Virtual reality sickness

Consequences

Virtual reality sickness may have undesirable consequences beyond the sickness itself. For example, Crowley (1987) argued that flight simulator sickness could discourage pilots from using flight simulators, reduce the efficiency of training through distraction and the encouragement of adaptive behaviors that are unfavorable for performance, compromise ground safety or flight safety when sick and disoriented pilots leave the simulator. Similar consequences could be expected for virtual reality systems. Although the evidence for performance decrements due to virtual reality sickness is limited, research does suggest that virtual reality sickness is a major barrier to using virtual reality, indicating that virtual reality sickness may be a barrier to the effective use of training tools and rehabilitation tools in virtual reality. Estimates of the multi-study incidence and main symptoms of virtual reality sickness (also called cybersickness) have been made.

Theories

Currently, there are very few theories as to why virtual reality sickness in particular occurs; however, it is closely related to simulator and motion sickness. Sensory conflict theory provides a framework for understanding motion sickness; however, it can be applied to virtual reality sickness to better understand how it can occur, and is commonly used for that purpose. Sensory conflict theory posits that sickness will occur when a user's perception of self-motion is based on incongruent sensory inputs from the visual system, vestibular system, and non-vestibular proprioceptors, and particularly so when these inputs are at odds with the user's expectation based on prior experience. Applying this theory to virtual reality, sickness can be minimized when the sensory inputs inducing self-motion are in agreement with one another.

The physiology behind VR sickness is not currently clearly understood. Fortunately, research has uncovered some clear indications of certain conditions that cause VR sickness. It seems that the images projected from virtual reality have a major impact on sickness. The refresh rate of on-screen images is often not high enough when VR sickness occurs. Because the refresh rate is slower than what the brain processes, it causes a discord between the processing rate and the refresh rate, which causes the user to perceive glitches on the screen. When these two components do match up, it can cause the user to experience the same feelings as simulator and motion sickness which is mentioned below.

The resolution on animation can also cause users to experience this phenomenon. When animations are poor, it causes another type of discord between what is expected and what is actually happening on the screen. When onscreen graphics do not keep the pace with the users' head movements, it can trigger a form of motion sickness.

Another trigger of virtual reality sickness is when there is disparity in apparent motion between the visual and vestibular stimuli. Essentially what happens is there is a disagreement between what the stimuli from the eyes send to the brain and what the stimuli from the inner ear are sending to the brain. This is what is essentially at the heart of both simulator and motion sickness. In Virtual Reality, the eyes transmit that the person is running and jumping through a dimension, however, the ears transmit that no movement is occurring and that the body is sitting still. Since there is this discord between the eyes and the ears, a form of motion sickness can occur.

Not all scientists agree with sensory conflict theory. A second theory of motion sickness, which has also been used to explain virtual reality sickness, is the theory of postural instability. This theory holds that motion sickness and related sicknesses occur because of poor postural adaptations in response to unusual visual stimuli. Characteristic markers of postural instability occur prior to appearance of symptoms and predict the later development of symptoms. This theory can explain some otherwise surprising situations in which motion sickness did not occur in the presence of sensory conflict.

Technical aspects

There are various technical aspects of virtual reality that can induce sickness, such as mismatched motion, field of view, motion parallax, and viewing angle. Additionally, the amount of time spent in virtual reality can increase the presence of symptoms. Mismatched motion can be defined as a discrepancy between the motion of the simulation and the motion that the user expects. It is possible to induce motion sickness in virtual reality when the frequencies of mismatched motion are similar to those for motion sickness in reality, such as seasickness. These frequencies can be experimentally manipulated, but also have the propensity to arise from system errors. Generally, increasing the field of view increases incidence of simulator sickness symptoms. This relationship has been shown to be curvilinear, with symptoms approaching an asymptote for fields of view above 140°. Altering motion parallax distances to those less than the distance between the human eyes in large multiple-screen simulation setups can induce oculomotor distress, such as headaches, eyestrain, and blurred vision. There are fewer reports of oculomotor distress on smaller screens; however, most simulation setups with motion parallax effects can still induce eyestrain, fatigue, and general discomfort over time. Viewing angle has been shown to increase a user's sickness symptoms, especially at extreme angles. One example of such an extreme angle would be when a user must look downwards a short distance in front of their virtual feet. As opposed to a forward viewing angle, an extreme downward angle such as this has been shown to markedly increase sickness in virtual environments. Time spent immersed in a virtual environment contributes to sickness symptom presence due to the increasing effects of fatigue on the user. Oculomotor symptoms are the most common to occur due to immersion time, but the nature of the user's movements (e.g., whole-body vs. head-only) is suggested to be the primary cause of nausea or physical sickness.

Newest technology

With the integration of virtual reality into the more commercial mainstream, issues have begun to arise in relation to VR sickness in head-mounted gaming devices. While research on head-mounted VR for gaming dates back to the early 1990s, the potential for mass usability has only become recently realized.

While certain features are known to moderate VR sickness in head-mounted displays, such as playing from a seated position rather than standing, it has also been found that this merely puts off the onset of sickness, rather than completely preventing it. This inherently presents an issue, in that this type of interactive VR often involves standing or walking for a fully immersive experience. Gaming VR specialists argue that this unique brand of VR sickness is only a minor issue, claiming that it disappears with time spent (multiple days) using the head-mounted displays, relating it to "getting your sea legs". However, getting users interested in sickness for multiple days with the promise of "probably getting over it" is a struggle for developers of head-mounted gaming tech. These same developers also argue that it has more to do with the individual game being played, and that certain gaming aspects are more likely to create issues, such as change in speed, walking up stairs, and jumping, which are all, unfortunately, fairly normal game functions in the predominant genres.

Individual differences in susceptibility

Individuals vary widely in their susceptibility to simulator and virtual reality sickness. Some of the factors in virtual reality sickness are listed below: