Abstract
Cybersickness is an affliction common to users of virtual environments. Similar in symptoms to motion sickness, cybersickness can result in nausea, headaches, and dizziness. With these systems becoming readily available to the general public, reports of cybersickness have increased and there is a growing concern about the safety of these systems. This review presents the current state of research methods, theories, and known aspects associated with cybersickness. Current measurements of incidence of cybersickness are questionnaires, postural sway, and physiological state. Varying effects due to display and rendering modes, such as visual display type and stereoscopic or monoscopic rendering, are compared. The known and suspected application aspects that induce cybersickness are discussed. There are numerous potential contributing application design aspects, many of which have had limited study, but field of view and navigation are strongly correlated with cybersickness. The effect of visual displays is not well understood, and application design may be of greater importance.
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References
Aykent B, Frédéric M, Paillot D, Kemeny A (2013) Influence of inertial stimulus on visuo-vestibular cues conflict for lateral dynamics at driving simulators. Ergonomics 3(1):1–7
Benzeroual K, Allison RS (2013) Cyber (motion) sickness in active stereoscopic 3D gaming. In: International conference on 3D imaging, Liège, Belgium
Bilton N (2012) Google begins testing its augmented-reality glasses. Retrieved June 2013, from New York Times Bits. http://bits.blogs.nytimes.com/2012/04/04/google-begins-testing-its-augmented-reality-glasses/
Blea W, Bos JE, de Graaf B, Groen E, Wertheim AH (1998) Motion sickness: only one provocative conflict? Brain Res Bull 47(5):481–487
Bonato F, Bubka A, Palmisano S (2009) Combined pitch and roll and cybersickness in a virtual environment. Aviat Space Environ Med 80(11):941–945
Bos J (2007) Why cybersickness? In: Proceedings of the 1st international symposium on visually induced motion sickness, fatigue, and photosensitive epileptic seizures, Hong Kong
Bos JE, Bles W, Groen EL (2008) A theory on visually induced motion sickness. Displays 29(2):47–57
Bos JE, de Vries SC, van Emmerik ML, Groen EL (2010) The effect of internal and external fields of view on visually induced motion sickness. Appl Ergon 41(4):516–521
Bos JE, Houben MM, Lindenberg J (2012) Optimising human performance by reducing motion sickness and enhancing situation awareness with an intuitive artificial 3D earth-fixed visual reference. In: Maritime/air systems and technologie Europe. Malmö, Sweden
Bos JE, Ledegang WD, Lubeck AJ, Stins JF (2013) Cinerama sickness and postural instability. Ergonomics 56(9):1430–1436
Bouchard S, Robillard G, Renaud P (2007) Revising the factor structure of the simulator sickness questionnaire. In: Wiederhold BK, Bouchard S, Riva G (eds) Annual review of cybertherapy and telemedicine, vol 5. Interactive Media Institute, San Diego
Bruck S, Watters PA (2011) The factor structure of cybersickness. Displays 32(4):153–158
Budhiraja P (2015) Software techniques for improving head mounted displays to create comfortable user experiences in virtual reality. Master thesis, University of Illinois at Urbana-Champaign, Urbana-Champaign
Casali JG (1985) Vehicular simulation-induced sickness. Volume 1. An overview. Technical report, Virginia Polytechnic Institute and State University Dept. of Industrial engineering and Operations Research, Blackburg
Chang E, Hwang I, Jeon H, Chun Y, Kim HT, Park C (2013) Effects of rest frames on cybersickness and oscillatory brain activity. In: International winter workshop on brain-computer interface. High 1, Sabuk-eup
