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Enrolling by invitationNCT07297862Updated Oct 20, 2026

Virtual Reality Sickness Questionnaire: Psychometrics in Stroke Patients

An observational study in Motion Sickness, sponsored by Abant Izzet Baysal University. Enrolling by invitation at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Abant Izzet Baysal University · Observational

Updated Oct 20, 2026Primary completion movedStudy completion movedGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
50
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The aim of this study is to examine the effects of virtual reality on physiological factors (heart rate, blood pressure) in stroke patients and the psychometric properties of the Virtual Reality Sickness Questionnaire in assessing Motion Sickness resulting from virtual reality use.

Read the detailed description

Despite the proven advantages of virtual reality approximately 30% of users report nausea and up to 40% experience eye strain as a result of prolonged exposure to virtual environments and simulators. These problems are referred to as motion sickness (MS) a side effect of virtual reality use.

The Motion Sickness Assessment Questionnaire (MSAQ) and the Simulator Sickness Questionnaire (SSQ), which evaluates the symptoms under four titles (gastrointestinal, central, peripheral and fatigue), are used in the literature to evaluate this effect. However, these questionnaires may not be sufficient to assess the MS symptoms that develop after virtual reality (VR) applications. Because MS symptoms occur differently in VR and simulation systems. For this reason, the Virtual Reality Sickness Questionnaire (VRSQ) was developed by Kim and his colleagues to evaluate the symptoms that occur after virtual reality. The Turkish validity and reliability of the VRSQ, which consists of 9 questions, was also conducted by Cetin and his friends.

The aim of this study to investigate how virtual reality affects physiological factors (heart rate, blood pressure) in stroke patients and to evaluate the psychometric properties of the Virtual Reality Sickness Questionnaire in assessing VR-induced motion sickness.

02

Conditions studied

  • Motion Sickness

Keywords

  • Motion Sickness
  • Virtual Reality Sickness Questionnaire
  • Psychometric Properties
  • Stroke
03

In context

Motion Sickness

50 studies on the registry are indexed under Motion Sickness; 9 are open to participants now.

Browse Motion Sickness studies →

Lead sponsor

Abant Izzet Baysal University is the lead sponsor of 250 studies on the registry; 59 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

This prospective study will be conducted in BAIBU Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation on healthy individuals and individuals with stroke who agree to participate in the study.

Individuals between the ages of 18-80 will be included in the study. Individuals will be asked to experience VR for 15 minutes and then fill out the Virtual Reality Sickness Questionnaire. Individuals whose score in this questionnaire is not 10 and above will be excluded from the study. Individuals who meet the inclusion criteria will be divided into two groups as healthy and stroke patients after demographic information is obtained.

Eligibility criteria

Inclusion criteria for individuals with stroke:

  1. Stroke diagnosis,
  2. A minimum score of 24 on the Standardised Mini Mental Test (SMMT), 2.18-80 years old,
  3. showing symptoms of MS with a minimum score of 10 on the Virtual Reality Sickness Questionnaire
  4. Titmus test result of 3552 arc/s
  5. Not having neglect syndrome

Exclusion criteria:

  1. Not volunteering for the study,
  2. Presence of a diagnosis of neurological disease other than stroke,
  3. Presence of a history of previous stroke,
  4. Complete or partial loss of vision in one eye,
  5. Previous use of Virtual Reality
  6. Having diseases affecting the vestibular system such as Vertigo, Benign Paroxysmal Vertigo, Meniere's

Inclusion criteria for Healthy Individuals:

1. A minimum score of 24 on the Standardised Mini Mental Test (SMMT), 2.18-80 years old, 3. showing symptoms of MS with a minimum score of 10 on the Virtual Reality Sickness Questionnaire 4. Titmus test result of 3552 arc/s

Exclusion criteria:

  1. Not volunteering for the study,
  2. Presence of a diagnosis of neurological disease,
  3. Complete or partial loss of vision in one eye,
  4. Previous use of Virtual Reality
  5. Having diseases affecting the vestibular system such as Vertigo, Benign Paroxysmal Vertigo, Meniere's
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Groups and cohorts

  • Stroke Group

    Other: Roller Coaster application

  • Healthy Group

    Other: Roller Coaster application

Interventions

  • OtherRoller Coaster application

    Participants will experience a 15-minute roller coaster virtual reality (VR) for three consecutive days, once a day. During this study, the virtual reality application will be performed while sitting in a chair and while fixed to the chair. The practitioner will be present with the participant throughout the VR application.

