Relationship between Car-Sickness Susceptibility and Postural Activity: Could the Re-Weighting Strategy between Signals from Different Body Sensors Be an Underlying Factor?

Postural control characteristics have been proposed as a predictor of Motion Sickness (MS). However, postural adaptation to sensory environment changes may also be critical for MS susceptibility. In order to address this issue, a postural paradigm was used where accurate orientation information from body sensors could be lost and restored, allowing us to infer sensory re-weighting dynamics from postural oscillation spectra in relation to car-sickness susceptibility. Seventy-one participants were standing on a platform (eyes closed) alternating from static phases (proprioceptive and vestibular sensors providing reliable orientation cues) to sway referenced to the ankle-angle phases (proprioceptive sensors providing unreliable orientation cues). The power spectrum density (PSD) on a 10 s sliding window was computed from the antero-posterior displacement of the center of pressure. Energy ratios (ERs) between the high (0.7-1.3 Hz) and low (0.1-0.7 Hz) frequency bands of these PSDs were computed on key time windows. Results showed no difference between MS and non-MS participants following loss of relevant ankle proprioception. However, the reintroduction of reliable ankle signals led, for the non-MS participants, to an increase of the ER originating from a previously up-weighted vestibular information during the sway-referenced situation. This suggests inter-individual differences in re-weighting dynamics in relation to car-sickness susceptibility.

Modulation of Visually Induced Self-motion Illusions by α Transcranial Electric Stimulation over the Superior Parietal Cortex.

The growing popularity of virtual reality systems has led to a renewed interest in understanding the neurophysiological correlates of the illusion of self-motion (vection), a phenomenon that can be both intentionally induced or avoided in such systems, depending on the application. Recent research has highlighted the modulation of α power oscillations over the superior parietal cortex during vection, suggesting the occurrence of inhibitory mechanisms in the sensorimotor and vestibular functional networks to resolve the inherent visuo-vestibular conflict. The present study aims to further explore this relationship and investigate whether neuromodulating these waves could causally affect the quality of vection. In a crossover design, 22 healthy volunteers received high amplitude and focused α-tACS (transcranial alternating current stimulation) over the superior parietal cortex while experiencing visually induced vection triggered by optokinetic stimulation. The tACS was tuned to each participant's individual α peak frequency, with θ-tACS and sham stimulation serving as controls. Overall, participants experienced better quality vection during α-tACS compared with control θ-tACS and sham stimulations, as quantified by the intensity of vection. The observed neuromodulation supports a causal relationship between parietal α oscillations and visually induced self-motion illusions, with their entrainment triggering overinhibition of the conflict within the sensorimotor and vestibular functional networks. These results confirm the potential of noninvasive brain stimulation for modulating visuo-vestibular conflicts, which could help to enhance the sense of presence in virtual reality environments.

Idiosyncratic multisensory reweighting as the common cause for motion sickness susceptibility and adaptation to postural perturbation.

Numerous empirical and modeling studies have been done to find a relationship between postural stability and the susceptibility to motion sickness (MS). However, while the demonstration of a causal relationship between postural stability and the susceptibility to MS is still lacking, recent studies suggest that motion sick individuals have genuine deficits in selecting and reweighting multimodal sensory information. Here we investigate how the adaptation to changing postural situations develops and how the dynamics in multisensory integration is modulated on an individual basis along with MS susceptibility. We used a postural task in which participants stood on a posturographic platform with either eyes open (EO) or eyes closed (EC) during three minutes. The platform was static during the first minute (baseline phase), oscillated harmonically during the second minute (perturbation phase) and returned to its steady state for the third minute (return phase). Principal component (PC) analysis was applied to the sequence of short-term power density spectra of the antero-posterior position of the center of pressure. Results showed that the less motion-sick a participant is, the more similar is his balance between high and low frequencies for EO and EC conditions (as calculated from the eigenvector of the first PC). By fitting exponential decay models to the first PC score in the return phase, we estimated, for each participant in each condition, the sluggishness to return to the baseline spectrum. We showed that the de-adaptation following platform oscillation depends on the susceptibility to MS. These results suggest that non motion-sick participants finely adjust their spectrum in the perturbation phase (i.e. reweighting) and therefore take longer to return to their initial postural control particularly with eyes closed. Thus, people have idiosyncratic ways of doing sensory reweighting for postural control, these processes being tied to MS susceptibility.

