Evidence map›Paper›PMID 29620686›Full record

ArticleMedicine and science in sports and exercise2018

Physiological and Functional Alterations after Spaceflight and Bed Rest.

Ajitkumar P Mulavara, Brian T Peters, Chris A Miller, Igor S Kofman, Millard F Reschke, Laura C Taylor, Emily L Lawrence, Scott J Wood, Steven S Laurie, Stuart M C Lee and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Medicine and science in sports and exercise, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 4 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
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  4. Nonuniform loss of muscle strength and atrophy during bed rest: a systematic review.Journal of applied physiology (Bethesda, Md. : 1985) · 2021
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  20. The role of mechanosignaling in the control of myocardial mass.American journal of physiology. Heart and circulatory physiology · 2025
    Review

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Ajitkumar P MulavaraNeurosciences Laboratory, KBRwyle, Houston, TX.
Brian T PetersNeurosciences Laboratory, KBRwyle, Houston, TX.
Chris A MillerNeurosciences Laboratory, KBRwyle, Houston, TX.
Igor S KofmanNeurosciences Laboratory, KBRwyle, Houston, TX.
Millard F ReschkeNeurosciences Laboratory, NASA-Johnson Space Center, Houston, TX.
Laura C TaylorNeurosciences Laboratory, KBRwyle, Houston, TX.
Emily L LawrenceNeurosciences Laboratory, KBRwyle, Houston, TX.
Scott J WoodNeurosciences Laboratory, NASA-Johnson Space Center, Houston, TX.
Steven S LaurieCardiovascular and Vision Laboratory, KBRwyle, Houston, TX.
Stuart M C LeeCardiovascular and Vision Laboratory, KBRwyle, Houston, TX.
Roxanne E BuxtonExercise Physiology and Countermeasures Laboratory, KBRwyle, Houston, TX.
Tiffany R May-PhillipsCardiovascular and Vision Laboratory, KBRwyle, Houston, TX.
Michael B StengerCardiovascular and Vision Laboratory, NASA-Johnson Space Center, Houston, TX.
Lori L Ploutz-SnyderSchool of Kinesiology, University of Michigan, Ann Arbor, MI.
Jeffrey W RyderExercise Physiology and Countermeasures Laboratory, KBRwyle, Houston, TX.
Alan H FeivesonBiostatistics Laboratory, NASA-Johnson Space Center, Houston, TX.
Jacob J BloombergNeurosciences Laboratory, NASA-Johnson Space Center, Houston, TX.
Wyle (United States) · USJohnson Space Center · USUniversity of Michigan–Ann Arbor · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1 TR001439
6 · The paper itself

Abstract

introductionExposure to microgravity causes alterations in multiple physiological systems, potentially impacting the ability of astronauts to perform critical mission tasks. The goal of this study was to determine the effects of spaceflight on functional task performance and to identify the key physiological factors contributing to their deficits.

methodsA test battery comprised of seven functional tests and 15 physiological measures was used to investigate the sensorimotor, cardiovascular, and neuromuscular adaptations to spaceflight. Astronauts were tested before and after 6-month spaceflights. Subjects were also tested before and after 70 d of 6° head-down bed rest, a spaceflight analog, to examine the role of axial body unloading on the spaceflight results. These subjects included control and exercise groups to examine the effects of exercise during bed rest.

resultsSpaceflight subjects showed the greatest decrement in performance during functional tasks that required the greatest demand for dynamic control of postural equilibrium which was paralleled by similar decrements in sensorimotor tests that assessed postural and dynamic gait control. Other changes included reduced lower limb muscle performance and increased HR to maintain blood pressure. Exercise performed during bed rest prevented detrimental change in neuromuscular and cardiovascular function; however, both bed rest groups experienced functional and balance deficits similar to spaceflight subjects.

conclusionBed rest data indicate that body support unloading experienced during spaceflight contributes to postflight postural control dysfunction. Further, the bed rest results in the exercise group of subjects confirm that resistance and aerobic exercises performed during spaceflight can play an integral role in maintaining neuromuscular and cardiovascular functions, which can help in reducing decrements in functional performance. These results indicate that a countermeasure to mitigate postflight postural control dysfunction is required to maintain functional performance.

Indexed as

Adaptation, PhysiologicalBed RestPostural BalanceSpace FlightTask Performance and AnalysisWeightlessnessAdultAstronautsExerciseExercise TestFemaleHumansMaleMiddle Aged

Identifiers

PMID29620686
PMCPMC6133205
OpenAlexW2802762622

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.