Exercise-Related Effects on Executive Functions During a Simulated Underwater Extravehicular Activity.

OBJECTIVE: Investigation of cognitive performance during extravehicular activities (EVAs) in a space-analog setting. BACKGROUND: EVAs performed by humans in microgravity on the International Space Station (ISS) call for high cognitive performance during upper-body workload. Higher cardiovascular demands interact with cognitive performance, but no knowledge exists about EVA's special requirements. This study simulates EVA-training underwater to investigate its effects on the executive functions inhibition and switching. METHOD: In a counterbalanced crossover design, 16 divers (age: 28 ± 2.4 years; eight females) performed two conditions (i.e., EVA vs. Inactivity [INACT]) in 3-5 m submersion (diving gear; not in a space-suit). EVA included 30 min of moderate-, followed by 30 min of high-intensity upper-body exercise intervals, paired with EVA-specific cognitive-motor tasks. INACT included no exercise in submersion and neutral buoyancy. Both conditions included cognitive testing at pre, mid (after the first 30 min), and post (after the second 30 min) on a tablet computer. Reaction times (RTs) and response accuracy (ACC) were calculated for both tasks. RESULTS: ACC was significantly lower during EVA compared with INACT for inhibition (post: p = .009) and switching (mid: p = .019) at post (p = .005). RTs for inhibition were significantly faster during EVA (p = .022; ηp2 = 0.320). CONCLUSION: Specific physical exercise, intensity, duration, and tasks performed during the EVA might differently affect the exercise-cognition interaction and need further investigation, especially for future long-term space travel. APPLICATION: Future research might serve to improve mission success and safety for EVAs and long-term space travel.

Using Science-Driven Analog Research to Investigate Extravehicular Activity Science Operations Concepts and Capabilities for Human Planetary Exploration.

Biologic Analog Science Associated with Lava Terrains (BASALT) is a science-driven exploration program seeking to determine the best tools, techniques, training requirements, and execution strategies for conducting Mars-relevant field science under spaceflight mission conditions. BASALT encompasses Science, Science Operations, and Technology objectives. This article outlines the BASALT Science Operations background, strategic research questions, study design, and a portion of the results from the second field test. BASALT field tests are used to iteratively develop, integrate, test, evaluate, and refine new concepts of operations (ConOps) and capabilities that enable efficient and productive science. This article highlights the ConOps investigated during BASALT in light of future planetary extravehicular activity (EVA), which will focus on scientific exploration and discovery, and serves as an introduction to integrating exploration flexibility with operational rigor, the value of tactical and strategic science planning and execution, and capabilities that enable and enhance future science EVA operations.

Carbon Monoxide Levels in the Extravehicular Mobility Unit by Modeling and Operational Testing.

INTRODUCTION: Carbon monoxide (CO) is a toxic gas with potential for detriment to spaceflight operations. An analytical model was developed to investigate if a maximum CO contamination of 1 ppm in the oxygen (O2) supply reached dangerous levels during extravehicular activity (EVA). Occupational monitoring pre- and postsuited exposures provided supplementary data for review.METHODS: The analytical model estimated O2 and CO concentrations in the extravehicular mobility unit (EMU) based on O2 and CO flow rates into and out of the system. The model was based on 3 h of prebreathe at 15.2 psia, 8 h of EVA at 4.3 psia, and 1 h at 15.2 psia for suit doffing. The Coburn-Forster-Kane equation was used to calculate crewmember carboxyhemoglobin saturation (COHb%) as a function of time. Monitoring of hemoglobin CO saturation (Spco) with a CO-oximeter was conducted pre- and post-EVA during operations on the International Space Station and in ground-based analog environments.RESULTS: The model predicted a maximum PCO in the EMU of 0.061 mmHg and a maximum crewmember COHb% of 2.1%. Operational Spco measurements in mean ± SD during ground-based analog testing were 0.7% ± 1.8% pretest and 0.5% ± 1.5% posttest. Spco values on the ISS were 1.5% ± 0.7% pre-EVA and 1.1% ± 0.3% post-EVA.DISCUSSION: The model predicted that astronauts are not exposed to toxic levels of CO during EVA and operational measurements did not show significant differences between Spco levels between pre- and post-EVA.Makowski MS, Norcross JR, Alexander D, Sanders RW, Conkin J, Young M. Carbon monoxide levels in the extravehicular mobility unit by modeling and operational testing. Aerosp Med Hum Perform. 2019; 90(2):84-91.

