291 Journal of Vestibular Research 12 (2002/2003) 291–299 IOS Press Sensorimotor aspects of high-speed artificial gravity: III. Sensorimotor adaptation Paul DiZio∗ and James R. Lackner Ashton Graybiel Spatial Orientation Laboratory, Brandeis University, MS033, Waltham, MA 02454, USA Received 6 June 2002 Accepted 28 April 2003 Abstract. As a countermeasure to the debilitating physiological effects of weightlessness, astronauts could live continuously in an artificial gravity environment created by slow rotation of an entire spacecraft or be exposed to brief daily “doses” in a short radius centrifuge housed within a non-rotating spacecraft. A potential drawback to both approaches is that head movements made during rotation may be disorienting and nauseogenic. These side effects are more severe at higher rotation rates, especially upon first exposure. Head movements during rotation generate aberrant vestibular stimulation and Coriolis force perturbations of the head-neck motor system. This article reviews our progress toward distinguishing vestibular and motor factors in side effects of rotation, and presents new data concerning the rates of rotation up to which adaptation is possible. We have studied subjects pointing to targets during constant velocity rotation, because these movements generate Coriolis motor perturbations of the arm but do not involve unusual vestibular stimulation. Initially, reaching paths and endpoints are deviated in the direction of the transient lateral Coriolis forces generated. With practice, subjects soon move in straighter paths and land on target once more. If sight of the arm is permitted, adaptation is more rapid than in darkness. Initial arm movement trajectory and endpoint deviations are proportional to Coriolis force magnitude over a range of rotation speeds from 5 to 20 rpm, and there is rapid, complete motor adaptation at all speeds. These new results indicate that motor adaptation to high rotation rates is possible. Coriolis force perturbations of head movements also occur in a rotating environment but adaptation gradually develops over the course of many head movements. Keywords: Coriolis force, artificial gravity, disorientation, motion sickness, sensorimotor, vestibular, head, arm 1. Introduction Long duration human presence in space is taking place in the International Space Station and is being planned for a future Mars mission. The microgravity aspect of the space environment causes bone and muscle structural alterations, cardiovascular deconditioning, fluid shifts, and sensorimotor recalibration [2,8,12, 19,21,26]. These adaptations to weightlessness could present debilitating threats upon return to earth gravity or landing on Mars. Many approaches are being taken to develop countermeasures, the most integrative ∗ Corresponding author: Paul DiZio, Ashton Graybiel Spatial Orientation Laboratory, Brandeis University, MS033, Waltham, MA 02454, USA. Tel.: +1 781 736 2033; E-mail: dizio@brandeis.edu. and most likely to be successful approach would be a spacecraft that rotates to generate “artificial gravity”. The challenge is to develop a form of artificial gravity for which the benefits outweigh the side effects. We will briefly describe the possible benefits and likely side effects of several proposed countermeasures involving centrifugation. The basis for understanding these side effects traditionally relies on studying perturbations of the vestibular system that occur in a rotating reference frame. We will describe a series of experiments assessing the shared role of extra-vestibular sensorimotor factors in head and arm movement control and adaptation to rotation. The studies reviewed show that Coriolis forces perturb head and arm movements, but rapid motor adaptation of both is possible with additional movements. New results indicate at least par- ISSN 0957-4271/02/03/$8.00 2002/2003 – IOS Press. All rights reserved 292 P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds tial adaptation is possible up to the rotation rates required for the forms of artificial gravity being considered. Ultimately, side effects and aftereffects will be best countered by tailoring the environment and the exposure history to take advantage of the capacities of the vestibular and non-vestibular systems for adaptation. 2. Centrifugal rotation as a countermeasure to space flight deconditioning The ideal artificial gravity environment,from the perspective of human habitation, would be one that continuously generates 1 g of centripetal force by slow rotation of a large radius spacecraft [29]. It would certainly be an effective countermeasure. The large radius would permit space travelers to carry out normal activities, such as are required in a 1 g environment for bone, muscle and carviovascular homeostasis and maintenance of accurate sensorimotor calibration. The necessity of activity is demonstrated by the fact that bed rest on earth mimics the debilitating effects of microgravity [10,27, 30]. A large radius permits a slow rotation rate, which will minimize side effects. The most salient side effects in a rotating environment are the severely disorienting and nauseogenic consequences of head movements, errors in movement and gaze control, postural imbalance, and locomotory ataxia. The severities of these side effects are proportional to rotation rate [11,18,20]. At rotation rates greater than 5–6 rpm, most people exposed to living in a rotating environment initially experience incapacitating motion sickness and disorientation [3, 13,15]. Adaptive