Chardonnet J-R, Mirzaei MA, Merienne F (2015) Visually induced motion sickness estimation and prediction in virtual reality using frequency components analysis of postural sway signal. In: Artificial reality and telexistence eurographics symposium on virtual environments, Kyoto, Japan
Chen WC, So R (2011). Visually induced motion sickness: effects of translational visual motion along different axes. In: Contemporary ergonomics 2011
Chen Y-C, Dong X, Hagstrom J, Stoffregen TA (2011). Control of a virtual ambulation influences body movement and motion sickness. In: BIO web of conferences the international conference skills, 1
Chen D, So R, Kwok K, Cheung R (2012) Visually induced motion sickness after watching scenes oscillating at different frequencies and amplitudes. In: McCabe PT (ed) Ergonomics & Human Factors. Blackpool, UK, pp 253–260
Chen W, Plancoulaine A, Ferey N, Touraine D, Nelson J, Bourdot P (2013) 6DoF navigation in virtual worlds: comparison of joystick-based and head-controlled paradigm. In: Proceedings of the 19th ACM symposium on virtual reality software and technology, Singapore
Clemes SA, Howarth PA (2005) The menstrual cycle and susceptibility to virtual simulation sickness. J Biol Rhythms 20(1):71–82
Cobb SV (1999) Measurement of postural stability before and after immersion in a virtual environment. Appl Ergon 30(1):47–57
Diels C, Ukai K, Howarth PA (2007) Visually induced motion sickness with radial displays: effects of gaze angle and fixation. Aviat Space Environ Med 78(7):659–665
Dizio P, Lackner JR (1997). Circumventing side effects of immersive virtual environments. In: International conference on human-computer interaction, San Francisco
Dong X, Stoffregen TA (2010) Postural activity and motion sickness among drivers and passengers in a console video game. Proc Hum Factors Ergon Soc Annu Meet 54(18):1340–1344
Dong X, Yoshida K, Stoffregen TA (2011) Control of a virtual vehicle influences postural activity and motion sickness. J Exp Psychol Appl 17(2):128–138
Dorado JL, Figueroa PA (2014) Ramps are better than stairs to reduce cybersickness in applications based on a HMD and a gamepad. In: IEEE symposium on 3D user interfaces, Minneapolis
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
Duh HB-L, Abi-Rache H, Parker DE, Furness TA (2001). Effects on balance disturbance of manipulating depth of an independent visual background in a stereographic display. In: Proceedings of the human factors and ergonomics society, Santa Monica
Duh HB-L, Abi-Rache H, Parker DE, Furness TA (2001b) Effects on balance disturbance of manipulating depth of an independent visual background in a stereographic display. In: Proceedings of the human factors and ergonomics society, Santa Monica
Duh H-L, Lin J, Kenyon R, Parker D, Furness T (2001c) Effects of field of view on balance in an immersive environment. In: Virtual reality proceedings, Yokohama
Duh HB-L, Parker DE, Furness TA (2001d) An “independent visual background” reduced balance disturbance envoked by visual scene motion: implication for alleviating simulator sickness. In: Proceedings of the SIGCHI conference on human factors in computing systems
Duh HB-L, Parker DE, Philips JO, Furness TA (2004) “Conflicting” motion cues to the visual and vestibular self-motion systems around 0.06 Hz evoke simulator sickness. Hum Factors J Hum Factors Ergon Soc Spring 46(1):142–153
Dziuda L, Biernacki MP, Truszczynskyi OE (2014) The effects of simulated fog and motion on simulator sickness in a driving simulator and the duration of after-effects. Appl Ergon 45(3):406–412
Ehrlich JA (1997) Simulator sickness and HMD configurations. In: Proceedings of the conference telemanipulator and telepresence technologies IV, Pittsburgh
Ehrlich SD (2012) Motion sickness. Retrieved 1 April 2014, from Univeristy of Maryland Medical Center. http://umm.edu/health/medical/altmed/condition/motion-sickness
