Uncoupling VOR and vestibuloautonomic retention to Coriolis acceleration training in student pilots and control subjects

J Vestib Res. 2017;27(2-3):103-112. doi: 10.3233/VES-170608.

Abstract

Purpose: Explore the different vestibular physiologic response retention patterns after Coriolis acceleration training in student pilots and extend the results for use with Chinese astronauts in the future.

Methods: Twelve healthy control male subjects were screened from males familiar with vestibular training and who physically resembled the astronauts. Fourteen student pilots were selected from 23 participants by rotational vestibular function tests. All subjects were exposed to five-day continuous or intermittent Coriolis acceleration training. Subjective motion sickness (MS) symptom scores, electrocardiography, electrogastrography (EGG), post-rotatory nystagmus and renin-angiotensin system responses were measured before, during and after rotational vestibular function tests at different times after vestibular training.

Results: Subjects could tolerate 10 min or 15 min of vestibular with mild MS symptoms. Retention of vestibular autonomic responses (retention of MS symptom scores, heart rate variability, power density of EGG, variations in levels of arginine vasopressin) were approximately 1 week for control subjects and approximately 5 weeks for student pilots. Decreases in slow-phase velocity of post-rotatory nystagmus were maintained for 14 weeks for control subjects and 9 weeks for student pilots.

Conclusions: Retention of the vestibulo-autonomic reaction after vestibular training was different for control subjects and student pilots. All parameters related to autonomic responses could be maintained at low levels after vestibular training for approximately 1 week for control subjects and approximately 5 weeks for student pilots. Uncoupling patterns between post-rotatory nystagmus and the vestibulo-autonomic reaction may be helpful in the design of clinical rehabilitation plans for balance-disorder patients and for exploration of artificial gravity in future space missions.

Keywords: Vestibular training; electrogastrography; heart rate variability; motion sickness symptom score; pilots; post-rotatory nystagmus.

MeSH terms

  • Astronauts
  • Autonomic Nervous System / physiology*
  • Aviation / education*
  • Coriolis Force*
  • Electrocardiography
  • Electromyography
  • Eye Movements
  • Hormones / blood
  • Humans
  • Male
  • Motion Sickness / physiopathology
  • Nystagmus, Physiologic / physiology
  • Pilots
  • Reflex, Vestibulo-Ocular*
  • Renin-Angiotensin System
  • Stomach / physiopathology
  • Students
  • Vestibular Function Tests
  • Young Adult

Substances

  • Hormones