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Bannigan GM, de Sousa AA, Scheller M, Finnegan DJ, Proulx MJ. Potential factors contributing to observed sex differences in virtual-reality-induced sickness. Exp Brain Res 2024; 242:463-475. [PMID: 38170233 PMCID: PMC10805816 DOI: 10.1007/s00221-023-06760-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 11/30/2023] [Indexed: 01/05/2024]
Abstract
Virtual reality (VR) technology has been widely adopted for several professional and recreational applications. Despite rapid innovation in hardware and software, one of the long prevailing issues for end users of VR is the experience of VR sickness. Females experience stronger VR sickness compared to males, and previous research has linked susceptibility to VR sickness to the menstrual cycle (Munafo et al., Exp Brain Res 235(3):889-901). Here we investigated the female versus male experience in VR sickness while playing an immersive VR game, comparing days of the menstrual cycle when hormones peak: day 15 (ovulation-peak estrogen) and day 22 (mid-luteal phase-peak progesterone). We found that immersion duration was greater in the second session than the first, and discomfort was lessened, suggesting a powerful adaptation with repeated exposure. Due to the estrogen levels changing along with the exposure, there was no clear independent impact of that; note, though, that there was a significant difference between self-report and physiological measures implying that GSR is potentially an unreliable measure of motion sickness. Although prior work found a delay over 2 days between session would not allow adaptation and habituation to reduce VR sickness susceptibility, we found that a week delay has potential success.
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Affiliation(s)
- Grainne M Bannigan
- Department of Psychology, University of Bath, Bath, UK
- School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland
| | - Alexandra A de Sousa
- Department of Psychology, University of Bath, Bath, UK
- School of Sciences, Bath Spa University, Bath, UK
- Department of Computer Science, REVEAL Research Centre, University of Bath, Bath, UK
| | | | - Daniel J Finnegan
- School of Computer Science and Informatics, Cardiff University, Cardiff, UK.
| | - Michael J Proulx
- Department of Psychology, University of Bath, Bath, UK.
- Department of Computer Science, REVEAL Research Centre, University of Bath, Bath, UK.
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2
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Ebnali M, Paladugu P, Miccile C, Park SH, Burian B, Yule S, Dias RD. Extended Reality Applications for Space Health. Aerosp Med Hum Perform 2023; 94:122-130. [PMID: 36829279 DOI: 10.3357/amhp.6131.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
INTRODUCTION: Spaceflight has detrimental effects on human health, imposing significant and unique risks to crewmembers due to physiological adaptations, exposure to physical and psychological stressors, and limited capabilities to provide medical care. Previous research has proposed and evaluated several strategies to support and mitigate the risks related to astronauts' health and medical exploration capabilities. Among these, extended reality (XR) technologies, including augmented reality (AR), virtual reality (VR), and mixed reality (MR) have increasingly been adopted for training, real-time clinical, and operational support in both terrestrial and aerospace settings, and only a few studies have reported research results on the applications of XR technologies for improving space health. This study aims to systematically review the scientific literature that has explored the application of XR technologies in the space health field. We also discuss the methodological and design characteristics of the existing studies in this realm, informing future research and development efforts on applying XR technologies to improve space health and enhance crew safety and performance.Ebnali M, Paladugu P, Miccile C, Park SH, Burian B, Yule S, Dias RD. Extended reality applications for space health. Aerosp Med Hum Perform. 2023; 94(3):122-130.
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Casanova M, Clavreul A, Soulard G, Delion M, Aubin G, Ter Minassian A, Seguier R, Menei P. Immersive Virtual Reality and Ocular Tracking for Brain Mapping During Awake Surgery: Prospective Evaluation Study. J Med Internet Res 2021; 23:e24373. [PMID: 33759794 PMCID: PMC8074984 DOI: 10.2196/24373] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 01/26/2021] [Accepted: 02/16/2021] [Indexed: 01/14/2023] Open
Abstract
Background Language mapping during awake brain surgery is currently a standard procedure. However, mapping is rarely performed for other cognitive functions that are important for social interaction, such as visuospatial cognition and nonverbal language, including facial expressions and eye gaze. The main reason for this omission is the lack of tasks that are fully compatible with the restrictive environment of an operating room and awake brain surgery procedures. Objective This study aims to evaluate the feasibility and safety of a virtual reality headset equipped with an eye-tracking device that is able to promote an immersive visuospatial and social virtual reality (VR) experience for patients undergoing awake craniotomy. Methods We recruited 15 patients with brain tumors near language and/or motor areas. Language mapping was performed with a naming task, DO 80, presented on a computer tablet and then in 2D and 3D via the VRH. Patients were also immersed in a visuospatial and social VR experience. Results None of the patients experienced VR sickness, whereas 2 patients had an intraoperative focal seizure without consequence; there was no reason to attribute these seizures to virtual reality headset use. The patients were able to perform the VR tasks. Eye tracking was functional, enabling the medical team to analyze the patients’ attention and exploration of the visual field of the virtual reality headset directly. Conclusions We found that it is possible and safe to immerse the patient in an interactive virtual environment during awake brain surgery, paving the way for new VR-based brain mapping procedures. Trial Registration ClinicalTrials.gov NCT03010943; https://clinicaltrials.gov/ct2/show/NCT03010943.
