Sensorimotor Challenges of Orbital and Lunar Missions Charles M. Oman, Ph.D. Director, Man Vehicle Laboratory Massachusetts Institute of Technology Sensorimotor Adaptation Research Team Leader National Space Biomedical Research Institute coman@mit.edu UTMB/NASA-JSC Aerospace Medicine Grand Rounds 27 November, 2007 1 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Topics • Disorientation and cognitive map shifts in orbital flight • Motion sickness • Earth return: landing vertigo and postlanding ataxia • Lunar mission sensorimotor concerns 2 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Entering 0-G • At 0-G onset, some experience a 1-2 sec somersaulting sensation, particularly eyes closed or after prolonged hyper-g. Thereafter: • Most people feel upright, with eyes open or closed. • No sensation of “falling”. – “Falling” is visually and cognitively mediated. • Visual scene appears stationary during head movement (i.e. no abnormal oscillopsia). 3 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Inversion Illusions • 0-G inversion illusion. (Titov, 1962) • Paradoxical sensation of being continuously gravitationally upside down, even when visually upright in the cabin. • Persists with eyes closed. • Fluid shift, visceral elevation and otolith unloading likely contribute. • Temporarily reversible with proprioceptive or visual cues. • Uncommon after flight day 2 • < 25% of crew experience it. 4 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Visual Reorientation Illusion • Surface nearest your feet seems like a “floor”. Surfaces parallel to body seem like “walls”. • The orientation of your own body – or that of a person you look at – redefines “down”. • Probability of illusion depends on visual vertical cues, visual attention and your familiarity with the interior. • Occurs spontaneously, but can be cognitively initiated and reversed. • Incidence is almost universal. • Susceptibility persists for months. (Oman et al, 1986; 2007) 5 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS EVA Height Vertigo • Viewing Earth beneath your own feet during EVA can trigger sudden sense of height, fear of falling, and enhanced awareness of orbital motion. • The natural compulsion to hang on can sometimes be disabling. • Turning away from Earth and putting spacecraft “below” instead of Earth can resolve problem. (Oman, 2003; 2007) 6 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS 0-G Navigation Problems • Local “visual” vertical in each module is defined by orientation of racks, equipment, labeling, etc. • “Cognitive map” of each module is remembered in a visually upright orientation – probably due to our terrestrial heritage. • If module visual verticals are incongruently oriented, difficult mental rotations are needed to interrelate them. • Shuttle crews visiting Mir sometimes got lost. (Black arrow = local visual “up”) (Oman, 2007) 7 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Visual Vertical Cues Research suggests the dominant cues are: • “Frame cues”: Symmetry and aspect ratio of interior surfaces: • “Polarity cues”: Orientation of familiar objects generically seen “upright” – e.g. people. • “Cognitive map cues”: prior experience in the room. • Lighting & color less effective. (Howard, 1978; 2001; Oman et al 2003; 2007) 8 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Limbic Cognitive Map • In animals, limbic cells code place and direction in a reference frame defined by gravitational, environmental visual and motoric cues. • Direction coded in a 2D “horizontal” plane • In 0-G, direction and place cells responses are initially labile - the “horizontal” plane sometimes aligns with the surface of locomotion (Knierim, et al 2003, Taube, et al 2004, Oman 2007) 9 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS VRI = Cognitive Map Shift Reorientation of the limbic cognitive map of the local environment causes VRIs and makes • surrounding surfaces inherit new identities. (Here: the wall becomes “a floor”.) • perceived body orientation suddenly change. (Here: right shoulder down suddenly becomes left shoulder down.) Oman (2003; 2007) • perceived direction sometimes change. • objects not located where previously remembered. 10 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Do Map Shifts Occur on Earth ? • On Earth we sometimes loose our sense of direction in subways or complex buildings. • On Earth, gravity anchors our cognitive map, so cognitive map rotations (“direction vertigo”) normally occur only in azimuth. • We may be mistaken about direction, but the floors, walls and ceilings never exchange identities the way they do for astronauts experiencing VRIs. (Jonsson, 2002; Oman 2007) 11 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS VRIs cause Motion Sickness Perceived self orientation change is not accompanied by normal confirming semicircular canal or gravireceptor cue. Multiple VRIs can cause motion sickness. A single VRI can trigger vomiting in a person already sick. Examples: • Seeing an inverted crewmember floating nearby. • Viewing the Earth in an unexpected direction. 