Page 189 - International Space Station Benefits for Humanity, 3rd edition.
P. 189

symptoms of space motion sickness and vestibular
                                                               disorders up to return plus 8 to 9 days postflight.
                                                               The procedure and hardware/software systems
                                                               developed for spaceflight have also demonstrated
                                                               effectiveness of the computerized method and
                                                               hardware/software systems for use in diagnosing
                                                               conditions of the vestibular and its related sensory
                                                               systems (primarily visual), as well as in assessing the
                                                               stability of static and dynamic spatial orientation on
                                                               Earth. The systems have particularly been useful in
                                                               experiments simulating weightlessness (i.e., immersion
                                                               and bed rest), in examining highly qualified athletes
                                                               (e.g., high-performance sports: gymnastics, figure
                                                               and speed skating, target shooting, etc.), in diagnosing
                                                               and treating patients who are suffering from dizziness
                  Application of the OculoStim-CM hardware and   and equilibrium disturbances, and in evaluating the
                  virtual reality glasses in a joint 60-day bedrest   effectiveness of medications (i.e., betahistine drugs
                  experiment in Cologne, Germany (2016).
                                                               Betaver and Betaserc). The OculoStim-CM complex
                  Image credit: Institute of Biomedical Problems  is successfully certified for use in clinical studies and
                                                               has been used in diagnostics of more than 200 patients
                                                               with vertigo, dizziness and equilibrium disturbances,
                                                               together with specialists from the nervous disease
               At the basis of the method lies the assessment of eye   department of the I. M. Sechenov First Moscow State
               movement reactions—visual tracking tests that are   Medical University, the Academician Alexander Vein
               conducted both with visual targets (stimuli) on a clean   Clinic for the Treatment of Headaches and Vegetative
               (black) field on the screen and against a backdrop   Disorders, the Federal Scientific Clinical Center of
               of additional visual interferences (diffuse spots/  Otorhinolaryngology, and the Research Center of
               ellipses moving horizontally or vertically) to “irritate”   Neurology. Such application in clinical practice has
               the peripheral vision. During the testing under differing   made it possible to develop diagnostic criteria to
               conditions, movements of the eyes (by electro- and   determine the type of vestibular disturbance, while
               video- oculography) and the head (using angular rate   offering a rapid, less-expensive initial differential
               sensors and accelerometers) are recorded.       diagnosis of dizziness and balance disturbances
               The eye-movement system is controlled by a complex   compared to traditional clinical testing.
               hierarchy of innervation mechanisms located at different
               levels of the nervous system. The use of a special test
               battery makes it possible to evaluate the disruptions   Space Research Leads to Non-
               that are occurring in various forms of eye movements   pharmacological Treatment and
               and, given the known mechanisms of how these    Prevention of Vertigo, Dizziness
               movements are performed, to find the causes of    and Equilibrium disturbances
               these disturbances.                             The history of spaceflight has shown that initial
               This method has been actively used during prolonged   introduction to the weightlessness environment,
               spaceflight aboard the ISS in a space experiment called   such as that of the ISS, can lead to space motion
               Virtual since 2013, and after crew members return to   sickness, which makes crew members feel dizzy and
               Earth during Sensory Adaptation study since 2001.  uncoordinated, and even impacting their ability to track
                                                               objects with their eyes. The result can be a negative
               Recent studies have shown that repeated spaceflight   effect both on the health of crew members and on
               leads to a dramatic, statistically significant reduction in   the quality of their work performance during flight.
               the duration of postflight re-adaptation with significantly
               less severe vestibular disorders. Cosmonauts with   At present, medications are typically used to eliminate
               a prior experience of being in microgravity had   the symptoms of space motion sickness; however,
               significantly changed vestibular reactions only on return   these medications come with contraindications and
               plus 1 to 2 days postflight whereas cosmonauts who   side effects that can have a negative effect on various
               were in long-term spaceflight for the first time had   types of professional activity. Therefore, there is an




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