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Affiliation(s)
- Morgane Casanova
- Équipe Facial Analysis Synthesis & Tracking Institue of Electronics and Digital Technologies, CentraleSupélec, Rennes, France
| | - Anne Clavreul
- Département de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.,Centre de Recherche en Cancérologie et Immunologie Nantes Angers, Université d'Angers, Centre hospitalier universitaire d'Angers, Angers, France
| | - Gwénaëlle Soulard
- Département de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.,Centre de Recherche en Cancérologie et Immunologie Nantes Angers, Université d'Angers, Centre hospitalier universitaire d'Angers, Angers, France
| | - Matthieu Delion
- Département de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France
| | - Ghislaine Aubin
- Département de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France
| | - Aram Ter Minassian
- Département d'Anesthésie-Réanimation, Centre hospitalier universitaire d'Angers, Angers, France
| | - Renaud Seguier
- Équipe Facial Analysis Synthesis & Tracking Institue of Electronics and Digital Technologies, CentraleSupélec, Rennes, France
| | - Philippe Menei
- Département de Neurochirurgie, Centre hospitalier universitaire d'Angers, Angers, France.,Centre de Recherche en Cancérologie et Immunologie Nantes Angers, Université d'Angers, Centre hospitalier universitaire d'Angers, Angers, France
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McGuirt JT, Cooke NK, Burgermaster M, Enahora B, Huebner G, Meng Y, Tripicchio G, Dyson O, Stage VC, Wong SS. Extended Reality Technologies in Nutrition Education and Behavior: Comprehensive Scoping Review and Future Directions. Nutrients 2020; 12:nu12092899. [PMID: 32971972 PMCID: PMC7551414 DOI: 10.3390/nu12092899] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 09/17/2020] [Accepted: 09/17/2020] [Indexed: 01/08/2023] Open
Abstract
The use of Extended Reality (XR) (i.e. Virtual and Augmented Reality) for nutrition education and behavior change has not been comprehensively reviewed. This paper presents findings from a scoping review of current published research. Articles (n = 92) were extracted from PubMed and Scopus using a structured search strategy and selection approach. Pertinent study information was extracted using a standardized data collection form. Each article was independently reviewed and coded by two members of the research team, who then met to resolve any coding discrepancies. There is an increasing trend in publication in this area, mostly regarding Virtual Reality. Most studies used developmental testing in a lab setting, employed descriptive or observational methods, and focused on momentary behavior change like food selection rather than education. The growth and diversity of XR studies suggest the potential of this approach. There is a need and opportunity for more XR technology focused on children and other foundational theoretical determinants of behavior change to be addressed within nutrition education. Our findings suggest that XR technology is a burgeoning approach in the field of nutrition, but important gaps remain, including inadequate methodological rigor, community application, and assessment of the impact on dietary behaviors.
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Affiliation(s)
- Jared T. McGuirt
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
- Correspondence: ; Tel.: 336-256-0322
| | - Natalie K. Cooke
- Department of Food, Bioprocessing and Nutrition Sciences, North Carolina State University, Raleigh, NC 27695, USA;
| | - Marissa Burgermaster
- Departments of Nutritional Sciences and Population Health, The University of Texas at Austin, Austin, TX 78712, USA;
| | - Basheerah Enahora
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
| | - Grace Huebner
- Department of Nutrition, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA; (B.E.); (G.H.)