12 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS What causes motion sickness ? Vestibular Eye Body Body Dynamics Efference copy Brainstem Cerebellar Spinal Internal Cortical Brain Models Limbic + Orientation Sensory conflict Areas • (Reason, Prolonged sensory conflict 1978; Oman 1980) causes sensory-motor learning • To interpret sensory cues, via internal model updating… CNS internal models andemploys motion sickness. of previously learned sensory • motor Only relationships. vestibular conflicts cause sickness- others act indirectly. vestibular organsconflict = no • No Normally, sensory sickness. signals are brief and used to identify the new, unexpected • component Emetic linkage dynamics and of sensory inflow thresholds determine symptom and initiate correctiveand body latency, avalanching movements. persistence. Emetic System “Emetic Linkage” Symptoms & Signs 13 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Sensory-Motor Conflict Model + + . x ne B u + x ∫ dt S + + • Observer model for orientation perception and movement control • Sensory conflict • Emetic linkage na + a A ˆ B, ˆ S ˆ Re-identification of A, Re-calculation of K, C B̂ m - C x̂ + xd ∫ dt ˆ. x+ + + K K (60s +1)2 + + + c - K (600s+1)2 + + Â Ŝ (Oman, 1982, 1990) cTT c â 14 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Emetic dynamics..a hydraulic analogy emetic agent: released due to sensory conflict Everyday life: no accumulation due to bowl leak, so no nausea. visible level corresponds to nausea intensity During motion sickness: larger emetic input causes visible accumulation Vomiting: high accumulation triggers siphon emptying, and cycle begins again 15 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Microgravity Sensory Conflicts • Otolith afferent pattern doesn’t correspond to any static head position on Earth. • A sustained head tilt produces no change in utricular otolith outflow - as it normally does on Earth. • VRIs change perceived orientation without any matching semicircular canal or otolith cue. • Headward fluid shift and gravireceptor unweighting may cause inversion illusion - reversing the direction of expected otolith cues on head tilt. 16 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Space Adaptation Syndrome SAS = Fluid Shift + SMS Fluid Shift (entire crew) • head fullness • puffy face • headache • stomach elevation • stuffy nose • engorged face & neck veins • impaired taste & smell • increased diuresis Space Motion Sickness (many crew) • • • • • • • • • • • fatigue, drowsiness, yawning apathy headache burping, flatulence HPA stress hormone release epigastric awareness & discomfort anorexia, reduced gastric motility nausea distraction, multitasking difficulty vomiting - often sudden repeated vomiting: fluid, electrolyte, glucose loss, ketosis, and “hitting the wall”. “Sopite Syndrome” is often the earliest - and sometimes the only – symptom of motion sickness (Graybiel and Knepton, 1976) 17 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Clinical Grading approximate incidence 1/3 None (0) 1/3 Mild (1) Moderate (2) 1/3 + Severe (3) (Davis, et al 1988) 18 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS A Typical First Day in Space For a person with higher nausea threshold, or who had taken drugs This individual had prodromal nausea before vomiting 4x. prophylactically, pattern might look more like this (Oman, et al 1986) 19 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Space Motion Sickness Incidence • 0% on Mercury/Gemini, 30% on Apollo/ Vostok/Soyuz/Salyut, 56% on Skylab • 75% on Shuttle. • Incidence is – highest in larger spacecraft. – highest on days 1-2, declining on days 3-5 – lower on second and subsequent space flights. – unrelated to gender, or prior flying experience. – so far, not reliably predicted by 1-G motion sickness susceptibility tests. • Some sickness goes unreported. • “Earth Sickness” (part of “Landing Syndrome”) about 30% after 1-2 week missions, 90% after long duration flights. 20 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS EVA • 0-G vomiting is normally not dangerous – little risk of aspiration if conscious. • However: Shuttle EMU space suit was not designed to withstand or contain a vomiting episode. • STS mission rule: No non-emergency EVAs till flight day 4 unless EVA crew have been entirely asymptomatic for 2 days. 21 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Shuttle/ISS EMU 0-G Vomiting Risk 1. Vomit reacts with LiOH CO2 scrubber, heat shuts down primary vent circuit. 