{"id":282,"date":"2019-09-20T08:26:40","date_gmt":"2019-09-19T22:26:40","guid":{"rendered":"https:\/\/aviation-medical.com.au\/?post_type=portfolio&#038;p=282"},"modified":"2019-09-22T12:07:35","modified_gmt":"2019-09-22T02:07:35","slug":"motion-sickness-aviation","status":"publish","type":"portfolio","link":"https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/","title":{"rendered":"Motion Sickness in Aviation"},"content":{"rendered":"<div class='flex_column av-37qjl6-32f5fddea6bbb599942720697f0301d9 av_one_half  avia-builder-el-0  el_before_av_one_half  avia-builder-el-first  first flex_column_div '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-34u2sa-c57869e0f2df17f0260dde1427a52a73\">\n.avia-image-container.av-34u2sa-c57869e0f2df17f0260dde1427a52a73 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-34u2sa-c57869e0f2df17f0260dde1427a52a73 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-34u2sa-c57869e0f2df17f0260dde1427a52a73 av-styling- avia_animated_image av-animated-when-visible-95 pop-up avia-align-center  avia-builder-el-1  avia-builder-el-no-sibling '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img class='wp-image-283 avia-img-lazy-loading-not-283 avia_image ' src=\"https:\/\/aviation-medical.com.au\/wp-content\/uploads\/2014\/12\/Motion-Sickness-in-Aviation.jpg\" alt='' title='Motion Sickness in Aviation'  height=\"283\" width=\"424\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/aviation-medical.com.au\/wp-content\/uploads\/2014\/12\/Motion-Sickness-in-Aviation.jpg 424w, https:\/\/aviation-medical.com.au\/wp-content\/uploads\/2014\/12\/Motion-Sickness-in-Aviation-300x200.jpg 300w\" sizes=\"(max-width: 424px) 100vw, 424px\" \/><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2xlidu-bf14d67dcc76c46b433d1b5b8693b377\">\n.flex_column.av-2xlidu-bf14d67dcc76c46b433d1b5b8693b377{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-2xlidu-bf14d67dcc76c46b433d1b5b8693b377 av_one_half  avia-builder-el-2  el_after_av_one_half  el_before_av_one_full  flex_column_div av-zero-column-padding '     ><section  class='av_textblock_section av-2nylyi-1ba08f8a4b77bbf9a8daf1ba0eb07d25'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"color: #000000;\">Almost everybody is susceptible to motion sickness given the right (or wrong) conditions.<\/p>\n<div style=\"color: #000000;\">\n<p>It seems intuitive to say that a person who suffers motion sickness on the sea or in a vehicle will be more likely to get motion sickness on an aircraft. However, this is not the case.<\/p>\n<\/div>\n<div style=\"color: #000000;\"><\/div>\n<div style=\"color: #000000;\">Motion sickness caused by one mode of travel does not predict motion sickness caused by another mode of travel.<\/div>\n<\/div><\/section><\/div>\n<div class='flex_column av-2jhlnu-45a7e1a4616112a983d49a9e1b2ddef7 av_one_full  avia-builder-el-4  el_after_av_one_half  el_before_av_one_half  first flex_column_div column-top-margin'     ><section  class='av_textblock_section av-2dk3pe-808537243264ef49d5f4912294cc2e10'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3 style=\"color: #323333;\">How Common is Motion Sickness in pilots?<\/h3>\n<p style=\"color: #323333;\">I remember clearly my first flight in a light aircraft which was a trial introductory flight with the aim of embarking on PPL training. I experienced significant motion sickness. My instructor said after the flight that motion sickness is common in new pilots and would probably settle down. I was a little sceptical to be honest. However, he was right &#8211; the motion sickness rapidly went away &#8211; and didn\u2019t come back.<\/p>\n<p style=\"color: #323333;\">Another example is the budding sailor who gets severe motion sickness and staggers off a yacht after 4 days of initial training &#8211; only to never get motion sickness again.<\/p>\n<p style=\"color: #323333;\">Research has shown that <em>around a third of student pilots experience\u00a0motion sickness.<\/em><\/p>\n<p style=\"color: #323333;\">The good news is that research also demonstrates that motion sickness in student pilots <em>usually settles down<\/em>. The bottom line for student pilots is this &#8211; persevere and the problem will likely go away for reasons that will be explained.<\/p>\n<p style=\"color: #323333;\">Motion sickness in passengers is common in light to medium sized aircraft. This goes without saying though motion sickness is by no means universal.