Why people get sick in virtual reality

Virtual reality (VR) technology – which can immerse people in real or imagined environments via a head-mounted display (HMD) – has expanded possibilities for how people can learn, communicate and relax.

Not just a source of entertainment, VR is now used across education, skills training and medical rehabilitation. In many cases, VR is used to help teach complex skills when real environments are too dangerous, like mine rescuers’ safety training.

But despite advancements in VR technology, an illness called ‘cybersickness’ is standing in the way of widespread VR use.

“Cybersickness is the umbrella term for illness caused by using a computer display,” explains Dr Juno Kim from UNSW Science’s School of Optometry and Vision Science.

“This health condition – which is very similar to motion sickness – usually includes symptoms like dizziness, nausea, eye discomfort and disorientation.

“But while motion sickness is a sensory mismatch between what we see and what our other senses signal about our motion, cybersickness doesn’t require physical movement.”

This mismatch, known as ‘sensory conflict’, occurs when visual pieces of information received by the eyes don’t line up with information received by other senses. The vestibular system – which is responsible for our spatial orientation and sense of balance – recognises this discord.

While the severity of cybersickness can vary from person to person, the symptoms can be long-lasting.

“Evidence tells us cybersickness has negatively affected the widespread use of HMD VR by everyday consumers,” says Kim. “By better understanding cybersickness, we can find hardware and software solutions to reduce it.”

It starts with lag

There are many scientific theories explaining why people feel cybersickness. For example, ‘poison theory’ suggests cybersickness is the central system’s attempt to protect the body from a hazard (as it does with poison), and ‘eye-movement theory’ suggests cybersickness is caused by inappropriate eye movement, eye strain and difficulty focusing.

While there isn’t consensus on why people become ill in VR, it’s well accepted that display lag – that is, the delay in the virtual scene keeping up with actual movements – is a key contributing factor.

“Early HMDs had inherent display lag,” says Kim. “These display lags were well-known to cause significant cybersickness.

“With recent advances in the development of this technology, new HMD devices like the Oculus Rift S and Quest now achieve extremely low display lags. But latency spikes can occur from time to time which appear to generate bouts of cybersickness.”

Researchers like Kim are taking advantage of these fast-loading HMDs to better understand cybersickness in general.

“With these state-of-the-art displays, we can finally play the game of deconstructing them by adding lag to see the impacts it has on cybersickness,” he says.

A new theory of cybersickness

Kim and his team at the Sensory Processes Research Laboratory have been working on finding a way to measure the likelihood of experiencing cybersickness.

The team recently found that cybersickness could be explained by the level of ‘scene instability’ – that is, the amount the virtual environment rotates in relation to the head’s real rotation.

For example, if a person in VR turns their head, the virtual head will follow – but won’t quite keep up, both in time and space. As the virtual environment adjusts, the ground appears to be unstable, even though the physical ground remains still.

The angular difference between the virtual and physical head (called Difference in Virtual to Physical, or DVP) was found to not only create the illusion of an unstable environment, but also account for the severity – and likelihood – of experiencing cybersickness.

To demonstrate this theory, 30 participants were asked to move around a virtual space while wearing a state-of-the-art HMD, the Oculus Rift CV1. While this HMD usually has a baseline lag of less than five milliseconds, the researchers added artificial lag to put the users’ real and virtual movements out of sync.

Participants reported their perceived scene instability range in each trial using a gauge and reported their cybersickness on a 20-point scale. As the display lag increased, so did the reported cybersickness and scene instability.

“We essentially created an objective geometric model to account for sensory conflict,” says Kim.

“The scene instability theory is the first to generate a testable hypothesis for understanding cybersickness and its causes.”

Measuring and tracking cybersickness could help make HMD VR experiences more safe, enjoyable and popular.

“Now that we have instantaneous information about how much peak difference in DVP someone has been subjected to, we may have a way of predicting the likelihood that they are going to get sick.”

Down the track, this model could help the researchers create solutions to minimise cybersickness, such as wellbeing add-ons that indicate when someone’s had a particularly rough VR experience and might need to take a break.

“VR technologies are becoming more common and accessible, so it’s important to get the basics right and make sure people aren’t getting sick,” says Kim.

“Cybersickness solutions could benefit the global community by providing better access to future ways of working, educating, training and communicating.”

This article was first published on Australia’s Science Channel, the original news platform of The Royal Institution of Australia.