{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:45:26Z","timestamp":1791899126859,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Motion sickness (MS) is a common condition that may impair daily functioning in children. While Sensory Conflict Theory (SCT) explains symptom provocation, it does not fully account for individual susceptibility. The Postural Instability Theory (PIT) proposes that persistent inability to maintain postural stability precedes and predicts MS. We aim to investigate the association between MS and postural stability in children and adolescents with MS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective case\u2010control study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A quaternary referral university hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>40 participants (aged 5\u201018 years) were included. MS was defined according to B\u00e1r\u00e1ny Society criteria. Postural stability was assessed using the single\u2010leg stance test (eyes open and closed), the Biodex Balance System (static and dynamic indices), and the Modified Clinical Test of Sensory Interaction and Balance (MCTSIB). Motion sickness susceptibility (MSSQ\u2010Short) and quality of life (PedQOL) were also evaluated. Logistic regression was used to identify predictors of MS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children and adolescents with MS demonstrated significantly poorer postural stability across multiple measures. In multivariable analysis, reduced eyes\u2010closed single\u2010leg stance performance (AOR\u2009=\u20090.82,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.009) and higher MCTSIB stability index (eyes open on foam; AOR\u2009=\u20091.83,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003) independently predicted MS, with dynamic anterior\u2010posterior sway showing borderline significance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Impaired postural control is a key determinant of MS susceptibility. Simple assessments of postural instability enable early identification of patients at risk of MS. Facilitating targeted balance rehabilitation allows a shift from symptomatic management toward prevention of MS in pediatric populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70498","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:47:29Z","timestamp":1791895649000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Association between Postural Instability and Motion Sickness in Children and Adolescents"],"prefix":"10.1002","author":[{"given":"Laavanya","family":"Rajendran","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Faculty of Medicine, Universiti Malaya, Jalan Universiti  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd Zulkiflee","family":"Abu Bakar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Faculty of Medicine, Universiti Malaya, Jalan Universiti  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nooranida","family":"Arifin","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, Faculty of Engineering, Universiti Malaya Jalan Universiti  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1974-4379","authenticated-orcid":false,"given":"Jeyasakthy","family":"Saniasiaya","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Faculty of Medicine, Universiti Malaya, Jalan Universiti  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"3","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1207\/s15326969eco0303_2","article-title":"An ecological theory of motion sickness and postural 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susceptibility and postural activity: Could the reweighting strategy between signals from different body","volume":"24","author":"Dida M","year":"2024","journal-title":"Sensors (Basel, Switzerland)"},{"issue":"9","key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1080\/00140139.2013.817614","article-title":"Cinerama sickness and postural instability","volume":"56","author":"Bos JE","year":"2013","journal-title":"Ergonomics"},{"issue":"2","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s10055-024-00969-2","article-title":"Effects of vection type and postural instability on cybersickness","volume":"28","author":"Teixeira J","year":"2024","journal-title":"Virtual Reality"}],"container-title":["Otolaryngology\u2013Head and Neck 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