Engineering topics

Graybiel, A.

Publications and source records attributed to Graybiel, A..

At least 19 records

NASA NTRS1994

Use of promethazine to hasten adaptation to provocative motion

In an earlier study, the authors found that severely motion sick individuals could be greatly relieved of their symptoms by intramuscular injections of promethazine (50 mg) or scopolamine (.5 mg). Comparable 50-mg injections of promethazine also have been found effective in alleviating symptoms of space motion sickness. The concern has risen, however, that such drugs may delay or retard the acquisition of adaptation to stressful environments. In the current study, we controlled arousal using a mental arithmetic task and precisely equated the exposure history (number of head movements during rotation) of a placebo, control group and an experimental group who had received promethazine. No differences in total adaptation or in rates of adaptation were present between the two groups. Another experimental group also received promethazine and was allowed to make as many head movements as they could, before reaching nausea, up to 800. This group showed a greater level of adaptation than the placebo group. These results suggest a strategy for dealing with space motion sickness that is described.

Non-NASA Center↗

NASA NTRS1986

Head movements in non-terrestrial force environments elicit motion sickness - Implications for the etiology of space motion sickness

Space motion sickness has become an operational concern in manned space flight. Considerable evidence exists that head movements in free fall, especially pitch movements, are provocative until adaptation occurs. The question arises whether space motion sickness is an unique nosological entity or is due to body movements in a nonterrestrial force environment, a force environment for which the body's dynamic sensory-motor adaptions to 1 G are no longer appropriate. To evaluate this issue, subjects were asked to make controlled head movements during exposure to high gravitoinertial force levels, 1.8-2.0 G, in parabolic flight maneuvers. Head movements in pitch with eyes open were most evocative of motion sickness, yaw movements with eyes covered were least provocative. This pattern is identical to that which occurs when the same types of head movements are made in the free fall phase of parabolic maneuvers. It appears that space motion sickness is the consequence of prolonged exposure to a nonterrestrial force background rather than of exposure to free fall per se.

Lackner, J. R.↗

NASA NTRS1986

Sudden emesis following parabolic flight maneuvers Implications for space motion sickness

Episodes of emesis unaccompanied by the usual prodomal signs of motion sickness have been reported by astronauts in the Space Shuttle program. Such reports have raised the issue whether space motion sickness has different characteristics from terrestrial motion sickness. Evidence is presented here from parabolic flight experiments that sudden vomiting can occur in response to a provocative vestibular stimulus even when no premonitory symptoms are being experienced. Accordingly, in chronic exposure conditions, the absence of prominent signs or symptoms of motion sickness does not necessarily mean an absence of sensitization.

Lackner, J. R.↗

NASA NTRS1986

The effective intensity of Coriolis, cross-coupling stimulation is gravitoinertial force dependent - Implications for space motion sickness

The effect of gravity on the severity of the Coriolis-induced motion sickness was investigated in ten individuals subjected to high and low G-force phases of parabolic flight maneuvers using constant level Coriolis, cross-coupled angular acceleration stimulation. Using seven levels of severity in the diagnosis of motion sickness, it was found that the subjects were less susceptible at 0 G than at +2 Gz, and that the perceived intensity and provocativeness of Coriolis stimulation decreased in 0 G and increased in +2 Gz relative to the +1 Gz baseline values. The changes in the apparent intensity of Coriolis stimulation occur virtually immediately when the background gravitatioinertial force level is varied. These findings explain why the Skylab astronauts were refractory to motion sickness during Coriolis stimulation in-flight.

Lackner, J. R.↗

NASA NTRS1984

Elicitation of motion sickness by head movements in the microgravity phase of parabolic flight maneuvers

Susceptibility to motion sickness was tested in 44 subjects during parabolic flight maneuvers in a KC-135 aircraft. The subjects were categorized as: (1) insusceptible; (2) moderately susceptible; or (3) highly susceptible to motion sickness during exposure to varying degrees of gravito-inertial force. After categorization, three types of head movements were evaluated to determine the effect on the subjects' baseline susceptibility. Ten cycles of head movements were made in three different parabolas until nausea was reached or 40 parabolas had been completed. All types of head movements significantly increased susceptibility for all categories; eyes-open conditions were always more stressful than eyes-closed conditions for each type of head movement. It is concluded that head movements in microgravity can elicit symptoms of motion sickness. It is suggested that head movements play an etiological role in space motion sickness. In ground based studies where head movements are necessary to elicit symptoms, they are also necessary to elicit adaptation to the microgravity environment.

