Effects of Acceleration-Induced Reductions in Retinal and Cerebral Oxygenation on Human Performance

BACKGROUND: Ischemic hypoxia induced by suprathreshold G-force loading can adversely affect vision, cognition, and lead to loss of consciousness (LOC). The purpose of this study was to determine whether reductions in cerebral oxygenation, caused by subthreshold G-forces (up to 4 G_z and of limited durations that do not lead to LOC), would affect visual perception and working memory performance.METHODS: Sixteen subjects performed visual perception and working memory tasks both before and during G_z exposures (1, 2.2, 3, 4 with leg pressurization, 4 with leg and abdomen pressurization) within a human-use centrifuge.RESULTS: As measured using near-infrared spectroscopy, blood oxygenation over medial prefrontal cortex was similar in the 1 and 2.2 G_z conditions, but was reduced to a similar extent in the 3 and 4 G_z conditions. In parallel, visual perception accuracy was reduced in the 3 and 4 G_z conditions, with no difference between the 3 and 4 G_z conditions. No change in reaction time was seen. Conversely, neither accuracy nor reaction time changes were observed for the visual working memory task.DISCUSSION: These results indicate that although visual working memory is not affected, the ability to visually discriminate between stimuli is reduced at G-forces as low as 3 and 4 G_z. This may have important ramifications for pilots who are routinely subjected to such forces.Croft RJ, Klegrd R, Tribukait A, Taylor NAS, Eiken O. Effects of acceleration-induced reductions in retinal and cerebral oxygenation on human performance. Aerosp Med Hum Perform. 2021; 92(2):7582.

A strategy for in-flight measurements of physiology of pilots of high-performance fighter aircraft

Some pilots flying modern high-performance fighter aircraft develop "hypoxia-like" incidents characterized by short periods of confusion and cognitive impairment. The problem is serious and recently led to the grounding of a fleet of aircraft. Extensive discussions of the incidents have taken place but some people believe that there is inadequate data to determine the cause. There is a tremendous disconnect between what is known about the function of the aircraft and the function of the pilot. This paper describes a plan for measuring the inspired and expired Po2 and Pco2 in the pilot's mask, the inspiratory flow rate, and pressure in the mask. A critically important requirement is that the interference with the function of the pilot is minimal. Although extensive physiological measurements were previously made on pilots in ground-based experiments such as rapid decompression in an altitude chamber and increased acceleration on a centrifuge, in-flight measurements of gas exchange have not been possible until now primarily because of the lack of suitable equipment. The present paper shows how the recent availability of small, rapidly responding oxygen and carbon dioxide analyzers make sophisticated in-flight measurements feasible. The added information has the potential of greatly improving our knowledge of pilot physiology, which could lead to an explanation for the incidents.

The relationship between brain cortical activity and brain oxygenation in the prefrontal cortex during hypergravity exposure

Artificial gravity has been proposed as a method to counteract the physiological deconditioning of long-duration spaceflight; however, the effects of hypergravity on the central nervous system has had little study. The study aims to investigate whether there is a relationship between prefrontal cortex brain activity and prefrontal cortex oxygenation during exposure to hypergravity. Twelve healthy participants were selected to undergo hypergravity exposure aboard a short-arm human centrifuge. Participants were exposed to hypergravity in the +Gz axis, starting from 0.6 +Gz for women, and 0.8 +Gz for men, and gradually increasing by 0.1 +Gz until the participant showed signs of syncope. Brain cortical activity was measured using electroencephalography (EEG) and localized to the prefrontal cortex using standard low-resolution brain electromagnetic tomography (LORETA). Prefrontal cortex oxygenation was measured using near-infrared spectroscopy (NIRS). A significant increase in prefrontal cortex activity (P < 0.05) was observed during hypergravity exposure compared with baseline. Prefrontal cortex oxygenation was significantly decreased during hypergravity exposure, with a decrease in oxyhemoglobin levels (P < 0.05) compared with baseline and an increase in deoxyhemoglobin levels (P < 0.05) with increasing +Gz level. No significant correlation was found between prefrontal cortex activity and oxy-/deoxyhemoglobin. It is concluded that the increase in prefrontal cortex activity observed during hypergravity was most likely not the result of increased +Gz values resulting in a decreased oxygenation produced through hypergravity exposure. No significant relationship between prefrontal cortex activity and oxygenation measured by NIRS concludes that brain activity during exposure to hypergravity may be difficult to measure using NIRS. Instead, the increase in prefrontal cortex activity might be attributable to psychological stress, which could pose a problem for the use of a short-arm human centrifuge as a countermeasure.