Hand Exo-Muscular System for Assisting Astronauts During Extravehicular Activities.

Human exploration of the Solar System is one of the most challenging objectives included in the space programs of the most important space agencies in the world. Since the Apollo program, and especially with the construction and operation of the International Space Station, extravehicular activities (EVA) have become an important part of space exploration. This article presents a soft hand exoskeleton designed to address one of the problems that astronauts face during spacewalks: hand fatigue caused by the pressurized EVA gloves. This device will reduce the stiffness of the spacesuit glove by counteracting the force exerted by the pressurized glove. To this end, the system makes use of a set of six flexible actuators, which use a shape memory alloy (SMA) wire as the actuating element. SMAs have been chosen because some of their features, such as low volume and high force-to-weight ratio, make them a suitable choice taking into account the constraints imposed by the use of the device in a spacesuit. Besides describing the different mechanical and electronic subsystems that compose the exoskeleton, this article presents a preliminary assessment of the device; several tests to characterize its nominal operation have been carried out, as well as position and force control tests to study its controllability and evaluate its suitability as a force assistive device.

Effects of EVA glove on hand dexterity at low temperature and low pressure.

Hand dexterity is an important index to assess whether extravehicular activity (EVA) gloves are appropriately designed. Pressurized gloves and low temperature environments can both cause a decrease in hand dexterity. However, due to the difficulty in performing tests under extreme conditions, there has been no report on dexterity tests with gloves under pressure and low temperature. To fill this gap, we performed a dexterity test of EVA gloves with twelve male volunteers involved under the extreme conditions, which were created in the low-pressure simulation cabin with vaporized liquid nitrogen used to cool it down. A total of nine conditions were designed. Purdue pegboard test and nut fastening test were improved before being applied in a hand dexterity test. Completion times for both tests, finger temperatures and cold feeling of the hand were recorded and analyzed. Results showed that the completion times for both tests increased either as the temperature decreased or as the pressure increased. Furthermore, a combined effect of low temperature and pressure was observed. The study provides evidence in support of astronaut training and optimization of EVA glove productivity.

Prediction of Lunar- and Martian-Based Intra- and Site-to-Site Task Performance.

BACKGROUND: This study aimed to investigate the feasibility of determining the physiological parameters associated with the ability to complete simulated exploration type tasks at metabolic rates which might be expected for lunar and Martian ambulation. METHODS: Running V̇O2max and gas exchange threshold (GET) were measured in 21 volunteers. Two simulated extravehicular activity field tests were completed in 1 G in regular athletic apparel at two intensities designed to elicit metabolic rates of ∼20.0 and ∼30.0 ml · kg(-1) · min(-1), which are similar to those previously reported for ambulation in simulated lunar- and Martian-based environments, respectively. RESULTS: All subjects were able to complete the field test at the lunar intensity, but 28% were unable to complete the field test at the Martian intensity (non-Finishers). During the Martian field test there were no differences in V̇O2 between Finishers and non-Finishers, but the non-Finishers achieved a greater %V̇O2max compared to Finishers (78.4 ± 4.6% vs. 64.9 ± 9.6%). Logistic regression analysis revealed fitness thresholds for a predicted probability of 0.5, at which Finishing and non-Finishing are equally likely, and 0.75, at which an individual has a 75% chance of Finishing, to be a V̇O2max of 38.4 ml · kg(-1) · min(-1) and 40.0 ml · kg(-1) · min(-1) or a GET of 20.1 ml · kg(-1) · min(-1) and 25.1 ml · kg(-1) · min(-1), respectively (χ(2) = 10.2). Logistic regression analysis also revealed that the expected %V̇O2max required to complete a field test could be used to successfully predict performance (χ(2) = 19.3). DISCUSSION: The results of the present investigation highlight the potential utility of V̇O2max, particularly as it relates to the metabolic demands of a surface ambulation, in defining successful completion of planetary-based exploration field tests.

Effects of EVA gloves on grip strength and fatigue under low temperature and low pressure.