Ehrlich JA, Kolasinski EM (1998) A comparison of sickness symptoms between dropout and finishing participants in virtual environment studies. Proc Hum Factors Ergon Soc Annu Meet 42(21):1466–1470
Freitag S, Weyers B, Kuhlen TW (2016) Examining rotation gain in CAVE-like virtual environments. IEEE Trans Vis Comput Graph 22(4):1462–1471
Golding JF (1998) Motion sickness susceptibility questionnaire revised and its relationship to other forms of sickness. Brain Res Bull 47(8):507–516
Golding JF, Doolan K, Acharya A, Tribak M, Gresty MA (2012) Cognitive cues and visually induced motion sickness. Aviat Space Environ Med 83(5):477–482
Graeber DA, Stanney KM (2002). Gender differences in visual induced motion sickness. In: Proceedings of the human factors and ergonomics society 46th annual meeting, pp 2109–2113
Hakkinen J, Vuori T, Paakka M (2002). Postural stability and sickness symptoms after HMD use. In: International conference on systems, man and cybernetics, pp 147–152
Hale KS, Stanney KM (2006) Effects of low stereo acuity on performance, presence and sickness within a virtual environment. Appl Ergon 37(3):329–339
Harm DL, Taylor LC, Bloomberg JJ (2007). Adaptive changes in sensorimotor coordination and motion sickness following repeated exposures to virtual environments. Technical report, NASA Human Research Program Investigators’ Meeting, League City
Harvey C, Howarth PA (2007) The effect of display size on visually-induced motion sickness (VIMS) and skin temperature. In: Proceedings of the 1st international symposium on visually induced motion sickness, fatigue, and photosensitive epileptic seizures, Hong Kong
Hicks JS, Durbin DB (2011) A summary of simulator sickness ratings for US army aviation engineering simulators. Final report, Army Research Laboratory, Aberdeen Proving Ground
Hill KJ, Howarth PA (2000) Habituation to the side effects of immersion in a virtual environment. Displays 21(1):25–30
Howarth PA (1999) Oculomotor changes within virtual environments. Appl Ergon 1(59–67):30
Howarth P, Finch M (1999) The nauseogenicity of two methods of navigating within a virtual environment. Appl Ergon 30(1):39–45
Howarth PA, Hodder SG (2008) Characteristics of habituation to motion in a virtual environment. Displays 29(2):117–123
Jaeger BK, Mourant RR (2001) Comparison of simulator sickness using static and dynamic walking simulators. In: Proceedings of the human factors and ergonomics society, Santa Monica
Jaekl PM, Jenkin MR, Harris LR (2005) Perceiving a stable world during active rotational and translational head movements. Exp Brain Res 163(3):388–399
Karpicka E, Howarth PA (2013) Heterophoria adaptation during the viewing of 3D stereoscopic stimuli. Ophthalmic Physiol Opt 33(5):604–610
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
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
Kennedy RS, Drexler JM, Compton DE, Stanney KM, Lanham DS, Harm DL (2003) Configural scoring of simulator sickness, cybersickness and space adaptation syndrome: similarities and differences? Technical report, NASA
Keshavarz B, Hecht H (2011a) Axis rotation and visually induced motion sickness: the role of combined roll, pitch, and yaw motion. Aviat Space Environ Med 82(11):1023–1029
Keshavarz B, Hecht H (2011b) Validating an efficient method to quantify motion sickness. Hum Factors 53(4):415–426
Keshavarz B, Hecht H (2012) Stereoscopic viewing enhances visually induced motion sickness but sound does not. Presence 21(2):213–228
Keshavarz B, Hecht H, Zschutschke L (2011) Intra-visual conflict in visually induced motion sickness. Displays 32(4):181–188
Kim YY, Kim HJ, Kim EN, Ko HD, Kim HT (2005) Characteristic Changes in the Physiological Components of Cybersickness. Psychophysiology 42(5):616–662
