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Increased secretion of growth hormone, prolactin, antidiuretic hormone, and cortisol induced by the stress of motion sickness.

The stress of motion sickness was experimentally provoked by Coriolis effect. Significant and reproducible increases from the basal serum level (delta mean +/- S.E.) of antidiuretic hormone delta - ADH: 48.2 +/- 4.6 pg/ml; p less than 0.0005), of growth hormone (delta - hGH: 10.0 +/- 1.2 ng/ml; p less than 0.0005), of prolactin (delta - hPRL: 186.5 +/- 29.9 muU/ml; p less than 0.0005), and of cortisol (delta - F; 12.3 +/- 0.9 microgram%; p less than 0.0005) were observed, whereas the luteinizing hormone levels did not change significantly. The stimulation of hormone secretion induced by different degrees of motion sickness seems to correlate with the severity of motion sickness. The secretion of antidiuretic hormones is the most sensitive indicator for the stress of motion sickness whereas growth hormone, prolactin, and cortisol responses to the stress of motion sickness are more delayed and less pronounced.

Blood Glucose

Rotation at 30 RPM about the A axis after 6 hours in the 10 degree head-down position: effect on susceptibility to motion sickness.

Intraindividual differences in susceptibility to motion sickness were measured in 14 subjects for two conditions of rotation at 30 rpm in the 10 degree head-down position. In one condition, subjects were in the 10 degree head-down position for 6 h prior to the onset of rotation; in the other condition, the delay was only 15 min. In both conditions, there were changes in vital capacity, indicating a redistribution of movable body fluids. Subjects tended to be less susceptible to motion sickness when they were recumbent for 6 h prior to rotation. These results are countervidence for the hypothesis that shifts of body fluid are responsible in large part for the motion sickness elicited in orbital space flight.

Aerospace Medicine

Motion sickness--key to neurobiologic variation.

Individual variation in motion sickness susceptibility correlates with a wide variety of perceptual, cognitive, and personality variables suggesting that it may be a unique index of individual difference in fundamental mechanisms of the orientation process. Data from a large ongoing clinical study involving over 1,500 psychiatric inpatients indicate a clear-cut association between a number of the MMPI scales (including Social Isolation, Ego Strength and Schizophrenia) and motion sickness susceptibility. Marked difference across the motion sickness susceptibility spectrum in the condition on discharge of lithium and antidepressant treated patients was also found, when compared to other drug therapies, suggesting specific drug responses by the motion sick group.

Ego

Relationship between visual orientation and susceptibility to motion sickness.

24 male subjects were divided into 3 groups, on the basis of their susceptibility to motion sickness. All subjects were then required to set a luminous line in an apparently vertical position while viewing the line from a body position which was deviated 70 degrees laterally from the upright. No visible frame of reference was available. A significant relationship between motion sickness susceptibility and errors in judging the vertical was discovered, the "intermediate" susceptibility group making the greatest errors. The role of the vestibular system in visual orientation and motion sickness is discussed. The result also indicates the potential value of using perceptual performance as a tool in the study of motion sickness and its correlates.

Humans

Some influences of vision on susceptibility to motion sickness.

Two experiments were performed to evaluate the influence of vision on susceptibility to motion sickness during exposure to constant patterns of vestibular stimulation. The motion profile involved accelerating subjects at 20 degrees/s2 to 300 degrees/s, maintaining them at that constant velocity for 30 s, and decelerating them to a rapid stop in about 1.5 s. The number of stops tolerated by a subject before reaching the motion sickness endpoint served as his score. In Experiment 1, subjects were tested twice with their eyes open and twice with their eyes blindfolded. They tolerated fewer sudden stops when permitted sight of the experimental chamber. In Experiment 2, the effect of having the eyes-open or closed at different stages of the motion profile was evaluated. Having the eyes open during any stage of the test was more stressful than having the eyes closed, but this was especially true during the sudden stops. The findings are discussed in terms of their general implications for understanding a) situations in which vision alone elicits symptoms of motion sickness, and b) situations involving vestibular stimulation where vision heightens susceptibility.

Acceleration

Experimental study of some features of the etiology and pathogenesis of motion sickness.