OBJECTIVE: To study the effects of wearing extravehicular activity (EVA) gloves on grip strength and fatigue in low temperature, low pressure and mixing of two factors (low temperature and low pressure). METHODS: The maximum grip strength and fatigue tests were performed with 10 healthy male subjects wearing gloves in a variety of simulated environments. The data was analysed using the normalization method. RESULTS: The results showed that wearing gloves significantly affected the maximum grip strength and fatigue. Pressure (29.6, 39.2 kPa) had more influence on the maximum grip compared with control group while low temperatures (-50, -90, -110 °C) had no influence on grip but affected fatigue dramatically. The results also showed that the maximum grip strength and fatigue were influenced significantly in a compound environment. CONCLUSIONS: Space environment remarkably reduced strength and endurance of the astronauts. However, the effects brought by the compound environment cannot be understood as the superimposition of low temperature and pressure effects.

Relationship between simulated extravehicular activity tasks and measurements of physical performance.

The purpose was to evaluate the relationships between tests of fitness and two activities that simulate components of Lunar- and Martian-based extravehicular activities (EVA). Seventy-one subjects completed two field tests: a physical abilities test and a 10km Walkback test. The relationships between test times and the following parameters were determined: running V˙O2max, gas exchange threshold (GET), speed at V˙O2max (s-V˙O2max), highest sustainable rate of aerobic metabolism [critical speed (CS)], and the finite distance that could be covered above CS (D'): arm cranking V˙O2peak, GET, critical power (CP), and the finite work that can be performed above CP (W'). CS, running V˙O2max, s-V˙O2max, and arm cranking V˙O2peak had the highest correlations with the physical abilities field test (r=0.66-0.82, P<0.001). For the 10km Walkback, CS, s-V˙O2max, and running V˙O2max were significant predictors (r=0.64-0.85, P<0.001). CS and to a lesser extent V˙O2max are most strongly associated with tasks that simulate aspects of EVA performance, highlighting CS as a method for evaluating astronaut physical capacity.

[Heart rate and energy expenditure during extravehicular activity in different time of day].

The article discusses the comparative heart rate (HR) characteristics associated with day and night extravehicular activities (EVA). HR was commonly higher in the night but not in the daytime. Presumably, the reason is psychological and physiological challenges of the night work on the background of natural performance decrement. These circumstances could lead to elevation of psychic tension and, consequently, increase of heartbeats to a greater extent as compared with daytime EVA. According to the correlation analysis data, the pattern of HR relation to physical loads evaluated by energy expenditure in the daytime was other than at night, i.e. it was positive unlike the nighttime correlation. We cannot exclude it that in the daytime increase in cardiac output (CO) in response to physical work was largely due to increase in HR, whereas it was stroke volume that dominated during night work; at least, it could support CO fully in the periods of low loading.

Adaptation in locomotor stability, cognition, and metabolic cost during sensory discordance.

BACKGROUND: Locomotor instability may affect planetary extravehicular activities during the initial adaptation to the new gravitational environment. The goal of this study was to quantify the locomotor, cognitive, and metabolic effects of exposure to a discordant sensory environment. METHODS: A treadmill mounted on a 6-degree-of-freedom motion base was used to present 15 healthy subjects with a destabilizing support surface while they walked. Dependent measures of locomotor stability, cognitive load, and metabolic cost were stride frequency (SF), reaction time (RT), and the volume of oxygen consumed (Vo2), respectively. Subjects completed an 8-min baseline walk followed by 20 min of walking with a continuous, sinusoidal, laterally oscillating support-surface perturbation. Data for minutes 1, 7, 13, and 20 of the support-surface perturbation period were compared with the baseline. RESULTS: SF, RT, and Vo2 were significantly greater during support-surface motion than during the baseline walking condition and showed a trend toward recovery to baseline levels during the perturbation period. Results demonstrated that adaptation to walking in a discordant sensory environment has quantifiable and significant costs in SF, RT, and Vo2 as shown by mean increases of 9%, 20%, and 4%, respectively, collected during the first minute of exposure. By the fourth minute of exposure, mean Vo2 consumption had increased to 20% over its baseline. DISCUSSION: We believe that preflight sensorimotor adaptation training paradigms will impart gains in stability and the ability to multitask, and might increase productive mission time by extending work time in extravehicular activity suits where metabolic expenditure is a limiting factor.

[Adaptation of humans to walking in semi-hard and flexible space suits under terrestrial gravity].

