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Systematic Review of countermeasures to minimise physiological changes and risk of injury to the lumbopelvic area following long-term microgravity

Systematic Review of countermeasures to minimise physiological changes and risk of injury to the lumbopelvic area following long-term microgravity
Systematic Review of countermeasures to minimise physiological changes and risk of injury to the lumbopelvic area following long-term microgravity
Background

No studies have been published on an astronaut population to assess the effectiveness of countermeasures for limiting physiological changes in the lumbopelvic region caused by microgravity exposure during spaceflight. However, several studies in this area have been done using spaceflight simulation via bed-rest. The purpose of this systematic review was to evaluate the effectiveness of countermeasures designed to limit physiological changes to the lumbopelvic region caused by spaceflight simulation by means of bed-rest.

Methods

Electronic databases were searched from the start of their records to November 2014. Studies were assessed with PEDro, Cochrane Risk of Bias and a bed-rest study quality tool. Magnitude based inferences were used to assess countermeasure effectiveness.

Results

Seven studies were included. There was a lack of consistency across studies in reporting of outcome measures. Some countermeasures were found to be successful in preventing some lumbopelvic musculoskeletal changes, but not others. For example, resistive vibration exercise prevented muscle changes, but showed the potential to worsen loss of lumbar lordosis and intervertebral disc height.

Conclusion

Future studies investigating countermeasures should report consistent outcomes, and also use an actual microgravity environment. Additional research with patient reported quality of life and functional outcome measures is advocated.
2468-7812
S5-S14
Winnard, Andrew
226d77e2-a6a6-4764-9871-d02cc34649ec
Nasser, Mona
b881332d-4f50-44d1-8e50-b8395053b3a0
Debuse, Dorothee
2a782ddd-9c2d-451a-87f1-c7c60e25605b
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Evetts, Simon
ac958cbc-0c56-4467-a674-5e32aa0aeb58
Wilkinson, Mick
8f372cd8-8898-48ac-a21a-f4e0ac7071d6
Hides, Julie
08c9d2a0-4414-4858-9cc5-fa9af67d79e5
Caplan, Nick
be70ef22-da92-4d57-9106-076d20c96ceb
Winnard, Andrew
226d77e2-a6a6-4764-9871-d02cc34649ec
Nasser, Mona
b881332d-4f50-44d1-8e50-b8395053b3a0
Debuse, Dorothee
2a782ddd-9c2d-451a-87f1-c7c60e25605b
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Evetts, Simon
ac958cbc-0c56-4467-a674-5e32aa0aeb58
Wilkinson, Mick
8f372cd8-8898-48ac-a21a-f4e0ac7071d6
Hides, Julie
08c9d2a0-4414-4858-9cc5-fa9af67d79e5
Caplan, Nick
be70ef22-da92-4d57-9106-076d20c96ceb

Winnard, Andrew, Nasser, Mona, Debuse, Dorothee, Stokes, Maria, Evetts, Simon, Wilkinson, Mick, Hides, Julie and Caplan, Nick (2017) Systematic Review of countermeasures to minimise physiological changes and risk of injury to the lumbopelvic area following long-term microgravity. [in special issue: Terrestrial Neuro-musculoskeletal Rehabilitation and Astronaut Reconditioning: Reciprocal Knowledge Transfer] Musculoskeletal Science and Practice, 27, supplement 1, S5-S14. (doi:10.1016/j.msksp.2016.12.009).

Record type: Article

Abstract

Background

No studies have been published on an astronaut population to assess the effectiveness of countermeasures for limiting physiological changes in the lumbopelvic region caused by microgravity exposure during spaceflight. However, several studies in this area have been done using spaceflight simulation via bed-rest. The purpose of this systematic review was to evaluate the effectiveness of countermeasures designed to limit physiological changes to the lumbopelvic region caused by spaceflight simulation by means of bed-rest.

Methods

Electronic databases were searched from the start of their records to November 2014. Studies were assessed with PEDro, Cochrane Risk of Bias and a bed-rest study quality tool. Magnitude based inferences were used to assess countermeasure effectiveness.

Results

Seven studies were included. There was a lack of consistency across studies in reporting of outcome measures. Some countermeasures were found to be successful in preventing some lumbopelvic musculoskeletal changes, but not others. For example, resistive vibration exercise prevented muscle changes, but showed the potential to worsen loss of lumbar lordosis and intervertebral disc height.

Conclusion

Future studies investigating countermeasures should report consistent outcomes, and also use an actual microgravity environment. Additional research with patient reported quality of life and functional outcome measures is advocated.

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Systematic review of countermeasures to minimise physiological changes.pdf - Accepted Manuscript
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More information

Accepted/In Press date: 1 November 2016
e-pub ahead of print date: 19 December 2016
Published date: January 2017
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 405236
URI: http://eprints.soton.ac.uk/id/eprint/405236
ISSN: 2468-7812
PURE UUID: 506d1d50-66e6-4560-acde-0b7dcab4ad3d
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890

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Date deposited: 31 Jan 2017 14:26
Last modified: 16 Mar 2024 03:30

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Contributors

Author: Andrew Winnard
Author: Mona Nasser
Author: Dorothee Debuse
Author: Maria Stokes ORCID iD
Author: Simon Evetts
Author: Mick Wilkinson
Author: Julie Hides
Author: Nick Caplan

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