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The Effect of Convergence Vision Therapy on VR Cybersickness

시지각 훈련이 사이버 멀미에 대한 융복합적 효과

  • Cho, Hyung-Chel (Department of Medicine, Graduate School, Kangwon National University) ;
  • Ro, Hyo-Lyun (Department of Physical-therapy, Kangwon National University) ;
  • Lee, HeeJae (Department of Pharmacology, School of Medicine, Kangwon National University)
  • 조형철 (강원대학교 대학원 의학과) ;
  • 노효련 (강원대학교 물리치료학과) ;
  • 이희제 (강원대학교 의학전문대학원 약리학교실)
  • Received : 2021.11.12
  • Accepted : 2022.02.20
  • Published : 2022.02.28

Abstract

The purpose of this paper was to investigate the relationship between cybersickness symptoms and visual function and to determine whether visual perception training is effective in reducing symptoms of cybersickness. The study subjects were healthy adult males who experienced the same virtual reality program for 15 minutes. Afterwards, the VR satisfaction score and cybersickness level were measured and classified into a comfortable virtual reality program viewer group (CVR group, 20 people) and an uncomfortable virtual reality program viewer group (UVR group, 20 people). Visual function test was performed on all subjects, and the vision therapy training program was applied to the UVR group once a week for 40 minutes 12 times, and then the visual function and SSQ questionnaire were re-evaluated. Subjects with diplopia were 55% in the UVR group and 5% in the CVR group, which was significantly higher in the UVR group, there were differences in stereopsis, exophoria, near point convergence(p<.01) and vergence function(p<.001) between the two groups. After vision therapy, changes in SSQ, stereopsis, near point convergence, and vergence function of UVR user group were positively changed(p<.01). Therefore, cybersickness symptoms are related to visual function, it seems that the vision therapy can be used as a way to alleviate the symptoms of cybersickness.

본 논문은 사이버 멀미 증상과 시각 기능과의 관련성을 알아보고 시지각훈련이 사이버 멀미의 증상을 감소시키는 효과가 있는지 알아보고자 하였다. 연구 대상자는 건강한 성인 남성으로, 15분 동안 동일한 가상 현실 프로그램을 체험하도록 한 이후, VR 만족도 점수와 사이버 멀미 수준에 따라 편안한 가상현실 프로그램 시청자 그룹(CVR 20명)과 불편한 가상현실 프로그램 시청자 그룹(UVR 20명)으로 분류하였다. 모든 대상자에게 시각기능 검사를 실시하였고 UVR 그룹에게 시지각 훈련 프로그램을 주 1회 40분 12회 적용한 후 시각 기능과 SSQ 설문지를 재평가하였다. 복시를 가진 대상자는 UVR 그룹에서 55%, CVR 그룹에서 5%로 나타나서 UVR 그룹에서 월등히 높았으며, 두 그룹간의 입체시, 외사위, 폭주근점(p<.01) 및 버전스 기능(p<.001)은 차이가 나타났다. 시지각 훈련 후 UVR 사용자 그룹의 SSQ, 입체시, 폭주 근점, 버전스 기능의 변화가 긍정적으로 변화하였다(p<.01). 따라서, 사이버 멀미 증상은 시각기능과 관련이 있으며, 시지각 프로그램은 사이버 멀미 증상을 완화시키는 방법으로 사용될 수 있을 것으로 보인다.