The spacesuit donning-on procedure can be viewed as the combining of two kinematic circuits into a single human-spacesuit functional system (HSS) for implementation of extravehicular operations. Optimal human-spacesuit interaction hinges on controllability and coordination of HSS mobile components, and also spacesuit slaving to the central nervous system (CNS) mediated through the human locomotion apparatus. Analysis of walking patterns in semi-hard and flexible spacesuits elucidated the direct and feedback relations between the external (spacesuit) and external (locomotion apparatus and CNS) circuits Lack of regularity in the style of spacesuit design creates difficulties for the direct CNS control of locomotion. Consequently, it is necessary to modify the locomotion command program in order to resolve these difficulties and to add flexibility to CNS control The analysis also helped trace algorithm of program modifications with the ultimate result of induced (forced) walk optimization. Learning how to walk in spacesuit Berkut requires no more than 2500 single steps, whereas about 300 steps must be made to master walk skills in spacesuit SKV.

A biomedical sensor system for real-time monitoring of astronauts' physiological parameters during extra-vehicular activities.

OBJECTIVE: To design and test an embedded biomedical sensor system that can monitor astronauts' comprehensive physiological parameters, and provide real-time data display during extra-vehicle activities (EVA) in the space exploration. METHODS: An embedded system was developed with an array of biomedical sensors that can be integrated into the spacesuit. Wired communications were tested for physiological data acquisition and data transmission to a computer mounted on the spacesuit during task performances simulating EVA sessions. RESULTS: The sensor integration, data collection and communication, and the real-time data monitoring were successfully validated in the NASA field tests. CONCLUSIONS: The developed system may work as an embedded system for monitoring health status during long-term space mission.

Venous gas emboli and exhaled nitric oxide with simulated and actual extravehicular activity.

The decompression experienced due to the change in pressure from a space vehicle (1013hPa) to that in a suit for extravehicular activity (EVA) (386hPa) was simulated using a hypobaric chamber. Previous ground-based research has indicated around a 50% occurrence of both venous gas emboli (VGE) and symptoms of decompression illness (DCI) after similar decompressions. In contrast, no DCI symptoms have been reported from past or current space activities. Twenty subjects were studied using Doppler ultrasound to detect any VGE during decompression to 386hPa, where they remained for up to 6h. Subjects were supine to simulate weightlessness. A large number of VGE were found in one subject at rest, who had a recent arm fracture; a small number of VGE were found in another subject during provocation with calf contractions. No changes in exhaled nitric oxide were found that can be related to either simulated EVA or actual EVA (studied in a parallel study on four cosmonauts). We conclude that weightlessness appears to be protective against DCI and that exhaled NO is not likely to be useful to monitor VGE.

[The heart in extreme sports: hyperbaric activity and microgravity]. / II cuore nello sport estremo: attività iperbarica e microgravità.

The study of the cardiovascular and respiratory modifications in extreme environments could be useful for the understanding of the adaptive mechanisms of the body in particular conditions. The knowledge of how different environmental conditions in terms of extreme pressure, temperature and gravity modify the neurovegetative and cardiovascular system could be useful in daily practice for hypobaric and hyperbaric sports.

[Growth dynamics and the largest size of gas bubbles emerging in body tissues due to decompression].

Symptoms of decompression sickness (DCS) develop when the total volume of gas bubbles due to decompression reaches the magnitude critical for a body tissue. Number of the bubbles is a function of random nucleation intensity before, during or after decompression and tissue superaeration dynamics, whereas their size is unambiguously dependent on a tissue, decompression phase and bubbling time. A mathematical model of bubble tissue dynamics has been proposed for calculating the dynamics of mathematical expectation of the total gas in tissues and mounting a method for comparative analysis of the maximal DCS probability as a result of implementation of different decompression tables. Unequal intensity of nucleation during spaceflight EVA and its ground simulation w/o spacesuit is the course of inequality of decompression safety of these operations.

Pulmonary gas exchange is not impaired 24 h after extravehicular activity.

