Abstract
Motion sickness is associated with a variety of autonomic symptoms, presumably due to proximity or functional interconnectivity between the autonomic centers in the brainstem and the vestibular system. A direct influence of the vestibular system on cardiovascular variables, defined as the vestibulo-sympathetic reflex, has been reported previously. Our aim was to investigate the sudomotor components of the autonomic responses associated with motion sickness during passive cross-coupling stimulation (“roll while rotating”). Healthy subjects (n = 17) were rotated at 40°/s around an earth-vertical yaw axis alone and in combination with sinusoidal roll oscillations (0.2 Hz). Motion sickness was assessed verbally every minute using a 1–10 scale, while recording DC and AC skin conductance levels (SCL) from the forehead. Yaw rotation alone provoked neither motion sickness nor variations of forehead sweating. Yet during cross-coupling stimulation all subjects reported motion sickness. Higher motion sickness scores (>5) were associated with significantly higher amplitudes of AC-SCL events compared to the lower scores (0.22 ± 0.01 vs. 0.11 ± 0.01 µS, respectively). Frequency domain analysis of the AC-SCL events revealed a peak at 0.2 Hz, coinciding with the frequency of the chair rolls. The total power of AC-SCL signals did not match the trend of motion sickness scores across conditions. We conclude that: (1) although SCL is related to motion sickness, it does not follow the perceived sickness closely; (2) the discrepancy between SCL and motion sickness and the rhythmic AC-SCL events could reflect a sudomotor component of the vestibulo-sympathetic reflex.
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The research was supported by the Swiss National Science Foundation and the Dr. Dabbous Foundation.
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This manuscript is part of a supplement sponsored by the German Federal Ministry of Education and Research within the funding initiative for integrated research and treatment centers.
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Romano, F., Caramia, N., Straumann, D. et al. Cross-coupling vestibular stimulation: motion sickness and the vestibulo-sympathetic reflex. J Neurol 264 (Suppl 1), 96–103 (2017). https://doi.org/10.1007/s00415-017-8496-x
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DOI: https://doi.org/10.1007/s00415-017-8496-x