Exp Brain Res (2003) 148:266–271 DOI 10.1007/s00221-002-1300-9 RESEARCH NOTE Kazuhiro Soeda · Paul DiZio · James R. Lackner Balance in a rotating artificial gravity environment Received: 26 April 2002 / Accepted: 20 September 2002 / Published online: 22 November 2002 Springer-Verlag 2002 Abstract When subjects stand at the center of a fully enclosed room that is rotating at constant velocity, their natural postural sway generates Coriolis forces that destabilize their center of mass and head. We quantitatively assessed how exposure to constant velocity rotation at 10 rpm affected postural control. Twelve subjects stood in a heel-to-toe stance in the rotating room. Each test session involved three phases: (1) pre-rotation, (2) perrotation, and (3) post-rotation. In each phase, subjects were tested in both eyes open and eyes closed conditions. Four measures were used to characterize center of mass movement and head movement: mean sway amplitude, total power, mean power frequency, and frequency of maximum power. Each measure was computed for anterior-posterior and medial-lateral sway. Both anterior-posterior and medial-lateral head and center of mass sway during rotation had significantly greater mean sway amplitude and total power compared with pre- and postrotation values. Mean power frequency and frequency of maximum power were little affected. Eyes open conditions were significantly more stable in all test phases than eyes-closed, but vision did not completely suppress the effects of rotation. The greatest effect of rotation was in the eyes-closed condition with mean sway amplitude and total power increasing more than twofold. Inverted pendulum sway was maintained in all phases of both test conditions. No aftereffects of rotation were present after the four 25-s exposures each subject received. We expect that with longer exposure periods and with active generation of body sway subjects would both adapt to rotation and exhibit post-rotary aftereffects. K. Soeda · P. DiZio ()) · J.R. Lackner Ashton Graybiel Spatial Orientation Laboratory and Volen Center for Complex Systems, Brandeis University, Waltham, MA 02454-9110, USA e-mail: dizio@brandeis.edu Tel.: +1-781-7362033 Fax: +1-781-7362031 P. DiZio Ashton Graybiel Spatial Orientation Laboratory, MS033, Brandeis University, Waltham, MA 02454-9110, USA Keywords Posture · Perturbation · Rotation · Vision · Vestibular · Artificial gravity Introduction A prolonged interplanetary space flight to Mars may well require the use of artificial gravity to prevent adverse physiological changes. Exercise with bungee cord loading or ergocycles in weightless conditions is not an adequate countermeasure to prevent loss of bone and muscle mass (Vernikos 1996). Living in a continuously rotating space habitat and exposure to periodic rotation in a short-radius centrifuge (Lackner and DiZio 2000a, 2000b; Young 1999) are effective ways to generate “artificial gravity” but ones that have potentially adverse side effects, especially in short-radius devices turning at above 10 rpm (Nicogossian and McCormack 1987; Stone and Letko 1965). The side effects include the generation of Coriolis forces, g-gradients and changes in effective weight during locomotion (see Lackner and DiZio 2000a, 2000b for recent reviews). Our concern here is with Coriolis forces and their influence on postural control during rotation. Coriolis forces (CF) are generated by movements made within a rotating reference frame: CF=–2m(wv), where m is the mass of the moving object, w is the angular velocity of the rotating environment, and v is the linear velocity of the object relative to the plane of rotation. Figure 1 shows the Coriolis forces that would be generated on a subject’s body by lateral postural sway in a counterclockwise, rotating environment. If the subject sways rightward, a Coriolis force will be generated acting in the backward direction with a magnitude proportional to sway velocity in the plane of room rotation. This force would act both on the subject’s body, tending to displace its path, and on the sensory organs of the inner ear, altering the normal relationship between afferent otolith signals and body motion/orientation. If postural sway occurs that includes tilt of the head, the semicircular canals will receive crosscoupled stimulation from the rotating environment. Other 267 Visual input has an attenuating effect on postural sway in non-rotating conditions (e.g., Allum and Pfaltz 1985) and we expected conditions involving vision to be more stable than eyes closed conditions. With passive stance and the brief exposure periods involved (25 s), we did not expect significant adaptive changes in postural control to occur during rotation. Materials and methods Subjects Fig. 1 Schematic illustration of the influence of Coriolis forces on postural control in the experimental situation. While a subject stands at the center of the room rotating counterclockwise (w), rightward body sway (solid double arrow) induces a backward Coriolis force (broken double arrow) and leftward sway generates a forward Coriolis force (single arrows) directions of sway would generate orthogonal, velocity dependent Coriolis perturbations of body displacement and Coriolis, cross-coupled perturbations of the semicircular canals. In a rotating environment if the subject is standing at the axis of rotation, at 10 rpm, there are no significant centripetal forces acting on his or her body. In the 1960s an extensive series of studies was carried out to assess how well humans could adapt to different rates of rotation in a slow rotation room. The primary concern in these studies was the disorientation and motion sickness elicited by head movements during rotation. The rotation rates studied ranged from about 2.8 rpm to 10 rpm and one of the studies lasted as long as 3 weeks, the others lasting days or 2 weeks (Graybiel et al. 1960, 1965; Guedry et al. 1964; Kennedy and Graybiel 1962). Several tests of posture, balance, and locomotion, e.g., the FreglyGraybiel ataxia and rail tests, were carried out pre- and post-rotation. These tests showed post-rotation degradations in performance following days of exposure to rotation (cf. Fregly 1974, for a review). The technology was not available at the time to obtain quantitative assessments of how body sway was affected during rotation and the pre- and post-rotation measurements also did not involve quantitative characterization of sway and locomotion kinematics. Our goal here was to evaluate postural sway during exposure to constant velocity rotation at 10 rpm. This is the highest velocity likely to be employed to generate an artificial gravity environment for unconstrained activities in a long duration space mission although higher rates might be used for intermittent centrifugation of restrained subjects (e.g., Young 1999). We wanted to characterize the motion of the body during quiet stance. If sway is about the ankles, the linear velocity of the head will be greater than that of the center of mass; consequently the Coriolis acceleration will be larger at the head and the otolith organs than at the body center of mass. Therefore, we were especially interested in whether inverted pendulum sway would be maintained during rotation (Nashner 1971; Nashner and McCollum 1985; Stockwell 1983). Twelve subjects (eight men and four women between the ages of 25 and 44 years) participated after giving informed consent to a protocol approved by the Brandeis Committee for the Protection of Human Subjects. They were without vestibular or sensorimotor impairments that could have influenced their performance; all had normal or corrected-to-normal vision. Apparatus Figure 1 shows the configuration of the test situation. Subjects stood at the center of the slow rotation room (SRR), located in the Ashton Graybiel Spatial Orientation Laboratory at Brandeis University. The position of two IRED (infrared) markers attached to the subject’s bodys were recorded by a WATSMART motion monitoring system (Northern Digital, Inc.) mounted in the SRR. Sampling rate was 100 Hz. One IRED was taped to the subject’s chin as a head (HD) marker. The other IRED was mounted on a waistband worn by the subject, positioned at a point approximately at the level of the center of mass (CM) of the subject’s body. A three-sided safety railing was available for subjects to grasp if they felt they were going to fall. Procedure Subjects were tested standing in stocking feet in a heel-to-toe stance (tandem Romberg stance) at the center of the SRR. This stance was maintained before, during, and after constant velocity rotation at 10 rpm of the SRR in a counterclockwise direction. Each subject performed four 25-s trials in three periods: pre-rotation, perrotation, and post-rotation. Subjects alternated in a counterbalanced order between eyes-open and eyes-closed conditions. Acceleration to constant velocity and deceleration to rest were at 1/s2. The perand post-rotation measurements were made 2 min after velocity changes to allow potential semicircular canal activity to abate. In the eyes-open conditions, subjects had full view of the rich visual environment of the interior of the SRR and were given a target on the wall of the SRR to