Factors Associated With Virtual Reality Sickness in Head-Mounted Displays: A Systematic Review and Meta-Analysis

The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences...

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Veröffentlicht in:Frontiers in human neuroscience Jg. 14; S. 96
Hauptverfasser: Saredakis, Dimitrios, Szpak, Ancret, Birckhead, Brandon, Keage, Hannah A. D., Rizzo, Albert, Loetscher, Tobias
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland Frontiers Research Foundation 31.03.2020
Frontiers Media S.A
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ISSN:1662-5161, 1662-5161
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Abstract The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences within HMDs such as resolution and refresh rate, however, VR content also plays a significant role. The primary objective of this systematic review and meta-analysis was to examine the literature on HMDs that report Simulator Sickness Questionnaire (SSQ) scores to determine the impact of content. User factors associated with VR sickness were also examined. A systematic search was conducted according to PRISMA guidelines. Fifty-five articles met inclusion criteria, representing 3,016 participants (mean age range 19.5-80; 41% female). Findings show gaming content recorded the highest total SSQ mean 34.26 (95%CI 29.57-38.95). VR sickness profiles were also influenced by visual stimulation, locomotion and exposure times. Older samples (mean age ≥35 years) scored significantly lower total SSQ means than younger samples, however, these findings are based on a small evidence base as a limited number of studies included older users. No sex differences were found. Across all types of content, the pooled total SSQ mean was relatively high 28.00 (95%CI 24.66-31.35) compared with recommended SSQ cut-off scores. These findings are of relevance for informing future research and the application of VR in different contexts.
AbstractList The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences within HMDs such as resolution and refresh rate, however, VR content also plays a significant role. The primary objective of this systematic review and meta-analysis was to examine the literature on HMDs that report Simulator Sickness Questionnaire (SSQ) scores to determine the impact of content. User factors associated with VR sickness were also examined. A systematic search was conducted according to PRISMA guidelines. Fifty-five articles met inclusion criteria, representing 3,016 participants (mean age range 19.5–80; 41% female). Findings show gaming content recorded the highest total SSQ mean 34.26 (95%CI 29.57–38.95). VR sickness profiles were also influenced by visual stimulation, locomotion and exposure times. Older samples (mean age ≥35 years) scored significantly lower total SSQ means than younger samples, however, these findings are based on a small evidence base as a limited number of studies included older users. No sex differences were found. Across all types of content, the pooled total SSQ mean was relatively high 28.00 (95%CI 24.66–31.35) compared with recommended SSQ cut-off scores. These findings are of relevance for informing future research and the application of VR in different contexts.
The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences within HMDs such as resolution and refresh rate, however, VR content also plays a significant role. The primary objective of this systematic review and meta-analysis was to examine the literature on HMDs that report Simulator Sickness Questionnaire (SSQ) scores to determine the impact of content. User factors associated with VR sickness were also examined. A systematic search was conducted according to PRISMA guidelines. Fifty-five articles met inclusion criteria, representing 3,016 participants (mean age range 19.5-80; 41% female). Findings show gaming content recorded the highest total SSQ mean 34.26 (95%CI 29.57-38.95). VR sickness profiles were also influenced by visual stimulation, locomotion and exposure times. Older samples (mean age ≥35 years) scored significantly lower total SSQ means than younger samples, however, these findings are based on a small evidence base as a limited number of studies included older users. No sex differences were found. Across all types of content, the pooled total SSQ mean was relatively high 28.00 (95%CI 24.66-31.35) compared with recommended SSQ cut-off scores. These findings are of relevance for informing future research and the application of VR in different contexts.The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing. Despite advancements in VR technologies, many users still experience sickness symptoms. VR sickness may be influenced by technological differences within HMDs such as resolution and refresh rate, however, VR content also plays a significant role. The primary objective of this systematic review and meta-analysis was to examine the literature on HMDs that report Simulator Sickness Questionnaire (SSQ) scores to determine the impact of content. User factors associated with VR sickness were also examined. A systematic search was conducted according to PRISMA guidelines. Fifty-five articles met inclusion criteria, representing 3,016 participants (mean age range 19.5-80; 41% female). Findings show gaming content recorded the highest total SSQ mean 34.26 (95%CI 29.57-38.95). VR sickness profiles were also influenced by visual stimulation, locomotion and exposure times. Older samples (mean age ≥35 years) scored significantly lower total SSQ means than younger samples, however, these findings are based on a small evidence base as a limited number of studies included older users. No sex differences were found. Across all types of content, the pooled total SSQ mean was relatively high 28.00 (95%CI 24.66-31.35) compared with recommended SSQ cut-off scores. These findings are of relevance for informing future research and the application of VR in different contexts.