A study was made of vestibular stability in man as affected by acceleration in various directions and of acceleration affecting receptors of the vestibular apparatus with varying frequency. It was established that tolerance for vestibular stimulation in certain individuals may be affected by direction of acceleration and frequency of the action. Individual susceptibility to motion sickness is widely expressed under conditions of specific vestibular stimulation. The results obtained indicate that development of motion sickness does not depend on the activity of the vestibular analyzer and motion sickness is not its specific vestibular reaction. Motion sickness is a reaction of the whole organism and its manifestation under long stimulation of receptors of the vestibular apparatus in individuals predisposed to motion sickness depends on specific features of the activity of the limbico-reticular complex.

Acceleration

Motion sickness susceptibility and solution choice in a pragmatic paradox.

This paper reports on an experiment which employed a classic paradox, known as the 'prisoner's dilemma', to explore possible differences in problem solving preference across a spectrum of motion sickness susceptibility. A mathematical form of the problem was used in which the subject was asked to imagine playing a game without communicating with his hypothetical partner. There were three possible solutions to the problem, a win-win, a lose-lose, and a win-lose solution. The results support the contention that a cognitive bias exists across a spectrum of motion sickness susceptibility, highly motion sick individuals having a greater tendency to pick the solution which allows both participants to win. This bias runs counter to that which might be expected on the basis of personality traits (non-motion sick individuals are more socially involved), and suggests that the cognitive tendency may reflect basic problem-solving strategies rooted in orientation process. The potential implications of these findings are discussed.

Dominance, Cerebral

Intensity of motion sickness symptoms as a function of apparent autonomic balance.

Twenty volunteer male college students were exposed to motion picture films which reliably elicit symptoms of motion sickness. Those Ss with relatively higher apparent sympathetic nervous system dominance showed significantly smaller autonomic reactions to the film. It was concluded that increased sympathetic tone tended to the film. It was concluded that increased sympathetic tone tended to reduce autonomic reactions to motion sickness stimuli. It was suggested that the sympathetic nervous system symptoms that usually occur in motion sickness are actually defensive reactions rather than symptoms of nausea.

Anxiety

Increased urinary excretion of triiodothyronine (T3) and thyroxine (T4) and decreased serum thyreotropic hormone (TSH) induced by motion sickness.

We exposed 35 male subjects to a rotary chair and motion sickness was provoked by Coriolis effect. This stress caused an increased excretion of urinary T3 and T4 and a decrease of TSH levels in serum. The increment in urinary excretion of thyroid hormones may serve as a very useful measure for the quantitation of physical stress. Although no statistically significant change of T3, T4, and TBG levels in serum could be observed by the employed techniques, the hypothesis is favoured that motion sickness probably causes an immeasurably small increase of the free thyroid hormone fraction in serum, thereby increasing urinary excretion of T3 and T4 and, in turn, decreasing TSH secretion. Physical or psychological stress situations involve most of the endocrine systems. Contadictory results have been reported in the literature concerning the relationship between thyroid function and stress.

Epinephrine

Motion sickness susceptibility: a retrospective comparison of laboratory tests.

A test battery designed primarily to assess vestibular function has been used for several years to evaluate individuals referred to our laboratory. Because some of the test conditions have proved to be nauseogenic to some individuals, methods of assessing disturbance during these procedures have been used to pursue a second goal, viz., the estimation of motion sickness susceptibility. This report, which focuses on the latter goal, is a retrospective comparison of results on three tests obtained from two groups of subjects, one of which was a group of Navy and Marine aviation personnel who had suffered multiple attacks of airsickness. Results from three laboratory tests of motion sickness susceptibility indicated that there are substantial differences between the airsick group and the unselected comparison group on observer ratings and individual self-ratings of motion sickness symptoms. The provocative stimuli in each laboratory test, as well as suggestions concerning how multiple tests may prove effective in predicting motion sickness, are discussed.

Aerospace Medicine

[Model of motion sickness in dogs for assessing the effectiveness of pharmacological substances].

The paper describes a model of motion sickness for dogs. The method is based on the simultaneous use of vertical and rotatory movement of the device with a continuously varying angular velocity of rotation to generate Coriolis acceleration. The exposure increases significantly the number of sick animals to be used in the selection of antimotion drugs. Diphenidol, marezine, tigane, bromotigane and metachloropromide were tested. Diphenidol and to a lesser extent marezine and metachloropromide proved effective. Tigane and bromotigane were ineffective against motion sickness.