reduction of motion sickness and disorientation can be achieved through a regime of making thousands of head movements at progressively greater rotation speeds, but this procedure leads to powerful aftereffects upon return to a non-rotating environment, including temporary evocation of motion sickness by head movements [14]. A rotating environment would have to have a radius of about 37 m to produce 1 g of artificial gravity at 5 rpm. An alternative countermeasure, for which the likelihood of success is very doubtful, is to give people periodic exposure in a small rotating chamber within a non-rotating weightless spacecraft. Extremely vigorous exercise would be required during brief “doses” of centrifugation to replace the conditioning gained simply by postural support and normal activities in a 1 g environment. Periodic exercise with bungee cord loading in orbital space flight has not proven to be an effective countermeasure [31]. Bone mineral loss in space flight is about 1% per month despite the various forms of exercise loading that have been employed, including hours of daily treadmill locomotion with bungee cord loading [28]. In addition, very high rotation rates would be needed with a short radius device. A rotating capsule must be about 2 m in radius to permit a subject to have their head on the rotation axis and their feet at the “wall” of the device. This requires a rotation rate of about 21 rpm to produce 1 g at the feet and about 36.5 rpm to produce 1 g at the heart. The side effects of vigorous exercise will be severe at these speeds, and subjects will have to go back and forth between a nonrotating and a rotating environment for every exposure session. Both artificial gravity options require active movements on the part of space travelers and will produce side effects, including motion sickness and disorientation evoked by head movements as well as derangement of locomotion and manual control. 3. Vestibular and extra-vestibular factors in side effects of head movements during rotation Research into the origins and possible amelioration of the side effects due to head movements during rotation has focused primarily on vestibular function. During constant velocity body rotation, turning or tilting the head about any axis other than that of body rotation elicits afferent activity from the semicircular canals signaling simultaneous movement of the head about multiple axes, not just the actual movement axis. This bizarre pattern of vestibular stimulation is called Coriolis, cross-coupled stimulation (CCS). People without functioning labyrinths are immune to its nauseogenic side effects [17]. CCS contributes to disorientation and motion sickness in normal individuals, but the Skylab M-131 experiments and parabolic flight experiments have shown that the severity of motion sickness and disorientation evoked by CCS is a function of gravitoinertial force background, being most severe in hyper-g environments and quite modest in weightlessness [7, 16]. This pattern suggests that otolithic and mechanical factors influence the side effects experienced. To compare side effects of head movements during rotation in conditions of constant CCS but different loading of neck muscles, one study had two groups of subjects make active head movements during body rotation, with and without a 500 g weight attached to a bite plate [24]. Mechanical guides kept the subjects’ head movements in the pitch plane and of the same P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds amplitude to ensure that CCS of the vestibular system was identical in the two conditions. The group supporting the weight became much more motion sick. Both groups perceived a curved and laterally deviated head movement path involving illusory roll and yaw in addition to their physical pitch plane movements, and the group with the additional load perceived significantly more curvature and deviation. The increased requirements on the neck and trunk musculature for movement and postural maintenance due to the 500 g weight made the difference. These results indicate that efferent commands to the neck muscles and feedback from muscle spindles and other receptors, along with vestibular signals, can influence perceived head trajectory and motion sickness. The contribution of non-vestibular factors to the perception of head trajectory was also demonstrated in an experiment where rotation had similar Coriolis influences on arm and head movements. Subjects with eyes closed in a chair rotating at a constant velocity misperceived the apparent paths of their head and arm movements. Figure 1 shows the experienced paths when they attempted to make a pitch head movement and when they attempted to extend their forearm in a sagittal plane. Scalloped paths of the head and arm were perceived [25]. In parabolic flight experiments, the perceived curvatures of the paths of the head and arm during rotation were greater in a 1.8 g force background than in 1 g and less in 0 g then in 1 g. This pattern implicates a non-vestibular sensorimotor factor in the experienced lateral deviations of the head and arm (in addition to the CCS vestibular stimulation contributing to the experienced rotational movement of the head in roll and yaw). To identify the potential role of efferent and proprioceptive signals in the common illusions of head and arm deviation, experiments were done with arm movements, which do not have the added complication of vestibular activation. 