<\/p>\n<h3 style=\"color: #323333;\">What are the risk factors for motion sickness?<\/h3>\n<p style=\"color: #323333;\">These are the following hunan risk factors for experiencing motion sickness:<\/p>\n<ul>\n<li><b style=\"color: #323333;\"><b style=\"color: #323333;\">Individual Variation<\/b><\/b><span style=\"color: #323333;\"> &#8211; this is the <\/span><i style=\"color: #323333;\">most important factor<\/i><span style=\"color: #323333;\">! It&#8217;s not known\u00a0know why some people are prone to severe motion sickness\u00a0\u00a0and others are not<\/span><\/li>\n<li><b style=\"color: #323333;\">Female<\/b><span style=\"color: #323333;\"> (twice the rate of males)<\/span><\/li>\n<li><b style=\"color: #323333;\">Age<\/b><span style=\"color: #323333;\"> 3 to 12<\/span><\/li>\n<li><b style=\"color: #323333;\">Anxiety<\/b><span style=\"color: #323333;\"> &#8211; though it\u2019s a chicken and egg situation in that motion sickness in a light aircraft will make someone anxious<\/span><\/li>\n<\/ul>\n<\/div><\/section><\/div>\n<div class='flex_column av-2a5dhu-67db7e791c1a8baf00729c1f083a6ca2 av_one_half  avia-builder-el-6  el_after_av_one_full  el_before_av_one_half  first flex_column_div column-top-margin'     ><section  class='av_textblock_section av-23puma-2d9d7d9903b53a21fe6598d551909d6d'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>What Causes Motion Sickness?<\/h3>\n<p style=\"color: #323333;\">Motion sickness usually settles down with repeated exposure to the same mode of travel. The reason is that the brain (in a neurological way)\u00a0\u00a0\u201cremembers\u201d the previous neural mismatches (episodes of motion sickness or vertigo) so that future episodes of neural mismatch are compared with past experiences..<\/p>\n<p style=\"color: #323333;\">Incidentally, the fact that motion sickness tends to settle with repeated exposure forms the basis of one of the treatments that is used in military flying: Desensitisation &#8211; which means just that. The pilot is subjected to increasing intensities of stimuli (The Corolis effect) that provoke motion sickness in the Centrifugal Chamber. There may be further training in the simulator<\/p>\n<div style=\"color: #000000;\"><\/div>\n<\/div><\/section><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6q16i-02309482fc4cbe006092e433c55619da\">\n.flex_column.av-6q16i-02309482fc4cbe006092e433c55619da{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-6q16i-02309482fc4cbe006092e433c55619da av_one_half  avia-builder-el-8  el_after_av_one_half  el_before_av_one_full  flex_column_div av-zero-column-padding column-top-margin'     ><section  class='av_textblock_section av-1pwm5m-2e74b0ad417d467e084c0a4a6d450c9a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h3>Why Does Motion Sickness tend to settle with time?<\/h3>\n<p style=\"color: #323333;\">Motion sickness usually settles down with repeated exposure to the same mode of travel. The reason is that the brain (in a neurological way)\u00a0\u00a0\u201cremembers\u201d the previous neural mismatches (episodes of motion sickness or vertigo) so that future episodes of neural mismatch are compared with past experiences.<\/p>\n<p style=\"color: #323333;\">Incidentally, the fact that motion sickness tends to settle with repeated exposure forms the basis of one of the treatments that is used in military flying: Desensitisation &#8211; which means just that. The pilot is subjected to increasing intensities of stimuli (The Corolis effect) that provoke motion sickness in the Centrifugal Chamber.<\/p>\n<blockquote>\n<p>The author experienced severe nausea during his first trial flight &#8211; and never experienced it again after &gt;300 hrs.<\/p>\n<\/blockquote>\n<p style=\"color: #000000;\">\n<\/div><\/section><\/div><div class='flex_column av-1jwwq2-0dc8d640f1339bc1edaab02376654f36 av_one_full  avia-builder-el-10  el_after_av_one_half  el_before_av_one_full  first flex_column_div column-top-margin'     ><article  class='iconbox iconbox_left av-4yeaa-f7940f63d28496195f45a152523564ef  avia-builder-el-11  avia-builder-el-no-sibling '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue835' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" >Combatting motion sickness: Tips & Treatment<\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><h3 style=\"color: #000000;\"><\/h3>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1b64xm-413fc0797ddd9445616902b7824c9d70\">\n#top .hr.hr-invisible.av-1b64xm-413fc0797ddd9445616902b7824c9d70{\nheight:15px;\n}\n<\/style>\n<div  class='hr av-1b64xm-413fc0797ddd9445616902b7824c9d70 hr-invisible  avia-builder-el-12  avia-builder-el-no-sibling '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<h3 style=\"color: #000000;\">What can help before the flight?