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The vestibular system plays a key role in the origin of motion sickness. Understanding the susceptibility and (mal) adaptive mechanisms of the highly integrated vestibular system is a prerequisite for the development of countermeasures. We hypothesize a differential association between motion sickness and vestibular function in healthy individuals with and without susceptibility for motion sickness. We quantified vestibular function by measuring the high-frequency vestibulo-ocular reflex (VOR) using video head impulse testing (vHIT) in 17 healthy volunteers before and after a 11\u00a0min motion sickness-inducing naturalistic stop-and-go car ride on a test track (Dekra Test Oval, Klettwitz, Germany). The cohort was classified as motion sickness susceptible (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200911) and non-susceptible (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20096). Six (out of 11) susceptible participants developed nausea symptoms, while a total of nine participants were free of these symptoms. The VOR gain (1) did not differ significantly between participant groups with (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098) and without motion sickness symptoms (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20099), (2) did not differ significantly in the factor time before and after the car ride, and showed no interaction between symptom groups and time, as indicated by a repeated measures ANOVA (\n                    <jats:italic>F<\/jats:italic>\n                    (1,15)\u2009=\u20092.19,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.16. Bayesian inference confirmed that there was \u201canecdotal evidence\u201d for equality of gain rather than difference across groups and time (BF\n                    <jats:sub>10<\/jats:sub>\n                    \u2009&lt;\u20090.77). Our results suggest that individual differences in VOR measures or adaptation to motion sickness provocative stimuli during naturalistic stop-and-go driving cannot predict motion sickness susceptibility or the likelihood of developing motion sickness.\n                  <\/jats:p>","DOI":"10.1007\/s00221-023-06619-4","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:02:15Z","timestamp":1682380935000},"page":"1523-1531","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Assessment of vestibulo-ocular reflex and its adaptation during stop-and-go car rides in motion sickness susceptible passengers"],"prefix":"10.1007","volume":"241","author":[{"given":"Cecilia","family":"Ramaioli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Steinmetzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Brietzke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Pham Xuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erich","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5208-0490","authenticated-orcid":false,"given":"Martin","family":"Gorges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,25]]},"reference":[{"key":"6619_CR1","doi-asserted-by":"publisher","first-page":"2441","DOI":"10.1056\/nejmoa032196","volume":"350","author":"CC Apfel","year":"2004","unstructured":"Apfel CC et al (2004) A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. 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