Clinical features of mal de debarquement: adaptation and habituation to sea conditions

J Vestib Res. Sep-Oct 1995;5(5):363-9.

Abstract

A survey conducted among 116 crew members of seagoing vessels confirmed that mal de debarquement (M-D) is a transient feeling of swinging, swaying, unsteadiness, and disequilibrium. None of the subjects requested medical attention, although there were isolated cases in which a strong sensation of swinging and unsteadiness caused transient postural instability and impaired the ability to drive. In most cases, the sensation of M-D appeared immediately on disembarking and generally lasted a few hours. In addition, subjects usually described bouts or attacks of M-D associated with changes in body posture, head position, or with closing of the eyes. M-D was reported by 72% of our subjects. Sixty-six percent of subjects reported a high incidence following their first voyages. A significant positive correlation was found between M-D and seasickness susceptibility. The nature of M-D may be explained within the framework of multisensorimotor adaptation and habituation to a new or abnormal motion environment. It is suggested that M-D represents a dynamic, multisensorimotor form of CNS adaptive plasticity.

Publication types

  • Case Reports

MeSH terms

  • Adaptation, Physiological*
  • Adult
  • Habituation, Psychophysiologic*
  • Humans
  • Male
  • Motion Sickness / physiopathology*
  • Oceans and Seas
  • Ships*
  • Time Factors