Postural responses to specific types of long-term memory during visually induced roll self-motion.

A large body of research has shown that visually induced self-motion (vection) and cognitive processing may interfere with each other. The aim of this study was to assess the interactive effects of a visual motion inducing vection (uniform motion in roll) versus a visual motion without vection (non-uniform motion) and long-term memory processing using the characteristics of standing posture (quiet stance). As the level of interference may be related to the nature of the cognitive tasks used, we examined the effect of visual motion on a memory task which requires a spatial process (episodic recollection) versus a memory task which does not require this process (semantic comparisons). Results confirm data of the literature showing that compensatory postural response in the same direction as background motion. Repeatedly watching visual uniform motion or increasing the cognitive load with a memory task did not decrease postural deviations. Finally, participants were differentially controlling their balance according to the memory task but this difference was significant only in the vection condition and in the plane of background motion. Increased sway regularity (decreased entropy) combined with decreased postural stability (increase variance) during vection for the episodic task would indicate an ineffective postural control. The different interference of episodic and semantic memory on posture during visual motion is consistent with the involvement of spatial processes during episodic memory recollection. It can be suggested that spatial disorientation due to visual roll motion preferentially interferes with spatial cognitive tasks, as spatial tasks can draw on resources expended to control posture.

The Interaction Between Long-Term Memory and Postural Control: Different Effects of Episodic and Semantic Tasks.

The aim of this experiment was to investigate the postural response to specific types of long-term memory (episodic vs. semantic) in young adults performing an unperturbed upright stance. Although a similar level of steadiness (mean distance) was observed, dual tasking induced a higher velocity, more energy in the higher frequency range (power spectral density), and less regularity (sample entropy) compared with a simple postural task. Moreover, mean velocity was always greater in the semantic than in the episodic task. The differences in postural control during dual tasking may result from the types of processes involved in the memory task. Findings suggest a spatial process sharing between posture and episodic memory.

Functional properties of extended body representations in the context of kinesthesia.

A person's internal representation of his/her body is not fixed. It can be substantially modified by neurological injuries and can also be extended (in healthy participants) to incorporate objects that have a corporeal appearance (such as fake body segments, e.g. a rubber hand), virtual whole bodies (e.g. avatars), and even objects that do not have a corporeal appearance (e.g. tools). Here, we report data from patients and healthy participants that emphasize the flexible nature of body representation and question the extent to which incorporated objects have the same functional properties as biological body parts. Our data shed new light by highlighting the involvement of visual motion information from incorporated objects (rubber hands, full body avatars and hand-held tools) in the perception of one's own movement (kinesthesia). On the basis of these findings, we argue that incorporated objects can be treated as body parts, especially when kinesthesia is involved.

Modulation of alpha waves in sensorimotor cortical networks during self-motion perception evoked by different visual-vestibular conflicts.

Visually induced illusion of self-motion (vection) has been used as a tool to address neural correlates of visual-vestibular interaction. The extent to which vestibular cortical areas are deactivated during vection varies from one study to another. The main question in this study is whether such deactivation depends on the visual-vestibular conflict induced by visual motion. A visual motion about the line of sight (roll motion) induces a visual-canal conflict in upright and supine observers. An additional visual-otolith conflict arises in the upright position only, with the graviceptive inputs indicating that the head is stationary. A 96-channel electroencephalogram (EEG) was recorded in 21 participants exposed to roll motion in seated and supine positions. Meanwhile, perceptual state of self-motion was recorded. Results showed a transient decrease in the cortical sensorimotor networks' alpha activity at the onset of vection whatever the participant's position, and therefore the visual-vestibular conflict. During vection, an increase in alpha activity over parieto-occipital areas was observed in the upright condition, that is, in a condition of visual-otolith conflict. The modulation of alpha activity may be predictive of the illusion of self-motion but also may reflect the level of inhibition in the sensorimotor networks needed to reduce potential interference from vestibular conflicting inputs.NEW & NOTEWORTHY For the first time, we explored the neural correlates of different visuo-vestibular conflicts induced by visual motion using EEG. Our study highlighted a neuronal signature for illusory self-motion (vection) in the sensorimotor networks. Strong alpha activity may predict successful vection but also reflects the level of inhibition of sensorimotor networks needed to reduce potential interfering vestibular inputs. These findings would be of prime importance for simulator and virtual reality systems that induce vection.

