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At least 109 records · Page 6

Dynamic Visual Acuity and Landing Sickness in Crewmembers Returning from Long-Duration Spaceflight

Long-term exposure to microgravity causes sensorimotor adaptations that result in functional deficits upon returning to a gravitational environment. At landing the vestibular system and the central nervous system, responsible for coordinating head and eye movements, are adapted to microgravity and must re-adapt to the gravitational environment. This re-adaptation causes decrements in gaze control and dynamic visual acuity, with astronauts reporting oscillopsia and blurred vision. Dynamic visual acuity (DVA) is assessed using an oscillating chair developed in the Neuroscience Laboratory at JSC. This chair is lightweight and easily portable for quick deployment in the field. The base of the chair is spring-loaded and allows for manual oscillation of the subject. Using a metronome, the chair is vertically oscillated plus or minus 2 cm at 2 Hz by an operator, to simulate walking. While the subject is being oscillated, they are asked to discern the direction of Landolt-C optotypes of varying sizes and record their direction using a gamepad. The visual acuity thresholds are determined using an algorithm that alters the size of the optotype based on the previous response of the subject using a forced-choice best parameter estimation that is able to rapidly converge on the threshold value. Visual acuity thresholds were determined both for static (seated) and dynamic (oscillating) conditions. Dynamic visual acuity is defined as the difference between the dynamic and static conditions. Dynamic visual acuity measures will be taken prior to flight (typically L-180, L-90, and L-60) and up to eight times after landing, including up to 3 times on R plus 0. Follow up measurements will be taken at R plus 1 (approximately 36 hours after landing). Long-duration International Space Station crewmembers will be tested once at the refueling stop in Europe and once again upon return to Johnson Space Center. In addition to DVA, subjective ratings of motion sickness will be recorded throughout the testing. Using the chair as a portable and reliable way to test DVA, we aim to test returning astronauts to assess the amount of retinal slip that they experience. By comparing these measurements to their motion sickness scores (using a scale of 1 to 20 where 20 is vomiting), we will correlate the amount of retinal slip to the level of motion sickness experienced. In addition to testing this in returning astronauts, we will perform ground-based studies to determine the effectiveness of stroboscopic goggles in reducing retinal slip and improving DVA. Finally, we will employ stroboscopic goggles in the field to astronauts experiencing high levels of motion sickness to minimize retinal slip and reduce their symptoms.

Rosenberg, M.J.F↗

Motion sickness and proprioceptive aftereffects following virtual environment exposure

To study the potential aftereffects of virtual environments (VE), tests of visually guided behavior and felt limb position (pointing with eyes open and closed) along with self-reports of motion sickness-like discomfort were administered before and after 30 min exposure of 34 subjects. When post- discomfort was compared to a pre-baseline, the participants reported more sickness afterward (p < 0.03). The change in felt limb position resulted in subjects pointing higher (p < 0.038) and slightly to the left, although the latter difference was not statistically significant (p = 0.08). When findings from a second study using a different VE system were compared, they essentially replicated the results of the first study with higher sickness afterward (p < 0.001) and post- pointing errors were also up (p < 0.001) and to the left (p < 0.001). While alternative explanations (e.g. learning, fatigue, boredom, habituation, etc.) of these outcomes cannot be ruled out, the consistency of the post- effects on felt limb position changes in the two VE implies that these recalibrations may linger once interaction with the VE has concluded, rendering users potentially physiologically maladapted for the real world when they return. This suggests there may be safety concerns following VE exposures until pre-exposure functioning has been regained. The results of this study emphasize the need for developing and using objective measures of post-VE exposure aftereffects in order to systematically determine under what conditions these effects may occur.

NASA Discipline Neuroscience↗

Autogenic Feedback Training Exercise: Controlling Physiological Responses to Mitigate Motion Sickness

During space travel approximately 50 of the crew experience symptoms of motion sickness that can range from mild forms of nausea or dizziness to severe malaise and vomiting1. Developing an effective treatment for these symptoms has become a priority of the National Aeronautics and Space Administration (NASA). Autogenic-Feedback Training Exercise (AFTE) is a nonpharmacological countermeasure for mitigating motion sickness. It involves training subjects to control physiological responses in high stress environments2. The primary goal of this experiment is to evaluate the effectiveness of AFTE for increasing tolerance to motion sickness in high stress environments.

