To to zero (having no motion sickness at all).

To find out the Effectiveness of visual vestibularhabituation and controlled breathing for motion sickness 30 participants wereincluded in this study.

  The interventionwas given for 2 weeks and the exercises were performed 5 days per week.Participants were treated with visual-vestibular habituation and controlledbreathing. At the start of 1st week and at end of 2ndweek of intervention participants were reassessed using the Severity criteriafor acute motion sickness and MSAQ scale. The following are the results of thestudy:vTable 1: Shows Comparison of total score in level of severity of acute motion sickness between Baseline and at the end of 2nd Week.  Comparison of total score in level of severity criteria for acute motion sickness between the Baseline and at the end of 2nd Week was found to be statistically extremely significant using the paired t test in which p value is(p<0.001, 95% CI) and t value is(t= 5.

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152) respectively with 29 degrees of freedom. That at the baseline of the intervention out of 30 subjects 3 had Frank sickness, 7 had severe malaise (MIII), 13 had Moderate malaise (MIIA), and 6 had Moderate malaise (MIIB) and 1 with slight malaise (MI). That at the end of 2nd week of intervention subjects having Frank sickness at baseline their level of severity for motion sickness was decreased to MIII, MIIA & MIIB & MI. That at the end of 2nd week of intervention subjects having severe malaise at baseline their level of severity for motion sickness was decreased to MIIA, MIIB & MI.

That at the end of 2nd week of intervention subjects having Moderate malaise(MIIA &MIIB) at baseline their level of severity for motion sickness was decreased to MI or zero( having no motion sickness) or remained the same(moderate) . That at the end of 2nd week of intervention subjects having slight malaise (MI) at baseline their level of severity for motion sickness was decreased to zero (having no motion sickness at all).  vGraph 1: Shows decrease inMean value of level of severity for acute motion sickness from the Baseline andat the end of 2nd week of intervention was 8.2(SD 4.93) and 3.83(SD3.71) respectively. vTable 2: shows The comparison of Components of motion sickness at baseline & at the end of 2 week of intervention.

 The most common symptom of motion sickness among the 30 subjects at baseline was the Gastrointestinal (sick, queasy, ill, stomach awareness/discomfort, vomiting). Followed by Sopite related (irritated, drowsy, fatigue, uneasy) then central(faint-like, lightheaded, dizzy, spinning) and Peripheral(sweaty, clammy, hot/warm,). Comparison of MSAQ Sub score of the Baseline and at the end of 2 Week was found to be statistically extremely significant using the students paired t test in which p’ value and t’ value for gastrointestinal was (p<0.0001, 95% CI) and (t= 8.

319), for central was (p<0.0001,95% CI) and (t=4.65), for peripheral was (p<0.0002, 95% CI) and (t=4.

178), for sopite related is (p<0.0001, 95% CI) and (t=5.541), respectively with 29 degrees of freedom.vGraph 2: shows MSAQ sub scores have decreased at the end of 2nd week as compared to baseline scores.

The most common symptoms was the gastrointestinal followed by sopite related then central and peripheral from baseline and at the end of 2nd week was improved. The score for Gastrointestinal was at baseline 47.21(SD 17.21) and at end of 2nd week were 23.11(SD 14.28). The score for central was at baseline 26.72(SD 16.

49) and at end of 2nd week were 13.58(SD 6.62). The score for peripheral was at baseline 22.1(SD 15.

63) and at end of 2nd week were 14.29(SD 8.85). The score for sopite related was at baseline 41.35(SD 20.84) and at end of 2nd week were 21.95(SD 12.

47). vTable 3: Shows the differenceof MSAQ total score from Baseline and at 2 week was found to bestatistically  extremely significantusing the paired t test in which p value is(P<0.0001, 95% CI) and t value is(t=7.

149) respectively with 29 degrees of freedom.vGraph 3: Shows the decrease inMean value of MSAQ total score from the Baseline and at end of 2nd Week ofintervention was 37.43(SD 13.52) and 20.28(SD 8.75) respectively.vAlso the average age is 20.3.

vTable 4:Shows Results MSAQ Total score & Result of severity criteria at the end of 8th week Out of 30 participants only 10 subjects travelled and were reassessed after 8th week of intervention. That for MSAQ total score & severity criteria at the end of 8th week, out of 10 subjects there was increase in score for 2 subjects at the end of 8th week & for 1 participant the score remained the same as per 2nd week, for the remaining 7 participants score of MSAQ decreased. That on comparison from baseline and at the end of 2nd week & 8th week showed that the visual-vestibular habituation exercises and controlled breathing with home exercise programme was effective and helped subjects to decrease their motion sickness.

That these exercises caused a habituation effect and decreased their motion sensitivity in quickly as 2 week and was effective as long as till 8 week.