The respective contributions of visual and proprioceptive afferents to the mirror illusion in virtual reality.

The reflection of passive arm displacement in a mirror is a powerful means of inducing a kinaesthetic illusion in the static arm hidden behind the mirror. Our recent research findings suggest that this illusion is not solely visual in origin but results from the combination of visual and proprioceptive signals from the two arms. To determine the respective contributions of visual and proprioceptive signals to this illusion, we reproduced the mirror paradigm in virtual reality. As in the physical version of the mirror paradigm, one of the participant's arms (the left arm, in our study) could be flexed or extended passively. This movement was combined with displacements of the avatar's left and right forearms, as viewed in a first-person perspective through a virtual reality headset. In order to distinguish between visual and proprioceptive contributions, two unimodal conditions were applied separately: displacement of the avatar's forearms in the absence of physical displacement of the left arm (the visual condition), and displacement of the left forearm while the avatar's forearms were masked (the proprioceptive condition). Of the 34 female participants included in the study, 28 experienced a kinaesthetic mirror illusion in their static (right) arm. The strength of the illusion (expressed in terms of speed and duration) evoked by the bimodal condition was much higher than that observed in either of the two unimodal conditions. Our present results confirm that the involvement of visual signals in the mirror illusion-often considered as a prototypic visual illusion-has been overstated. The mirror illusion also involves non-visual signals (bilateral proprioceptive-somaesthetic signals, in fact) that interact with the visual signals and strengthen the kinaesthetic effect.

Perception of body movement when real and simulated displacements are combined.

Muscle-tendon vibration has often been used to study the contribution of proprioception to kinesthesia and postural control. This technique is known to simulate the lengthening of the vibrated muscle and, in the presence of balance constraints, evoke compensatory postural responses. The objective of the present study was to clarify the consequences of this stimulation on the dynamic features of whole-body movement perception in upright stance and in the absence of balance constraints. Eleven participants were restrained in a dark room on a motorized backboard that was able to tilt the upright body around the ankle joints. The participants were passively tilted backwards or forwards with a maximum amplitude of four degrees and at very low acceleration (thus preventing the semicircular canals from contributing to movement perception). In half the trials, the body displacement was combined with continuous vibration of the Achilles tendons, which simulates a forward tilt. Participants used a joystick to report when and in which direction they perceived their own whole-body movement. Our results showed that during backward whole-body displacement, the movement detection threshold (i.e. the minimum angular velocity required to accurately perceive passive displacement) was higher in the presence of vibration, whereas the accuracy rate (i.e. the proportion of the overall trial duration during which the movement was correctly indicated) was lower. Conversely, the accuracy rate for forward displacements was higher in the presence of vibration. In the absence of vibration, forward movement was detected earlier than backward movement. The simulated whole-body displacement evoked by Achilles tendon vibration was therefore able to either enhance or disrupt the perception of real, slow, whole-body tilt movements, depending on the congruence between the direction of real and simulated displacements.

Real and visually-induced body inclination differently affect the perception of object stability.

The prediction of object stability on earth requires the establishment of a perceptual frame of reference based on the direction of gravity. Across three experiments, we measured the critical angle (CA) at which an object appeared equally likely to fall over or right itself. We investigated whether the internal representation of the gravity direction, biased by either simulated tilt (rotating visual surround) or real body tilt situations, influences in a similar fashion the judgment of stability. In the simulated tilt condition, the estimated CA and the perceived gravity are both deviated in the same direction. In the real tilt condition, the orientation of the body affects the perception of gravity direction but has no effect on the estimated CA. Results suggest that people differently weigh gravity direction information provided by visual motion and by visual polarity cues for estimating the stability of objects.