2. Vomit freezes sonic nozzles, shutting down backup O2 supply system. 3. Vomit is biologically active, rendering suit nonresuable Heimlich (1980) (Insuit vomiting episodes have happened. Lets be sure this gets fixed for Constellation program.) 22 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Motion Sickness Drugs • No “magic bullet” exists - yet. • Inflight efficacy can only be clinically judged. Controlled inflight effectiveness studies are impractical • Formulary includes: – Oral Phen (25 mg) or Phen/Dex (25/ 2.5 or 5 mg) – IM Phenergan injectable (25 or 50mg). Potentially sedating so should be used before sleep, or add oral Dex. Injection site pain. – Phenergan suppository (25mg). For chronic vomiting. – Oral Scop/Dex (0.4 or 0.6/ 2.5 or 5 mg). Rapidly effective, shorter half life than Phen. Potential for blurred vision and urinary retention, especially if multiple doses. Infrequently used > STS-30. 23 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Sickness Management Training • Part of US Sailing’s “Safety-at-Sea” curriculum since 1992 – Practical do’s and don’ts. (“Knowledge is power”.) • We should teach new astronauts: – how head movements and illusions cause motion sickness – how to recognize and react to early symptoms • Limit head & body movements. Allow for nausea lag. • When anyone is sick, everyone should remain visually upright. • Use foot and body restraints. – how to choose and use drugs. – to avoid repeated vomiting. Take a drug and sleep it off. – the importance of fluid, electrolyte, glucose replacement. – why logging symptoms and drug use is important for future crews 24 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Earth Landing Disorientation Returning crews routinely experience “Entry/Landing Syndrome”, including: • Head movement contingent oscillopsia (visual surround motion) and self motion illusions (“tumbled gyros”) • Illusions due to vehicle angular and linear accelerations. • “One G feels like three”. (Harm & Reschke, 1999) 25 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Postlanding Vertigo & Ataxia • • • • • • • Large interindividual differences, but almost all have postural stability decrement. Little loss of muscle strength, but loss of extensor tone. Reduction in “cone of stability” while standing. Walk with wide gait, turn corners wide. • Vertical motion illusions climbing/descending stairs. Oscillopsia, reduced visual acuity and head lock while walking, running. 55% cannot walk 400m suited. Some long duration Mir & ISS crewmembers unable to stand up or walk after landing. Most need ~ 15 days to recover to postflight performance. Some mild symptoms last 3-5 months 26 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Tilt-Translation Illusion • Entry and postlanding head tilt is perceived primarily as linear translation, usually in the opposite direction to head tilt. Some individuals perceive a temporal lag. Head roll produces compensatory horizontal eye movement. • Explained as Otolith Tilt-Translation Reintepretation (“OTTR Illusion”) (Parker, et al, 1985; Reschke & Parker, 1987; Young et al 1984) 27 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Tilt-Translation Illusion • “A classic tilt-translation illusion was my dominant vestibular effect upon return. When I tilted my head to the right, I felt I was translating to the left through a distance so large I thought I was in the next room. It was equal in all 4 directions… • “It was a persisting feeling while my head was tilted, but subdued by vision and knowledge that ‘this can’t be happening’. The onset was immediate and intense with only very small tilt angle..” (Richards et al, 2001) 28 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Gain Illusion • Head pitch or roll produces a tumbling sensation, or apparent motion of the visual surround (oscillopsia) as if the “gain” of head rotation sensation was increased, so the head seems to move farther than it actually does. 29 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Estimating “Down” • To distinguish gravireceptor tilt cues from translation cues, the brain must also estimate the direction and magnitude of gravity using: – Semicircular canal rotational cues – Visual cues (if reliable cues are present) – Knowledge of self-movement commands – Knowledge of what movements are physically possible. • Errors in estimating G result in illusory accelerations or forces. g a g a 30 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Observer Models 1-G models account for eye movements and illusory tilt and translation perception in darkness for many types of passive tilt and translation in humans and monkeys. Conflict signals (green) drive angular velocity and “down” estimation. 