Kornilova L N, Goncharenko A M, Korsunskiĭ S B, Tarasov I K, Alekseev V N
Kosm Biol Aviakosm Med. 1991 Jan-Feb;25(1):12-7.
This paper presents the results of pre- and post-flight vestibular examinations using single and combined vestibular, optokinetic, proprioceptive, postural tests and cerebellar coordination tests. After extended flights most crewmembers showed spontaneous, position and positional nystagmus that points to vestibular dysfunction. The methods developed by the authors helped differentiate mechanisms of post-flight vestibular dysfunctions: in Group 1 subjects spontaneous nystagmus parameters varied during all tests; in Group 2 subjects they varied only in response to active tilt tests; in Group 3 subjects they varied only in response to vestibular, optovestibular and proprioceptive stimulation; and in Group 4 subjects they varied only in response to proprioceptive optovestibular stimulation and cerebellar coordination tests. Individual patterns of the above changes are associated with different pathways of adaptation of the vestibular function that depend on the involvement of various structures and compartments of the central nervous system.
本文介绍了飞行前和飞行后前庭检查的结果,这些检查使用了单独和组合的前庭、视动、本体感觉、姿势测试以及小脑协调测试。长时间飞行后,大多数机组人员出现了自发性、位置性和位置性眼球震颤,这表明存在前庭功能障碍。作者开发的方法有助于区分飞行后前庭功能障碍的机制:在第1组受试者中,自发性眼球震颤参数在所有测试中均有变化;在第2组受试者中,它们仅在主动倾斜测试时发生变化;在第3组受试者中,它们仅在受到前庭、视前庭和本体感觉刺激时发生变化;而在第4组受试者中,它们仅在受到本体感觉视前庭刺激和小脑协调测试时发生变化。上述变化的个体模式与前庭功能的不同适应途径相关,这取决于中枢神经系统各个结构和部分的参与情况。