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Exploration class missions will include multiple transitions between gravitational environments, sometimes after long periods in microgravity, which will impact the neurovestibular system and sensorimotor capabilities. New countermeasures and assessment tools are needed to enhance preflight disorientation training, maintain inflight physical performance, and accelerate recovery following transitions between gravity environments so that crew are enabled to perform critical exploration mission tasks. The Sensorimotor Countermeasures capability area encompasses three projects. 1) The Upright Proprioception Retention via Inflight Training and Evaluation (UPRITE) system is being developed as an in-flight countermeasure that will mitigate the degradation of balance control mechanisms, which will improve post-flight postural stability. The development of such a countermeasure is not simply a matter of adapting a ground-based training program for spaceflight. The way that we control balance in a gravitational environment cannot be duplicated in 0g. Therefore, the UPRITE system challenges proprioception and tactile function using a 0g configuration. The steps to develop the countermeasure have been broken into seven phases: training type, controllable board factors, protocol development, 0g hardware test, training efficacy, ISS hardware demonstration, and countermeasure verification. 2) Unobtrusive Monitoring Tools and Operational Assessments (aka Head/Body Assessments) are being developed to quantify crew member sensorimotor adaptation following gravitational transitions. Three areas are needed in this development 1) explore, develop, and validate unobtrusive monitoring tools, 2) define sensorimotor performance metrics, and 3) explore capabilities to enhance sensorimotor assessment tasks for operational use and validate assessment tasks via high-fidelity analogs. 3) The Spatial Disorientation Trainer is being developed as a portable training capability to simulate the performance of landing and recovery type tasks while experiencing vertigo due to post-flight vestibular alterations. These simulations can be used 1) across research studies investigating the impacts of vestibular disruption on operational performance/assessments, 2) to train astronauts for upcoming spaceflight missions, and 3) to educate space medicine and operational personnel prior to providing post-flight support.