motion sickness↗

Altered susceptibility to motion sickness as a function of subgravity level

Large interindividual differences among 74 normal subjects in the change in susceptibility to motion sickness with effective lifting of the normal g-load by parabolic flight maneuvers were recorded with high test-retest reliability. Most subjects, who were required to make standardized head movements while seated in a chair rotating at a constant speed, demonstrated either a substantial increase or a decrease in susceptibility, in confirmation of a previous study, while a few appeared to be more or less unaffected by the 1 g to 0 g gravitational change. A similar test procedure conducted with eighteen of the subjects at lunar- and Martian-gravity levels revealed further interindividual differences in susceptiblity as a function of g-level. The subjects with gravity-dependent susceptibility revealed: (1) a progressive change in susceptibility as a function of g-load in either the positive or negative direction that was characteristic of the individual, (2) a susceptibility level that appeared to be maintained at the fractional g-load, and (3) immunity to motion sickness at all g-levels tested below the earth standard. The case history as well as ground-based functional and provocative tests of normal subjects proved to be inadequate in predicting susceptibility to motion sickness under subgravity conditions.

Miller, E. F., II↗

Contributions of the space program to our knowledge of motion sickness.

A slow rotation room (SRR) was used in a laboratory setting to study experimental motion sickness. This SRR simulates, to some degree, the conditions on a rotating spacecraft. Habitability of the chamber was ascertained by subjects who remained in the room for over a month with experimenters in attendance. Control over stressful accelerations involved regulation of the room's angular velocity and the subject's head rotations. By standardizing the head rotations, the strength of the disturbing stimulus became a function of the room's angular velocity. Mild acute episodes of motion sickness were readily kept under control. Certain techniques demonstrated that a subject's susceptibility may be expressed in terms of the number of head motions at a particular angular velocity to reach a chosen endpoint. Investigations using prolonged exposure used rapid increase in rpm to terminal velocity to evoke symptoms, or incremental increase to terminal velocity to prevent them. The effectiveness of 16 representative antimotion sickness drugs is discussed.

Graybiel, A.↗

Some of the mechanisms underlying motion sickness

Some of the mechanisms contributing to the occurrence of motion sickness are discussed. It is stated that the primary factor is a loss of stability in the vestibular system caused by repetitive sensory inputs that are abnormal in terms of the central vestibular patterning encountered. Evidence is presented supporting the opinion that motion sickness is an epiphenomenon superimposed on any responses in the reflex category due to vestibular influences that cross a temporary linkage to reach nonvestibular sites where first-order motion sickness symptoms have their immediate origin.

Graybiel, A.↗

A review of the influence of physical condition parameters on a typical aerospace stress effect: Decompression sickness

The study examines data on episodes of decompression sickness, particularly from recent Navy work in which the event occurred under multiple stress conditions, to determine the extent to which decompression sickness might be predicted on the basis of personal characteristics such as age, weight, and physical condition. Such information should ultimately be useful for establishing medical selection criteria to screen individuals prior to participation inactivities involving extensive changes in ambient pressure, including those encountered in space operations. The main conclusions were as follows. There is a definite and positive relationship between increasing age and weight and the likelihood of decompression sickness. However, for predictive purposes, the relationship is low. To reduce the risk of bends, particularly for older individuals, strenuous exercise should be avoided immediately after ambient pressure changes. Temperatures should be kept at the low end of the comfort zone. For space activities, pressure changes of over 6-7 psi should be avoided. Prospective participants in future missions such as the Space Shuttle should not be excluded on the basis of age, certainly to age 60, if their general condition is reasonably good and they are not grossly obese. (Modified author abstract)

West, V. R.↗

Semicircular canals as a primary etiological factor in motion sickness.

Data are presented which support the view that the semicircular canals of humans can act as the essential factor for the production of motion sickness and the evocation of symptoms characteristic of this malady in the absence of 'motion.' Quantitative grading of acute symptoms demonstrated that motion sickness can be evoked by stimuli which are adequately provocative and unique for the canals. These results are compared with those of two provocative rotational tests that introduce Coriolis (cross-coupled angular acceleration) forces or generate a rotating linear acceleration vector. Wide interindividual differences but only slight intraindividual differences among the six provocative test conditions are revealed, indicating that individuals usually possess an overall susceptibility to motion which is relatively independent of its type. The fact that typical symptoms of motion sickness were also produced by bithermal irrigation of several subjects who represented a wide range of susceptibility adds to the evidence that semicircular canals can act as the primary etiological factor in this malady.

Miller, E. F., II↗

Anti-motion-sickness therapy

Neither alterations in environmental temperature nor moderate intake of alcohol was found to alter susceptibility to motion sickness in subjects exposed to rotation in the Pensacola slow rotation room. Scopolamine with d-amphetamine was found to be the most effective preparation for the prevention of motion sickness under the experimental conditions of the studies reported here. Promethazine in combination with d-amphetamine was in the same range of effectiveness. Drug actions suggest that acetylcholine and norepinephrine may be involved in motion sickness.