| | - Yu Meng
- Imperial County Cooperative Extension, University of California Agriculture and Natural Resources, Holtville, CA 92250, USA;
| | - Gina Tripicchio
- Center for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA 19140, USA;
| | - Omari Dyson
- Department of Peace and Conflict Studies, School of Health and Human Sciences, University of North Carolina at Greensboro, Greensboro, NC 27412, USA;
| | - Virginia C. Stage
- Department of Nutrition Science, College of Allied Health Sciences, East Carolina University, Greenville, NC 27858, USA;
| | - Siew Sun Wong
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR 97331, USA;
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Immersing Patients in a Virtual Reality Environment for Brain Mapping During Awake Surgery: Safety Study. World Neurosurg 2019; 134:e937-e943. [PMID: 31734424 DOI: 10.1016/j.wneu.2019.11.047] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 11/06/2019] [Accepted: 11/07/2019] [Indexed: 11/23/2022]
Abstract
BACKGROUND Brain mapping by direct electrical stimulation during awake craniotomy is now a standard procedure that reduces the risk of permanent neurologic deficits. Virtual reality technology immerses the patient in a virtually controlled, interactive world, offering a unique opportunity to develop innovative tasks for perioperative mapping of complex cognitive functions. The objective of this prospective single-center study was to evaluate the tolerance and safety of a virtual reality headset (VRH) and immersive virtual experiences in patients undergoing awake craniotomy and brain mapping by direct electrical stimulation. METHODS The study included 30 patients with a brain tumor near the language area. Language mapping was performed with a naming task, DO 80, presented on a digital tablet and then in two-dimensional and three-dimensional formats through a VRH. During wound closure, different virtual reality experiences were proposed to the patient, offering different types of virtual motion or interaction with an avatar piloted by a neuropsychologist. RESULTS Two patients could not use the VRH owing to technical issues. No procedure was aborted, no patient experienced virtual reality sickness and all patients reported they would repeat the procedure. Despite a high rate of intraoperative focal seizures, there was no argument to attribute the seizures to VRH use. CONCLUSIONS This study shows that it is possible during awake brain surgery to immerse the patient in a virtual environment and to interact with the patient, opening the field of new brain mapping procedures for complex cognitive functions.
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Park MJ, Kim DJ, Lee U, Na EJ, Jeon HJ. A Literature Overview of Virtual Reality (VR) in Treatment of Psychiatric Disorders: Recent Advances and Limitations. Front Psychiatry 2019; 10:505. [PMID: 31379623 PMCID: PMC6659125 DOI: 10.3389/fpsyt.2019.00505] [Citation(s) in RCA: 116] [Impact Index Per Article: 23.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Accepted: 06/27/2019] [Indexed: 11/13/2022] Open
Abstract
In this paper, we conduct a literature survey on various virtual reality (VR) treatments in psychiatry. We collected 36 studies that used VR to provide clinical trials or therapies for patients with psychiatric disorders. In order to gain a better understanding of the management of pain and stress, we first investigate VR applications for patients to alleviate pain and stress during immersive activities in a virtual environment. VR exposure therapies are particularly effective for anxiety, provoking realistic reactions to feared stimuli. On top of that, exposure therapies with simulated images are beneficial for patients with psychiatric disorders such as phobia and posttraumatic stress disorder (PTSD). Moreover, VR environments have shown the possibility of changing depression, cognition, even social functions. We review empirical evidence from VR-based treatments on psychiatric illnesses such as dementia, mild cognitive impairment (MCI), schizophrenia and autism. Through cognitive training and social skill training, rehabilitation through VR therapies helps patients to improve their quality of life. Recent advances in VR technology also demonstrate potential abilities to address cognitive and functional impairments in dementia. In terms of the different types of VR systems, we discuss the feasibility of the technology within different stages of dementia as well as the methodological limitations. Although there is room for improvement, its widespread adoption in psychiatry is yet to occur due to technical drawbacks such as motion sickness and dry eyes, as well as user issues such as preoccupation and addiction. However, it is worth mentioning that VR systems relatively easily deliver virtual environments with well-controlled sensory stimuli. In the future, VR systems may become an innovative clinical tool for patients with specific psychiatric symptoms.
