Out of This World: How Space Messes with Your Balance

Space exploration is more exciting than ever, with missions to Mars on the horizon and reusable rockets from companies like SpaceX taking us farther than we’ve gone before. The idea of humans traveling and even living in space feels closer to reality, almost like something out of a sci-fi novel. But as thrilling as it is, space poses challenges far beyond what we face on Earth, and astronauts have to overcome some serious obstacles just to function in this alien environment.

For example, did you know that astronauts have a harder time with balance in space? It sounds a bit odd, doesn’t it? After all, you might think that in a place with no gravity, you'd just float around freely. In microgravity, our bodies' balance systems face unique challenges, leading to disorders like space motion sickness (SMS). SMS is as unsettling as it sounds, disorienting astronauts and at times hindering mission tasks.

In this article, we'll explore how weightlessness affects balance, the science behind SMS, and what astronauts do to cope with these challenges. If you have access to a VR headset, you can experience some of what astronauts feel be using the Mission ISS app (free). As a warning, you may experience motion sickness as this will be very disorienting at first, but on a plus side you’ll understand the feeling of SMS much better.

With that being said, strap in as we take a journey beyond our planet and into the fascinating world of balance in space!

Understanding Balance and the Vestibular System

What is Balance?

Before we delve into the effects of space on balance, let's first understand how balance works in your body here on Earth. Balance refers to your body's ability to maintain its center of mass over its base of support (essentially your weight centered over your feet). It's essential for everything we do from walking, running, standing still, and even sitting. Our sense of balance relies on three primary systems:

1. Vestibular System: Located in your inner ear, this system detects changes in your head position and motion. It helps you understand where your body is in space relative to gravity. Before you read further, I recommend you learn more about this system here.

2. Visual System: Your eyes provide crucial information about your surroundings, helping you orient yourself.

3. Proprioceptive System: This system includes sensors in your muscles and joints that inform your brain about the position of your limbs.

All three systems work together to help you maintain balance. But what happens when one of these systems is disrupted? That’s where things can get tricky.

The Role of the Vestibular System

Your vestibular system plays a critical role in balance. It consists of tiny structures called semicircular canals and otolith organs.

• Semicircular Canals: These three looped tubes filled with fluid detect rotational movements. For example, when you tilt your head or spin around, the fluid moves, triggering hair cells that send signals to your brain about your position.

• Otolith Organs: These structures respond to gravitational forces (the pull of the Earth’s gravity downwards) and linear accelerations (gaining increased speed in a certain direction). They help you understand if you're upright or lying down.

When you're on Earth, gravity helps these structures function correctly. However, when you're in space, things change dramatically.

The Effects of Microgravity on Balance

In the microgravity (less gravity than Earth) environment of space, the normal gravitational cues your body relies on are absent. (1, 2) This absence significantly affects your vestibular systems normal workings, leading to confusion and disorientation.

• Disruption of Signals: In space, the fluid in the semicircular canals doesn't move in the same way it does on Earth, which can lead to conflicting signals being sent to your brain. (1, 3) For example, when you turn your head, the fluid may not shift as expected, leaving your brain unsure of your body’s position.

• Otolith Dysfunction: The otolith organs also struggle to detect gravitational cues pulling down on them. Without these signals, astronauts may feel as though they are floating or even spinning, leading to dizziness and nausea​ (4, 5)

Space Motion Sickness: The Unwelcome Companion

As a result of these disruptions, many astronauts experience what is commonly known as space motion sickness (SMS). (4, 6) It's essentially the body’s response to the new and confusing conditions in space. Think of it as the space version of car sickness.

Symptoms of Space Motion Sickness

The symptoms of SMS can be quite debilitating and often resemble those of regular motion sickness. Common symptoms include:

• Nausea

• Vomiting

• Dizziness

• Sweating

• General malaise

Approximately 70% of astronauts report experiencing some level of motion sickness during their initial days in space​

(6, 7) Those first few days are a harsh adjustment. In some cases, SMS can even affect an astronaut's ability to perform essential tasks​.

Coping with Space Motion Sickness

Adaptation to Zero-Gs

Fortunately, astronauts don't have to suffer indefinitely. Most individuals begin to adapt and acclimate to the microgravity environment after a few days. (1) Here's how this adaptation process works:

1. Neural Recalibration: Your brain is incredibly adaptable and has an ability known as neuroplasticity, where it can change the structure and function of nerve connections. (1, 8, 9) Over time, it learns to adjust to the lack of gravity and recalibrates its understanding of spatial orientation, or rather its position in space. This process can take anywhere from a few days to a week.

2. Compensatory Mechanisms: As astronauts adapt, they start relying more on their visual and proprioceptive systems to maintain balance. (1, 7) For instance, they may look at the walls of the spacecraft or focus on their own body movements to help orient themselves rather than trust how their position in relative space feels.​

Preventative Measures

To help mitigate the effects of SMS, astronauts undergo extensive training before their missions. (7) Here are some strategies that are often utilized:

• Pre-Flight Training: Astronauts participate in simulated microgravity experiences, such as parabolic flights (often referred to as the "vomit comet"), to help their bodies get used to the sensations of weightlessness.​ (4, 10) These parabolic flights occur when a plane flies an inverted-U shape allowing simulated weightlessness to occur by exploiting the laws of physics.

