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Biomedical subjects

A Graybiel

Publications and source records attributed to A Graybiel.

At least 37 records · Page 2Linked to original sources

Mechanisms underlying modulations of thermal nystagmic responses in parabolic flight.

In six subjects nystagmography was used to compare the responses to cold calorization of one horizontal semicircular canal under ground-based and parabolic flight conditions. On the ground the expected individual differences in primary nystagmic responses were observed; only one subject manifested a brief weak secondary nystagmus. Aloft, the irrigation was carried out in straight-and-level flight prior to a pushover (half-parabola) that initiated a series of four to nine typical parabolas in a modified KC-135 aircraft. Thereafter, the free-fall phases of the parabolas furnished a zero baseline for measuring weight differences in endolymph due to changes in gravitoinertial force. In all subjects a secondary nystagmus was generated in addition to the primary nystagmus during the course of the parabolic maneuvers. The slow phase of the secondary nystagmus rarely exceeded 10 mm per sec. Evidence is presented that secondary nystagmus arises as a direction-specific adaptation effect countering the primary nystagmic response. Three stages were recognizable: first, when primary and secondary nystagmus alternated in step with the high and low force phases of the parabolas; second, after disappearance of primary nystagmus when secondary nystagmus appeared alone and was modulated by the changes in force; and third, when the secondary nystagmus present became independent of the highest gravitoinertial forces generated. Great individual differences were observed, suggesting that with large departures of the cupula from its functional rest position there are large individual variations in rate of restoration.

Adult↗

Variations in gravitoinertial force level affect the gain of the vestibulo-ocular reflex: implications for 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 I 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.

Acceleration↗

Long-term follow-up of lung volume measurements in initially healthy young aviators.

Lung volume measurements on a large number of initially healthy young military aviators (the U.S. Navy's "1000 Aviator" cohort) were recorded periodically in follow-up from 1940-69. Vital capacities were measured spirometrically and total lung capacities were measured planimetrically from chest roentgenograms. Residual volumes were calculated by subtracting the vital capacity from the total lung capacity in each subject. Additional variables available for analysis were cigarette smoking histories, family histories, aviation career patterns, pulmonary symptoms, cardiac disease diagnoses, and anthropometric measurements. Multiple linear regression techniques were used on these variables to construct prediction equations for each lung volume in 1969. From these longitudinal analyses, cigarette smoking and pulmonary symptoms were found to be associated with an "obstructive lung volume pattern in 1969, while coronary artery disease and weight gain were found to be associated with a "restrictive" lung volume pattern in 1969. A career in military aviation had no significant association with lung volumes.

Adult↗

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.

Adult↗

Eight-year follow-up of exercise electrocardiograms in healthy, middle-aged aviators.

To study to prognostic capabilities of the exercise electrocardiogram (ECG) in a fit, healthy, middle-aged population, 548 members of the U.S. Navy's "1000 Aviator" cohort were exercised to 85% predicted maximum heart rate in 1969 and then followed-up in 1977 for the development of clinically evident coronary artery disease (CAD). Of these subjects, 23 (4.2%) had significant ST depression during their exercise test in 1969. At the end of the 8-year follow-up period, 38 of the 548 subjects (6.9%) had developed clinically evident CAD. The sensitivity (percent of disease predicted by an abnormal test) and predictive value (percent of abnormal tests predictive of disease) of an abnormal exercise test were 15.7% and 26%, respectively. We conclude that even in a carefully screened aviator population with a low risk for CAD, a single normal exercise ECG does not exclude the presence of latent CAD. Furthermore, in this population, a single abnormal exercise ECG should not be a disqualifying defect without further work-up.

Adult↗

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.

Disease Susceptibility↗

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

The test made use of a rotating chair mounted in a striped cylindrical enclosure, 4.6 m in diameter. The subject was exposed to the following motion profile: With eyes covered he was accelebrated at 15 degrees/s2 to clockwise volocity of 300 degrees/s and maintained at that velocity for 30 s. The chair was then decelerated to a stop within 1.5 s and maintained at rest for 30 s while physiological parameters and motion sickness symptoms were recorded. This procedure was repeated until a pre-selected motion sickness endpoint was reached or 20 stops had been made. If the endpoint was not reached, testing continued without the blindfold while the subject passively viewed the striped enclosure; if the endpoint was still not reached after 20 stops, the direction of rotation was reversed. The subject's score represented one-half the number of stops with eyes covered plus the number of stops with eyes open plus twice the number of stops after reversal of direction of rotation. Fourteen subjects were each assessed four times; the average interval between tests was 3 d. The first test was usually a poor indicator of alter performance. The second test provided a satisfactory ranking of susceptibility to motion sickness, and the results of the four sessions provided an indication of the rates of acquisition and decay of adaptation. Some advantages and uses of this new test are summarized.

Adult↗

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 (4). 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.

Blood Pressure↗

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 a) their character, b) their time course, c) secondary symptoms associated with them, d) conditions favoring their occurrence, e) their relation to the inducing frequency, f) fragments of the complete pattern, g) their duration, and h) the importance of contact cues.

Cues↗

Parabolic flight: loss of sense of orientation.