Relationship between Spectral Characteristics of Spontaneous Postural Sway and Motion Sickness Susceptibility.

Motion sickness (MS) usually occurs for a narrow band of frequencies of the imposed oscillation. It happens that this frequency band is close to that which are spontaneously produced by postural sway during natural stance. This study examined the relationship between reported susceptibility to motion sickness and postural control. The hypothesis is that the level of MS can be inferred from the shape of the Power Spectral Density (PSD) profile of spontaneous sway, as measured by the displacement of the center of mass during stationary, upright stance. In Experiment 1, postural fluctuations while standing quietly were related to MS history for inertial motion. In Experiment 2, postural stability measures registered before the onset of a visual roll movement were related to MS symptoms following the visual stimulation. Study of spectral characteristics in postural control showed differences in the distribution of energy along the power spectrum of the antero-posterior sway signal. Participants with MS history provoked by exposure to inertial motion showed a stronger contribution of the high frequency components of the sway signal. When MS was visually triggered, sick participants showed more postural sway in the low frequency range. The results suggest that subject-specific PSD details may be a predictor of the MS level. Furthermore, the analysis of the sway frequency spectrum provided insight into the intersubject differences in the use of postural control subsystems. The relationship observed between MS susceptibility and spontaneous posture is discussed in terms of postural sensory weighting and in relation to the nature of the provocative stimulus.

Off vertical axis rotation motion sickness and field dependence.

BACKGROUND: Our study probed the relationship between field dependence and the development of nausea in light and dark during whole-body, off vertical axis rotation (OVAR). METHODS: There were 24 subjects who underwent OVAR at 0.2 Hz, 18 degree tilt. Exposures were undertaken in both light and darkness in sessions spaced 5 d apart in balanced order design. During rotation, nausea was rated at 1-min intervals to a cut off at 20 min or a level of 'moderate nausea' was attained, at which point motion stopped. Before and after OVAR sessions field dependence was rated with the rod and frame test (RFT) with head upright or tilted 28 degree to induce a head-centric bias. RESULTS: Subjects tolerated OVAR longer in the light (mean 13.3 min +/- 6.8 SD) than in darkness (11.1 min +/- 7.2). Motion sickness susceptibility evaluated by questionnaire was inversely correlated with tolerance of OVAR in the light. There was a tendency for subjects who were visual field dependent to fare better with OVAR in the light than in darkness. Subjects whose RFT estimates with head tilted tended to incline the visual vertical to the direction of head tilt better tolerated OVAR in darkness. DISCUSSION: The results suggest that susceptibility, as evaluated by questionnaires probing motion sickness experiences in daily life, is influenced by visual factors. Assessments of sensitivity to reference frames for orientation, either visual or ego-centered, show promise for markers of motion sickness susceptibility according to the visual surround rather than to absolute levels of susceptibility to motion sickness.

Validation of a French version of the Freiburg Mindfulness Inventory - short version: relationships between mindfulness and stress in an adult population.

BACKGROUND: Whereas interest in incorporating mindfulness into interventions in medicine is growing, data on the relationships of mindfulness to stress and coping in management is still scarce. This report first presents a French validation of the Freiburg Mindfulness Inventory-short form (FMI) in a middle-aged working population. Secondly, it investigates the relationship between psychological adjustment and mindfulness. METHODS: Five hundred and six non-clinical middle-aged working individuals rated themselves on the self-report French version FMI and completed measures of psychological constructs potentially related to mindfulness levels. RESULTS: Results were comparable to results of the original short version. Internal consistency of the scale based on the one-factor solution was .74, and test-retest reliability was good. The one-dimensional solution as the alternative to the two-factor structure solution yielded suboptimal fit indices. Correlations also indicated that individuals scoring high on mindfulness are prone to stress tolerance, positive affects and higher self-efficacy. Furthermore, subjects with no reports of stressful events were higher on mindfulness. CONCLUSION: These data showed that mindfulness can be measured validly and reliably with the proposed French version of the FMI. The data also highlighted the relationship between mindfulness and stress in an adult population. Mindfulness appears to reduce negative appraisals of challenging or threatening events.