• Pharmacological Interventions: Some astronauts use medications like anti-nausea drugs to help manage their symptoms during the first few days in space. While these drugs can alleviate some discomfort, they may not work for everyone​ (7)

• Intentional Movements: During the initial adjustment period, astronauts are advised to move slowly and deliberately to minimize the risk of falls or disorientation​ (4, 7) This also helps facilitate the adaptation process as their brain gets to learn without overstimulation.

Rehabilitation After Space

Once astronauts return to Earth, they often face a new challenge in the form of readjusting to gravity. After spending extended periods in microgravity, the vestibular system is no longer efficiently adapted to Earth’s gravity, leading to balance disorders upon return to the surface that could last up to 30 days. (11, 12)

• Balance Rehabilitation: Many astronauts undergo rehabilitation to help re-establish their vestibular function. (13) This process includes exercises that challenge their balance and proprioception, allowing them to re-acclimate with the gravitational forces on Earth. (5)

The Broader Implications of Space and Balance

Long-Duration Missions and Future Challenges

As space agencies plan for long-duration missions, such as potential trips to Mars, understanding how microgravity affects balance will be crucial. The insights gained from studying SMS can inform the development of countermeasures for astronauts on these extended journeys.

Potential Countermeasures

1. Enhanced Training Protocols: Space agencies may implement more extensive pre-flight training to help astronauts acclimate to microgravity more effectively before ever stepping into (or rather floating into) microgravity.​ (4)

2. Innovative Technologies: Advances in virtual reality and balance training tools could provide astronauts with additional resources to improve SMS and reduce overall negative effects of vestibular adaptations in space.​ (7, 14, 15)

3. Research and Collaboration: Continued research into the physiological effects of space travel can lead to better training regimens, equipment, and strategies to keep astronauts healthy and capable during missions.​

Insights for Us Earthlings with Balance Issues

Understanding how the body adapts to microgravity may help develop therapies for people with vestibular disorders or balance issues caused by age or illness.​ A large handful of products you use every day were first invented due to the space program, so it’s quite likely any developing vestibular technology or rehab tools will trickle down to us normal Earthlings.. (16, 17) The more we understand and learn about the vestibular system in all environments, the more we may understand how to treat various issues that are not run-of-the-mill.

Fun Facts About Space and the Human Body

Image of man with increased puffiness of face after space travel. Source: https://home.bway.net/rjnoonan/humans_in_space/fluid.html

As we navigate the complexities of balance in space, let's take a moment to explore some fun and interesting facts about how the human body behaves in a microgravity environment:

• Body Fluids: In space, bodily fluids shift towards the upper body, which can cause a "moon face" appearance among astronauts. (18, 19)

• Bone Density Loss: Without the stress of gravity, astronauts can lose up to 1% of bone density per month, increasing the risk of fractures upon return to Earth, which is further increased by potential balance issues. (20, 21)

• Height Changes: Astronauts can grow taller in space, with some reports indicating an increase of up to 2 inches due to the expansion of the spine without gravitational pressure. (22)

• Altered Senses: Many astronauts report changes in taste and smell while in space which can affect how much food they eat, and possibly lead to “space anorexia” in some astronauts. (23)

Final Thoughts: Finding Balance in Space and Beyond

As we wrap up our journey into the world of balance in space, it's clear that the absence of gravity creates a unique set of challenges for astronauts. The vestibular system, which plays a vital role in our ability to stay upright and oriented in Earth’s atmosphere, is thrown into disorder under microgravity conditions. This disorder can lead to phenomena like space motion sickness (SMS). However, through training, adaptation, and rehabilitation, astronauts can learn to navigate this new environment and overcome SMS. The research into these challenges not only helps improve the safety and well-being of space travelers but also offers valuable insights that can benefit those of us on Earth dealing with balance issues.

So, the next time you hear about astronauts floating effortlessly in space, remember the hidden battles they face with their balance and vestibular systems. Marvel at how the human body adapts to extreme conditions, and how these insights can be applied to our own health and wellness back here on Earth.

If you’re intrigued by the relationship between gravity, balance, and overall health, why not take a moment to explore your own balance skills? Try standing on one foot or walking heel-to-toe. It might just inspire you to think differently about how you maintain your balance every day!

With that, remember to always stay curious, keep learning, and embrace the wonders of science, both in space and right here on Earth!

