Visual-vestibular habituation and balance training for motion sickness.

BACKGROUND AND PURPOSE This case report describes physical therapy for motion sickness in a 34-year-old woman. The purpose of the report is twofold: (1) to provide an overview of the literature regarding motion sickness syndrome, causal factors, and rationale for treatment and (2) to describe the evaluation and treatment of a patient with motion sickness. CASE DESCRIPTION AND OUTCOMES The patient initially had moderate to severe visually induced motion sickness, which affected her functional abilities and prevented her from working. Following 10 weeks of a primarily home-based program of visual-vestibular habituation and balance training, her symptoms were alleviated and she could resume all work-related activities. DISCUSSION Although motion sickness affects nearly one third of all people who travel by land, sea, or air, little documentation exists regarding prevention or management.

[1]  C. S. Hallpike,et al.  The Pathology, Symptomatology and Diagnosis of Certain Common Disorders of the Vestibular System , 1952, Proceedings of the Royal Society of Medicine.

[2]  C. R. Pfaltz,et al.  Studies on habituation of the human vestibular system. , 1970, Advances in oto-rhino-laryngology.

[3]  C. Chouard,et al.  Study on vestibular habituation among pilots and flying staff in terms of their training and seniority. , 1970, Advances in oto-rhino-laryngology.

[4]  F. A. Miles,et al.  Long-term adaptive changes in primate vestibuloocular reflex. II. Electrophysiological observations on semicircular canal primary afferents. , 1980, Journal of neurophysiology.

[5]  M. Jeannerod,et al.  The role of the flocculus in vestibular compensation after hemilabyrinthectomy , 1982, Brain Research.

[6]  N. Daunton,et al.  Motion Sickness Elicited by Passive Rotation in Squirrel Monkeys , 1985 .

[7]  T. Fukuda Statokinetic Reflexes in Equilibrium and Movement , 1984 .

[8]  David J. Anderson,et al.  Development of Vestibulospinal Reflex Measurements as a Method for the Investigation of Statotolith Function during Sustained Weightlessness , 1985 .

[9]  Optican Lm Adaptive properties of the saccadic system. , 1985 .

[10]  R W Marsh,et al.  Self-control of psychophysiologic response to motion stress: using biofeedback to treat airsickness. , 1985, Aviation, space, and environmental medicine.

[11]  S. Wray Adaptive mechanisms in gaze control. , 1986, Reviews of oculomotor research.

[12]  M. Bagshaw,et al.  The desensitisation of chronically motion sick aircrew in the Royal Air Force. , 1985, Aviation, space, and environmental medicine.

[13]  L M Optican,et al.  Adaptive properties of the saccadic system. , 1985, Reviews of oculomotor research.

[14]  V. Gurfinkel,et al.  Mechanisms of Posture Maintenance in Weightlessness , 1985 .

[15]  Adaptive modulation of VOR parameters by vision. , 1985, Reviews of oculomotor research.

[16]  Ashton Graybiel,et al.  Head Movements Elicit Motion Sickness during Exposure to Microgravity and Macrogravity Acceleration Levels1 , 1985 .

[17]  Jones Gm Adaptive modulation of VOR parameters by vision. , 1985 .

[18]  R. W. Gillilan,et al.  Vision therapy as a treatment for motion sickness. , 1986, Journal of the American Optometric Association.

[19]  Ma Gresty,et al.  Vestibular and Visual Control on Posture and Locomotor Equilibrium , 1986 .

[20]  M J Griffin,et al.  Prediction of the incidence of motion sickness from the magnitude, frequency, and duration of vertical oscillation. , 1986, The Journal of the Acoustical Society of America.

[21]  M. Griffin,et al.  A survey of the occurrence of motion sickness amongst passengers at sea. , 1988, Aviation, space, and environmental medicine.

[22]  R. Newton Review of tests of standing balance abilities. , 1989, Brain injury.

[23]  R. Stern,et al.  Adaptation to vection-induced symptoms of motion sickness. , 1989, Aviation, space, and environmental medicine.

[24]  N T Shepard,et al.  Habituation and balance retraining therapy. A retrospective review. , 1990, Neurologic clinics.

[25]  S Q Hu,et al.  Effects of pre-exposures to a rotating optokinetic drum on adaptation to motion sickness. , 1991, Aviation, space, and environmental medicine.

[26]  Banks Rd,et al.  The Canadian forces airsickness rehabilitation program, 1981-1991 , 1992 .

[27]  R D Banks,et al.  The Canadian Forces Airsickness Rehabilitation Program, 1981-1991. , 1992, Aviation, space, and environmental medicine.

[28]  J G May,et al.  Cognitive-behavioral management of motion sickness. , 1994, Aviation, space, and environmental medicine.

[29]  E. Toon Cultivating and guiding the public's interest in health: American medicine and popular health education in Hygeia, 1923-1950. , 1994, Fugitive leaves from the historical collections. College of Physicians of Philadelphia. Library.

[30]  J F Golding,et al.  Effect of sickness severity on habituation to repeated motion challenges in aircrew referred for airsickness treatment. , 1995, Aviation, space, and environmental medicine.

[31]  B Brown,et al.  Visual and vestibular components of motion sickness. , 1996, Aviation, space, and environmental medicine.

[32]  W. Bles,et al.  Motion sickness. , 2000, Current opinion in neurology.