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Motion Sickness and Psychological and Vestibular Symptom Burden After Concussion
Tara Nichols1, Melissa Godfrey2, Kristy Arbogast2
1New York Medical College, Valhalla, NY, USA.
Clinical Pediatrics
|January 7, 2026
Summary
Pediatric concussion patients who develop motion sickness may experience worse outcomes, including more symptoms and missed school days. Early screening for motion sickness and vestibular therapies could be beneficial.
Area of Science:
- Neuroscience
- Pediatric Medicine
- Vestibular System Research
Background:
- Pediatric concussion can involve psychological symptoms and vestibular dysfunction.
- The relationship between motion sickness and concussion outcomes requires further investigation.
Purpose of the Study:
- To assess the association between motion sickness and outcomes in pediatric concussion patients.
- To identify potential benefits of screening for motion sickness and implementing vestibular therapies.
Main Methods:
- Prospective cohort study of 114 participants aged 8-19 within 72 hours of concussion.
- Visio-vestibular testing and symptom surveys at enrollment.
- Outcome assessment at 1 and 4 weeks post-injury.
Main Results:
- 17 participants developed new motion sickness post-concussion.
- Those with new motion sickness reported higher symptom scores (P=.015) and more missed school days (P=.043).
- A trend towards higher symptom incidence at 4 weeks was observed (63.6% vs 38.9%).
Conclusions:
- New-onset motion sickness following pediatric concussion may indicate vulnerability to poorer outcomes.
- Screening for motion sickness at presentation is potentially valuable.
- Vestibular-focused therapies may improve outcomes for these patients.
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