Wood, C. D.↗

Sopite syndrome - A sometimes sole manifestation of motion sickness

Sopite syndrome is understood to mean a symptom complex centering around 'drowsiness' produced by motion sickness. The typical symptoms of the syndrome are: yawning; drowsiness; disinclination to work either physically or mentally; and lack of participation in group activities. The present study is based on data obtained in rotating rooms, at sea, in the air, and in orbital flight. When the sopite syndrom occurs either before other typical symptoms of motion sickness appear or after their disappearance, they are distinguished, respectively, by the terms 'early sopite syndrome' and 'late sopite syndrome'. Further distinction is made between brief and prolonged exposures. Evidence is presented indicating that drowsiness and mental depression caused by prolonged motion sickness are only part of the symptom complex that is termed sopite syndrome.

Graybiel, A.↗

Comparison of susceptibility to motion sickness during rotation at 30 rpm in the earth-horizontal, 10 deg head-up, and 10 deg head-down positions

Normal persons rotated about an earth-horizontal axis vary in their susceptibility to motion sickness. An experimental study was conducted to measure intraindividual differences in susceptibility in 12 subjects when rotated 10 deg head up and 10 deg head down as well as in the horizontal position. Subjects assumed the test-position 60 min prior to rotation, thus providing an opportunity for translocation of body fluids. Physiological and psychological measurements were conducted throughout the experiment. There were no intraindividual differences in susceptibility to motion sickness in the three positions tested, although there were significant differences in vital capacity, demonstrating the expected fluid shifts. It was concluded that, in the sample of subjects tested, short-term effects of fluid shifts greater than those that would be manifested in zero gravity had no definite effect on motion sickness susceptibility.

Graybiel, A.↗

Evaluation of a new antinauseant drug for the prevention of motion sickness

The new drug, AHR 5645B, together with other drugs was evaluated in tests, conducted with eight male subjects, concerning its ability to prevent motion sickness. It was found that AHR 5645B, used in doses of 20, 50, and 100 mg, was not efficacious in preventing experimental motion sickness. A combination of 50 mg meclizine and 25 mg ephedrine sulfate produced the best results. Favorable results were also obtained with a combination of 12.5 mg promethazine hydrochloride and 12.5 mg ephedrine sulfate. The findings in the reported experiment point to the difficulty of identifying a highly efficacious antimotion sickness drug for everyone.

Graybiel, A.↗

Rotation at 30 RPM about the Z axis after 6 hours in the 10-deg head-down position - Effect on susceptibility to motion sickness

Intraindividual differences in susceptibility to motion sickness were measured in 14 subjects for two conditions of rotation at 30 rpm in the 10-deg head-down position. In one condition, subjects were in the 10-deg head-down position for 6 h prior to the onset of rotation; in the other condition, the delay was only 15 min. In both conditions, there were changes in vital capacity, indicating a redistribution of movable body fluids. Subjects tended to be less susceptible to motion sickness when they were recumbent for 6 h prior to rotation. These results are counterevidence for the hypothesis that shifts of body fluid are responsible in large part for the motion sickness elicited in orbital space flight.

Graybiel, A.↗

Use of physical culture to increase resistance of sailors to motion sickness

From 50% to 70% of sailors are exposed to motion sickness in storms. A program of physical exercises is described and tested for effectiveness in preventing this problem. In comparing the results of tests of susceptibility to motion sickness given to groups before and after a program of exercises and to a control group, it is found that physical education can strengthen the vestibulary apparatus and help prevent motion sickness.

Salanin, I. V.↗

Some influences of vision on susceptibility to motion sickness

Two experiments were performed to evaluate the influence of vision on susceptibility to motion sickness during exposure to constant patterns of vestibular stimulation. The motion profile involved accelerating subjects at 20 deg/sec per sec to 300 deg/sec, maintaining them at that constant velocity for 30 sec, and decelerating them to a rapid stop in about 1.5 sec. The number of stops tolerated by a subject before reaching the motion sickness endpoint served as his score. In Experiment 1, subjects were tested twice with their eyes open and twice with their eyes blindfolded. They tolerated fewer sudden stops when permitted sight of the experimental chamber. In Experiment 2, the effect of having the eyes open or closed at different stages of the motion profile was evaluated. Having the eyes open during any stage of the test was more stressful than having the eyes closed, but this was especially true during the sudden stops. The findings are discussed in terms of their general implications for understanding (1) situations in which vision alone elicits symptoms of motion sickness, and (2) situations involving vestibular stimulation where vision heightens susceptibility.

Lackner, J. R.↗

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.↗

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.↗

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.↗