#carsick

Motion Sensitivity - Part 2: Top Ten Exercises!

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Stephanie Yip is one of our vestibular therapists here at Ladner Village Physiotherapy. In Part 2 of her two part series on motion sensitivity, Stephanie gives some great exercise options for motion desensitization.

If you read my last blog post on what motion sensitivity is, and have now realized that this is what has been plaguing your existence, do not fret! Like I emphasized in my last post, this does not have to be your reality! I am here to share with you 10 easy exercises that you can start doing today to finally get over your motion sensitivity! 

Before we start, here are some disclaimers:

  1. As mentioned, motion sensitivity rehabilitation DOES require triggering those icky symptoms. I know, so not fun. However, we only want to trigger mild symptoms that resolve within 3-5 minutes. Therefore, it’s really important that for all of these exercises, you start at a small enough dose that you aren’t making yourself sick for the next several hours. This may mean just trying the exercise for 15 seconds to start, and then gradually increasing the amount of time you expose yourself to the stimulus.

  2. Motion sensitivity exercises work best when individualized to the person. You’ve probably already realized that the way you experience motion sickness is very different from your friends. Some people get really sick riding elevators/escalators but have no issues in the car. Others can’t stand being a passenger in a car, but have never had any issues with those spinny rides at amusement parks. In order for your motion sensitivity rehab to be optimal, the exercises you do should be as similar to your personal triggers as possible. Since this is just a generalized list of exercises, you may find that some of them do nothing for you, while others may make you feel awful.

With this in mind, here are some great ideas of motion sensitivity exercises that are easy to fit in to your day-to-day life!

My Top 10 Motion Sensitivity Exercises

1) Look out the side window of your car next time you’re the passenger

If you are one of my fellow car sick sufferers, you have probably noticed that you feel a lot better if you sit in the front seat and look straight ahead. This is because when you are looking straight ahead, your visual and vestibular systems are in agreement and saying the same thing. On the flip side, if you look out the side window, your visual system is seeing all sorts of quickly moving trees and street poles making you feel like you’re moving while your vestibular system is telling the brain you’re just sitting in your car; a mismatch that creates the icky feeling you get. It may not feel great, but if you start with just 15-30 seconds of looking out the side window, then resume looking straight ahead, settle your symptoms, and repeat – you’ll gradually increase your tolerance until sitting in the backseat will no longer be impossible. All your tall friends will love you for it!   

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2) Play on the swing set

Next time your kids beg you to push them on the swings, see if you can take a turn on the swings instead! The world around you will blur as you swing through, really messing with your visual system, and really helping you with your rehab!

3) Go on the see saw

Since you’re already at the playground, having a blast on the swings, why not take a whirl at the see saw? This exercise is particularly helpful for those of you who get a horrible lurch in the stomach every time you take the elevator, aka those who can’t stand vertical motion.

4) Play some Mario-Kart or any other video game with a lot of looking around

Ever tried playing a first-person shooter game, tried to look around while walking forward and just felt queasy? If yes, and you need an excuse to play some video games guilt-free, you can now tell the world that you’re actually training your vestibular system and being very productive.

5) Watch the clouds while you walk

Do this one responsibly and do check that your coast is clear first! As you walk, your vestibular system will be telling your brain that you are moving forward, but the clouds floating about will be telling your visual system something totally different. Use this mismatch to your advantage and get training.

6) Log roll down a hill

This one is pretty self-explanatory and is definitely for those looking for an advanced level exercise. Be warned – go slow with this one and build up gradually.

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7) Read while walking, as a passenger in the car, in a hammock or while sitting in a rocking chair

If you’re focused on non-moving words on a page, your visual system won’t be able to correlate with the vestibular system which is telling your brain you’re moving. You can adjust how much you move to make this one easier or harder.

8) Play some focused catch

If you watch a ball being thrown very closely, keeping the ball in focus the whole time, the background behind the ball will be both blurry and moving. This can confuse your brain and bring on those feelings of motion sickness.

9) Do some eyes closed yoga or t’ai chi

You wouldn’t expect something as simple as yoga or t’ai chi to really amp up your motion sickness. If you’re a regular yogi or t’ai chi practitioner, this is often a really nice way to slowly start tackling those gross feelings. When you take away your vision and add some movement, your brain really has to work overtime to figure out where you are!

10) Do some chair spins

That office chair you spend most of your day in? Give it a good twirl every once in awhile! Not only can this one be done quickly, you likely can do it a LOT throughout the day without too much effort.


What are your favourite exercises to combat motion sickness? Add some ideas in the comments below!

If you’re suffering from motion sickness, we can help - book online, send us an email or give us a call at (778) 630-8800.

Motion Sensitivity - Part 1: What Is It?