fixate. For the eyes-closed conditions, subjects were instructed to close their eyes in the illuminated room. They were also instructed to right themselves as quickly as possible by touching the safety rails if they felt themselves losing balance in the middle of a trial. We kept the SRR illuminated as a safety precaution so that we could respond if subjects started to lose their balance. Subjects were allowed brief rests between trials; however, they remained in place, leaning against the back bar of the safety rails and holding the side bars for support. There were two on-board experimenters; one operated the recording console and communicated with the external SRR control room; the other was positioned behind the test subject to stabilize him or her in case of extreme unsteadiness. 268 Data reduction The sampled data were digitally low pass filtered (10 Hz) and the first and last 2.5 s were trimmed off to eliminate transients, leaving 20 s for analysis. Computer algorithms were used to identify the MSA (mean sway amplitude), TP (total power), FMP (frequency of maximum power), and MPF (mean power frequency) of head (HD) and center of body mass (CM) motions, in the anterior-posterior (AP) and medial-lateral (M-L) directions. The formula for MSA was: MSA ¼ N 1X jxi xj N i¼1 where N 1X x¼ xi forx ¼ CMAP ; CMML ; HDAP or HDML N i¼1 The remaining three measures were computed on the results of a fast Fourier transform (N=2,000 points at a 100 Hz sample rate) of the detrended, windowed (Hanning window) times series. A binary search algorithm found the frequency bin containing the maximum squared spectral amplitude, or frequency of maximum power (FMP). The equation for total power was: TP ¼ N=2 X x2i i¼1 where the xi are spectral amplitudes per frequency bin. The mean power frequency was calculated according to: N=2 P MPF ¼ i¼1 x2i fi TP where the fi are frequency bins. We also evaluated the relationship of HD and CM sway in two ways. The cross-correlation and time lag between sway of HD and CM were computed. In our nomenclature, positive time lags mean that the second variable of a pair is leading the first temporally. In addition, the ratio of HD to CM sway amplitude was calculated. High correlations and short time lags along with similar ratios of the sway amplitude and height of HD relative to CM would indicate inverted pendulum sway. Statistical analysis Our a priori questions were: (1) how rotation affects sway, (2) whether differences between eyes-open and eyes-closed conditions would be present, and (3) whether inverted pendulum sway would be maintained during rotation. A repeated measures MANOVA was performed to assess the effects on MSA, TP, FMP and MPF of five factors: body segment (HD and CM), direction of sway (A-P and M-L), rotation (pre-, per-, and post-), vision (eyes open and eyes closed) and the order of trials. There was no multivariate effect of trial order on the measures of sway, but there were significant main effects of the body segment (F(4,8)=5.82, P=0.017), sway direction (F(4,8)=5.29, P=0.022), rotation (F(8,40)=2.94, P=0.011) and vision (F(4,8)=8.30, P=0.006). Post hoc pairwise comparisons, collapsed across repetitions, were done with multiple, Bonferroni corrected ttests. The corrected significance level for all pairwise comparisons reported below is 0.05. sway amplitude and total power were greater pre-rotation with the eyes closed than open, and their increases perrotation were greater for eyes closed conditions. The destabilizing effects of rotation and eye closure were more prevalent in the M-L than the A-P direction. Sway frequency was higher with the eyes closed than open. The following sections describe the effects of rotation and vision on each dependent measure of HD and CM sway in both directions. Mean sway amplitude Univariate tests indicated that rotation significantly affected MSA (F(2,22)=3.84, P=0.037). Medial-lateral MSA was more affected than A-P (F(1,11)=6.29, P=0.029). In pairwise comparisons, per-rotation values were significantly greater than pre-rotation for mediallateral CM sway and for both directions of HD sway. Preand post-rotation values of MSA did not differ significantly from one another. The pattern of significant rotation effects on MSA was the same in both visual conditions, but the magnitude of the visual effect was significantly greater with eyes closed than open (F(1,11)=20.91, P<0.0001). The per-rotation increase was about twofold with eyes closed and about 50% with eyes open. Total power Total power (TP) of HD and CM approximately tripled during rotation in the eyes closed condition. There was