gender, body mass index, and past experience. Hum Factors J Hum Factors Ergon Soc 45(3):504

    Article  Google Scholar 

  • Stoffregen TA, Smart LJ (1998) Postural instability precedes motion sickness. Brain Res Bull 47(5):437–448

    Article  Google Scholar 

  • Vereeck L, Wuyts F, Truijen S, Van de Heyning P (2008) Clinical assessment of balance: normative data, and gender and age effects. Int J Audiol 47(2):67–75

    Article  Google Scholar 

  • Villard S, Flanagan M, Albanese G, Stoffregen T (2008) Postural instability and motion sickness in a virtual moving room. Hum Factors 50(2):332–345

    Article  Google Scholar 

  • Warwick-Evans LA, Symons N, Fitch T, Burrows L (1998) Evaluating sensory conflict and postural instability: theories of motion sickness. Brain Res Bull 47(5):465–469

    Article  Google Scholar 

  • Webb CM, Bass JM, Johnson DM, Kelley AM, Martin CR, Wildzunas RM (2009) Simulator sickness in a helicopter flight training school. Aviat Space Environ Med 80(6):541–545

    Article  Google Scholar 

  • Wulf G, Su J (2007) An external focus of attention enhances golf shot accuracy in beginners and experts. Res Q Exerc Sport 78(4):384

    Article  Google Scholar 

  • Young SD, Adelstein BD, Ellis SR (2007) Demand characteristics in assessing motion sickness in a virtual environment: or does taking a motion sickness questionnaire make you sick? IEEE Trans Vis Comput Graph 13(3):422–428

    Article  Google Scholar 

Download references

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Correspondence to Hilla Sarig-Bahat.

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Treleaven, J., Battershill, J., Cole, D. et al. Simulator sickness incidence and susceptibility during neck motion-controlled virtual reality tasks. Virtual Reality 19, 267–275 (2015). https://doi.org/10.1007/s10055-015-0266-4

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