Tohoku J. Exp. Med., 2010, 220(1)

Development of a Training Method for Weightless Environment Using Both Electrical Stimulation and Voluntary Muscle Contraction

KAZUHIRO YOSHIMITSU,¹ NAOTO SHIBA,² HIROO MATSUSE,² YOSHIO TAKANO,³ TOHORU MATSUGAKI,¹ TOMOHISA INADA,⁴ YOSHIHIKO TAGAWA⁴ and KENSEI NAGATA¹

¹Department of Orthopedic Surgery, Kurume University, Kurume, Fukuoka, Japan
²Rehabilitation Center, Kurume University, Kurume, Fukuoka, Japan
³Department of Physical Therapy Faculty of Medical Technology, Teikyo University Fukuoka, Omuta, Fukuoka, Japan
⁴Department of Mechanical and Control Engineering, Kyushu Institute of Technology, Kitakyushu, Fukuoka, Japan

Extreme skeletal muscle atrophy is rampant in astronauts exposed to extended periods of microgravity (μG), and it is one of the main problems in human space exploration. A “Hybrid training” (HYB) method utilizing combined electrical stimulation and voluntary muscle contraction has been developed as a possible solution. A wearable HYB device and a virtual reality (VR) system were developed for use in space, and were verified at μG generated by parabolic flight (PF). A 36-year-old male subject performed HYB of reciprocal flexion and extension as a knee joint exercise training in a seated position at 1G, 2G and μG. The wearable HYB device and VR system developed for the study functioned well during the flight. However knee extension was insufficient at 1G and 2G, and the maximum knee extension angles at 1G and 2G were smaller than at μG. The extension velocity in the latter half of each motion was slower than in the first half at 1G and 2G, but no difference in velocity was observed at μG. The subject could extend the knee joint sufficiently and keep a constant extension velocity, because his legs were weightless at μG. The congruity between the subject's actual joint motions and instructed joint motions during μG was improved, when VR was employed with or without body fixation; accordingly, the subject was able to perform the desired joint motion. The VR system improved HYB exercise performance at μG during PF. HYB is considered a useful training method for future human space exploration.

keywords —— muscle atrophy; strengthening; electrical stimulation; virtual reality; space medicine

© 2010 Tohoku University Medical Press

===============================

Tohoku J. Exp. Med., 2010, 220, 83-93

Correspondence: Kazuhiro Yoshimitsu, M.D., Department of Orthopedic Surgery, Kurume University, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan.

e-mail: yoshimitsu_kazuhiro@kurume-u.ac.jp