The role of physiotherapy in the European Space Agency strategy for preparation and reconditioning of astronauts before and after long duration space flight

Journal article

Lambrecht, Gunda, Petersen, Nora, Weerts, Guillaume, Pruett, Casey, Evetts, Simon, Stokes, Maria and Hides, Julie. (2017). The role of physiotherapy in the European Space Agency strategy for preparation and reconditioning of astronauts before and after long duration space flight. Musculoskeletal Science and Practice. 27(Supplement 1), pp. S15-S22. https://doi.org/10.1016/j.math.2016.10.009
AuthorsLambrecht, Gunda, Petersen, Nora, Weerts, Guillaume, Pruett, Casey, Evetts, Simon, Stokes, Maria and Hides, Julie
Abstract

Spaceflight and exposure to microgravity have wide-ranging effects on many systems of the human body. At the European Space Agency (ESA), a physiotherapist plays a key role in the multidisciplinary ESA team responsible for astronaut health, with a focus on the neuro-musculoskeletal system. In conjunction with a sports scientist, the physiotherapist prepares the astronaut for spaceflight, monitors their exercise performance whilst on the International Space Station (ISS), and reconditions the astronaut when they return to Earth. This clinical commentary outlines the physiotherapy programme, which was developed over nine long-duration missions. Principles of physiotherapy assessment, clinical reasoning, treatment programme design (tailored to the individual) and progression of the programme are outlined. Implications for rehabilitation of terrestrial populations are discussed. Evaluation of the reconditioning programme has begun and challenges anticipated after longer missions, e.g. to Mars, are considered.

Keywordsphysiotherapy; microgravity; spaceflight; astronaut reconditioning; exercise; low back pain
Year2017
JournalMusculoskeletal Science and Practice
Journal citation27 (Supplement 1), pp. S15-S22
PublisherElsevier Ltd
ISSN2468-7812
Digital Object Identifier (DOI)https://doi.org/10.1016/j.math.2016.10.009
Scopus EID2-s2.0-85015219562
Open accessPublished as green open access
Page rangeS15-S22
FunderWyle Laboratories GmbH
The European Space Agency
Research GroupMary MacKillop Institute for Health Research
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Output statusPublished
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Online31 Jan 2017
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Accepted23 Oct 2016
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Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2009). Is 'ideal' sitting posture real?: Measurement of spinal curves in four sitting postures. Manual Therapy. 14(4), pp. 404 - 408. https://doi.org/10.1016/j.math.2008.06.001
MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain
Hides, Julie, Stanton, Warren, Freke, Matt, Wilson, Stephen, McMahon, Shaun and Richardson, Carolyn A.. (2008). MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. British Journal of Sports Medicine. 42(10), pp. 809 - 813. https://doi.org/10.1136/bjsm.2007.044024
Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain?
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2008). Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain? Journal of Electromyography and Kinesiology. 18(4), pp. 550 - 558. https://doi.org/10.1016/j.jelekin.2006.10.011
Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res
Belavy, Daniel, Hides, Julie, Wilson, Stephen, Stanton, Warren, Dimeo, Fernando, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2008). Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res. Spine. 33(5), pp. 121 - 131. https://doi.org/10.1097/BRS.0b013e3181657f98
Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain
Hides, Julie, Stanton, Warren, McMahon, Shaun, Si, K. and Richardson, Carolyn A.. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of Orthopaedic and Sports Physical Therapy. 38(3), pp. 101 - 108. https://doi.org/10.2519/jospt.2008.2658
Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects
Hides, Julie, Gilmore, Craig, Stanton, Warren and Bohlscheid, Emma. (2008). Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects. Manual Therapy. 13(1), pp. 43 - 49. https://doi.org/10.1016/j.math.2006.07.017
Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging
Hides, Julie, Wong, Ian, Wilson, Stephen, Belavy, Daniel and Richardson, Carolyn A.. (2007). Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 467 - 471. https://doi.org/10.2519/jospt.2007.2417
Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study
Richardson, Carolyn A., Miokovic, Tanja, Belavy, Daniel, Stanton, Warren and Hides, Julie. (2007). Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 480 - 486. https://doi.org/10.2519/jospt.2007.2416
Rehabilitative ultrasound imaging of the posterior paraspinal muscles
Stokes, Maria, Hides, Julie, Elliott, James, Kiesel, Kyle and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 581 - 595. https://doi.org/10.2519/jospt.2007.2599
Rehabilitative ultrasound imaging of the abdominal muscles
Teyhen, Deydre, Gill, Norman, Whitake, Jackie, Henry, Sharon, Hides, Julie and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the abdominal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 450 - 466. https://doi.org/10.2519/jospt.2007.2558
Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest
Hides, Julie, Belavy, Daniel, Stanton, Warren, Wilson, Stephen, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2007). Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest. Spine. 32(15), pp. 1687 - 1692. https://doi.org/10.1097/BRS.0b013e318074c386
Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging
Wallwork, Tracy, Hides, Julie and Stanton, Warren. (2007). Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 608 - 612. https://doi.org/10.2519/jospt.2007.2418
An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall
Hides, Julie, Wilson, Stephen, Stanton, Warren, McMahon, Shaun, Keto, Heidi, McMahon, Catherine, Bryant, Mary and Richardson, Carolyn A.. (2006). An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 31(6), pp. 175 - 178. https://doi.org/10.1097/01.brs.0000202740.86338.df
The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects
Van, Khai, Hides, Julie and Richardson, Carolyn A.. (2006). The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. Journal of Orthopaedic and Sports Physical Therapy. 36(12), pp. 920 - 925. https://doi.org/10.2519/jospt.2006.2304
Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts
Pirouzi, Soraya, Hides, Julie, Richardson, Carolyn A., Darnell, Ross and Toppenberg, Rowena. (2006). Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts. Spine. 31(26), pp. 999 - 1005. https://doi.org/10.1097/01.brs.0000250076.74366.9d
MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity.
Richardson, Carolyn A., Hides, Julie, Wilson, Stephen, Belavy, Daniel, Stanton, Warren, McCook, D, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.
Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health
Belavy, Daniel, Richardson, Carolyn A., Wilson, Stephen, Darnell, Ross, Hides, Julie, Toppenberg, Rowena, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.