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Quantitative study on objective indicators for assessing motion sickness susceptibility based on Vestibulo-Ocular

Yue Li1, Liwen Pan2, Muchen Liu1

  • 1School of Medical Imaging, Xuzhou Medical University, Xuzhou, 221004, China.

Scientific Reports
|November 20, 2024
PubMed
Summary

Motion sickness (MS) diagnosis can be improved using objective nystagmus measures. Vestibulo-ocular reflex parameters like slow-phase velocity and time constants correlate with MS susceptibility, enabling quantitative clinical assessment.

Keywords:
Cupula time constantK-Means clustering analysisMotion sickness susceptibilityNystagmus slow-phase velocityVelocity storage time constant

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Vestibular System Research

Background:

  • Motion sickness (MS) is a common condition triggered by acceleration stimuli, arising from sensory conflicts.
  • Current MS diagnosis relies on subjective questionnaires, lacking objective, quantifiable indicators.
  • The vestibular system's role in sensing acceleration makes it central to MS pathogenesis.

Purpose of the Study:

  • To identify objective indicators for evaluating motion sickness susceptibility.
  • To correlate vestibulo-ocular reflex (VOR) parameters with subjective MS scores.
  • To develop a quantitative framework for clinical MS diagnosis.

Main Methods:

  • Rotating chair stop experiments were performed on 65 volunteers to measure nystagmus slow-phase velocity and time constants.
  • Volunteers completed detailed motion sickness questionnaires to assess susceptibility.
  • Correlation and K-Means clustering analyses were used to link VOR parameters with MS scores.

Main Results:

  • Significant positive correlations were found between maximal nystagmus slow-phase velocity, cupula time constant, velocity storage time constant, and MS questionnaire scores.
  • Nystagmus parameters demonstrated significant correlation with subjective MS susceptibility.
  • K-Means clustering successfully categorized MS susceptibility into four levels based on nystagmus parameters.

Conclusions:

  • Nystagmus slow-phase velocity and related time constants serve as objective indicators for assessing MS susceptibility.
  • These objective measures provide a quantitative basis for clinical MS diagnosis.
  • The study offers a novel, objective approach to evaluating and classifying motion sickness.