31 (Merfeld 1995, 2003; Haslwanter 2000) DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Rotation Otolith Tilt-Translation Reinterpretation (“ROTTR”) Hypothesis Changes in rotation cue weighting explain both: A: Gain Illusion: Over-estimation of head rotation based on angular (e.g. semicircular canal) cues causes a transient linear acceleration illusion in the same direction B: Tilt translation Illusion: Underestimation of rotation results in a transient linear acceleration illusion in the opposite direction. (Here: g is gravity, ĝ is perceived “down,” and â is perceived linear acceleration.) (Merfeld 2003) 32 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Effects of Visual Cues • If the direction of “down” is misperceived but visual or proprioceptive cues indicate no acceleration, the unaccounted for ĝ component of gravity is perceived as a “mysterious force”. • Such illusory forces seem to push f̂ people side ways in earth-quaked houses, amusement park tilted rooms, or outdoor “mystery spots”. g • Pilots attribute illusory forces to “gusts”. (A form of unrecognized Type 1 spatial disorientation). 33 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS STS-3 PIO “Pilot Induced Oscillation” • 1982, no HUD, the CDR’s first Shuttle re/entry & landing. • Shuttle had PIO detection filter to reduce control authority. • PIO remains controversial. Postflight tests showed no control system anomaly. • Shuttle Training Aircraft provides no experience with Gain/Tilt-Translation illusions. • Vehicle pitch could cause pilot control response delays, illusory forces, misperception of attitude. 34 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Shuttle Landing Performance • Shuttle has landed safely 120 times. About 10% had several landing parameters beyond “desired” range. FTE parameter # > desired #> acceptable Hdot mg TD 13 3 GS TD 10 2 Lat Pos TD 17 1 • Possible correlation with postlanding neurovestibular function tests (n=9, Clark & McCluskey, 2001) • STS touchdown velocities have higher variance than in Shuttle Training Aircraft. 35 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Lunar Landing Issues • • • • • Geographic disorientation Landing zone visual assessment Dust grayout Touchdown terrain awareness Human role in vehicle control 36 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Geographic Disorientation • • • A15 crew realized they weren’t Apollo 15 heading for planned spot, and didn’t know exactly where they were relative to any familiar landmarks. So they picked a smooth area nearby and headed for it. (Mindell, 2007) “The problem was, when we pitched over and began to look out the window, there was nothing there !” “I was very surprised that the general terrain was as smooth and flat as it was..there were very few craters that had any shadow at all, and very little definition”. (Dave Scott) 37 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Landing Zone Assessment Apollo goal: touchdown on < 5 deg slope, < 2 ft. variations Perceptual limitations: • Cognitive map includes only large landmarks. • Fractal terrain, difficult to remember/recognize. • 0.5 m landmarks become visible at ~ 4000 feet. • Regolith reflectance is not like Earth (non-Lambertian) • Slope difficult to judge at steep visual angles • Shading elevation cues are ambiguous. • Light from behind/below can make craters appear convex Apollo 15 38 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Shape from Shading • Which “crater” appears concave ? • Shape is inferred from shading employing a “light from above” assumption - even in orbital flight. (Oman, 2003) 39 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Dust Grayout • Grayout at < 50-100’ causes progressive loss of horizon, altitude, position cues. • “ I couldn’t tell what was underneath me; I knew it was a generally good area and I was just going to have to bite the bullet and land”, because I couldn’t tell whether there was a crater down there or not”. • “It turned out there were more craters there than we realized, either because we didn’t look before the dust started or because the dust obscured them” Pete Conrad, Apollo 12 40 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Touchdown Terrain Awareness • • Crew cannot see below and behind. Must remain aware of the terrain beneath during descent. Apollo 15 landing gear overlapped edge of a small crater. Descent engine bell damaged by crater rim. 41 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Manual vs. Automatic • Constellation Lunar Lander will have