06

What researchers measure

Primary outcomes

  1. Virtual Reality Sickness Questionnaire

    The Virtual Reality Sickness Questionnaire (VRSQ), which consists of 9 items and two main headings: oculomotor discomfort and disorientation, will be used to assess Motion Sickness symptoms. The items will be scored between 0-3. As a result of VRSQ oculomotor, disorientation and total scores will be obtained. Oculomotor and disorientation scores will be calculated by dividing the individual's component score by the total score obtained (as a percentage). Minimum score is 0 and maximum score is 100. Higher scores mean more symptoms.

    Time frame: immediately after roller coaster application

Secondary outcomes

  1. Titmus Test

    Three-dimensional vision of the participants will be evaluated with the Titmus test with special glasses designed for three-dimensional vision called Binocular vision stereoacuity and a brochure held 40 cm away from eye level. The participant will be asked whether they can see the butterfly on the brochure in three dimensions while wearing the glasses as a yes or no question. Participants who answer yes will proceed to the second stage. In the second stage, they will be asked to say which of the nine squares and four circles in each square they see in three dimensions.

    Time frame: Baseline

  2. National Institutes of Health Stroke Scale (NIHSS)

    With the 15-item National Institutes of Health Stroke Scale (NIHSS), patients with stroke; Very Severe: \>25 Severe: 15 - 24 Mild to Moderate: 5 - 14 Mild: 1-5 will be used to classify patients. The test will last 10 minutes and items will be scored as 0-2, 0-3 or 0-4. The maximum score to be obtained from the test is 42.

    Time frame: Baseline

  3. Standardized Mini Mental Test (SMMT)

    For the brief and objective measurement of cognitive function, the Standardized Mini Mental Test (SMMT) will be used, which consists of eleven items grouped under five main headings: orientation, recording memory, attention and calculation, recall and language, and takes 10-15 minutes to administer. Severe cognitive impairment: 0-17, Mild cognitive impairment: 18-23, No cognitive impairment: 24-30.

    Time frame: Baseline

  4. The Motion Sensitivity Test (MST)

    The Motion Sensitivity Test (MST) assesses movement-induced dizziness through 16 rapid head and body position changes. For each position, participants report the start and end of dizziness, and duration is scored from 1 to 3 based on time. They also rate dizziness intensity from 0 to 5. Duration and intensity scores are summed to obtain a raw score. The MST quotient is calculated by dividing the total symptom scores by 20.48, with 0 indicating no symptoms and 100 indicating severe symptoms in all positions.

    Time frame: immediately after roller coaster application

  5. Tolerance Period

    The patient's tolerance period, the time until symptoms become apparent, will be recorded

    Time frame: During application

  6. Heart Rate

    Participants' heart rate will be recorded with a device before and after the virtual reality experience

    Time frame: baseline and immediately after roller coaster application

  7. Feeling of discomfort

    Discomfort will be calculated by measuring the area marked by the individual from 0 (very comfortable) to 10 (not comfortable at all).

    Time frame: immediately after roller coaster application

  8. Blood Pressure

    Participants' blood pressure will be recorded with a device before and after the virtual reality experience

    Time frame: baseline and immediately after roller coaster application

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Primary completion
Jul 16, 2026→Jul 15, 2028
Oct 20, 2026
Study completion
Aug 16, 2026→Aug 16, 2028
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    Primary completion Jul 16, 2026→Jul 15, 2028
    Study completion Aug 16, 2026→Aug 16, 2028
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07297862
Responsible party
Beyzanur ŞENTÜRK (Research Assistant, Abant Izzet Baysal University) — Principal investigator
First posted
Dec 22, 2025
Start date
Jul 16, 2025
Primary completion
Jul 15, 2028 (estimated)
Completion
Aug 16, 2028 (estimated)
Last update
Oct 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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