4. Motor adaptation of arm movements in a rotating environment In initial studies, subjects made reaching movements before during and after constant velocity, 10 rpm counterclockwise (CCW) rotation, in the center of a fully enclosed rotating room [23]. They reached to a target light that went off at movement onset leaving them in total darkness without visual guidance of their arm. During rotation, their reaches generated Coriolis forces, Fcor = −2m(w × v), where m is the mass of the mov- 293 ω Fig. 1. When subjects attempt to make pitch forward head movements or sagittal plane extension movements of the forearm (dotted lines) during counterclockwise body rotation, they perceive their movements paths to be curved and deviated rightward (solid lines). The movements are in fact deviated and curved rightward (dashed lines) but the perceived effect is larger than the actual effect. ing arm, v its linear velocity, and w the angular velocity of the room. This velocity dependence meant there was not a Coriolis force acting on the arm at the very beginning nor at the very end of the reaches, but while the arm was being thrust forward a rightward Coriolis force acted on it (see Fig. 2A). Constant velocity periods were maintained for 2 min before reaching movements were made to allow semicircular canal activation to decay. Accordingly, vestibular signals about body rotation were absent before, during and after the reaches. A position control class of motor control theories, the αand λ-equilibrium point theories [1,9], would predict that under these conditions a movement’s path should arch to the right but end accurately, on target. However, the subjects’ first movements during rotation were abnormally curved and missed the target in the direction of the Coriolis force. The subjects adapted completely in 10–20 reaches so that their movements again were straight and accurate. At first they consciously felt the Coriolis force perturbing their arm but when adapted they reported it no longer seemed present, their movements again felt completely normal. Adaptation was more rapid if the room lights were left on so that the subjects could see their reaching movements. When rotation ceased, they initially made reaching errors with the adapted arm, symmetric to the trajectory and end- 294 P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds point errors that had originally occurred during rotation. With additional movements, they re-adapted to stationary conditions at the same rate they had adapted to rotation (see Figs 2B and 2C). Leg movements during rotation are also perturbed by Coriolis forces and also show rapid motor adaptation and negative aftereffects [5]. These findings prove that equilibrium point theories of motor control do not predict the errors in movement control a rotating artificial gravity environment will cause and greatly underestimate the capacity for adaptation. In fact, exposure to rotation causes functionally significant movement errors, but rapid motor adaptation to Coriolis force perturbations is possible. A detailed monitoring of reaching trajectory through vision, muscle spindles, Golgi tendon organs and cutaneous afferent signals from the arm in relation to efferent commands is required for the trajectory straightening and resumption of endpoint accuracy achieved in these experiments. The near mirror-image aftereffects that occur when subjects carry over their adaptation from a rotating environment into a stationary one indicate that the form of adaptation involves an internal model of the anticipated perturbation. Recently the trajectories of arm movements have been measured in a fully enclosed rotating room, turning at three rotation velocities, 5, 10 and 20 rpm, CCW [32]. These rotation rates encompass the approximate range likely to be used in a rotating artificial gravity environment or a short radius centrifuge as a countermeasure to microgravity. Subjects pointed in darkness to a visual target that was extinguished as a movement began. The reaching movements were made pre-rotation, during rotation, and post-rotation. Four naı̈ve subjects were rotated at each test velocity. The rightward Coriolis forces generated by the motion of the arm perturbed reaching paths and endpoints at all room speeds. Initial per-rotation movement paths deviated rightward from baseline and then inflected leftward but still landed right of the target position. The magnitudes of lateral endpoint errors and movement curvatures increased monotonically with rotation velocity. Average endpoint errors for the first per-rotation movements were 50 mm at 10 rpm, 36% smaller at 5 rpm and 70% larger at 20 rpm. The initial per-rotation movement curvatures were 14 mm at 10 rpm, 31% smaller at 5 rpm and 102% larger at 20 rpm. All three groups showed rapid and complete adaptation to the Coriolis forces and had negative post-rotation after effects. This pattern proves that the initial perturbations and adaptive accommodations have common properties across A ωsrr = 60°/s FCor Target Start varm Initial B Pre-rot Per-rot Post-rot C 2 cm Final 5 cm 5 cm Endpoint Curvature 2 cm Fig. 2. A. Illustration of rightward Coriolis forces (Fcor) generated during forward reaching movements made while the body is rotating counterclockwise. B. A top view of initial reaching movements made before, during and after 10 rpm counterclockwise rotation at the center of a rotating room (N = 11). C. Average endpoints and curvatures of 40 reaching movements before, during and after counterclockwise rotation (N = 11). rotation speeds relevant for countermeasures involving a