Physiological and psychological effects of escape from a sunken submarine on shore and at sea.

INTRODUCTION: The stress effects induced by diverse military scenarios are usually studied under tightly controlled conditions, while only limited research has addressed realistic scenarios. This study was designed to compare the effects of two levels of realism in stressful training for escape from a sunken submarine. METHODS: Thirteen qualified submariners served as subjects. All had previously participated in underwater escape training using a simulated submarine in a land-based tank submerged at a depth of 6 m; for this study, they repeated the simulator escape, following which six of them executed escape from an actual submarine lying at a depth of 30 m on the sea floor. The men were studied before the exercises, immediately after surfacing, and 2 h later. Measured variables included sympathovagal balance, salivary cortisol, perceived mood, and sleep, as well as short-term and declarative memory. RESULTS: Compared to the simulator exercise in the tank, the escape at sea showed the following significant differences: 1) higher salivary cortisol values (6.33 +/- 3.9 nmol x L(-1) on shore and 13.38 +/- 7.5 nmol x L(-1) at sea); 2) greater adverse changes in mood, including vigor, tension, and ability to fall asleep; and 3) impairment in declarative memory. Responses were found to differ further for the five submariners who had prior experience of accident or injury while at sea. CONCLUSION: The psychophysiological and cognitive effects of military exercises may be influenced by the realism of conditions and by prior exposure to life-threatening situations.

Influence of perceived egocentric coordinates on the subjective visual vertical.

The majority of previous studies which have explored the mechanisms underlying perception of the direction of gravity in static roll tilt have proposed that the tendency to estimate the subjective visual vertical (SVV) as tilted towards body tilt ('Aubert effect') arises from an underestimation of perceived body tilt. The present study has evaluated an alternative assumption that erroneous estimates of verticality may be related to the ability to estimate the orientation of external objects with respect to the observer's perceived body Z-axis. Experiments showed that Aubert effects and the overestimation of 30-90 degrees angles from the body Z-axis in the roll plane were both related to errors made in adjusting a visual rod parallel to the body Z-axis. The results suggest that errors in providing visual estimates of the observer's own body Z-axis reference are implicated in Aubert effect.

Perceived head-trunk angle during microgravity produced by parabolic flight.

INTRODUCTION: Neck proprioceptors are essential for orienting the head relative to the trunk. However, it has been shown that the available information about the relationship of gravity to different body parts would augment the clues about their relative orientation. In weightlessness, the absence of relevant body position signals from the otoliths and other inertial graviceptors requires the substitution of other sensory information. The aim of the present study was to investigate the ability of humans to accurately locate the head relative to the trunk in microgravity. METHODS: Experiments were conducted during two separate sessions: on Earth and during parabolic flights. Volunteers were asked to adjust a visual rod until it looked parallel to their head or trunk axis in two different segmental configurations: head and trunk aligned or head tilted. RESULTS: There was no effect of microgravity when the head and trunk were aligned. However, when the head was tilted with respect to the trunk, the orientation of the visual rod relative to the head or the trunk (visual egocentric coordinates) was deviated toward the head tilt, although the orientation between the body parts themselves (head-trunk angle) was correctly estimated. DISCUSSION: These results suggested that, in microgravity, the proprioceptive signals from neck muscles seem sufficient to provide accurate head on trunk information. However, the representation of orientation in visual space was modified. This experiment provides evidence for the role of gravity on the visual perception of head- and trunk-based egocentric coordinates.

Effect of Achilles tendon vibration on postural orientation.

