Department of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain.
CESCA, Research Centre in Applied Combat, Toledo, Spain.
BMJ Mil Health. 2022 Apr;168(2):112-116. doi: 10.1136/bmjmilitary-2020-001417. Epub 2020 Mar 23.
Exposure to enviromental flight conditions may impair performance and physical integrity, thus training in simulated environments it is a key factor. This research aimed to study the psychophysiological response, cortical arousal and autonomic modulation of pilots and medical aircrew personnel during disorientation exposure, considering gender, experience, flying hours and body mass index (BMI) as influencial variables.
A total of 47 soldiers (37 men and 10 women, 22 medical aircrew personnel and 25 fighter pilots) of Spanish Air Forces faced 25 min of vestibular, proprioceptive and visual disorientation.
Disorientation exposure elicited an increased psychophysiological response, significant increases in isometric hand strength, cortical arousal, autonomic modulation, perceived stress and effort in both groups while a significant decrease in respiratory muscle capacity and blood oxygen saturation in the medical aircrew group were found. Cross-sectional analysis showed gender differences, males presented greater parasympathetic activity and strength. Larger BMI was associated with greater levels and perception of stress as well as lower cardiovascular performance and sympathetic modulation. Furthermore, experience, previous training and larger flying hours correlated with greater parasympathetic modulation.
Disorientation exposure produces an increase in cortical arousal and decrease in the parasympathetic nervous system either in pilots and medical aircrew personnel. In addition, medical aircrew personnel are less adapted to disorientation stimulus presenting significantly higher psychophysiological stress response, thus complementary physical training should be mandatory.
暴露于飞行环境中可能会影响表现和身体完整性,因此在模拟环境中进行训练是一个关键因素。本研究旨在研究飞行员和医疗航空机组人员在迷失方向暴露期间的心理生理反应、皮质唤醒和自主调节,考虑到性别、经验、飞行小时数和体重指数(BMI)等影响因素。
共有 47 名西班牙空军士兵(37 名男性和 10 名女性,22 名医疗航空机组人员和 25 名战斗机飞行员)接受了 25 分钟的前庭、本体感受和视觉迷失方向训练。
迷失方向暴露引起心理生理反应增加,两组的等长手力量、皮质唤醒、自主调节、感知压力和努力均显著增加,而医疗航空机组人员的呼吸肌容量和血氧饱和度显著下降。横断面分析显示出性别差异,男性表现出更大的副交感神经活动和力量。较大的 BMI 与更大的压力水平和感知以及较低的心血管性能和交感神经调节相关。此外,经验、先前的训练和更大的飞行小时数与更大的副交感神经调节相关。
迷失方向暴露会引起皮质唤醒增加和副交感神经系统减少,无论是在飞行员还是医疗航空机组人员中。此外,医疗航空机组人员对迷失方向刺激的适应能力较差,表现出更高的心理生理应激反应,因此应强制进行补充性体能训练。