autonomous landing capability - needed for uncrewed operations. • NASA Spacecraft Human Rating Requirements require capability for manual control of flight path and attitude. • Apollo 14-17 LEMs had autoland capability - though it was never used. Why ? John Young: “Because the place we were landing was saturated in craters and the automatic system didn’t know where the heck the craters were, and I could look out the window and see them. Why trust the automation anyways? You’re responsible for the landing. You know where you want to land when you look out the window and why don’t you make sure you land there?” (Cummings, et al 2005) 42 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Semi-Autonomous Option • One method now in development: • Lidar scans terrain at 7K’, automation suggests landing spot too far for terrain sensors too far for human eye too high for window 7000’ view 4000’ • Crew visually confirms site and either: – approves – redesignates, or – flies manually too shallow for terrain sensors Apollo (Forest et al, 2007; Brady, et al 2007) 43 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS EVA Locomotion • Astronauts usually loped (skipping without support foot exchange) on flat terrain. • In reduced g, loping, skipping and running is energetically more efficient than walking. Pressurized suit legs act like springs, improving energy recovery. • High suit CG, rigid torso, and lower ground reaction forces make walking on slopes more difficult. (Farley & Mcmahon, 1992; Carr & Newman 2005, 2007) 44 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS EVA Balance • Running is one legged walking. • Threshold for static tilt perception in darkness likely rises from .3 deg to 1-2 deg. due to 1/6g. • Crew likely more dependent on vision for balance. • Suit stiffness may constrain normal ankle & hip strategies. • Apollos: Falling on flat • Helmet design (and suit lights) terrain is safe. determine field of view. • Repeated falling is tiring • Apollo EVAs were all in coats suit with dust. daylight, and on relatively flat • Downhill sliding falls a terrain. concern. 45 DISORIENTATION MOTION SICKNESS EARTH RETURN LUNAR MISSIONS Questions ? 46 References General References on Balance, Motion Sickness and 0-G Visual Orientation and Navigation McCredie, S. (2007). Balance:in search of the lost sense, Little, Brown (Hachette). Oman, C. M. (2007). Spatial Orientation and Navigation in Microgravity. Spatial Processing in Navigation, Imagery and Perception. F. W. Mast and L. Janeke. Springer Verlag, New York: 208-248. http://mvl.mit.edu/MVLpubs/Oman_Spatial_Orientation_and_Nav_in_Microgravity_2007.pdf Oman, C. M. (2003). Human Visual Orientation in Weightlessness. Levels of Perception. L. Harris and M. Jenkin. New York, NY, Springer Verlag: 375-398. http://mvl.mit.edu/MVLpubs/Oman_York_Symposium_Vis_Orient_in_Weightlessness_2003.pdf Oman, C. (2004) In Search of a Cure for Seasickness. US Sailing Safety at Sea Seminars Program, http://mvl.mit.edu/MVLpubs/Oman_Safety_at_Sea_Seasickness_2004.pdf Reason, J. T. (1978). "Motion sickness: some theoretical and practical considerations." Applied Ergonomics 9(3): 163-167. Other References: Brady, TM Schwartz, JL Tillier, CE (2007) System Architecture and Operational Concept for an Autonomous Precision Lunar Landing System, 30th AAS Guidance and Control Conference, Breckenridge, CO, 2/2007-2/. (CS Draper Lab Report no. P-4485) Carr, C.E. , Newman, D.J. (2005) When is running more efficient than walking in a space suit ? SAE ICES 200501-2970. http://mvl.mit.edu/MVLpubs/Carr2005.pdf Cummings, M. L., Wang, E., Smith, C. A., Marquez, J. J., Duppen, M., & Essama, S. (2005). Conceptual HumanSystem Interface Design for a Lunar Access Vehicle (HAL2005-04), MIT –HAL, p.64 web.mit.edu/aeroastro/www/labs/halab/papers/HSI_interim_report_1.pdf Davis, J. R., R. T. Jennings, B. G. Beck and J. P. Bagian (1993). "Treatment efficacy of intramuscular promethazine for space motion sickness." Aviat Space Environ Med 64: 230-233. Davis, J. R., J. M. Vanderploeg, P. A. Santy, R. T. Jennings and D. F. Stewart (1988). "Space motion sickness during 24 flights of the Space Shuttle." Aviat. Space Environ. Med. 59: 1185-1189. 47 References Farley, CT and McMahon, TA () Energetics of walking and running: insights from simulated reduced-gravity experiments. J. Appl. Physiol. 