Upload
duongthien
View
225
Download
0
Embed Size (px)
Citation preview
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany
European Space Agencye
1 / 17
Countermeasure exercise on ISS -
European Concept
Nora Petersen
Exercise SpecialistCrew Medical Support Office
ESA/EAC, Cologne, Germany
ISGP, Trieste14.-19.6.2010
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 2 / 17
European Space Agencye
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 3 / 17
European Space Agencye
Long duration space missions on ISS
Countermeasure exercise objectives and requirements
Maintain crew member health, wellbeing and performance (before, during and after flight)
Minimize impacts which could affect station systems, general safety or experimental set-ups
Adapt to ISS and microgravity specific requirements and maximize outcome (results, experience, systems, hardware, strategies…)
Explore new/better possibilities to optimize countermeasure support for long duration missions
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 4 / 17
European Space Agencye
ESA Long duration missions on ISS
Astrolab: 2006 Jul-Dec (Thomas Reiter)
E1 Columbus: 2008 Feb-Apr (Leopold Eyharts)
OasISS: 2009 May-Dec (Frank de Winne)
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 5 / 17
European Space Agencye
ESA Mission Training phases
Launch readiness
FLIGHTPRE-FLIGHT PHASE POST-FLIGHT
Optimal fitness shape
Status Quo Rehab
Pre-flight
14-30 daysUp to 120 days14-30 days
Adaptation Main phase Prep for return
In-flight
Acute phase R+0 - R+21 Follow up phase – R+45
Post-flight
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 6 / 17
European Space Agencye
Mission preparation (pre-flight)
Maintain or develop above average fitness level of crew member
Create overall physical stability (core/spinal stability, endurance and strength, flexibility, agility)
Long term (various) sports experience and fitness
Prepare for specific ISS training (ARED, T2, CEVIS)
Training facilities in JSC only
Protocol development
Readiness for EVA
Include EVA preparative exercises
Physiotherapy – preventative treatments
Physiotherapist strongly integrated in all phases of mission (and outside missions on regular basis)
Fitness Assessment
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 7 / 17
European Space Agencye
T2
ISS Countermeasure Training (in-flight)
Images: © NASA
TVIS
CEVIS VELO
2nd gen. Treadmill
US Bicycle Ergometer
Advanced Resistive Exercise Device
Russian Bicycle
Ergometer
ARED
Back-up
IRED
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 8 / 17
European Space Agencye
European Selection
CEVIS
TVIS
(A)REDVELO
PFE
TVIS/T2
VELO(A)RED
TVIS/T2
CEVIS
PFEMO-3MO-3
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 9 / 17
European Space Agencye
Strength
Biking
Running
Strength
Biking
Running
StrengthRunning
P h a s e 1
Strength
Biking
Running
P h a s e 3
Strength
Running
P h a s e 2
Strength Biking
Running
P h a s e 1
Biking
Running
Strength
P h a s e 2
Strength Biking
Running
P h a s e 3
Strength
Biking
Running
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 10 / 17
European Space Agencye
LDM2 2008 - ESA CMS plan
Phase 1 Mo Run Bike
Tue Bike Strength
Wed Run Bike
Thur Bike Strength
Fri Run Bike
Sat Bike Strength
Sun Run Bike
Phase 2 Mo Run Bike
Tue Bike Strength
Wed Run Strength
Thur Run Bike
Fri Bike Strength
Sat Run Strength
Sun Run Bike
Phase 3 Mo Run Strength
Tue Run Run
Wed Run Strength
Thur Run Strength
Fri Run Run
Sat Run Strength
Sun Run Strength
Phase 1 Phase 3Phase 2
P h a s e 1 P h a s e 2 P h a s e 3
Strength
Biking
Running
Strength
Running
Strength Biking
Running
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 11 / 17
European Space Agencye
Implementation Structure
CEVISTVIS/T2 (A)RED VELO
BME GMOBME
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 12 / 17
European Space Agencye
12
Operational challenges
Variability of exercise programs on ISS
Limitations by hardware
Technical requirements (i.e.vibration, power, noise, 3-sec-reps)
Availability of training devices (in use/failed)
Scheduling challenges
Pre/post-sleep vs working-hours (DPC-DPC)
Work-rest schedule operational constraints
Docked ops (transfer, robotic arm ops, EVA)
Interference with experiments
Training intensity and objective
Crew member compliance
Communication and data exchange
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 13 / 17
European Space Agencye
Post-flight rehabilitation
Objective: Strengthening of deconditioned systems and areas,
achieve complete physical recovery and full re-integration into
activities of daily life, promoting long-term health
ESA Rehabilitation consists of 2 elements:
Physiotherapy (support regeneration, individual treatments,
strengthening and stabilization)
Physical Exercise (rebuild cardio-vascular, musculo-skeletal,
neuro-muscular and functional performance)
Both elements cover all aspects with different methods, applying a
balanced approach of various training stimuli and recovery, triggering
a comprehensive physical re-adaptation
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 14 / 17
European Space Agencye
Post-flight rehabilitation
Acute Phase
2nd Phase
Long term follow-up
Period: R + 1- R + 21
Fitness Assessments
Period: R + 22 – R + 45
Fitness Assessments
Physiotherapy
Sports-rehabilitation
6
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 15 / 17
European Space Agencye
Summary
…adapting to given conditions……improving support strategies and concepts….
…collaborating efficiently with our international partners……sharing knowledge and experience with the science world…
…looking ahead and anticipate future challenges….
To maintain longterm crew performance and health
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 16 / 17
European Space Agencye
16
….Questions….?
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 17 / 17
European Space Agencye
Back-up slides
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 18 / 17
European Space Agencye
LDM3
Phase 1 Mo Strength Bike
Tue Running Bike
Wed Strength Bike
Thur Strength Bike
Fri Running Bike
Sat Strength Bike
Sun Strength Bike
Phase 2 Mo Strength Bike
Tue Running Bike
Wed Strength Bike
Thur Strength Bike
Fri Running Bike
Sat Strength Bike
Sun Strength Bike
Phase 3 Mo Running Strength
Tue Running Strength
Wed Running Strength
Thur Running Strength
Fri Running Strength
Sat Running Strength
Sun Bike Strength
Phase 1 Phase 3Phase 2
P h a s e 1 P h a s e 2 P h a s e 3
Biking
Running
Strength Strength Biking
Running
Strength
Biking
Running
European Astronaut Centre | Crew Medical Support Office | Cologne, Germany 19 / 17
European Space Agencye
Physical Fitness Assessments
PFE/OUM
0
25
50
75
100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
time (min)
%V
O2
ma
x
IBMP
MO-3
PFE OUM
5 min
5 min
5 min
5 min
25% 25%
50%
75%
Low workload (W)
High workload (W)