The effects of cybersickness on persons with multiple sclerosis

Cybersickness is commonly experienced by the users in immersive Virtual Environments (VE). It has symptoms similar to Motion Sickness, such as dizziness, nausea etc. Although there have been many cybersickness experiments conducted with persons without disabilities, persons with disabilities, such as Multiple Sclerosis (MS), have been minimally studied. This is an important area of research because cybersickness could have negative effects on virtual rehabilitation effectiveness and the accessibility of VEs. For this experiment, we recruited 16 participants - 8 persons with MS and 8 persons without MS from similar demographics (e.g. age, race). Two participants from population without MS could not complete the experiment due to severe cybersickness. We asked each participant to experience a VE. We collected Galvanic Skin response (GSR) data before and during VR exposure; GSR is commonly used as an objective measure of cybersickness. Also, Simulator Sickness Questionnaire (SSQ) feedback was recorded before and after the experiment. SSQ results show that the VE induced cybersickness in the participants. The GSR data suggests that the cybersickness may have induced similar physiological changes in participants with MS as participants without MS, albeit with greater variability in participants without MS. However, participants with MS had significantly lower GSR during VR exposure. In this paper, we compare the effects of cybersickness between the people with MS and the people without MS with respect to SSQ score and GSR data.

[1]  Jennie J. Gallimore,et al.  A Physiological Model of Cybersickness during Virtual Environment Interaction , 2005 .

[2]  Rana Karabudak,et al.  Physiotherapy Approaches in the Treatment of Ataxic Multiple Sclerosis: A Pilot Study , 2001, Neurorehabilitation and neural repair.

[3]  J. Bogousslavsky,et al.  Altered decision‐making in multiple sclerosis: A sign of impaired emotional reactivity? , 2004, Annals of neurology.

[4]  Simon Davis,et al.  Comparing the onset of cybersickness using the Oculus Rift and two virtual roller coasters , 2015 .

[5]  Gavin McArdle,et al.  Virtual reality for collaborative e-learning , 2008, Comput. Educ..

[6]  Robert W. Motl,et al.  Effect of Exercise Training on Walking Mobility in Multiple Sclerosis: A Meta-Analysis , 2009, Neurorehabilitation and neural repair.

[7]  Richard H. Y. So,et al.  Cybersickness: an experimental study to isolate the effects of rotational scene oscillations , 1999, Proceedings IEEE Virtual Reality (Cat. No. 99CB36316).

[8]  Michael Lewis,et al.  Game Engine Virtual Reality with CaveUT , 2005, Computer.

[9]  J. Golding Motion sickness susceptibility questionnaire revised and its relationship to other forms of sickness , 1998, Brain Research Bulletin.

[10]  Taku Komura,et al.  Computing inverse kinematics with linear programming , 2005, VRST '05.

[11]  Zahira Merchant,et al.  Effectiveness of virtual reality-based instruction on students' learning outcomes in K-12 and higher education: A meta-analysis , 2014, Comput. Educ..

[12]  M. Treisman Motion sickness: an evolutionary hypothesis. , 1977, Science.

[13]  J. Evans,et al.  Walking and talking: an investigation of cognitive—motor dual tasking in multiple sclerosis , 2009, Multiple sclerosis.

[14]  John Quarles,et al.  Latency and avatars in Virtual Environments and the effects on gait for persons with mobility impairments , 2013, 2013 IEEE Symposium on 3D User Interfaces (3DUI).

[15]  Gerard Jounghyun Kim,et al.  A SWOT Analysis of the Field of Virtual Reality Rehabilitation and Therapy , 2005, Presence: Teleoperators & Virtual Environments.

[16]  G.C. Burdea,et al.  Virtual reality-enhanced stroke rehabilitation , 2001, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[17]  Pablo A. Figueroa,et al.  Methods to reduce cybersickness and enhance presence for in-place navigation techniques , 2015, 2015 IEEE Symposium on 3D User Interfaces (3DUI).

[18]  Brendan Iribe Oculus Rift를 이용한 체감형 게임 구현 , 2014 .

[19]  T. Stoffregen,et al.  An ecological Theory of Motion Sickness and Postural Instability , 1991 .

[20]  Michitaka Hirose,et al.  Brain-Computer Interfaces, Virtual Reality, and Videogames , 2008, Computer.

[21]  Kay M. Stanney,et al.  Configural Scoring of Simulator Sickness, Cybersickness and Space Adaptation Syndrome: Similarities and Differences? , 2001 .

[22]  S. Hu,et al.  Systematic investigation of physiological correlates of motion sickness induced by viewing an optokinetic rotating drum. , 1999, Aviation, space, and environmental medicine.

[23]  Julie M. Drexler,et al.  Cybersickness is Not Simulator Sickness , 1997 .

[24]  Daniel W. Gower,et al.  Simulator Sickness in the UH-60 (Black Hawk) Flight Simulator , 1989 .

[25]  Doug A. Bowman,et al.  Virtual Reality: How Much Immersion Is Enough? , 2007, Computer.

[26]  Joseph J. LaViola,et al.  A discussion of cybersickness in virtual environments , 2000, SGCH.

[27]  Paul A. Watters,et al.  Estimating Cybersickness of Simulated Motion Using the Simulator Sickness Questionnaire (SSQ): A Controlled Study , 2009, 2009 Sixth International Conference on Computer Graphics, Imaging and Visualization.

[28]  R. So,et al.  Sensation of presence and cybersickness in applications of virtual reality for advanced rehabilitation , 2007, Journal of NeuroEngineering and Rehabilitation.

[29]  Yun Ling,et al.  Effects of Stereoscopic Viewing on Presence, Anxiety, and Cybersickness in a Virtual Reality Environment for Public Speaking , 2012, PRESENCE: Teleoperators and Virtual Environments.

[30]  Robert S. Kennedy,et al.  Simulator Sickness Questionnaire: An enhanced method for quantifying simulator sickness. , 1993 .

[31]  Larry F. Hodges,et al.  Virtual reality for education? , 2000, VRST '00.

[32]  Avi Parush,et al.  Cybersickness induced by desktop virtual reality , 2012, Graphics Interface.

[33]  W J van der Eerden,et al.  CAREN--Computer Assisted Rehabilitation Environment. , 1999, Studies in health technology and informatics.

[34]  Eugene Nalivaiko,et al.  Cybersickness provoked by head-mounted display affects cutaneous vascular tone, heart rate and reaction time , 2015, Physiology & Behavior.

[35]  Young Youn Kim,et al.  Characteristic changes in the physiological components of cybersickness. , 2005, Psychophysiology.

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