Vibration applied to the Achilles tendon is well known to induce in freely standing subjects a backward body displacement and in restrained subjects an illusory forward body tilt. The purpose of the present experiment was to evaluate the effect of Achilles tendon vibration (90Hz) on postural orientation in subjects free of equilibrium constraints. Subjects (n=12) were strapped on a backboard that could be rotated in the antero-posterior direction with the axis of rotation at the level of the ankles. They stood on a rigid horizontal floor with the soles of their feet parallel to the ground. They were initially positioned 7 degrees backward or forward or vertical and were required to adjust their body (the backboard) to the vertical orientation via a joystick. Firstly, results showed that in response to Achilles tendon vibration, subjects adjusted their body backward compared to the condition without vibration. This backward body adjustment likely cancel the appearance of an illusory forward body tilt. It was also observed that the vibratory stimulus applied to the Achilles tendon elicited in restrained standing subjects an increased EMG activity in both the gastrocnemius lateralis and the soleus muscles. Secondly, this vibration effect was more pronounced when passive displacement during the adjustment phase was congruent with the simulated elongation of calf muscles. These results indicated that the perception of body orientation is coherent with the postural response classically observed in freely standing subjects although the relationship between these two responses remains to be elucidated.

Role of gravity-based information on the orientation and localization of the perceived body midline.

The present study focused on the influence of gravity-based information on the orientation and localization of the perceived body midline. The orientation was investigated by the rolling adjustment of a rod on the subjects' Z-axis and the localization by the horizontal adjustment of a visual dot as being straight ahead. Experiment 1 investigated the effect of the dissociation between the Z-axis and the direction of gravity by placing subjects in roll tilt and supine postures. In roll tilt, the perception of the body midline orientation was deviated in the direction of body tilt and the perception of its localization was deviated in the opposite direction. In the supine body orientation, estimates of the Z-axis and straight-ahead remained veridical as when the body was upright. Experiment 2 highlighted the relative importance of the otolithic and tactile information using diffuse pressure stimulation. The estimation of body midline orientation was modified contrarily to the estimation of its localization. Thus, subjects had no absolute representation of their egocentric space. The main hypothesis regarding the dissociation between the orientation and localization of the body midline may be related to a difference in the integration of sensory information. It can be suggested that the horizontal component of the vestibulo-ocular reflex (VOR) contributed to the perceived localization of the body midline, whereas its orientation was mainly influenced by tactile information.

Difference in the perception of the horizon during true and simulated tilt in the absence of semicircular canal cues.

Perception of tilt (somatogravic illusion) in response to sustained linear acceleration is generally attributed to the otolithic system which reflects either a translation of the head or a reorientation of the head with respect to gravity (tilt/translation ambiguity). The main aim of this study was to compare the tilt perception during prolonged static tilt and translation between 8 and 20 degrees of tilt relative to the gravitoinertial forces (i.e., G and GIF, respectively) when the semicircular cues were no more available. An indirect measure of tilt perception was estimated by means of a visual and kinesthetic judgment of the gravitational horizon. The main results contrast with the interpretation regarding the tilt/translation ambiguity as the same orientation relative to the shear forces G for the true tilt or GIF in the centrifuge did not induce the same horizon perception. Visual adjustment and arm pointing in the centrifuge were always above the ones observed in a G environment. Part of the lowering of the judgment in the centrifuge may be related to the mechanical effect of GIF on the effectors as shown by the shift of the egocentric coordinates in the direction of GIF. The role of the extravestibular graviceptors in the judgment of the degree of tilt of one's own body relative to G or GIF was discussed.

Effects of neck muscles vibration on the perception of the head and trunk midline position.

The present study focused on the influence of neck vibration on the perception of the head and trunk midline position (orientation and localization). The orientation of the head and trunk was investigated by the rolling adjustment of a rod on their midline while their localization was investigated by the adjustment of the position of a visual dot as being straight-ahead the eyes or the sternum. The first experiment investigated whether a head-trunk dissociation was induced by the unilateral vibration of neck muscles in upright and restrained subjects. Results showed that the subjective orientation and localization of whole-body midline were shifted toward the vibrated side. The second experiment determined the effect of the neck muscles vibration when the subjects were lying on their side. The effect of vibration disappeared when the side of vibration was opposed to the side of postural inclination and it was stronger than in the upright position when the side of vibration and the side of postural inclination were congruent. Whereas, results suggested that the input from neck muscle proprioceptors participates directly to the elaboration of the egocentric space, the question may be raised as to how the sensory cues interacted in their contribution to the neural generation of an egocentric, body centred coordinate system.