Keywords

References

  1. C. Anderson-Hanley, A. L. Snyder, J. P. Nimon. & P. J. Arciero. (2011). Social facilitation in virtual reality-enhanced exercise; competitiveness moderates exercise effort of older adults. Clin. Interv. Aging, 6, 275-280. DOI : 10.2147/CIA.S25337
  2. M. Gerardi, J. Cukor, J. Difede, A. Rizzo & B. O. Rothbaum. (2010). Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders. Curr. Psychiatry Rep, 12, 298-305. DOI : 10.1007/s11920-010-0128-4
  3. M. Lukowska. (2011). Zastosowanie technologii wirtualnej rzeczywistosci w psychologii. Rocznik Kognitywistyczny, 5, 103-108. DOI : 10.4467/20843895RK.12.012.0416
  4. R. S. Kennedy, K. M. Stanney & W. P. Dunlap. (2000). Duration and exposure to virtual environments: sickness curves during and across sessions. Presence, 9, 463-472. DOI : 10.1162/105474600566952
  5. J. D. Bric, D. C. Lumbard, M. J. Frelich & J. C Gould. (2016). Current state of virtual reality simulation in robotic surgery training: a review. Surg. Endosc, 30, 2169-2178. DOI : 10.1007/s00464-015-4517-y
  6. H. Y. Byun & C. W. Park. (2019). Introduction of Cybersickness. Korean Otorhinolaryngol-Head Neck Surg, 62(10), 545-53. DOI : 10.3342/kjorl-hns.2018.00759
  7. J. E. Bos, W. Bles & E. L. Groen. (2008). A theory on visually induced motion sickness. Displays, 29, 47-57. DOI : 10.1016/j.displa.2007.09.002
  8. J. E. Bos.(2011). Nuancing the relationship between motion sickness and postural stability. Displays, 32(4), 189-193. DOI : 10.1016/j.displa.2010.09.005
  9. S. M. Ebenholtz. (2001). Oculomotor Systems and Perception. New York, NY: Cambridge University Press. DOI : 10.1017/cbo9780511529795.006
  10. G. J. Zelinsky. (2008). A theory of eye movements during target acquisition. Psychol Rev, 115(4), 787-835. DOI : 10.1037/a0013118
  11. A. M. Gavgani, F. R. Walker, D. M. Hodgson & E. Nalivaiko. (2018). A comparative study of cybersickness during exposure to virtual reality and "classic" motion sickness: are they different?. J Appl Physiol, 125, 1670-1680. DOI : 10.1152/japplphysiol.00338.2018
  12. J. R. Griffin & J. D. Grisham.(2002). Binocular Anomalies: Diagnosis and vision therapy. (4th edi., pp. 70-100), USA: Elsevier Science.
  13. S. Yano, M. Emoto & T. Mitsuhashi. (2004). Two factors in visual fatigue caused by stereoscopic HDTV images. Displays, 25(4), 141-150. DOI : 10.1016/j.displa.2004.09.002
  14. Optometric Extension Program Foundation. (2000). What is visual training? https://www.oep.org/.
  15. M. Scheiman & B. Wick. (2002). Clinical management of binocular vision: Heterophoria, accommodative, and eye Movement disorders. 2, 8-50. USA: Lippincott Williams & Wilkins.
  16. http://www.oep.org.
  17. A. Stacy, S. A Clemes & P. A. Howarth. (2005). The menstrual cycle and susceptibility to virtual simulator sickness. Journal of Biological Rhythms, 20(1), 71-82. DOI : 10.1177 748730404272567 https://doi.org/10.1177/0748730404272567
  18. G. D. Park, R. W. Allen, D. Fiorentino, T. J. Rosenthal & C. M. Look. (2006). Simulator sickness scores according to symptom susceptibility, age, and gender for an older driver assessment study. Proceedings of the Human Factors and Ergonomics Society Annual Meeting, 50(26), 2702-2706. DOI : 10.1037/e577802012-007
  19. M. A. Tamhanker, Gui-shuang Ying & N. J. Volpe. (2011). Success of prisms in the management of diplopia due to fourth Nerve Palsy. J Neuroophthalmol, 31(3), 206-209. DOI : 10.1097/WNO.0b013e318211daa9