Animals

Comparison of susceptibility to motion sickness during rotation at 30 rpm in the earth-horizontal, 10 degrees head-up, and 10 degrees head-down positions.

Normal persons rotated about an Earth-horizontal axis vary in their susceptibility to motion sickness. The purpose of this experiment was to measure, intraindividual differences in susceptibility in 12 subjects when rotated 10 degrees head up and 10 degrees head down as well as in the horizontal position. Subjects assumed the test-position 60 min prior to rotation, thus providing an opportunity for translocation of body fluids. Physiological and psychophysical measurements were conducted throughout the experiment. There were no intraindividual differences in susceptibility to motion sickness in the three positions tested, although there were significant differences in vital capacity, demonstrating the expected fluid shifts. It was concluded that, in the sample of subjects tested, short-term effects of fluid shifts greater than those that would be manifested in zero gravity had no definite effect on motion sickness susceptibility.

Adult

[Motion sickness (author's transl)].

A short introduction to motion sickness is followed by a historical survey of the various theories, with special reference to those concerning the inner ear. The symptomatology and the consequences of the disease are discussed. Prevention and therapy are considered.

Adaptation, Physiological

Estimated body rotation as a predictor of motion sickness susceptibility.

We rotated 36 blindfolded subjects in yaw between 30 degrees and 135 degrees and asked them to estimate the angular displacement they had experienced. An index of a subject's "receptivity" was obtained by calculating the slope of the line relating perceived to actual displacement; his susceptibility to motion sickness was determined by a questionnaire. The product moment correlation between these two measures was not significant, a result which conflicts with the receptivity hypothesis. It is suggested that "adaptability" rather than "receptivity" may be the more impotant determinant of susceptibility to motion sickness.

Adult

Susceptibility to motion sickness and ego closeness, ego distance as measured by the autokinetic response tendency.

This paper reports results from one phase in an ongoing study of the relationship between vestibular function and various aspects of personality, cognitive style and symptom formation in mental illness. In the experiment reported here a measure of autokinesis was shown to relate to motion sickness experience as judged by actual stimulation in a rotating chair. Low and intermediate sensitive subjects showed less autokinesis than the most motion sick individuals (two-way analysis of variance F = 5.735, P = 0.006). Males in this sample showed a significantly greater autokinetic tendency than females (two-way analysis of variance F = 6.995, P = 0.011).

Adult

Motion sickness: an evolutionary hypothesis.

Since the occurrence of vomiting as a response to motion is both widespread and apparently disadvantageous, it presents a problem for evolutionary theory. An hypothesis is proposed suggesting that motion sickness is triggered by difficulties which arise in the programming of movements of the eyes or head when the relations between the spatial frameworks defined by the visual, vestibular, or proprioceptive inputs are repeatedly and unpredictably perturbed. Such perturbations may be produced by certain types of motion, or by disturbances in sensory input or motor control produced by ingested toxins. The last would be the important cause in nature, the main function of the emesis being to rid the individual of ingested neurotoxins. Its occurrence in response to motion would be an accidental by product of this system.

Age Factors

Effect of transdermally administered scopolamine in preventing motion sickness.

The efficacy of transdermally administered scopolamine was compared with the efficacy of oral dimenhydrinate and placebo therapy in the prevention of motion-induced mausea in a vertical oscillator; medications were administered on a double-blind cross-over basis, with the order of treatments counterbalanced. Thirty-five subjects known to be susceptible to the stimulus were utilized. A placebo effect reduced the motion sickness incidence (MSI) from 100% to 59%. Administration of dimenhydrinate reduced the MSI to 32%, and use of the transdermal therapeutic system scopolamine (TTS-scopolamine) further reduced the MSI TO 16%. TTS-scopolamine afforded 73% protection against motion-induced nausea, compared to 46% protection with dimenhydrinate. The TTS-scopolamine is designed to remain in the body for 72 hours, providing advantages over intramuscular or oral administration of scopolamine, which include reduced daily dosage, and an effective alternate to the gastrointestinal tract for administrating medication at times of gastrointestinal distress.

Administration, Topical