Performance and well-being under tilting conditions: the effects of visual reference and artificial horizon.

It is generally agreed that the incidence of motion sickness in sailors working below deck is higher than in sailors who have the horizon as a visual reference on the bridge. This study investigated the possible beneficial effect of a projected artificial horizon as a means to prevent seasickness. Twelve subjects were exposed to angular motion in a tilting room under three experimental conditions: a) With the windows covered, allowing no visual reference from the outside world; b) With the windows uncovered, thus allowing a partial view of the environment; and c) With the windows covered and a horizon projected on the walls by a rotating laser beam. Subjects were exposed for 35 min in each condition while performing different computerised tasks. There was a reduction in well-being and performance as a function of exposure time. These effects were clearly shown in the "closed cabin" condition. There were less motion sickness symptoms in the "artificial horizon" and "window" conditions. The presence of a visual reference prevented the decrement in performance found in the "closed cabin" condition. The results of this study suggest that a projected horizon might alleviate motion sickness aboard naval vessels, and thus improve the performance of sailors at sea.