Related Experiment Video
Updated: May 20, 2026

Using Eye-tracking to Assess the Relative Importance of Visual and Vestibular Input to Subcortical Motion Processing in the Roll Plane
Published on: August 22, 2025
Oculo-vestibular recoupling using galvanic vestibular stimulation to mitigate simulator sickness.
Michael J Cevette1, Jan Stepanek, Daniela Cocco
1Division of Otolaryngology-Head and Neck Surgery and Audiology, Aerospace Medicine and Vestibular Research Laboratory (AMVRL), Mayo Clinic, 13400 E. Shea Blvd, Scottsdale, AZ 85259, USA. mcevette@mayo.edu
Simulator sickness, caused by sensory conflict, can be reduced by synchronizing visual and vestibular stimuli. Galvanic vestibular stimulation (GVS) coupled with visual cues in flight simulators significantly lowers sickness symptoms.
Area of Science:
- Neuroscience
- Human Factors Engineering
- Aerospace Medicine
Background:
- Simulator sickness (SS) is a primary limitation in flight simulator training.
- Intersensory visual-vestibular conflict is the leading cause of SS.
- Galvanic vestibular stimulation (GVS) offers a method to synchronize visual and vestibular inputs.
Purpose of the Study:
- To investigate the efficacy of oculo-vestibular-recoupled (OVR) simulation using GVS to reduce simulator sickness.
- To develop an algorithm for synchronizing GVS with visual stimuli in a flight simulator.
Main Methods:
- A multisite electrode array delivered GVS to 21 subjects to identify optimal electrode combinations.
- GVS dose-response predictions for motion perception were established.
- An algorithm was implemented in a flight simulator for OVR simulation, with subjects randomly exposed to conditions with or without OVR.
Main Results:
- Six unique GVS electrode combinations were identified, forming the basis for the OVR simulation algorithm.
- The OVR group showed significantly reduced SS scores across gastrointestinal (6.3% vs. 17%), central (20% vs. 22.4%), and peripheral (8% vs. 20%) categories compared to the Control group.
Conclusions:
- Synchronizing virtual head signals from GVS with the moving visual field in flight simulators significantly reduces SS.
- OVR simulation effectively mitigates sensory conflict, leading to a more comfortable and potentially more effective training experience.
Related Concept Videos
The Vestibular System
Equilibrium and Balance