  20. R. S. Kennedy, N. E. Lane, K. S. Berbaum & M. G. Lilienthal. (1993). Simulator Sickness Questionnaire: An enhanced method for quantifying simulator sickness. International journal of Aviation Psychology, 3(3), 203-220. DOI : 10.1207/s15327108ijap0303_3
  21. A. M. Gavgani, K. V. Nesbitt, K. L. Blackmore & E. Nalivaiko. (2017). Profiling subjective symptoms and autonomic changes associated with cybersickness. Auton Neurosci, 203, 41-50. DOI : 10.1016/j.autneu.2016.12.004
  22. E. Chang, I. Hwang, H. Jeon. Y. Chun, H. T. Kim & C. Park. (2013). Effects of rest frames on cybersickness and oscillatory brain activity. International Winter Workshop on Brain-Computer Interface (BCI), 62-64. DOI : 10.1109/IWW-BCI.2013.6506631
  23. J. Y. Jung, K. S. Cho, J. H. Choi & J. H. Choi. (2017). Causes of cyber sickness of VR contents: An experimental Study on the view point and movement. The Journal of the Korea Contents Association, 17(4), 201-206. DOI : 10.5392/JKCA.2017.17.04.200
  24. J. K. Yoon & S. I. Kim. (2019). A Study on the cyber motion sickness of VR content-focused on content environment. Journal of the Korea Convergence Society, 10(3), 135-140. DOI : 10.15207/JKCS.2019.10.3.135
  25. J. C. A. Read. (2015). Stereo vision and strabismus. Eye, 29(2), 214-224. DOI : 10.1038/eye.2014.279
  26. D. M. Levi, D. C Knill & D. Bavelier. (2015). Stereopsis and amblyopia: A mini-review. Vision Res, 114, 17-30. DOI : 10.1016/j.visres.2015.01.002
  27. J. M. Hillis, S. J. Watt, M. S. Landy & M. S. Banks. (2004). Slant from texture and disparity cues: Optimal cuecombination. Journal of Vision, 4(12), 967-992. DOI : 10.1167/4.12.1
  28. P. G. Lovell., M. Bloj & J. M. Harris.(2012). Optimal integration of shading and binocular disparity for depth perception. Journal of Vision, 12(1), 1. DOI : 10.1167/12.1.1
  29. S. R. Kim, H. Kwak, M. S. Kang, S. I. Kim. & M. J. Park. (2017). The Changes in convergence function of accommodative anomalies in their twenties after watching video on a smartphone. J Korean Ophthalmic Opt Soc. 22(2), 133-142. DOI : 10.14479/jkoos.2017.22.2.133
  30. W. J. Benjamin. (2006). Borish's Clinical Refraction. (2th edi., pp. 145-915), USA: Butterworth-Heinemans, an imprint of Elsevier Inc.
  31. J. R. Griffin & J. D Grisham. (2002). Binocular Anomalies: Diagnosis and vision therapy. (4th edi., pp. 40-49, USA: Elsevier Science.
  32. C. Preciado, M. J. Starrett & A. D. Ekstrom. (2021). Assessment of a short, focused training to reduce symptoms of cybersickness. Virtual and Augmented Reality, 27(4), 361-377. DOI : 10.31234/osf.io/dwz37
  33. H. C. Cho (2018). The Recovery of Stereo vision through Vision Therapy for strabismus patients with and without strabismus Surgeries. Kangwon national university, Master thesis.
  34. H. C Cho. & H. L Ro. (2020). The Effect of convergence vision therapy on symptoms and visual perception in children with ADHD tendency. Korea convergence society, 11(7), 59-71. DOI : 10.15207/JKCS.2020.11.7.059
  35. B. G. Cumming & A. J. Parker. (2000). Local disparity not perceived depth is signalled by binocular neurons in cortical area V1 of the macaque. Journal of Neuroscience, 20, 4758-4767. DOI : 10.1523/JNEUROSCI.20-12-04758.2000
  36. K. W. Wright. (2003). Binocular vision and introduction to strabismus. In:Wright KW, eds. pediatric ophthalmology and strabismus. (2nd edi., chap. 9), New York: Springer-Verlag. DOI : 10.1007/978-0-387-21753-6_9
  37. H. S. Shin. (2009). Relationship between vergence facility and fusional vergence. J. Korean Oph. Opt. Soc, 14(3), 37-42.