73:2709-2712. Forest, LJ, Kessler, LJ, Homer, ML. (2007) Design of a human-interactive autonomous flight manager (AFM) for crewed lunar landing. AIAA Infotech, Rohnert Park,CA. Draper Report P-4503. http://www.draper.com/papers/papers.html#forest Graybiel, A. and J. Knepton (1976). "Sopite syndrome: a sometimes sole manifestation of motion sickness." Aviat Space Environ Med 47(8): 873-882. Graybiel, A. and J. Knepton (1976). "Sopite syndrome: a sometimes sole manifestation of motion sickness." Aviat Space Environ Med 47(8): 873-882. Harm DL, Reschke MF, and Parker DE, (1999) DSO 604 OI-1 Visual-Vestibular Integration Motion Perception Reporting, Extended Duration Orbiter Medical Project Final Report 1989-1995, NASA SP-1999-534. Haslwanter, T., R. Jaeger, S. Mayr and M. Fetter (2000). "Three-dimensional eye-movment responses to offvertical axis rotations in humans." Exp Brain Res 134: 96-106. Howard, I. P. (1982). Human Visual Orientation. Chichester, Sussex, John Wiley. Howard, I. P. and G. Hu (2001). "Visually Induced Reorientation Illusions." Perception 30: 583 - 600. Jennings, R. T. (1998). "Managing Space Motion Sickness." Journal of Vestibular Research 8(1): 67-70. Jonsson, E. (2002). Inner Navigation: Why we get lost and how we find our way. New York, Scribner. Knierim, J. J., B. L. McNaughton and G. R. Poe (2000). "Three-dimensional spatial selectivity of hippocampal neurons during space flight." Nature Neuroscience 3(3): 209-210. Merfeld, D. M., L. R. Young, C. M. Oman and M. J. Shelhamer (1993). "A multidimensional model of the effect of gravity on the spatial orientation of the monkey." J Vestib Res 3(2): 141-61. Merfeld, D. M. and L. H. Zupan (2002). "Neural processing of gravitoinertial cues in humans. III. Modelling tilt and translation responses." J. Neurophysiol. 87: 819-33. Merfeld, D. M. (2003). "Rotation otolith tilt-translation reinterpretation (ROTTR) hypothesis: A new hypothesis to explain neurovestibular spaceflight adaptation." Journal of Vestibular Research 13: 309-320. Oman, C.M. (1982) "A heuristic mathematical model for the dynamics of sensory conflict and motion sickness" ,Acta Oto-laryngologica Suppl. 392 Oman, C.M. (1990) "Motion sickness: a synthesis and evaluation of the sensory conflict theory,” Canadian Journal of Physiology and Pharmacology, 68:294-303. 48 References Oman, C. M., B. K. Lichtenberg, K. E. Money and R. K. McCoy (1986). "MIT/Canadian vestibular experiments on the Spacelab-1 mission: 4. Space motion sickness: symptoms, stimuli, and predictability." Experimental Brain Research 64: 316-334. Oman, C. M., I. Howard, T. Smith, A. Beall, A. Natapoff, J. Zacher and H. Jenkin (2003). The Role of Visual Cues in Microgravity Spatial Orientation. The Neurolab Spacelab Mission:Neuroscience Research In Space. J. Buckey and J. Homick. Houston, TX, NASA Johnson Space Center. Mindell, D.A. (2007) Digital Apollo, Human, Machine and Spaceflight, Ch. 10 (in press) Parker, D. E., M. F. Reschke, A. P. Arrott, J. L. Homick and B. K. Lichtenberg (1985). "Otolith tilt-translation reinterpretation following prolonged weightlessness: implications for preflight training." Aviation, Space, and Environmental Medicine 56: 601-606. Reason, J. T. (1978). "Motion sickness: some theoretical and practical considerations." Applied Ergonomics 9(3): 163-167. Reschke, M. F. and D. E. Parker (1987). "Effects of prolonged weightlessness on self-motion perception and eye movements evoked by roll and pitch." Aviat. Space. Environ. Med. 58(9): A153-A157. Reschke, M. F., J. J. Bloomberg, D. L. Harm, W. H. Paloski and D. E. Parker (1994). Neurophysiological Aspects: Sensory and Sensory-Motor Function. Space Physiology and Medicine. A. E. Nicogossian, Lea and Febiger. Richards, J. T., J. B. Clark, C. M. Oman and T. H. Marshburn (2001). Neurovestibular Effects of Long-Duration Spaceflight: A Summary of Mir Phase 1 Experiences: 1-33. NSBRI Report 2001. Small, R. L., A. M. Fisher and J. W. Keller (2005). A Pilot Spatial Orientation Aiding System. AIAA 5th Aviation, Technology, Integration, and Operations Conference (ATIO). Arlington, VA, AIAA. Taube, J., R. Stackman, J. Calton and C. M. Oman (2004). "Rat head direction cell responses in zero-gravity parabolic flight." J. Neurophysiol. 92: 2887-2997 Titov, G. and M. Caidin (1962). I am Eagle !, Bobs-Merrill. Young, L. R., C. M. Oman, D. G. D. Watt, K. E. Money and B. K. Lichtenberg (1984). "Spatial orientation in weightlessness and readaptation to Earth's gravity." Science 225: 205-208. 49 VRIs vs. Inversion Illusions Character VRI 0-G Inversion Illusion Perceived surface identity Depends on orientation Always veridical Allocentric reference frame Spacecraft External gravitational frame Perceived orientation Usually feet towards “floor”, but can vary Always gravitationally inverted Role of visual cues Required Not essential Duration Seconds Many minutes Lability Easily cognitively reversed Reversible with haptic cues Incidence Almost universal < 25% of crew Prevalence Can occur throughout flight Rare after second day Paradoxical sensation Momentary Continuous Oman, 2007 50