Kim K, Rosenthala MZ, Zielinski DJ, Brady R (2014) Effects of virtual environment platforms on emotional responses. Comput Methods Programs Biomed 113(3):882–893
Kingdon KS, Stanney KM, Kennedy RS (2001) Extreme responses to virtual environment exposure. In: Proceedings of the human factors and ergonomics society, Santa Monica
Kiryu T, Uchiyama E, Jimbo M, Iijima A (2007) Time-varying factors model with different time-scales for studying cybersickness. Lect Notes Comput Sci 4563:262–269
Kolasinski EM (1995) Simulator sickness in virtual environments. Final technical repot, Army Research Inst for the Behavioral and Social Sciences, Alexandria
Kolasinski EM, Gilson RD (1998) Simulator sickness and related findings in a virtual environment. In: Proceedings of the human factors and ergonomics society, Santa Monica
Lampton DR, Knerr BW, Goldberg SL, Bliss JP, Moshell MJ (1994) The virtual environment performance assessment battery (VEPAB): development and evaluation. Interim report, Army Research Inst. for the behaviorial and social sciences, Alexandria
LaViola JJ (2000) A discussion of cybersickness in virtual environmnts. ACM SIGCHI Bullet 32(1):47–56
Lin JJ-W, Duh HB, Parker DE, Abi-Rached H, Furness TA (2002) Effects of field of view on presence, enjoyment, memory, and simulator sickness in a virtual environment. In: Proceedings of the IEEE virtual reality, Orlando
Ling Y, Brinkman W-P, Nefs HT, Qu C, Heynderickx I (2011) Cybersickness and anxiety in virtual environments. In: Joint virtual reality conference, Nottingham, UK
Liu C-L, Uang S-T (2011) Effects of presence on causing cybersickness in the elderly within a 3D virtual store. In: Human computer interaction international: users and applications, Orlando, USA
Liu C-L, Uang S-T (2012) A study of sickness induced within a 3D virtual store and combated with fuzzy control in the elderly. In: 9th international conference on fuzzy systems and knowledge discovery, Sichuan
Llorach G, Evans A, Blat J (2014) Simulator sickness and presence using HMDs: comparing use of a game controller and a position estimation system. In: Symposium on virtual reality software and technology, Edinburgh, Scotland
Lo WT, So RH (2001) Cybersickness in the presence of scene rotational movements in different axis. Appl Ergon 32(1):1–14
Marchal M, Pettré J, Lécuyer A (2011) Joyman: a human-scale joystick for navigating in virtual worlds. In: IEEE symposium on 3D user interfaces, Singapore
McCauley ME (2006) Do army helicopter training simulators need motion bases? Technical report, United States Army Research Institute for the Behavioral and Social Sciences, Monterey
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
Microsoft (2015) Microsoft HoloLens|official site. Retrieved February 4, 2015, from Microsoft.com. http://www.microsoft.com/microsoft-hololens/en-us
Mon-Williams M, Wann JP (1998) Binocular virtual reality displays: when problems do and don’t occur. Hum Factors 40(1):42–49
Mon-Williams M, Wann JP, Rushton S (1995) Design factors in stereoscopic virtual-reality displays. J Soc Inform Disp 3(4):207–210
Mon-Williams M, Plooy A, Burgess-Limerix R, Wann J (1998) Gaze angle: a possible mechanism of visual stress in virtual reality headsets. Ergonomics 41(3):280–285
Moss JD, Muth ER (2011) Characteristics of head-mounted displays and their effects on simulator sickness. Huma Factors J Hum Factors Ergon Soc 53(3):308–319
Naqvi SA, Badruddin N, Malik AS, Hazabbah W, Abdullah B (2013) Does 3D produce more symptoms of visually induced motion sickness? In: Annual international conference of the IEEE engineering in medicine and biology society, Osaka, Japan
Nichols S, Haldane C, Wilson JR (2000) Measurement of presence and its consequences in virtual environments. Int J Hum Comput Stud 52(3):471–491