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References

1. Carriot J, Mackrous I, Cullen KE. Challenges to the vestibular system in Space: How the brain responds and adapts to microgravity. Frontiers in Neural Circuits. 2021;15. doi:10.3389/fncir.2021.760313

2. Goswami N, White O, Blaber A, Evans J, Van Loon JJWA, Clement G. Human physiology adaptation to altered gravity environments. Acta Astronautica. 2021;189:216-221. doi:10.1016/j.actaastro.2021.08.023

3. Meeks RK, Anderson J, Bell PM. Physiology of spatial orientation. StatPearls - NCBI Bookshelf. Published August 14, 2023. https://www.ncbi.nlm.nih.gov/books/NBK518976/

4. Macovei A. Space motion sickness. In: Springer eBooks. ; 2022:351-369. doi:10.1007/978-3-030-05526-4_24

5. HumanResearchWiki. Space Motion Sickness (Space Adaptation).; 2016. https://humanresearchroadmap.nasa.gov/Evidence/medicalConditions/Space_Motion_Sickness_(Space_Adaptation).pdf

6. Heer M, Paloski WH. Space motion sickness: Incidence, etiology, and countermeasures. Autonomic Neuroscience. 2006;129(1-2):77-79. doi:10.1016/j.autneu.2006.07.014

7. Khalid A, Prusty PP, Arshad I, et al. Pharmacological and non-pharmacological countermeasures to Space Motion Sickness: a systematic review. Frontiers in Neural Circuits. 2023;17. doi:10.3389/fncir.2023.1150233

8. Rogge AK, Röder B, Zech A, Hötting K. Exercise-induced neuroplasticity: Balance training increases cortical thickness in visual and vestibular cortical regions. NeuroImage. 2018;179:471-479. doi:10.1016/j.neuroimage.2018.06.065

9. Puderbaugh M, Emmady PD. Neuroplasticity. StatPearls - NCBI Bookshelf. Published May 1, 2023. https://www.ncbi.nlm.nih.gov/books/NBK557811/

10. Shelhamer M. Parabolic flight as a spaceflight analog. Journal of Applied Physiology. 2016;120(12):1442-1448. doi:10.1152/japplphysiol.01046.2015

11. Tays GD, Hupfeld KE, McGregor HR, et al. The effects of long duration spaceflight on sensorimotor control and cognition. Frontiers in Neural Circuits. 2021;15. doi:10.3389/fncir.2021.723504

12. Clément G, Kuldavletova O, Macaulay TR, et al. Cognitive and balance functions of astronauts after spaceflight are comparable to those of individuals with bilateral vestibulopathy. Frontiers in Neurology. 2023;14. doi:10.3389/fneur.2023.1284029

13. Lawson BD, Rupert AH, McGrath BJ. The neurovestibular challenges of astronauts and balance patients: some past countermeasures and two alternative approaches to elicitation, assessment and mitigation. Frontiers in Systems Neuroscience. 2016;10. doi:10.3389/fnsys.2016.00096

14. NASA signs agreement to develop nasal spray for motion sickness - NASA. NASA. https://www.nasa.gov/news-release/nasa-signs-agreement-to-develop-nasal-spray-for-motion-sickness/#:~:text=Astronauts%20often%20experience%20motion%20sickness,as%20a%20tablet%20or%20injected.

15. HRR - Gap - EVA-301: Identify and test countermeasures related to spatial disorientation and motion sickness to enable early EVA’s post g-transition. https://humanresearchroadmap.nasa.gov/gaps/gap.aspx?i=826

16. Vaughan D. Everyday stuff developed by NASA. Encyclopedia Britannica. https://www.britannica.com/story/everyday-stuff-developed-by-nasa

17. 20 inventions we wouldn’t have without space travel. NASA Jet Propulsion Laboratory (JPL). https://www.jpl.nasa.gov/infographics/20-inventions-we-wouldnt-have-without-space-travel/

18. Costa F, Ambesi-Impiombato FS, Beccari T, et al. Spaceflight induced Disorders: potential nutritional countermeasures. Frontiers in Bioengineering and Biotechnology. 2021;9. doi:10.3389/fbioe.2021.666683

19. Nelson E, Mulugeta L, Myers J. Microgravity-Induced fluid shift and ophthalmic changes. Life. 2014;4(4):621-665. doi:10.3390/life4040621

20. Sibonga JD, Harlan J. Evans, Scott A. Smith, et al. Risk of Bone Fracture Due to Spaceflight-induced Changes to Bone. National Aeronautics and Space Administration; 2017. https://humanresearchroadmap.nasa.gov/Evidence/reports/Fracture.pdf

21. Guzman A. Counteracting bone and muscle loss in microgravity - NASA. NASA. Published March 21, 2024. https://www.nasa.gov/missions/station/iss-research/counteracting-bone-and-muscle-loss-in-microgravity/#:~:text=Bone%20cells%20readjust%20their%20behaviors,on%20the%20Moon%20or%20Mars.)

22. Young KS, Rajulu S. Changes in seated height in microgravity. Applied Ergonomics. 2019;83:102995. doi:10.1016/j.apergo.2019.102995

23. Tomsia M, Cieśla J, Śmieszek J, et al. Long-term space missions’ effects on the human organism: what we do know and what requires further research. Frontiers in Physiology. 2024;15. doi:10.3389/fphys.2024.1284644