Lackner, J. R.↗

NASA NTRS1983

Etiological factors in space motion sickness

The human susceptibility to motion sickness during exposure to sudden-stop stimulation as a function of gravitoinertial force level is studied. It is determined that susceptibility is greatly enhanced, both with eyes-closed and eyes-open, for zero-g and 2-g conditions in parabolic flight compared with 1-g test conditions. It is argued that this change in susceptibility is related to alterations in vestibulo-occular function which result from variations in gravitoinertial force level, the altered patterns of otolithic activity resulting during variations in gravitoinertial force level, and the altered canal-otolith response synergies that result during exposure to gravitoinertial force levels greater or less than terrestrial levels. These factors are found to be related to the etiology of space motion sickness and to the alterations in performance and vestibular function that are experienced by astronauts during reentry. An explanation is presented for the decrease in susceptibility to motion sickness exhibited by the Skylab astronauts inflight and for some period postflight during exposure to cross-coupled angular accelerations.

Lackner, J. R.↗

NASA NTRS1983

Motion sickness - Acquisition and retention of adaptation effects compared in three motion environments

The acquisition and retention of adaptation effects in motion sickness was invetigated using a sudden-stop vestibulovisual interaction test for measuring susceptibility to motion sickness (Graybiel and Lackner, 1980). The test procedure included four successive assessments that provide not only an index of susceptibility to motion sickness but also the rates of acquisition and decay of adaptation effects. The 14 subjects who had participated in this test had previously served as subjects in parabolic flight experiments and seven of them had also taken part in the assessment of antimotion-sickness remedies in a slow rotation room. A study was conducted to determine whether these subjects' rates of acquisition and decay of adaptation to stressful motion represent consistent general features of their response across motion environments. It is found that an individual's rates of acquiring and losing adaptation are quite consistent in very different situations. In addition, the pattern of results indicate modifications of the sudden-stop vestibulovisual test that should increase its effectiveness as a motion-sickness screening procedure, both for orbital flight and for terrestrial conditions.

Graybiel, A.↗

NASA NTRS1983

Perceived orientation in free-fall dependson visual, postural, and architectural factors

In orbital flight and in the free-fall phase of parabolic flight, feelings of inversion of self and spacecraft, or aircraft, are often experienced. It is shown here that perceived orientation in free-fall is dependent on the position of one's body in relation to the aircraft, the architectural features of the aircraft, and one's visual appreciation of the relative configurations of his body and the aircraft. Compelling changes in the apparent orientation of one's body and of the aircraft can be reliably and systematically induced by manipulating this relationship. Moreover, while free-floating in the absence of visual, touch, and pressure stimulation, all sense of orientation to the surroundings may be lost with only an awareness of the relative configuration of the body preserved. The absences of falling sensations during weightlessness points to the importance of visual and cognitive factors in eliciting such sensations.

Lackner, J. R.↗

NASA NTRS1982

Rapid perceptual adaptation to high gravitoinertial force levels Evidence for context-specific adaptation

Subjects exposed to periodic variations in gravitoinertial force (2-G peak) in parabolic flight maneuvers quickly come to perceive the peak force level as having decreased in intensity. By the end of a 40-parabola flight, the decrease in apparent force is approximately 40%. On successive flight days, the apparent intensity of the force loads seems to decrease as well, indicating a cumulative adaptive effect. None of the subjects reported feeling abnormally 'light' for more than a minute or two after return to 1-G background force levels. The pattern of findings suggests a context-specific adaptation to high-force levels.

Lackner, J. R.↗

NASA NTRS1982

Antimotion-sickness efficacy of scopolamine 12 and 72 hours after transdermal administration

The antimotion sickness remedy, transdermal therapeutic system-scopolamine, administered in this experiment was scheduled to deliver 1.0 mg of scopolamine over a period of 3 d, and this paper compares its efficacy 12 and 72 h after administration. In a double-blind study, six male college students were individually exposed to a standardized provocative test in a slow rotation room after six apparently identical treatments comprising four placebos and two medications. Efficacy was categorized as beneficial, inconsequential, or detrimental. None of the responses was detrimental. Following the first administration of the therapeutic system, there were four beneficial responses after 12 h but none was beneficial after 72 h. Following the second treatment regimen, there were four beneficial responses after 12 h and three beneficial responses after 72 h. Great individual differences were demonstrated, two subjects accounting for six beneficial responses and two accounting for only one beneficial response. The difference in efficacy after 12 and 72 h has practical and theoretical significance.

Graybiel, A.↗

NASA NTRS1981

Coping with space motion sickness in Spacelab missions

Lessons learned from Skylab are applied to methods of dealing with space sickness among crewmembers in their first orbital flight. Early experiences on Skylab 3 led to regularly scheduled scopalamine/dexedrine tablets ingestion. Subsequent experiences on the next Skylab mission established a 75% incidence of the sickness among first-time-in-orbit crewmembers, notably in periods of inactivity rather than work periods. Intramuscular injections are recommended to treat acute space sickness. Preflight transdermal scopalamine plus three or four doses of 5 mg amphetamine are chosen preventive measures, giving 12 hours of efficacy.