Extravehicular activity (EVA) during spaceflight involves a significant decompression stress. Previous studies have shown an increase in the inhomogeneity of ventilation-perfusion ratio (VA/Q) after some underwater dives, presumably through the embolic effects of venous gas microemboli in the lung. Ground-based chamber studies simulating EVA have shown that venous gas microemboli occur in a large percentage of the subjects undergoing decompression, despite the use of prebreathe protocols to reduce dissolved N(2) in the tissues. We studied eight crewmembers (7 male, 1 female) of the International Space Station who performed 15 EVAs (initial cabin pressure 748 mmHg, final suit pressure either approximately 295 or approximately 220 mmHg depending on the suit used) and who followed the denitrogenation procedures approved for EVA from the International Space Station. The intrabreath VA/Q slope was calculated from the alveolar Po(2) and Pco(2) in a prolonged exhalation maneuver on the day after EVA and compared with measurements made in microgravity on days well separated from the EVA. There were no significant changes in intrabreath VA/Q slope as a result of EVA, although there was a slight increase in metabolic rate and ventilation (approximately 9%) on the day after EVA. Vital capacity and other measures of pulmonary function were largely unaltered by EVA. Because measurements could only be performed on the day after EVA because of logistical constraints, we were unable to determine an acute effect of EVA on VA/Q inequality. The results suggest that current denitrogenation protocols do not result in any major lasting alteration to gas exchange in the lung.

Probabilistic model of decompression sickness based on stochastic models of bubbling in tissues.

BACKGROUND: Decompression sickness (DCS) is caused by gas bubbles formed from pre-existing and new microscopic gas nuclei in blood and tissues. Assuming a random pattern of bubbling processes in living tissues, we developed a probabilistic model of DCS. We hypothesized that symptoms of DCS in an individual exposed to decompression appear when the total volume of bubbles in a unit volume of any tissue, w(t), exceeds the critical specific volume of a free gas phase, wcr. Therefore, one may consider the expectation of w(t)/wcr as a measure of the dynamic risk of gas bubble lesion of a given tissue segment. METHODS: Using the standard approach to estimation of various risks and the sum rule of probabilities of joint events, we defined the cumulative probability of DCS onset by the equation Pcum(t) = 1 - exp[Fcum(t)], where Fcum(t) = sigmaVnQnMnc(t), Qn = 1/wncr, where Vn is the volume of a tissue n. The function Mnc(t) coincides with the function Mn(t), defining a time history of the expectation of wn(t) until it achieves its maximum and then becomes a constant. Evaluating Pcum(t) for particular altitude decompressions, we identified the additive cumulative risk function of development of any DCS symptoms, Fcum-tot(t), with the function defining the cumulative risk of any bubble lesion of the "worst" virtual tissue (WVT) of Type A. On the other hand, we identified the additive cumulative risk function of development of intolerable DCS symptoms, Fcum-int(t), with the function defining the cumulative risk of acute bubble lesion of the WVT of Type phi. RESULTS: We found parameters of the curves Pcum-tot(t) and Pcum-int(t) that fit the known empirical curves for the cumulative probability of DCS onset. For men performing mild exercise at 30 kPa after preoxygenation, our estimated parameters for curves Pcum-tot(t) indicate that the WVTs of Type A have nitrogen washout half-times of 260 and 290 min for preoxygenation times of 75 and 135 min, respectively. On the other hand, the parameters of curves Pcum-int(t) show that the WVTs of Type phi in men performing mild exercise at 20-40 kPa after preoxygenation during 0-6 h are virtual tissues with nitrogen washout half-times of 400 to 615 min. CONCLUSION: Our model provides a new approach to predicting DCS risk for various decompression profiles. By demonstrating the dependence of DCS risk on body tissue parameters, the model explains why resistance to DCS in mammals increases with a lower body mass and greater specific blood flow in tissues.

The main results of EVA medical support on the Mir Space Station.

The aim of this paper is to review the main results of medical support of 78 two-person extravehicular activities (EVAs) which have been conducted in the Mir Space Program. Thirty-six male crewmembers participated in these EVAs. Maximum length of a space walk was equal to 7 h 14 min. The total duration of all space walks reached 717.1 man-hours. The maximum frequency of EVA's execution was 10 per year. Most of the EVAs (67) have been performed at mission elapsed time ranging from 31 to 180 days. The oxygen atmosphere of the Orlan space suit with a pressure of 40 kPa in combination with the normobaric cabin environment and a short (30 min) oxygen prebreathe protocol have minimized the risk of decompression sickness (DCS). There has been no incidence of DCS during performed EVAs. At the peak activity, metabolic rates and heart rates increased up to 9.9-13 kcal/min and 150-174 min-1, respectively. The medical problems have centred on feeling of moderate overcooling during a rest period in a shadow after the high physical loads, episodes with tachycardia accompanied by cardiac rhythm disorders at the moments of emotional stress, pains in the muscles and general fatigue after the end of a hard EVA. All of the EVAs have been completed safely.