Oyamada H, Iijima A, Tanaka A, Ukai K, Toda H, Sugita N et al (2007) A pilot study on pupillary and cardiovascular changes induced by stereoscopic video movies. J NeuroEng Rehabil 4(37):1
Parkin S (2014). What Zuckerberg Sees in Oculus Rift. Retrieved April 1, 2014, from MIT Technology Review: http://www.technologyreview.com/news/525881/what-zuckerberg-sees-in-oculus-rift/
Plouzeau J, Paillot D, Chardonnet J-R, Merienne F (2015) Effect of proprioceptive vibrations on simulator sickness during navigation task in virtual environment. In: International conference on artificial reality and telexistence, Kyoto, Japan
Prothero JD, Draper MH, Furness TA, Parker DE, Wells MJ (1997) The use of an independent visual background to reduce Simulator side-effects. Aviat Space Environ Med 70:277–283
Quinn SA (2013) Mitigation of motion sickness symptoms in 360° indirect vision systems. Ph.D. thesis, University of Central Florida, Orlando
Rainey BB, Schroeder TL, Goss DA, Grosveno TP (1998) Interexaminer repeatability of heterophoria tests. Optom Vis Sci 75(10):719–726
Rebenitsch L (2015) Cybersickness prioritation and modeling. Ph.D. thesis, Michigan State University, East Lansing
Renkewitz H, Alexander T (2007) Perceptual issues of augmented and virtual environments. FGAN-FKIE, Wachtberg
Roberts WK, Gallimore JJ (2005) A physiological model of cybersickness during virtual environment interaction. Proc Hum Factors Ergon Soc Annu Meet 49(26):2230–2234
Seay AF, Krum DM, Hodges L, Ribarsky W (2002) Simulator sickness and presence in a high field-of-view virtual environment. In: CHI ‘02 extended abstracts on human factors in computing systems, pp 784–785
Serge SR, Moss JD (2015) Human factors and ergonomics society 59th annual meeting. In: Proceedings of the human factors and ergonomics society 59th annual meeting, Los Angeles, California
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
Singer MJ, Ehrlich JA, Allen RC (1998) Virtual environment sickness: adaptation to and recovery from a search task. In: Proceedings of the human factors and ergonomics society, Santa Monica
Smart LJ, Stoffregen TA, Bardy BG (2002) Visually induced motion sickness predicted by postural instability. Hum Factors J Hum Factors Ergon Soc 44(3):451–465
Smart LJ, Otten EW, Stoffregen TA (2007) It’s turtles all the way down: a comparative analysis of visually induced motion sickness. In: Human factors and ergonomics society 51st annual meeting
So RH (1999) The search for a cybersickness dose value. In: Proceedings of HCI international (the 8th international conference on human-computer interaction) on human-computer interaction: ergonomics and user interfaces-volume I
So R, Lo W (1998) Cybersickness with virtual reality training applications: a claustrophobia phenomenon with head-mounted displays? In: Proceeding of the 1st world congress on ergonomics for global quality and productivity, Hong Kong
So R, Lo W (1999) Cybersickness: an experimental study to isolate the effects of rotational scene oscillations. In: Proceedings of IEEE virtual reality ‘99 conference, Houston
So RH, Ho A, Lo WT (2001a) A metric to quantify virtual scene movement for the study of cybersickness: definition, implementation, and verification. Presence 10(2):193–215
So RH, Lo WT, Ho AT (2001b) Effects of navigation speed on motion sickness caused by an immersive virtual environment. Hum Factors J Hum Factors Ergon Soc 43(3):452–461
Stanney KM, Hash P (1998) Locus of user-initiated control in virtual environments: influences on cybersickness. Presence 7(5):447–459
Stanney KM, Kennedy RS (1997) The psychometrics of cybersickness. Commun ACM 40(8):66–68
Stanney KM, Kennedy RS (1998) Aftereffects from virtual environment exposure: how long do they last? Proc Hum Factors Ergon Soc Annu Meet 42(21):1476–1480