a significant increase in TP during rotation (F(2,22)=7.13, P=0.0041), and TP of HD sway was greater than of CM sway (F(1,11)=11.65, P=0.0058). In pairwise comparisons of HD sway, the per-rotation TP was greater than prerotation for both sway directions and both visual conditions, but the per-rotation increase in CM was only significant for TP of M-L sway with eyes closed. Pre- and post-rotation values did not differ significantly. Frequency of maximum power This measure also showed a tendency toward an increase during rotation from about 0.1–0.11 Hz pre-rotation to about 0.13 Hz on average, but the effect of rotation was not significant. The univariate tests indicated that the peak frequency of sway was higher in eyes closed than eyes open conditions when the data were collapsed across rotation conditions, body segments and sway direction (F(1,11)=5.56, P=0.038). Results The results are summarized in Fig. 2. MSA and TP increased during rotation relative to the pre-rotation baseline and returned to baseline post-rotation. Mean Mean power frequency Univariate tests showed that MPF of sway did not change significantly as a function of either rotation or vision. 269 Fig. 2A–D Mean sway amplitude, total power, frequency of maximum power, and mean power frequency, of head and center of mass movement in the medial-lateral (M-L) and anterior-posterior (A-P) directions in eyes open and eyes closed trials in the three rotational conditions (pre-, per-, and postrotation). The bar graphs represent the means and standard deviations calculated across subjects, N=12 Loss of balance The experimenter counted the number of times the subject had to use the railings in order to avoid losing balance. Each contact involved a momentary push against the rail with the back of the hand. Subjects had to use the rails more frequently during rotation than pre- or post-rotation, and more frequently when their eyes were closed than open. Pre-rotation there were 0.25 touches per trial in the dark and none with vision; per-rotation there were 5.04 touches per trial in the dark and 1.16 when the subject’s eyes were open; post-rotation there were 0.125 touches per trial in both visual conditions. Inverted pendulum sway There was no significant effect of rotation on either the time lag or coefficient of correlation between the head and center of mass. There was a slight lead of CM fluctuations relative to HD sway in the pre-rotation period. The time leads across the four combinations of 270 sway direction and vision conditions ranged from 53 ms (eyes closed, M-L sway) to 9 ms (eyes open, A-P sway). Per-rotation the timing ranged from a 47-ms lead of CM relative to HD (eyes closed, A-P) to a 16-ms lag of CM (eyes closed, M-L sway). The lead/lag values in all conditions were not significantly different from zero, and there were no differences between pre- and per-rotation values. In other words, sway of the HD and CM remained in phase. The minimum and maximum correlation coefficients were very high, ranging between r=0.95 (eyes closed, A-P) to 0.69 (eyes open, M-L sway) prerotation and 0.95 (eyes closed, A-P) to 0.77 (eyes open, M-L) per-rotation. The correlation values did not differ across rotation conditions. The average ratio of the height of the HD marker relative to the CM marker was 1.51 (SD 0.06), which represents the expected ratio of HD to CM sway in inverted pendulum sway. Pre-rotation, the ratios of HD to CM sway amplitude, averaged across the A-P and M-L directions, were 1.36 (SD 0.07) and 1.39 (SD 0.09) in the eyes open and eyes closed conditions, respectively. During rotation, the ratios increased to 1.49 (SD 0.10) in the eyes open condition and 1.46 (SD 0.14) in the eyes closed condition. The pre-rotation ratios of HD to CM sway are significantly smaller than the expected ratio for inverted pendulum sway (P<0.05, Bonferroni adjusted ttests), but the per-rotation ratios are not significantly different. Discussion Our experimental findings indicate a significant degradation of postural control during passive rotation at 10 rpm. Mean sway amplitude and total power of sway are primarily affected with frequency measures being little affected. As anticipated, allowing visual input significantly stabilized the body relative to eyes closed conditions but did not completely suppress the effects of rotation. Lateral sway amplitude and spectral power were greater pre- and post-rotation than anterior-posterior sway in the eyes closed conditions, which was expected given that the heel-to-toe stance used is inherently more unstable laterally. During rotation, the lateral head and center