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Stephanie Yip is one of our vestibular therapists here at Ladner Village Physiotherapy. In Part 1 of her two part series on motion sensitivity, Stephanie explains what motion sensitivity is, why some people suffer from it and what we can do about it. Enjoy!

As a kid growing up, cars were my nemesis. I still have vivid memories of throwing up on pretty much every family road trip, and even worse, throwing up in my friend’s dad’s brand-new car on the way to a soccer game. Planes were even worse. One of my earliest memories is of me as a 5-year-old, non-stop projectile vomiting on a 12-hour flight, with everyone around us handing us their puke bags since I had used up all of my own. As I got older, my motion sensitivity got a bit better in the sense that I didn’t necessarily puke during every car ride, but I would still feel sick within minutes of being in any moving vehicle.

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How many of you can relate to this? After sharing with friends, I discovered that there are so many of us out there, struggling with cars, buses, boats, and thinking that this is something we just have to live with. Well, I am here to share with you all the greatest revelation which has completely turned my world upside down.

This does not have to be our reality.

There is a solution. Just like how we rehabilitate and strengthen our ankle after a sprain, we too, can rehabilitate and strengthen our vestibular system to improve our motion sensitivity!

But let’s back this up, and start with…

What is motion sensitivity?

There are two main types of motion sensitivity. One is considered visually induced motion sensitivity in which you experience symptoms due to complex visual environments. Do you ever find yourself feeling sick at the grocery store as you scan the aisle for that one type of flour you need? Does scrolling on your phone too quickly make you feel loopy? If so, this may be the type of motion sensitivity you have.

The second type is the one we mostly think about when we think of motion sensitivity, and that’s why it’s called true motion sickness in which symptoms are caused by passive motion. Passive motion means that you are not actively moving but something is moving you i.e. being in a car or boat.

What are some common symptoms of motion sensitivity?

After sharing my experiences with friends, I’ve discovered that everyone experiences motion sensitivity quite differently, so this list of symptoms is definitely not all-encompassing. Personally, I get a weird background headache, followed by a woozy feeling in my head almost like I’m floating. Despite my earlier experiences of nausea and vomiting, I rarely feel sick to the stomach now unless I’m on a tiny boat with very choppy waves. On the flip side, many of my friends have described nausea as their main symptom. Other common symptoms include fatigue, imbalance, increased sweating, disorientation, palor (aka looking quite pale), excessive production of saliva, and burping.

So you’re probably thinking great, I definitely get motion sensitivity, but why does this have to happen to me?? Do you ever watch your kid reading in the backseat and think man, why can’t I do that?

Why do I get motion sensitivity?

If you’ve been an avid reader of our blog, you will already know that our sense of balance comes from three main sources: the vestibular system, the visual system, and the somatosensory system. (In case you missed it, check out our earlier blog posts on the vestibular system here and here.)

People who get motion sensitivity often rely too much on their visual system, which means their brains can easily be tricked. If you’re sitting in your parked car, and the truck next to you starts moving, your vestibular system is telling your brain that you’re not moving, but your visual system is saying the opposite. If you’re someone who over relies on their visual system, that system will take over, convince the brain that you are indeed moving, and make you feel really sick. This can also be referred to as visual vestibular mismatch, or VVM.

So what can you do about it?

Treatment for motion sensitivity

If you’re a lifetime sufferer of motion sensitivity, you’ve probably already tried Gravol, ginger pills, cracker nibbling, looking straight ahead when the car is moving, etc. etc. But all of these things are only band aid solutions to help you cope. What if you could cure your motion sensitivity?

Just like an ankle sprain, there is no magic wand that can cure you in an instant, but there are many exercises you can do to start training yourself so that you no longer experience motion sensitivity. There are two main elements you will need to work on:

  1. We need to train the brain to stop its over-reliance on the visual system, and to start relying more on the vestibular system instead. How? Take the other two systems away. Stand on your cushy couch, close your eyes, and don’t fall over.

  2. We need to gradually desensitize or habituate the brain so that it can tolerate these icky situations more and more. This means that yes, we do need to trigger those symptoms to train the brain, but only mildly. You should feel only mild symptoms that resolve within 5 minutes. What that may look like totally depends on the individual. For some, that may mean 1 minute in the car as a passenger. For others, it may mean getting on a roller coaster if that’s the only trigger they have.

For more exercises that you can easily incorporate into your everyday life, check out part 2 of our motion sensitivity series where I will be sharing my Top 10 Motion Sensitivity Exercises. Some of them are actually pretty fun and include playing video games or hanging out with your kids, so be sure to check out that post when it goes live!

If you want to get started on your motion sensitivity rehabilitation, give us a call at (778) 630-8800 or book online at ladnervillagephysio.com .