Popper S E, Morris C E, Briggs J, Fisher F
Escape and Impact Protection Branch, Armstrong Laboratory, Wright-Patterson AFB, OH 45433-5529, USA.
Aviat Space Environ Med. 1997 May;68(5):426-31.
Two Armstrong Laboratory (AL) human volunteer subject panels (sustained and impact acceleration) at Wright Patterson AFB, OH, were compared to each other and to other samples of different populations in terms of spinal anomalies. These sample populations were obtained from the scientific literature: French, Norwegian, Netherlands, and U.S. pilots; U.S. Air Force (AF) and Navy subjects, and from representative "normal" civilian populations, and then compared using the proportion parameters for various spinal anomalies. There were only a few common parameters between the two panels and between each panel compared with the foreign military, human subjects, and "normal" population. However, there were two to six times as many similar spinal anomaly incidence rates between the AL panels and the U.S. pilot sample. It was reassuring that the AL subject panels used in AF acceleration research have more in common with AF pilots than other populations in regards to spinal anomalies, even though the pilot sample may not be representative of the true pilot population. Recommendations are to establish a common reference point in nomenclature and description of spinal anomalies (modeled after the French) and to start collecting spinal radiographs on all U.S. pilots. These radiographs would not be for screening but for establishing a database following the occupational pathology of flying. This data would also facilitate comparisons with research acceleration panels, as well as with foreign air forces. Informed decisions can then be made regarding screening criteria for the future as aircraft and ejection seat performance envelopes continue to expand.
在俄亥俄州赖特 - 帕特森空军基地，对阿姆斯特朗实验室（AL）的两组人类志愿者受试者（持续加速度和冲击加速度）进行了比较，并就脊柱异常情况将其与其他不同人群的样本进行了比较。这些样本群体来自科学文献：法国、挪威、荷兰和美国的飞行员；美国空军（AF）和海军受试者，以及具有代表性的“正常”平民群体，然后使用各种脊柱异常的比例参数进行比较。两组之间以及每组与外国军队、人类受试者和“正常”人群相比，只有少数共同参数。然而，AL组与美国飞行员样本之间脊柱异常发病率的相似程度是其他情况的两到六倍。令人欣慰的是，尽管飞行员样本可能不代表真正的飞行员群体，但在AF加速度研究中使用的AL受试者组在脊柱异常方面与AF飞行员有更多共同之处。建议在脊柱异常的命名和描述方面建立一个共同的参考点（以法国为蓝本），并开始收集所有美国飞行员的脊柱X光片。这些X光片不是用于筛查，而是用于建立一个遵循飞行职业病理学的数据库。这些数据还将有助于与研究加速度组以及外国空军进行比较。随着飞机和弹射座椅性能范围的不断扩大，届时就可以就未来的筛查标准做出明智的决策。
