Issue №6-22, 2023

Case report

https://doi.org/10.38025/2078-1962-2023-22-6-107-116

The Post-Flight Rehabilitation Program for Astronauts in Health Resort: Case Report Series

View article (Download PDF file)



Download XML file

1 ORCIDGukas N. Ter-Akopov,1 ORCIDNataliya V. Efimenko,1 ORCIDYulia V. Koryagina,1 ORCIDSabina M. Abutalimova,1,2 ORCIDNatalya V. Lunina

1North Caucasian Federal Research and Clinical Center of the Federal Medical and Biological Agency 2Russian University of Sport “GTSOLIFK”


ABSTRACT

INTRODUCTION. The prospects for studying deep space are associated with the development of methods and programs for restoring the body of astronauts after flights. In this case, an important role is given to the implementation of aspects of restoring the functions of the nervous system of astronauts at the 2nd stage of post-flight rehabilitation (PFR) in Health Resort.

AIM. To develop a program of rehabilitation for cosmonauts in Health Resort (stage 2 of PFR), aimed at restoring the functions of the nervous system.

MATERIALS AND METHODS. The study involved 5 cosmonauts. Diagnostics included assessment of psychological and psychophysiological parameters and properties of the nervous system, the functional state of the autonomic nervous system. The rehabilitation program included: intake of mineral water “Slavyanovsky”, carbon dioxide-hydrogen sulfide baths, baro-, halo-, inhalation and climate therapy, a course of 5 sessions of neurofeedback on the β-rhythm of the brain. The duration of PFR was 21 days, procedures were carried out every other day.

RESULTS AND DISCUSSION. An assessment of heart rate variability revealed the predominance of the influence of the parasympathetic division. After the rehabilitation course, there was a decrease in the stiffness index. There was a positive trend towards normalization of indicators: blood saturation, reflection index, a marker of left ventricular function, cardiac output, blood pressure and oxygen absorption from the microcirculatory system. The dynamics of biofeedback training indicators based on the β-rhythm indicated the orderliness and synchronization of the electroencephalogram (EEG) rhythm signal; an increase in the efficiency of mental work was also revealed.

CONCLUSION. The results obtained indicate the positive impact of the developed program of the 2nd stage of PFR, as a result of which a positive dynamics of indicators of autonomic regulation, central hemodynamics, improvement of mental performance, orderliness and synchronization of the EEG rhythm signal.


KEYWORDS: astronauts, functional diagnosis, psychological diagnosis, nervous system, medical rehabilitation, sanatorium and spa treatment

Acknowledgments: The study had no sponsorship.

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Ter-Akopov G.N., Efimenko N.V., Koryagina Yu.V., Abutalimova S.M., Lunina N.V. The Post-Flight Rehabilitation Program for Astronauts in Health Resort: Case Report Series. Bulletin of Rehabilitation Medicine. 2023; 22(6):107-116. https://doi.org/10.38025/2078-1962-2023-22-6-107-116 (In Russ.).

Для корреспонденции: Yuliya V. Koryagina, Е-mail: nauka@skfmba.ru



Список литературы:

  1. Факторы космического полета. ФГБУ «Научно-исследовательский испытательный центр подготовки космонавтов». URL: https://www.gctc.ru/print.php?id=940 (дата обращения: 19.04.2021) [Factors of cosmic flight. FSBI “Scientific-Research Center of Astronaut Training”. URL: https://www.gctc.ru/print.php?id=940 (Accessed on 19.04.2021) (In Russ.).]
  2. Самойлов А.С., Ушаков И.Б., Шуршаков В.А. Радиационное воздействие в орбитальных и межпланетных космических полетах: мониторинг и защита. Экология человека. 2019; 1: 4–9. https://doi.org/10.33396/1728-0869-2019-1-4-9 [Samoylov A.S., Ushakov I.B., Shurshakov V.A. Radiation exposure during the orbital and interplanetary spaceflights: monitoring and protection. Ekologiya cheloveka (Human Ecology). 2019; 1: 4–9. https://doi.org/10.33396/1728-0869-2019-1-4-9 (In Russ.).]
  3. Ушаков И.Б., Воронков Ю.И., Бухтияров И.В. и др. Ретроспективный анализ состояния здоровья космонавтов после участия в космических полетах. Авиакосмическая и экологическая медицина. 2016; 50(2): 14–20. [Ushakov I.B., Voronkov Yu.I., Bukhtiyarov I.V. et al. Retrospective health assessment of cosmonauts after participation in space flights. Aerospace and Environmental Medicine. 2016; 50(2): 14–20. (In Russ.).]
  4. Митрикас В.Г. Отдельные аспекты радиационного воздействия на космонавтов при пересечении магнитосферы Земли. Авиакосмическая и экологическая медицина. 2021; 55(3): 51–56. [Mitrikas V.G. Some aspects of the radiation exposure of cosmonauts traversing the earth’s magnetosphere. Aerospace and Environmental Medicine. 2021; 55(3): 51–56. (In Russ.).]
  5. Осокина М.М., Малкина Е.А., Вознюк К.С. Обзор исследований, проводимых на МКС, посвященных космической медицине. Энигма. 2020; 25: 117–122. [Osokina M.M., Malkina E.A., Voznyuk K.S. Review of studies made on MCS, dedicated to space medicine. Enigma. 2020; 25: 117–122. (In Russ.).]
  6. Козловская И.Б., Ярманова Е.Н., Фомина Е.В. Российская система профилактики: настоящее и будущее. Авиакосмическая и экологическая медицина. 2013; 47 (1): 13–20. [Kozlovskaya I.B., Yarmanova E.N., Fomina E.V. Russian prevention system: present and future. Aerospace and Environmental Medicine. 2013; 47 (1): 13–20. (In Russ.).]
  7. Каспранский Р.Р., Воронин Л.И., Почуев В.И., Моргун В.В. Систематизация подходов к сохранению и укреплению профессионального здоровья космонавтов Российской Федерации. Пилотируемые полеты в космос. 2012: 99–107. [Kaspransky R.R., Voronin L.I., Pochuev V.I., Morgun V.V. Systematization of approaches to preserving and strengthening the professional health of cosmonauts of the Russian Federation. Manned flights into space. 2012: 99–107. (In Russ.).]
  8. Нопин С.В., Ефименко Н.В., Корягина Ю.В., Тер-Акопов Г.Н. Свидетельство о регистрации программы для ЭВМ «Диагностика психофизического состояния космонавтов» № 2021667667, 01.11.2021. Заявка № 2021666753 от 25.10.2021. [Nopin S.V., Efimenko N.V., Koryagina Yu.V., Ter-Akopov G.N., inventors. Diagnosis of the astronaut psychophysical state. Certificate for the computer program registration RU 2021667667 2021 Nov 1. (In Russ.).]
  9. Корягина Ю.В., Нопин С.В., Тер-Акопов Г.Н. Cхема диагностики психофизического состояния космонавтов в период послеполетной медицинской реабилитации в санаторно-курортных условиях (2-й этап реабилитации). Патент на промышленный образец № 134704, 23.12.2022. Заявка № 2022503611, 20.08.2022. [Koryagina Yu.V., Nopin S.V., Ter-Akopov G.N., inventors. Scheme of diagnosing the astronaut psychophysical state during the post-flight medical rehabilitation period in sanatorium conditions (2nd stage). Design patent RU 134704, 2022 Dec 23. (In Russ.).]



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©

Эта статья открытого доступа по лицензии CC BY 4.0. Издательство: ФГБУ «НМИЦ РК» Минздрава России.
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.