ALBERT

Description: Exposure to the microgravity environment encountered during spaceflight induces adaptive alteration in sensorimotor function that leads to postflight disturbances in locomotor control. Head and trunk movement control plays a central role in maintaining gaze stability and in providing a stable reference system to permit spatial navigation in a complex and constantly varying environment. The goal of the present study was to investigate the effects of long-duration spaceflight (3-6 months) on head and trunk movement control during postflight terrestrial locomotion. Before and after spaceflight, subjects walked on a motorized treadmill while performing a challenging gaze stabilization task requiring number recognition. Head and trunk kinematic data were collected with a video-based motion analysis system. Analysis of roll, pitch and yaw head and trunk movements during treadmill walking revealed postflight alterations in head and trunk movement control in all three planes of motion. Subjects also experienced oscillopsia during postflight walking which led to impairment in performance of the number recognition task. These data indicate that exposure to long-duration space flight causes alteration in head and trunk movement control during postflight locomotion. These changes have implications for the control of gaze and maintenance of dynamic stability during walking after long-duration spaceflight.

Description: Background: By removing vision and altering somatosensory inputs, we can examine the contributions of the vestibular system on balance control. Computerized Dynamic Posturography (CDP) systems accomplish this by using a dynamic plate that moves in proportion to the sway of the subject. A potential alternative to CDP is the use of a compliant foam surface. The goal of this study was to compare postural sway during each condition. Methods: Thirty-two healthy subjects (16 male and 16 female) were tested on a Equitest computerized posturography system and on a 5 inch thick block of foam (NeuroCom International; Clackamas, OR). Subjects performed three trials with their head erect and five trials with dynamic head tilts ( 20 at 0.33Hz) in the anterior-posterior (AP) plane. Subjects were instructed to stand quietly with their arms folded and eyes closed for each trial lasting 20 seconds. The sway in both AP and medial-lateral (ML) planes was calculated for each trial, as well as the total sway path length. Results: In general, AP sway tended to be greater on the Equitest than on foam and greater during the head movement trials than the head erect. The ML sway was consistently higher on foam and did not vary between head erect and moving conditions. Sway path length was consistently greater for head erect trials on foam and tended to be greater for head movement trials on the Equitest. The addition of head movements increases AP sway and the total path length. Conclusions: Based on the increase of sway in the ML direction, it is important to quantify sway in all directions when on a compliant foam surface.

Description: To better understand the effects of varying head movement frequencies on human balance control, 12 healthy adult humans were studied during static and dynamic (0.14,0.33,0.6 Hz) head tilts of +/-30deg in the pitch and roll planes. Postural sway was measured during upright stance with eyes closed and altered somatosensory inputs provided by a computerized dynamic posturography (CDP) system. Subjects were able to maintain upright stance with static head tilts, although postural sway was increased during neck extension. Postural stability was decreased during dynamic head tilts, and the degree of destabilization varied directly with increasing frequency of head tilt. In the absence of vision and accurate foot support surface inputs, postural stability may be compromised during dynamic head tilts due to a decreased ability of the vestibular system to discern the orientation of gravity.

Description: Gravity, which is sensed directly by the otolith organs and indirectly by proprioceptors and exteroceptors, provides the CNS a fundamental reference for estimating spatial orientation and coordinating movements in the terrestrial environment. The sustained absence of gravity during orbital space flight creates a unique environment that cannot be reproduced on Earth. Loss of this fundamental CNS reference upon insertion into orbit triggers neuro-adaptive processes that optimize performance for the microgravity environment, while its reintroduction upon return to Earth triggers neuro-adaptive processes that return performance to terrestrial norms. Five pioneering symposia on The Role of the Vestibular Organs in the Exploration of Space were convened between 1965 and 1970. These innovative meetings brought together the top physicians, physiologists, and engineers in the vestibular field to discuss and debate the challenges associated with human vestibular system adaptation to the then novel environment of space flight. These highly successful symposia addressed the perplexing problem of how to understand and ameliorate the adverse physiological effects on humans resulting from the reduction of gravitational stimulation of the vestibular receptors in space. The series resumed in 2002 with the Sixth Symposium, which focused on the microgravity environment as an essential tool for the study of fundamental vestibular functions. The three day meeting included presentations on historical perspectives, vestibular neurobiology, neurophysiology, neuroanatomy, neurotransmitter systems, theoretical considerations, spatial orientation, psychophysics, motor integration, adaptation, autonomic function, space motion sickness, clinical issues, countermeasures, and rehabilitation. Scientists and clinicians entered into lively exchanges on how to design and perform mutually productive research and countermeasure development projects in the future. The problems posed by long duration missions dominated these discussions and were driven by the paucity of data available. These issues along with more specific recommendations arising from the above discussions will be addressed an upcoming issue of the Journal of Vestibular Research.