{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T22:55:49Z","timestamp":1788303349425,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T00:00:00Z","timestamp":1767398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T00:00:00Z","timestamp":1767398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Motion sickness (MS) has traditionally been attributed to visual-sensory mismatch. Research on the cause-and-effect relationship between postural instability and MS has emerged, although evidence remains scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A literature review from inception to December 31, 2024, was conducted to understand the relationship between MS and postural instability by searching several databases over a 1-month period in January 2025. The search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The included studies investigated various forms of MS, including car sickness, virtual reality (VR), simulator sickness, cybersickness, travel-related sickness, and space MS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 16 articles were identified, encompassing 1518 participants with ages ranging from 9 to 63\u2009years. Most studies used force platforms and balance boards to assess postural instability, and 13 studies reported a relationship between postural instability and MS. These findings were consistent across VR, simulator, and transport-based motion paradigms. In contrast, 3 studies reported no consistent relationship between sway magnitude and symptom development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although postural instability precedes MS, the quality of evidence is inadequate to determine the cause-and-effect relationship between MS and postural instability until extensive, multicentre, randomised controlled studies are conducted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613251411278","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T10:18:24Z","timestamp":1767435504000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Relationship Between Motion Sickness and Postural Stability: A Systematic Review"],"prefix":"10.1177","author":[{"given":"Laavanya","family":"Rajendran","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohd","family":"Zulkiflee Abu Bakar","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, 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, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15326969eco0303_2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.3357\/amhp.4946.2018"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0361-9230(98)00101-4"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-014-2351-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2022.111139"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2016.06.014"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0018720819881254"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2022.103698"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2021.113422"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3357\/amhp.4998.2018"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10055-024-00969-2"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2020.103312"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2021.102832"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1518\/001872000779698097"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1518\/0018720024497745"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/s24041046"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1109\/tits.2024.3357170"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2020.103312"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2013.817614"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0018720819881254"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251411278","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613251411278","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613251411278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:39:21Z","timestamp":1777401561000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613251411278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,3]]},"references-count":20,"alternative-id":["10.1177\/01455613251411278"],"URL":"https:\/\/doi.org\/10.1177\/01455613251411278","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,3]]},"article-number":"01455613251411278"}}