Graybiel, A.↗

NASA NTRS1981

Experimental motion sickness - Efficacy of transdermal scopolamine plus ephedrine

A double-blind, placebo-controlled study compared the efficacy of transdermal therapeutic system-scopolamine administered alone and combined with ephedrine sulfate given orally in doses of 12.5, 25, and 50 mg. Eight normal male students were exposed to stressful accelerations in a slow-rotation room after receiving 10 apparently identical treatments comprising the four drugs and six placebos. Efficacy of the drug was defined in terms of the placebo range and categorized as beneficial, inconsequential, or detrimental. None of the effects was detrimental. Overall beneficial effects were 60% for transdermal therapeutic system-scopolamine (plus placebo) and 57% for the three transdermal therapeutic system-scopolamine plus ephedrine combinations.

Graybiel, A.↗

NASA NTRS1981

Variations in gravitoinertial force level affect the gain of the vestibulo-ocular reflex - Implications of the etiology of space motion sickness

Recordings of horizontal nystagmus were obtained on 16 male subjects exposed to repeated patterns of horizontal angular acceleration, constant velocity rotation, and sudden-stop deceleration in the laboratory and in the free-fall and high-force periods of parabolic flight. Nystagmus intensity was a clear function of gravitoinertial force level: slow phase velocity and beat frequency increased during exposure to high force levels and decreased in free-fall compared to values obtained at 1 G. These findings indicate that the gain of the vestibulo-ocular reflex decreases in free-fall. This fact likely accounts for the disorientation and dizziness sometimes experienced by astronauts when moving their heads in the early phases of orbital flight and again after splashdown. The implications of the present findings, both for the etiology and for the treatment of space motion sickness, are discussed.

Lackner, J. R.↗

NASA NTRS1980

Free fall - A partial unique motion environment

Conditions leading to the elicitation of motion sickness have been divided into two main categories: partial motion environments, in which head movements are required to elicit motion sickness, and complete motion environments, in which independent movements of the head are not required for the production of symptoms. It is postulated that, according to this categorization, free fall constitutes a partial motion environment. In support of this hypothesis evidence is reviewed from Skylab missions, experiments in parabolic flight, and ground-based studies.

Graybiel, A.↗

NASA NTRS1980

Space motion sickness - Skylab revisited

Biomedical findings in the area of space motion sickness of the Skylab missions are reviewed and compared with the results of laboratory simulations. The motion sickness experiences of the three Skylab crews are related, and it is pointed out that of the nine astronauts, four were not sick at all, and of the five who were sick, only two vomited. In addition, it is noted that soon after recovery all five were immune in a provocative test based on the generation of cross-coupled angular accelerations while they executed head movements during rotation, in which they had manifested symptoms before the flight. Is is concluded that the findings indicate that susceptibility to motion sickness on earth is not a reliable predictor of susceptibility to motion sickness in orbit, and that free fall is a partial motion environment. Difficulties in dealing with motion sickness under operational conditions and the limitations of antimotion sickness remedies are noted.

Graybiel, A.↗

NASA NTRS1980

Evaluation of the relationship between motion sickness symptomatology and blood pressure, heart rate, and body temperature

This study investigated the relationship between the development of symptoms of motion sickness and changes in blood pressure, heart rate, and body temperature. Twelve subjects were each evaluated four times using the vestibular-visual interaction test (Graybiel and Lackner, 1980). The results were analyzed both within and across individual subjects. Neither a systematic group nor consistent individual relationship was found between the physiological parameters and the appearance of symptoms of motion sickness. These findings suggest that biofeedback control of the physiological variables studied is not likely to prevent the expression of motion sickness symptomatology.

Graybiel, A.↗

NASA NTRS1980

Visual and postural motion aftereffects following parabolic flight

Postural and visual motion aftereffects may be experienced after exposure to alternating periods of free fall and increased gravitoinertial force in parabolic flight. In an aftereffect, the body feels as if it is again undergoing periodic changes in force level because of motion of the substrate; strong apparent postural motion is also accompanied by visual motion of the surroundings. The aftereffects are discussed according to: (1) their character, (2) their time course, (3) secondary symptoms associated with them, (4) conditions favoring their occurrence, (5) their relation to the inducing frequency, (6) fragments of the complete pattern, (7) their duration, and (8) the importance of contact cues.

Lackner, J. R.↗

NASA NTRS1980

A sudden-stop vestibulovisual test for rapid assessment of motion sickness manifestations

A sudden-stop vestibulovisual (SSV) test employing a rotating chair centered in a striped cylindrical enclosure is discussed. A subject, with his eyes covered, is accelerated clockwise at 15 degrees per second squared and maintained at this velocity for 30 sec. The chair is then brought to rest within 1.5 sec and remains at rest for 30 sec while physiological parameters and motion sickness symptoms are recorded. The procedure is repeated until a predetermined motion sickness endpoint (slight nausea) is reached or 20 stops have been made. The scores made by 14 subjects in 4 sessions in terms of susceptibility to motion sickness are presented, and the pattern of all scores indicates rates of acquisition and decay of adaptation effects. It is concluded that at sea or in flight training good retention of adaptation is more important than is a rapid rate of acquiring adaptation, but in Spacelab, where early missions will be brief, rapid acquisition is all-important.

Graybiel, A.↗