<\/h3>\n<ul>\n<li>Avoid food or drink that may cause nausea eg alcohol, spicy foods.<\/li>\n<li>Be well rested<\/li>\n<li>Have enough fluids<\/li>\n<\/ul>\n<h3 style=\"color: #000000;\">What should someone feeling the effects of motion sickness do?<\/h3>\n<div style=\"color: #000000;\"><\/div>\n<div style=\"color: #000000;\">It\u2019s important to state that there is no single best way to act. There is quite a lot of individual variation.<\/div>\n<div><\/div>\n<div style=\"color: #000000;\"><\/div>\n<div style=\"color: #000000;\">Some of the things that can be tried (in order of what works best &#8211; literature, professional &amp; personal experience are:<\/div>\n<div style=\"color: #000000;\">\n<ul>\n<li>Keep the eyes focused on the distant horizon\u00b9 \u00b2. This is easier for pilots than passengers :-)<\/li>\n<li>Keep the head as still as possible.<\/li>\n<li>Avoid talking about motion sickness! Maintain a positive attitude\u00b3. At least in the early stages this can be helpful.<\/li>\n<li>Pilots are already focusing on flying the plane. However, situational awareness requires &#8216;relaxed concentration&#8217; which in itself may reduce symptoms of motion sickness.<\/li>\n<li>Good ventilation is helpful.<\/li>\n<li>Passengers may listen to music or practice mindfulness.<\/li>\n<li>Keeping the eyes closed can work for some passengers.<\/li>\n<\/ul>\n<\/div>\n<h3 style=\"color: #000000;\">What are the treatments for motion sickness?<\/h3>\n<div style=\"color: #000000;\">A <strong>passenger<\/strong> may consider with medical or pharmacist advice:<\/div>\n<div>\n<ul>\n<li style=\"color: #000000;\"><strong>Kwells\u00ae<\/strong> (Hyoscine Bromide tablet &#8211; available over the counter as 0.3mg tablets). Usual dose for adults is 0.6mg taken an hour before travel. The tablet lasts around 6 hours. Side effects include drowsiness and dry mouth but sometimes dizziness or visual disturbance. Hyoscine is also available as a 24 hour patch (scopolamine) though this is not available in Australia.<\/li>\n<li style=\"color: #000000;\"><strong>Promethazine<\/strong> &#8211; better known as Phenergan\u00ae or Avomine\u00ae. Sedation more likely than with kwells.<\/li>\n<li style=\"color: #000000;\"><strong>Pseudoephedrine &#8211; <\/strong>best known as the decongestant Sudafed\u00ae, is also a stimulant that reduces the drowsiness caused by Hyoscine. The combination of Hyoscine and Pseudoephedrine is a traditional combination well known to coastguards.<\/li>\n<\/ul>\n<p>Ondansetron is widely prescribed by doctors for nausea and vomiting caused by chemotherapy, gastroenteritis, and pregnancy. Research into <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19601507\">Ondansetron and motion sickness have been disappointing<\/a>. However, the medication may reduce nausea.<\/p>\n<\/div>\n<div style=\"color: #000000;\">None of these treatments are recommended for <strong>pilots<\/strong> because of sedative and other side effects.<\/div>\n<div style=\"color: #000000;\"><\/div>\n<div style=\"color: #000000;\"><\/div>\n<div style=\"color: #000000;\">Kwells\u00ae has been researched in detail\u00a0(<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21678338\">Cochrane review of 14 randomized trials<\/a>) and is probably the best one to start with.\u00b3 Take it to prevent as well as treat motion sickness, starting 1 hour before travel.\u00b3<\/div>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-13bkv6-9ef9c5aa968abaf6293ebd6f36607e21\">\n.flex_column.av-13bkv6-9ef9c5aa968abaf6293ebd6f36607e21{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-13bkv6-9ef9c5aa968abaf6293ebd6f36607e21 av_one_full  avia-builder-el-13  el_after_av_one_full  el_before_av_hr  first flex_column_div av-zero-column-padding column-top-margin'     ><p><div  class='hr av-uqleq-e19edbe1ea2f64cdfb77b6425c833d94 hr-default  avia-builder-el-14  el_before_av_textblock  avia-builder-el-first '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-t7rn6-985d9f881be5ed81ba38d8d627f611e1'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h6>Dr Dick Beatty, specialist GP &amp; Designated Aviation Medical Examiner; BM FRACGP MRCP(UK) ACCAM<\/h6>\n<h6>Last Reviewed \/ Modified: 20\/9\/2019<\/h6>\n<h6>First Published: 5\/12\/2014<\/h6>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-lcb62-96778d6260251b9fb57d04da21ae14a2'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h6>References<\/h6>\n<h6>1:\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/16931173\">Golding JF. Motion sickness susceptibility<\/a>. Auton Neurosci.2006;129(1-2):67-76<\/h6>\n<h6>2:<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15460624\">\u00a0Griffin MJ, Newman MM. Visual field effects on motion \u00a0sickness in cars<\/a>. Aviat Space Environ Med. 2004;\u00a075(9):739-748.