On the earth, or in level flight, a blindfolded subject being rotated at constant velocity about his recumbent long body axis experiences illusory orbital motion of his body in the opposite direction. By contrast, during comparable rotation in the free-fall phase of parabolic flight, no body motion is perceived and all sense of external orientation may be lost; when touch and pressure stimulation is applied to the body surface, a sense of orientation is reestablished immediately. The increased gravitoinertial force period of a parabola produces an exaggeration of the orbital motion experienced in level flight. These observations reveal an important influence of touch, pressure, and kinesthetic information on spatial orientation and provide a basis for understanding many of the postural illusions reported by astronauts in space flight.

Acceleration↗

Motion sickness susceptibility during rotation at 30 rpm in free-fall parabolic flight.

Free fall per se whether in parabolic or orbital flight may be regarded as a "partial" motion environment with respect to eliciting motion sickness, requiring an additional component to render this environment "complete" or stressful. Parabolic flight in toto falls in the category of a "complete" motion environment in that some persons became motion sick with head fixed and eyes closed. In the present experiment we selected subjects who were symptom free or nearly symptom free in the KC-135 with head fixed. All tests were conducted with the subject rotating at 30 rpm in a rotating litter chair, and comparisons were made between head-fixed and head-moving conditions (right-left) in the free-fall phase of parabolic flight and under simulated free-fall phases in the laboratory. With head fixed most subjects were insusceptible; with head moving left-right susceptibility was slightly higher in the laboratory than aloft. An additional comparison was made correlating susceptibility in the free-fall phases of parabolic flight with susceptibility to experimental motion sickness in Skylab. In both situations cross-coupled angular accelerations were generated by executing head and body movements out of the plane of rotation. In parabolic flight 9 of 15 subjects reached an endpoint just short of frank motion sickness. In the Skylab workshop all eight of the astronauts tested were symptom free at the end of the test. The explanation for the difference in susceptibility rests in two factors: (1) Basic susceptibility in free fall is lower than on the ground, and (2) in Skylab the astronauts who needed to adapt had achieved this goal prior to the first test on Mission-Day 8.

Adaptation, Physiological↗

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 degrees/s2 to 300 degrees/s, maintaining them at that constant velocity for 30 s, and decelerating them to a rapid stop in about 1.5 s. 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 a) situations in which vision alone elicits symptoms of motion sickness, and b) situations involving vestibular stimulation where vision heightens susceptibility.

Acceleration↗

Prevention and treatment of space sickness in shuttle-orbiter missions.

Today it is impossible accurately to predict susceptibility to space sickness of crew members making their first transition into orbit, for want of a ground-based validated model of free fall. Even assuming that space sickness is simply a specific designation for motion sickness that may be experienced in orbital flight (and here agreement is not general), preventive therapy poses difficult problems because, for a priori reasons, either all crew members or none should receive treatment. If all receive preventive therapy, everyone should execute head movements in a programmed manner to ensure rapid adaptation to the environment; at least a large minority will not benefit but rather will experience whatever sideeffects inevitably accompany administration of a drug. If none receive preventive therapy prelaunch, at least a large minority will pose two problems--treatment for acute motion sickness and rapid acquisition of adaptation. Trade-offs will involve the identification of long-acting antimotion sickness drugs for use prelaunch that will be efficacious for at least 90% of those going aloft for the first time and the effectiveness of combining rapid adaptation with treatment of motion sickness. The following report describes recent experiments dealing with these problems.

Adult↗

Oculogravic illusion in response to straight-ahead acceleration of CF-104 aircraft.

Experimental subjects wore goggles that restricted monocular vision to a luminous line fixed relative to the head, and they were exposed on one occasion to a straight-ahead acceleration of an aircraft and on another occasion to a tilting chair. The magnitude of change of direction of the resultant accleration was the same on both occasions, but the perceived movement of the luminous line from the two stimuli was very different. In response to the aircraft stimulus, the oculogravic illusion was experienced and the luminous line was perceived as tilting relative to the subject, in response to the tilting chair stimulus, the line was perceived as remaining fixed relative to the subject. It was concluded that the oculogravic illusion, as experienced in the aircraft (and previously in centrifuges), is a true illusion and not merely a fact of physics.

Acceleration↗

Rotation at 30 RPM about the A axis after 6 hours in the 10 degree 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 degree head-down position. In one condition, subjects were in the 10 degree 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 countervidence for the hypothesis that shifts of body fluid are responsible in large part for the motion sickness elicited in orbital space flight.

Aerospace Medicine↗

Postural illusions experienced during Z-axis recumbent rotation and their dependence upon somatosensory stimulation of the body surface.

A blindfolded recumbent subject experiences a variety of postural illusions when rotated about his Z axis. Initially, during the acceleratory phase of rotation turning about his Z axis is experienced; but, as rotary velocity increases, a spiraling of the body outward in the direction opposite to true rotation is experienced as well. Above 15-20 rpm, only orbital motion of the body is experienced, with the subject feeling that he is always facing in the same direction. One cycle of the apparent orbit is completed each time the subject actually rotates 360 degrees. The reverse sequence of illusory motion is experienced during deceleration. The illusory motion all subjects experience during Z-axis recumbent rotation is shown to depend upon the touch- and pressure-stimulation of the body surface generated by contact forces of support.

Acceleration↗