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Motion sickness diagnostic criteria : Consensus document of the classification committee of the Bárány society

Cha, Yoon-Hee ; Golding, John ; Keshavarz, Behrang ; Furman, Joseph ; Kim, Ji-Soo ; Lopez-Escamez, Jose A ; Magnusson, Måns LU orcid ; Yates, Bill J ; Lawson, Ben D and Staab, Jeffrey , et al. (2021) In Journal of Vestibular Research: Equilibrium and Orientation 31(5). p.327-344
Abstract

We present diagnostic criteria for motion sickness, visually induced motion sickness (VIMS), motion sickness disorder (MSD), and VIMS disorder (VIMSD) to be included in the International Classification of Vestibular Disorders. Motion sickness and VIMS are normal physiological responses that can be elicited in almost all people, but susceptibility and severity can be high enough for the response to be considered a disorder in some cases. This report provides guidelines for evaluating signs and symptoms caused by physical motion or visual motion and for diagnosing an individual as having a response that is severe enough to constitute a disorder.The diagnostic criteria for motion sickness and VIMS include adverse reactions elicited during... (More)

We present diagnostic criteria for motion sickness, visually induced motion sickness (VIMS), motion sickness disorder (MSD), and VIMS disorder (VIMSD) to be included in the International Classification of Vestibular Disorders. Motion sickness and VIMS are normal physiological responses that can be elicited in almost all people, but susceptibility and severity can be high enough for the response to be considered a disorder in some cases. This report provides guidelines for evaluating signs and symptoms caused by physical motion or visual motion and for diagnosing an individual as having a response that is severe enough to constitute a disorder.The diagnostic criteria for motion sickness and VIMS include adverse reactions elicited during exposure to physical motion or visual motion leading to observable signs or symptoms of greater than minimal severity in the following domains: nausea and/or gastrointestinal disturbance, thermoregulatory disruption, alterations in arousal, dizziness and/or vertigo, headache and/or ocular strain. These signs/symptoms occur during the motion exposure, build as the exposure is prolonged, and eventually stop after the motion ends. Motion sickness disorder and VIMSD are diagnosed when recurrent episodes of motion sickness or VIMS are reliably triggered by the same or similar stimuli, severity does not significantly decrease after repeated exposure, and signs/symptoms lead to activity modification, avoidance behavior, or aversive emotional responses. Motion sickness/MSD and VIMS/VIMSD can occur separately or together. Severity of symptoms in reaction to physical motion or visual motion stimuli varies widely and can change within an individual due to aging, adaptation, and comorbid disorders. We discuss the main methods for measuring motion sickness symptoms, the situations conducive to motion sickness and VIMS, and the individual traits associated with increased susceptibility. These additional considerations will improve diagnosis by fostering accurate measurement and understanding of the situational and personal factors associated with MSD and VIMSD.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Vestibular Research: Equilibrium and Orientation
volume
31
issue
5
pages
18 pages
publisher
IOS Press
external identifiers
  • pmid:33646187
  • scopus:85111594678
ISSN
1878-6464
DOI
10.3233/VES-200005
language
English
LU publication?
yes
id
c06a0efd-d876-4c37-b45b-4cb515735b84
date added to LUP
2021-04-26 19:43:54
date last changed
2024-04-20 06:28:29
@article{c06a0efd-d876-4c37-b45b-4cb515735b84,
  abstract     = {{<p>We present diagnostic criteria for motion sickness, visually induced motion sickness (VIMS), motion sickness disorder (MSD), and VIMS disorder (VIMSD) to be included in the International Classification of Vestibular Disorders. Motion sickness and VIMS are normal physiological responses that can be elicited in almost all people, but susceptibility and severity can be high enough for the response to be considered a disorder in some cases. This report provides guidelines for evaluating signs and symptoms caused by physical motion or visual motion and for diagnosing an individual as having a response that is severe enough to constitute a disorder.The diagnostic criteria for motion sickness and VIMS include adverse reactions elicited during exposure to physical motion or visual motion leading to observable signs or symptoms of greater than minimal severity in the following domains: nausea and/or gastrointestinal disturbance, thermoregulatory disruption, alterations in arousal, dizziness and/or vertigo, headache and/or ocular strain. These signs/symptoms occur during the motion exposure, build as the exposure is prolonged, and eventually stop after the motion ends. Motion sickness disorder and VIMSD are diagnosed when recurrent episodes of motion sickness or VIMS are reliably triggered by the same or similar stimuli, severity does not significantly decrease after repeated exposure, and signs/symptoms lead to activity modification, avoidance behavior, or aversive emotional responses. Motion sickness/MSD and VIMS/VIMSD can occur separately or together. Severity of symptoms in reaction to physical motion or visual motion stimuli varies widely and can change within an individual due to aging, adaptation, and comorbid disorders. We discuss the main methods for measuring motion sickness symptoms, the situations conducive to motion sickness and VIMS, and the individual traits associated with increased susceptibility. These additional considerations will improve diagnosis by fostering accurate measurement and understanding of the situational and personal factors associated with MSD and VIMSD.</p>}},
  author       = {{Cha, Yoon-Hee and Golding, John and Keshavarz, Behrang and Furman, Joseph and Kim, Ji-Soo and Lopez-Escamez, Jose A and Magnusson, Måns and Yates, Bill J and Lawson, Ben D and Staab, Jeffrey and Bisdorff, Alexandre}},
  issn         = {{1878-6464}},
  language     = {{eng}},
  month        = {{02}},
  number       = {{5}},
  pages        = {{327--344}},
  publisher    = {{IOS Press}},
  series       = {{Journal of Vestibular Research: Equilibrium and Orientation}},
  title        = {{Motion sickness diagnostic criteria : Consensus document of the classification committee of the Bárány society}},
  url          = {{http://dx.doi.org/10.3233/VES-200005}},
  doi          = {{10.3233/VES-200005}},
  volume       = {{31}},
  year         = {{2021}},
}