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

    Author(s)
    Winnard, Andrew
    Nasser, Mona
    Debuse, Dorothee
    Stokes, Maria
    Evetts, Simon
    Wilkinson, Mick
    Hides, Julie
    Caplan, Nick
    Griffith University Author(s)
    Hides, Julie A.
    Year published
    2017
    Metadata
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    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. ...
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    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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    Journal Title
    Musculoskeletal Science and Practice
    Volume
    27
    DOI
    https://doi.org/10.1016/j.msksp.2016.12.009
    Subject
    Medical physiology
    Science & Technology
    Life Sciences & Biomedicine
    Rehabilitation
    Spinal stability
    Muscle
    Publication URI
    http://hdl.handle.net/10072/408300
    Collection
    • Journal articles

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