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Affiliation(s)
- Mi Jin Park
- Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Dong Jun Kim
- Department of Health Sciences & Technology, Department of Medical Device Management & Research, and Department of Clinical Research Design & Evaluation, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Seoul, South Korea
| | - Unjoo Lee
- Department of Electronic Engineering, Hallym University, Kangwon, South Korea
| | - Eun Jin Na
- Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Hong Jin Jeon
- Department of Psychiatry, Depression Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.,Department of Health Sciences & Technology, Department of Medical Device Management & Research, and Department of Clinical Research Design & Evaluation, Samsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan University, Seoul, South Korea
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7
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Tamura A, Iwamoto T, Ozaki H, Kimura M, Tsujimoto Y, Wada Y. Wrist-Worn Electrodermal Activity as a Novel Neurophysiological Biomarker of Autonomic Symptoms in Spatial Disorientation. Front Neurol 2018; 9:1056. [PMID: 30564188 PMCID: PMC6288226 DOI: 10.3389/fneur.2018.01056] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2018] [Accepted: 11/20/2018] [Indexed: 11/13/2022] Open
Abstract
Background: Spatial disorientation is one of the most frequent causes of aircraft accidents, and is thus a major problem affecting air safety. Although a number of studies have examined spatial disorientation, the precise physiological changes occurring as a direct result of spatial disorientation and motion sickness remain unclear. The present study sought to investigate electrodermal activity (EDA) and subjective autonomic symptoms during spatial disorientation training, and to develop an indicator of physiological changes for pilot candidates. Methods: In the current study, we investigated changes in EDA measured using a wrist-worn device, and subjective autonomic nervous system symptoms during spatial disorientation training for pilot candidates. We then used the Graybiel diagnostic criteria to develop a novel physiological biomarker. Results: We found that maximum EDA change and peak amplitude were significantly increased in participants with a Graybiel score of ≥3 points compared with those who scored < 2 points. Furthermore, for symptoms of cold sweating and saliva secretion (from the seven Graybiel diagnostic criteria), the maximum EDA change in participants with scores ≥1 point was significantly higher than that of participants scoring 0 points. Conclusion: Our results indicate that EDA data measured with a wrist-worn device could provide a useful method for objective evaluation of the severity of spatial disorientation and motion sickness.
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Affiliation(s)
- Atsushi Tamura
- Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Tetsuya Iwamoto
- Aeromedical Laboratory, Japan Air Self-Defense Force, Sayama, Japan
| | - Hirokazu Ozaki
- Aeromedical Laboratory, Japan Air Self-Defense Force, Sayama, Japan
| | - Mikihiko Kimura
- Aeromedical Laboratory, Japan Air Self-Defense Force, Sayama, Japan
| | - Yukiko Tsujimoto
- Aeromedical Laboratory, Japan Air Self-Defense Force, Sayama, Japan
| | - Yoshiro Wada
- Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, Kashihara, Japan
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Gallagher M, Ferrè ER. Cybersickness: a Multisensory Integration Perspective. Multisens Res 2018; 31:645-674. [PMID: 31264611 DOI: 10.1163/22134808-20181293] [Citation(s) in RCA: 55] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 01/05/2018] [Indexed: 11/19/2022]
Abstract
In the past decade, there has been a rapid advance in Virtual Reality (VR) technology. Key to the user's VR experience are multimodal interactions involving all senses. The human brain must integrate real-time vision, hearing, vestibular and proprioceptive inputs to produce the compelling and captivating feeling of immersion in a VR environment. A serious problem with VR is that users may develop symptoms similar to motion sickness, a malady called cybersickness. At present the underlying cause of cybersickness is not yet fully understood. Cybersickness may be due to a discrepancy between the sensory signals which provide information about the body's orientation and motion: in many VR applications, optic flow elicits an illusory sensation of motion which tells users that they are moving in a certain direction with certain acceleration. However, since users are not actually moving, their proprioceptive and vestibular organs provide no cues of self-motion. These conflicting signals may lead to sensory discrepancies and eventually cybersickness. Here we review the current literature to develop a conceptual scheme for understanding the neural mechanisms of cybersickness. We discuss an approach to cybersickness based on sensory cue integration, focusing on the dynamic re-weighting of visual and vestibular signals for self-motion.