large artificial gravity environment or a short radius centrifuge. Five subjects with complete, bilateral loss of vestibu- P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds lar function were also tested making reaching movements in the center of the darkened room rotating at constant velocity [4]. They were tested in order to identify any possible vestibular causes of the perturbation of reaching movements during rotation and to determine whether their capacity for motor adaptation would be similar to that of subjects with full vestibular function. Their per-rotation reaches were initially curvilinear and ended to the side of the target in the direction in which the Coriolis force had acted, just like those of the control subjects. This pattern of initial perturbations indicates that the reaching errors during rotation are non-vestibular, motor errors. Subsequent per-rotation reaches became progressively straighter, just like those of normal subjects. However, unlike the normal subjects, they failed to show complete movement endpoint adaptation. See Fig. 3A. During the per-rotation period, their reaches remained deviated in the direction of the transient Coriolis forces acting during the reaches. Thus, although their reaches straightened out, they reached straight to the wrong place. Labyrinthine loss subjects in darkness cannot sense body motion in space nor their position relative to gravity. This did not affect their pre-rotation reaches which were identical in curvatures and endpoints to those of control subjects, but the reaches of the two groups terminated in different fashions. The labyrinthine loss patients brought their finger down vertically while the controls approached the target with their finger at a shallow angle along the same line as the main transport phase of their reach. The difference in termination styles disrupted the normal pattern of shear forces on the finger pad when it contacted the surface which, in turn, resulted in less than full endpoint adaptation because these shear forces provide information about finger position relative to the trunk [4]. This interpretation also explains an earlier finding that control subjects show significantly less adaptation to Coriolis forces when they perform reaches that end in the air above a target than when they touch the target surface [23]. These patterns of adaptation indicate that fingertip contact cues are critical for complete adaptation of reaching movements to artificial gravity when sight of the arm is not permitted. In another experiment, subjects with normal vestibular function were tested on-center and off-center in the rotating room, pointing without visual feedback to a target that was extinguished at the onset of a reach. The purpose was to evaluate whether the static level of background artificial gravity affects the initial response and adaptation to identical Coriolis forces [22]. In the 295 off-center condition, subjects were positioned 2.23 m away from the rotation axis, which exposed them to a centripetal force of 0.25 g during 10 rpm rotation. This created a gravitoinertial resultant force tilted about 14◦ relative to the vertical. The subjects seated upright felt inclined backward during rotation. The centripetal force was present before, during and after per-rotation reaching movements and was parallel with the reaching movements which were directed toward the center of the room. During reaching movements a Coriolis force was generated to the right because the room rotated counterclockwise. The peak velocities and durations of movements were the same in the on and off-center conditions, therefore, the same Coriolis forces were generated. The initial reaches made off-center showed deviations of curvature and endpoint to the right, the same pattern shown by subjects tested at the center of the room. This means that background force level does not modulate motor errors introduced by Coriolis forces. This contrasts with the strong background force dependence of reactions to vestibular CCS [cf. 7, 16]. However, the adaptation pattern of the off-center group was not the same as the subjects on-center but was similar to that of the labyrinthine loss patients, described above. See Fig. 3B. The per-rotation reaches of the normal subjects tested off-center became progressively straighter and showed negative (leftward) trajectory curvature aftereffects post-rotation. However, their adaptive reduction of movement endpoint errors per-rotation leveled off before resuming pre-rotation baseline, in contrast to on-center subjects who adapted completely during rotation. Endpoint aftereffects were significantly smaller in the off-center than in the on-center group reflecting the lesser endpoint adaptation acquired per-rotation. The subjects seated off-center experienced mild disorientation relative to the physically level work surface of the target array due to the altered gravitoinertial force magnitude and direction. This means that adaptation to Coriolis motor perturbations can be influenced by force background and suggests that fingertip contact cues are one mediating factor. It is likely that allowed visual feedback of their reaching movements subjects tested off-center would show rapid and complete adaptation. This summary of arm movement control in a rotating environment indicates that Coriolis forces will initially elicit reaching errors but rapid motor adaptation is possible. The initial errors will scale with Coriolis force magnitude across an operationally relevant range of rotation