<\/h6>\n<h6>3: ANDREW BRAINARD, MD, MPH, and CHIP GRESHAM, MD, Middlemore Hospital, Auckland, New Zealand; <a href=\"http:\/\/www.aafp.org\/afp\/2014\/0701\/p41.html\">Prevention and treatment of motion sickness.<\/a> AFP 1st July 2014.<\/h6>\n<\/div><\/section><\/p><\/div><div  class='hr av-hdqga-187d85caff27548b4af8e4808e661658 hr-default  avia-builder-el-17  el_after_av_one_full  el_before_av_social_share '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p>\n<div  class='av-social-sharing-box av-8p3tm-bf968e6fcc35b0f2b7f9930c70674344 av-social-sharing-box-default  avia-builder-el-18  el_after_av_hr  avia-builder-el-last  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share this entry<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/&#038;t=Motion%20Sickness%20in%20Aviation' aria-hidden='false' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Facebook' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-twitter' ><a target=\"_blank\" aria-label=\"Share on Twitter\" href='https:\/\/twitter.com\/share?text=Motion%20Sickness%20in%20Aviation&#038;url=https:\/\/aviation-medical.com.au\/?p=282' aria-hidden='false' data-av_icon='\ue8f1' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Twitter' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Twitter<\/span><\/a><\/li><li class='av-share-link av-social-link-whatsapp' ><a target=\"_blank\" aria-label=\"Share on WhatsApp\" href='https:\/\/api.whatsapp.com\/send?text=https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/' aria-hidden='false' data-av_icon='\uf232' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on WhatsApp' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on WhatsApp<\/span><\/a><\/li><li class='av-share-link av-social-link-pinterest' ><a target=\"_blank\" aria-label=\"Share on Pinterest\" href='https:\/\/pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Faviation-medical.com.au%2Fflying%2Fmotion-sickness-aviation%2F&#038;description=Motion%20Sickness%20in%20Aviation&#038;media=https%3A%2F%2Faviation-medical.com.au%2Fwp-content%2Fuploads%2F2014%2F12%2FMotion-Sickness-in-Aviation.jpg' aria-hidden='false' data-av_icon='\ue8f8' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Pinterest' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Pinterest<\/span><\/a><\/li><li class='av-share-link av-social-link-linkedin' ><a target=\"_blank\" aria-label=\"Share on LinkedIn\" href='https:\/\/linkedin.com\/shareArticle?mini=true&#038;title=Motion%20Sickness%20in%20Aviation&#038;url=https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/' aria-hidden='false' data-av_icon='\ue8fc' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on LinkedIn' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on LinkedIn<\/span><\/a><\/li><li class='av-share-link av-social-link-reddit' ><a target=\"_blank\" aria-label=\"Share on Reddit\" href='https:\/\/reddit.com\/submit?url=https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/&#038;title=Motion%20Sickness%20in%20Aviation' aria-hidden='false' data-av_icon='\ue927' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Reddit' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Reddit<\/span><\/a><\/li><li class='av-share-link av-social-link-mail' ><a  aria-label=\"Share by Mail\" href='mailto:?subject=Motion%20Sickness%20in%20Aviation&#038;body=https:\/\/aviation-medical.com.au\/flying\/motion-sickness-aviation\/' aria-hidden='false' data-av_icon='\ue805' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share by Mail'><span class='avia_hidden_link_text'>Share by Mail<\/span><\/a><\/li><\/ul><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":283,"comment_status":"closed","ping_status":"open","template":"","tags":[],"portfolio_entries":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - 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