{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T21:31:03Z","timestamp":1793741463009,"version":"4.6.1"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"11-12","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This case report describes a 46 year old female with complaints of dizziness and decreased ability to complete activities of daily living although aboard a U.S. Navy ship. She was unable to walk unsupported and her ability to work at a computer was severely limited because of the severity of her symptoms. She had a long history of motion sickness, predominantly seasickness (mal de mer), Eustachian tube dysfunction, and bilateral tympanic membrane perforations. Finding minimal benefit from pharmacological interventions, she was evaluated and diagnosed with seasickness by a physical therapist. The initial interventions focused on gaze stabilization exercises, but were limited in efficacy because of the continuous nature of shipboard motion resulting in needing extended times in a supine position with a foot grounding her on the floor for symptom resolution. Through the application of a sensory reweighting system improvised from available clinic supplies, the patient\u2019s symptoms reduced to the point of being able to walk unsupported and engage with VOR habituation exercises although on the ship. This case is unique in that the patient\u2019s seasickness did not resolve with typical pharmacologic or physical therapy interventions, so innovative strategies were used to modify her sensory weighting to mitigate her symptoms. This case report may provide other clinicians in austere settings (shipboard) with a non-pharmacological option for the treatment of unresolving seasickness.<\/jats:p>","DOI":"10.1093\/milmed\/usag038","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:42:47Z","timestamp":1769690567000},"page":"e2602-e2607","source":"Crossref","is-referenced-by-count":0,"title":["Upweighting Proprioceptive Information for Treatment of Mal de Mer: A Case Report"],"prefix":"10.1093","volume":"191","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4357-3020","authenticated-orcid":false,"given":"Alexa","family":"Werner","sequence":"first","affiliation":[{"name":"Medical Department, USS GEORGE WASHINGTON (CVN 73), FPO , AP 96607,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie W","family":"Hoppes","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Pittsburgh , Pittsburgh, PA 15219,","place":["United States"]},{"name":"Advanced Exposures, Diagnostics, Interventions, and Biosecurity (AEGIS) Program, Joint Base San Antonio-Lackland Air Force Base , TX 78236,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke N","family":"Klatt","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Pittsburgh , Pittsburgh, PA 15219,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L","family":"Whitney","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Pittsburgh , Pittsburgh, PA 15219,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen H","family":"Lambert","sequence":"additional","affiliation":[{"name":"Goldbelt Federal, Defense Health Agency\u2014Hearing Center of Excellence, Joint Base San Antonio-Lackland Air Force Base , TX,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"2026110316171382300_usag038-B1","doi-asserted-by":"publisher","first-page":"327","DOI":"10.3233\/VES-200005","article-title":"Motion sickness diagnostic criteria: Consensus document of the classification committee of the barany society","volume":"31","author":"Cha","year":"2021","journal-title":"J Vest Res"},{"key":"2026110316171382300_usag038-B2","volume-title":"Motion Sickness","author":"Reason","year":"1975"},{"key":"2026110316171382300_usag038-B3","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1177\/014107687807101109","article-title":"Motion sickness adaptation: a neural mismatch model","volume":"71","author":"Reason","year":"1978","journal-title":"J R Soc Med"},{"key":"2026110316171382300_usag038-B4","first-page":"531","volume-title":"Handbook of Virtual Environments: Design, Implementation, and 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