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Nausea is a common and distressing experience that often precedes vomiting. Amongst symptoms emanating from the gastrointestinal (GI) tract nausea can be considered somewhat unique, as on one hand it represents a normal, highly conserved, physiological response to an ingested toxin yet on the other it may indicate pathology. Nausea may also arise as a consequence of pharmaco- and chemotherapeutic interventions. Nausea negatively impacts on quality of life, adherence to treatment and is a cause for discontinuation of the development of novel compounds. Experimentally, nausea can be induced in humans using a visually induced motion stimulus. Previously we have developed a 10-minute motion video of the landscape rotating as seen from the perspective of a subject standing on Westminster Bridge, London. The tilted and rotating view visual display makes the subject perceive that they are spinning round and round on a spot tilted away from centre of gravity due to circular vection. This motion video induced nausea in approximately 50% of healthy participants and caused a reduction in cardiac vagal tone, a validated measure of the parasympathetic nervous system branch on the autonomic nervous system. We therefore are evaluating the role of external transcutaneous vagal nerve stimulation in visually induced motion sickness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Transcutaneous vagal nerve stimulation | Experimental | Active vagal nerve stimulation to the left auricular branch of the vagus nerve |
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| Sham vagal nerve stimulation | Placebo Comparator | Placebo vagal nerve stimulation - stimulator attached to the ear but rotated 180 degrees so that it is not stimulating the vagus nerve. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcutaneous vagal nerve stimulation | Device |
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| Measure | Description | Time Frame |
|---|---|---|
| Reduction of the subjective sensation of nausea on a visual analogue scale | 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of transcutaneous vagal nerve stimulation on cardiac vagal tone | 10 minutes | |
| Tolerability of transcutaneous vagal nerve stimulation | 10 minutes |
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| Name | Affiliation | Role |
|---|---|---|
| Adam D Farmer, PhD MRCP | Wingate Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wingate Institute of Neurogastroenterology | London | London | E1 @AJ | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24792503 | Background | Farmer AD, Al Omran Y, Aziz Q, Andrews PL. The role of the parasympathetic nervous system in visually induced motion sickness: systematic review and meta-analysis. Exp Brain Res. 2014 Aug;232(8):2665-73. doi: 10.1007/s00221-014-3964-3. Epub 2014 May 4. |
| Label | URL |
|---|---|
| Vagal nerve stimulator information | View source |
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| Sham vagal nerve stimulation |
| Device |
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