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Affiliation(s)
- Maria Gallagher
- Department of Psychology, Royal Holloway University of London, Egham, UK
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Zhou W, Wang J, Pan L, Qi R, Liu P, Liu J, Cai Y. Sex and Age Differences in Motion Sickness in Rats: The Correlation with Blood Hormone Responses and Neuronal Activation in the Vestibular and Autonomic Nuclei. Front Aging Neurosci 2017; 9:29. [PMID: 28261089 PMCID: PMC5309225 DOI: 10.3389/fnagi.2017.00029] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Accepted: 02/03/2017] [Indexed: 11/13/2022] Open
Abstract
Many studies have demonstrated sex and age differences in motion sickness, but the underlying physiological basis is still in controversy. In the present study, we tried to investigate the potential correlates of endocrine and/or neuronal activity with sex and age differences in rats with motion sickness. LiCl-induced nausea symptom was evaluated by conditioned gaping. Motion sickness was assessed by measurement of autonomic responses (i.e., conditioned gaping and defecation responses), motor impairments (i.e., hypoactivity and balance disturbance) after Ferris wheel-like rotation, and blood hormone levels and central Fos protein expression was also observed. We found that rotation-induced conditioned gaping, defecation responses and motor disorders were significantly attenuated in middle-aged animals (13- and 14-month-age) compared with adolescents (1- and 2-month-age) and young-adults (4- and/or 5-month-age). LiCl-induced conditioned gapings were also decreased with age, but was less pronounced than rotation-induced ones. Females showed greater responses in defecation and spontaneous locomotor activity during adolescents and/or young-adult period. Blood adrenocorticotropic hormone and corticosterone significantly increased in 4-month-old males after rotation compared with static controls. No significant effect of rotation was observed in norepinephrine, epinephrine, β-endorphin and arginine-vasopressin levels. The middle-aged animals (13-month-age) also had higher number of rotation-induced Fos-labeled neurons in the spinal vestibular nucleus, the parabrachial nucleus (PBN), the central and medial nucleus of amygdala (CeA and MeA) compared with adolescents (1-month-age) and young-adults (4-month-age) and in the nucleus of solitary tract (NTS) compared with adolescents (1-month-age). Sex difference in rotation-induced Fos-labeling was observed in the PBN, the NTS, the locus ceruleus and the paraventricular hypothalamus nucleus at 4 and/or 13 months of age. These results suggested that the sex and age differences in motion sickness may not correlate with stress hormone responses and habituation. The age-dependent decline in motion sickness susceptibility might be mainly attributed to the neuronal activity changes in vestibulo-autonomic pathways contributing to homeostasis regulation during motion sickness.
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Affiliation(s)
- Wei Zhou
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Junqin Wang
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Leilei Pan
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Ruirui Qi
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Peng Liu
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Jiluo Liu
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
| | - Yiling Cai
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai China
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Etheridge T, Szewczyk NJ, Zuo L, Chuang CC, Liu Z, Ward AT, Dier NL, Rotarius TR, Lalande S, Zhang X, Zhang M, Li G, Dong L, Gao F. Commentaries on Viewpoint: A call for research to assess and promote functional resilience in astronaut crews. J Appl Physiol (1985) 2016; 120:473-4. [PMID: 26879659 DOI: 10.1152/japplphysiol.01036.2015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Timothy Etheridge
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Nathaniel J Szewczyk
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Li Zuo
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Chia-Chen Chuang
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Zewen Liu
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - A T Ward
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - N L Dier
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - T R Rotarius
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - S Lalande
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Xing Zhang
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Min Zhang
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Guohua Li
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Ling Dong
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
| | - Feng Gao
- University of ExeterUniversity of NottinghamAssistant ProfessorThe Ohio State University College of MedicineDepartment of Kinesiology University of Toledo, OhioDept. of Aerospace Medicine Fourth Military Medical University
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Zhang LL, Wang JQ, Qi RR, Pan LL, Li M, Cai YL. Motion Sickness: Current Knowledge and Recent Advance. CNS Neurosci Ther 2015; 22:15-24. [PMID: 26452639 DOI: 10.1111/cns.12468] [Citation(s) in RCA: 77] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 09/10/2015] [Accepted: 09/10/2015] [Indexed: 01/02/2023] Open
Abstract
Motion sickness (MS) is a common physiological response to real or virtual motion. Numerous studies have investigated the neurobiological mechanism and the control measures of MS. This review summarizes the current knowledge about pathogenesis and pathophysiology, prediction, evaluation, and countermeasures of MS. The sensory conflict hypothesis is the most widely accepted theory for MS. Both the hippocampus and vestibular cortex might play a role in forming internal model. The pathophysiology focuses on the visceral afference, thermoregulation and MS-related neuroendocrine. Single-nucleotide polymorphisms (SNPs) in some genes and epigenetic modulation might contribute to MS susceptibility and habituation. Questionnaires, heart rate variability (HRV) and electrogastrogram (EGG) are useful for diagnosing and evaluating MS. We also list MS medications to guide clinical practice. Repeated real motion exposure and combined visual-vestibular interaction training accelerate the progress of habituation. Behavioral and dietary countermeasures, as well as physiotherapy, are also effective in alleviating MS symptoms.
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Affiliation(s)
- Li-Li Zhang
- Department of Pharmacology, Second Military Medical University, Shanghai, China
| | - Jun-Qin Wang
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai, China
| | - Rui-Rui Qi
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai, China
| | - Lei-Lei Pan
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai, China
| | - Min Li
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai, China
| | - Yi-Ling Cai
- Department of Nautical Injury Prevention, Faculty of Navy Medicine, Second Military Medical University, Shanghai, China
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