Centrifuge training program with "push-pull" elements.
INTRODUCTION: Pilots of fighter aircraft are often exposed to maneuvers that produce negative acceleration (-Gz) immediately followed by positive acceleration (+Gz). This sequence has been found to reduce tolerance to +Gz, a phenomenon known as the "push-pull" effect. We devised a centrifuge training program to demonstrate this phenomenon to pilots. METHODS: The centrifuge of the Military Institute of Aviation Medicine in Warsaw, Poland, was modified in 1996 to allow active positioning of the gondola during rotation. Head-down position of -6 degrees to -40 degrees were used to produce relative -Gz (r-Gz) in a range down to 0.2. As a side effect, this produces Gy acceleration between -1.3 Gy and -1.6 Gy. Pilots completed normal centrifuge training, including a relaxed, gradual-onset run and three rapid-onset runs. They were then exposed to a profile that included a series of push-pull exposures where r-Gz was followed by +Gz with stepwise increases in the latter from +2.5 to +5 Gz. The final profile was a simulated aerial combat maneuver with push-pull elements. RESULTS: The trainees expressed surprise at the push-pull effect, which forced them to begin an anti-G straining maneuver at lower levels than normal. They complained about the presence of the Gy, which rarely occurs in aircraft. DISCUSSION: This type of profile appears useful for training pilots about the push-pull phenomenon. After collection of additional data, the profiles may be refined.