Author Rizzo, Albert
Szpak, Ancret
Saredakis, Dimitrios
Birckhead, Brandon
Keage, Hannah A. D.
Loetscher, Tobias
AuthorAffiliation 3 Institute for Creative Technologies, University of Southern California , Los Angeles, CA , United States
1 Cognitive Ageing and Impairment Neurosciences Laboratory, School of Psychology, Social Work and Social Policy, University of South Australia , Adelaide, SA , Australia
2 Division of Health Services Research, Department of Medicine, Cedars-Sinai Health System , Los Angeles, CA , United States
AuthorAffiliation_xml – name: 1 Cognitive Ageing and Impairment Neurosciences Laboratory, School of Psychology, Social Work and Social Policy, University of South Australia , Adelaide, SA , Australia
– name: 2 Division of Health Services Research, Department of Medicine, Cedars-Sinai Health System , Los Angeles, CA , United States
– name: 3 Institute for Creative Technologies, University of Southern California , Los Angeles, CA , United States
Author_xml – sequence: 1
  givenname: Dimitrios
  surname: Saredakis
  fullname: Saredakis, Dimitrios
– sequence: 2
  givenname: Ancret
  surname: Szpak
  fullname: Szpak, Ancret
– sequence: 3
  givenname: Brandon
  surname: Birckhead
  fullname: Birckhead, Brandon
– sequence: 4
  givenname: Hannah A. D.
  surname: Keage
  fullname: Keage, Hannah A. D.
– sequence: 5
  givenname: Albert
  surname: Rizzo
  fullname: Rizzo, Albert
– sequence: 6
  givenname: Tobias
  surname: Loetscher
  fullname: Loetscher, Tobias
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32300295$$D View this record in MEDLINE/PubMed
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Keywords cybersickness
virtual reality
simulator sickness
head-mounted display
virtual environment
Language English
License Copyright © 2020 Saredakis, Szpak, Birckhead, Keage, Rizzo and Loetscher.
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Edited by: Pietro Cipresso, Italian Auxological Institute (IRCCS), Italy
This article was submitted to Health, a section of the journal Frontiers in Human Neuroscience
These authors share first authorship
Reviewed by: Bernhard E. Riecke, Simon Fraser University, Canada; Hai-Ning Liang, Xi'an Jiaotong-Liverpool University, China; Frederic Merienne, ParisTech École Nationale Supérieure d'Arts et Métiers, France
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Snippet The use of head-mounted displays (HMD) for virtual reality (VR) application-based purposes including therapy, rehabilitation, and training is increasing....
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StartPage 96
SubjectTerms Age
Computer applications
cybersickness
head-mounted display
Human Neuroscience
Locomotion
Meta-analysis
Motion sickness
Physiology
Questionnaires
Rehabilitation
Sex differences
simulator sickness
Systematic review
virtual environment
Virtual reality
Visual stimuli
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Title Factors Associated With Virtual Reality Sickness in Head-Mounted Displays: A Systematic Review and Meta-Analysis
URI https://www.ncbi.nlm.nih.gov/pubmed/32300295
https://www.proquest.com/docview/2384638917
https://www.proquest.com/docview/2391971508
https://pubmed.ncbi.nlm.nih.gov/PMC7145389
https://doaj.org/article/74aa02783d334d48816c10c69bfb04ae
Volume 14
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