speeds and background force levels and orientations. This is important because it is not yet clear 296 P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds A Labyrinth loss, on center Initial Final B Control subjects, off center Initial Final 5 cm Endpoint Endpoint Curvature 2 cm Pre-rotation Curvature Per-rotation Fig. 3. Plots of reaching movements made before and during 10 rpm counterclockwise rotation in darkness by: A) subjects with complete bilateral vestibular loss seated on the axis of rotation (N = 5) and B) subjects with normal vestibular function seated off-center in the rotating room (N = 10). whether an artificial gravity environment must provide a full 1 g force background in order to be an effective countermeasure. Practically speaking, the lower the force required to prevent physiological deconditioning, the lower the necessary rotation rate. The extravestibular factors that are involved in side effects of head movements during rotation are considered next. 5. Vestibular and motor adaptation of head movements during rotation Previous studies of motion sickness, head-eye coordination and spatial disorientation in a rotating environment have emphasized vestibular factors and neglected the Coriolis force actions on the inertial mass of the head/neck system. These studies have not even measured the actual properties of the head movements. We have reported measurements of unconstrained pitch head movements made during constant velocity rotation [6]. Movements were measured in six degrees of freedom with an Optotrak motion analysis system. The initial movements made during rotation showed deviations from pre-rotation patterns. Figure 4 illustrates this for a typical subject. The perturbations involved lateral translatory deviations of path and endpoint in the direction of the Coriolis forces on the head. In addition, the initial movements were deviated in roll and yaw. The roll axis deviation was in the direction of the Coriolis force on the head, and the yaw axis deviation was consistent with vestibulo-collic reflexes elicited by CCS. The lateral translations usually abated within 8 movements but the roll and yaw components adapted more slowly and were still partially present after 24 movements. These results indicate that there are dual adaptation processes, one involving rapid motor P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds A 297 ω ω ω’ r FCor ω’ y vhead Top view B fwd Side view up Pre-rotation Per-rotation Front view Left up up 1 cm fwd 1 cm fwd left 1 cm left Fig. 4. Illustration of the Coriolis force (FCor ) on the inertial mass of the head and cross-coupled stimulation of idealized yaw (ωy ) and roll (ωr ) plane semicircular canals evoked by a pitch head movement made during constant velocity counterclockwise rotation (ω). The head movement is made after the semicircular canals have had a chance to equilibrate to their resting state. B. Plots of a typical head movement trajectory from several perspectives before and during 10 rpm counterclockwise rotation. Motion of a point between the eyes is presented. adjustments of the head/neck system analogous to arm and leg adaptation to Coriolis forces and the other a slower process of adapting to vestibular CCS. The findings have several important implications for designing exposure paradigms for adapting astronauts to CCS. First, the overall recovery of normal function may be hastened with controlled exposures that appropriately engage each sub-system. In addition, the pattern of CCS that will be elicited by a head movement is a function of the head movement kinematics. Most analyses of CCS exposure assume that the head will move in the intended path, but our findings show that this does not occur until the subject has undergone motor adaptation to the Coriolis force perturbations generated by the planned head movements. Studies are currently in progress in our laboratory to segregate and to optimally engage the motor and vestibular subsystems in head movement adaptation to rotation 6. Conclusions The reviewed studies demonstrate that both vestibular and motor adaptation are important elements of human accommodation to rotating environments. Perturbation of motor control by Coriolis forces is an important influence of rotation upon all motor activities, not just those involving head movements. Head move- 298 P. DiZio and J.R. Lackner / Sensorimotor adaptation at high rotation speeds ments involve side effects due to motor and vestibular factors. Studies of reaching movements have illuminated principles of motor control and adaptation: 1) existing theories of motor control, such as equilibrium point control [1,9], do not predict the observed Coriolis force disturbances of arm, leg and head movements; 2) Coriolis motor perturbations are proportional to rotation speed and rapid adaptation is possible between the upper and lower bounds of speeds being considered for artificial gravity countermeasures; 3) adaptation to rotation involves acquiring internal models of Coriolis perturbations, this results in aftereffects upon transition to a stationary environment; 4) motor adaptation depends upon monitoring fine details of movement trajectory and dynamics, spatial orientation and contact forces via proprioceptive, visual, cutaneous and vestibular channels in relation to efferent signals; 5) the magnitude of initial Coriolis motor perturbations is not dependent on background force level but the rate and extent of adaptation are affected. 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