Stanney K, Salvendy G (1998) Aftereffects and sense of presence in virtual environments: formulation of a research and development agenda. Int J Hum Comput Interact 10(2):125–187
Stanney KM, Kennedy RS, Drexler JM (1997) Cybersickness is not simulator sickness. In: Proceedings of the human factors and ergonomics society, Santa Monica
Stanney KM, Kennedy RS, Drexler JM, Harm DL (1999a) Motion sickness and proprioceptive aftereffects following virtual environment exposure. Appl Ergon 30(1):27–38
Stanney KM, Lanham DS, Kennedy RS, Breaux R (1999b) Virtual environment exposure drop-out thresholds. In: Proceedings of the human factors and ergonomics society, Santa Monica
Stanney KM, Kingdon KS, Kennedy RS (2002a) Dropouts and aftereffects: examining general accessibility to virtual environment technology. Proc Hum Factors Ergon Soc Annu Meet 46(26):2114–2118
Stanney KM, Kingdon KS, Graeber D, Kennedy RS (2002b) Human performance in immersive virtual environments: effects of exposure duration, user control, and scene complexity. Hum Perform 15(4):339–366
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):504–520
Toet A, de Vries SC, van Emmerik ML, Bos JE (2008) Cybersickness and desktop simulations: field of view effects and user experience. Proc SPIE Enhanc Synth Vis 6957:69570–69611
Treisman M (1977) Motion sickness: an evolutionary hypothesis. Sci New Ser 197(4302):493–495
Ujike H, Ukai K, Nihei K (2008) Survey on motion sickness-like symptoms provoked by viewing a video movie during junior high school class. Displays 29(2):81–89
Ukai K, Howarth PA (2008) Visual fatigue caused by viewing stereoscopic motion images: background, theories, and observations. Displays 29(2):106–116
van Emmerik ML, de Vries SC, Bos JE (2011) Internal and external fields of view affect cybersickness. Displays 32(4):169–174
Villard SJ, Flanagan MB, Albanese GM, Stoffregen TA (2008) Postural instability and motion sickness in a virtual moving room. Hum Factors J Hum Factors Ergon Soc 50(2):332–345
Virre E (1996) Virtual reality and the vestibular apparatus. IEEE Eng Med Biol Mag 15(2), 41–43, 69
Vlad R, Nahorna O, Ladret P, Guérin A (2013) The influence of the visualization task on the simulator sickness symptoms—a comparative SSQ study on 3DTV and 3D immersive glasses. In: 3DTV-conference: the true vision-capture, transmission and dispaly of 3D video, Aberdeen
Watanabe H, Ujike H (2008) The activity of ISO/study group on “Image Safety” and three biological effect. In: Second international symposium on universal communication, pp 210–214
Wibirama S, Hamamoto K (2014) Investigation of visually induced motion sickness in dynamic 3D contents based on subjective judgment, heart rate variability, and depth gaze behavior. In: Annual international conference of the medicine and biology society, Chicago
Wilson JR (1999) Effects of participating in virtual environments: a review of current knowledge. Saf Sci 23(1):39–51
Yang S, Sheedy JE (2011) Effects of vergence and accommodative responses on viewer’s comfort in viewing 3D stimuli. Stereoscopic displays and applications XXII, San Francisco, USA
Yang J, Guo C, So R, Cheung R (2011) Effects of eye fixation on visually induced motion sickness: are they caused by changes in retinal slip velocity? In: Proceedings of the 55th annual meeting of the human factors and ergonomics society, Las Vegas, USA
Young S, Adelstein B, Ellis S (2007) Demand characteristics of a questionnaire used to assess motion sickness in a virtual environment. In: Virtual reality conference, Alexandria
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Rebenitsch, L., Owen, C. Review on cybersickness in applications and visual displays. Virtual Reality 20, 101–125 (2016). https://doi.org/10.1007/s10055-016-0285-9
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DOI: https://doi.org/10.1007/s10055-016-0285-9