of mass mean sway amplitude and total power increased more than the anterior-posterior direction, reflecting the Coriolis forces and the cross-coupled vestibular stimulation generated by sway. The destabilizing effects of rotation are underestimated in this study because subjects used the hand rails to limit their body displacement. Despite the increased amplitude of sway during rotation, inverted pendulum sway was maintained as closely as pre-rotation. The magnitudes of head and center of mass sway were similarly affected by rotation in both sway directions and in both visual conditions. In each sway direction, HD and CM sway tended to be phase locked, pre- and per-rotation. Eyes closed conditions, pre-, per-, and post-rotation most closely approximate inverted pendulum sway. An important feature of the results is the absence of a difference between post-rotation and pre-rotation sway amplitude and frequency. This absence of aftereffects means that significant adaptation to the Coriolis forces generated by sway did not occur during the four, 25-s rotation exposure periods. The lack of a difference between trial repetitions within each rotation period is also evidence that adaptation did not occur. In other studies involving pointing movements to targets, we have shown that subjects initially are unable to execute accurately their intended arm movement during rotation. However, when permitted to make repeated movements, subjects quickly become more accurate and are able to perform near normally within 10–15 reaches (Lackner and DiZio 1994). Such adaptation means that the subjects’ nervous systems have planned anticipatory muscle innervations which cancel the consequences of the Coriolis forces. Aftereffects are present post-rotation with movement paths being mirror image to the initial ones during rotation. We have also shown that head movements made in a rotating room are deviated by Coriolis forces (Lackner and DiZio 1998) and adaptation is possible if the subject makes the same head movement over and over (DiZio and Lackner 1995). Head movement adaptation is slower than arm adaptation, and the present findings indicate that postural adaptation may be slower still. It is likely that adaptation would occur with longer than four 25-s exposure periods. In an early study, subjects living in a rotating room for a period of 12 days showed postural and locomotory aftereffects, indicating they had adapted to the rotating environment (cf. Fregly 1974; Graybiel et al. 1965). The aftereffects were strongest on the walking test, weak and transient in the test of standing with the eyes closed, and non-existent when quiet stance with eyes open was evaluated. The slow rate of adaptation of head movements and postural sway to rotation may be because these movements generate aberrant vestibular signals which are not generated by arm movements. The aberrant vestibular signals are from linear Coriolis forces on the otoliths and cross-coupling of angular velocity of the semicircular canals. The bizarre vestibular signals generated by head and body sway would make it more difficult for the nervous system to compensate for Coriolis perturbations for several reasons. For example, the center of mass of a simple inverted pendulum in the rotating room would precess in an oblate cycloidal pattern due to Coriolis forces. However, attempting to stabilize such a system with feedback from vestibular signals would instead create a more chaotic motion because such feedback is aberrant in a rotating environment. Such vestibular signals would also affect gaze stability, making visual information less helpful. The rotating room paradigm for perturbing posture makes it possible to experimentally manipulate the amount and direction of vestibular, visual and other 271 sensory feedback relative to the Coriolis forces generated on the body. Coriolis forces on a body segment moving in a particular way are governed by rotation speed of the environment, but the Coriolis, cross-coupled vestibular signals about a particular body motion at a particular rotation speed can be experimentally manipulated by taking advantage of the dynamics of sensory systems and central sensory interactions (Guedry and Benson 1978; Watanuki et al. 2000). In future research, it will be important to study the patterns of initial disruption of posture and of adaptive recovery using different combinations of exposure schedules and sensory feedback. With passive stance, adaptive corrections may be more reflexive without the need for conscious intervention and planning. 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