Abstract

The altered vestibular signaling and somatosensory unloading of microgravity result in sensory reweighting and adaptation to conflicting sensory inputs. Aftereffects of these adaptive changes are evident postflight as impairments in behaviors such as balance and gait. Microgravity also induces fluid shifts toward the head and an upward shift of the brain within the skull; these changes are well-replicated in strict head-down tilt bed rest (HDBR), a spaceflight analog environment. Artificial gravity (AG) is a potential countermeasure to mitigate these effects of microgravity. A previous study demonstrated that intermittent (six, 5-mins bouts per day) daily AG sessions were more efficacious at counteracting orthostatic intolerance in a 5 day HDBR study than continuous daily AG. Here we examined whether intermittent daily AG was also more effective than continuous dosing for mitigating brain and behavioral changes in response to 60 days of HDBR. Participants (n = 24) were split evenly between three groups. The first received 30 mins of continuous AG daily (cAG). The second received 30 mins of intermittent AG daily (6 bouts of 5 mins; iAG). The third received no AG (Ctrl). We collected a broad range of sensorimotor, cognitive, and brain structural and functional assessments before, during, and after the 60 days of HDBR. We observed no significant differences between the three groups in terms of HDBR-associated changes in cognition, balance, and functional mobility. Interestingly, the intermittent AG group reported less severe motion sickness symptoms than the continuous group during centrifugation; iAG motion sickness levels were not elevated above those of controls who did not undergo AG. They also had a shorter duration of post-AG illusory motion than cAG. Moreover, the two AG groups performed the paced auditory serial addition test weekly while undergoing AG; their performance was more accurate than that of controls, who performed the test while in HDBR. Although AG did not counteract HDBR-induced gait and balance declines, iAG did not cause motion sickness and was associated with better self-motion perception during AG ramp-down. Additionally, both AG groups had superior cognitive performance while undergoing AG relative to controls; this may reflect attention or motivation differences between the groups.

Highlights

  • IntroductionManzey et al (1995) and Manzey and Lorenz (1998) reported declines in astronauts’ abilities to perform cognitive and motor dual tasking early in spaceflight that stabilized over the duration of the mission, while Garrett-Bakelman et al (2019) reported increased risk taking, decreased accuracy in a visual object learning task and decreased abstract matching in the NASA Twins Study

  • Human spaceflight has been shown to result in numerous transient effects on human performance when crewmembers return to Earth

  • We investigated the efficacy of artificial gravity applied by short-arm centrifugation to counteract the sensorimotor and cognitive declines associated with head-down tilt bed rest (HDBR), a standard spaceflight analog environment

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Summary

Introduction

Manzey et al (1995) and Manzey and Lorenz (1998) reported declines in astronauts’ abilities to perform cognitive and motor dual tasking early in spaceflight that stabilized over the duration of the mission, while Garrett-Bakelman et al (2019) reported increased risk taking, decreased accuracy in a visual object learning task and decreased abstract matching in the NASA Twins Study. As NASA sets their goals for human travel to the moon and beyond to Mars, flight duration will further increase to an expected ∼30 months (Clément et al, 2020). With the increased duration from shuttle to ISS missions, sensorimotor deficits post-flight increased in their duration as well (Miller et al, 2018). There is a need for countermeasures to mitigate the negative effects of microgravity on human performance and physiology. There are numerous countermeasures under investigation for these changes individually; by contrast, artificial gravity (AG) could provide a single, integrated countermeasure by “replacing” Earth’s gravitational effects on the body (Clément et al, 2015)

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