Astronaut Vestibular Assessment Quiz
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Questions and Answers

What adaptation did some hypersensitive astronauts display in relation to foot sole sensitivity in space?

  • No change in foot sole sensitivity
  • Increased foot sole vibration sensitivity (correct)
  • Decreased vibration sensitivity
  • Reduced foot sole sensitivity to touch

Which test did the astronauts perform poorly on, indicating reduced vestibular function?

  • SOT-5 test (correct)
  • Foot sole sensitivity test
  • Equilibrium Score assessment
  • Computerized Dynamic Posturography test (CDP)

What does the Neurocom balance platform measure in astronauts?

  • Reaction time to stimuli
  • Muscle strength
  • Coordination of limb movements
  • Postural stability (correct)

What does the acronym SOT-5 stand for in the context of vestibular assessment?

<p>Sensory Organization Test - 5 conditions (D)</p> Signup and view all the answers

What is the purpose of the Sensory Organization Test (SOT-5) used in astronaut assessments?

<p>To assess postural stability (A)</p> Signup and view all the answers

What is the main implication of increased vibration sensitivity in hypersensitive astronauts?

<p>It compensates for decreased vestibular function (A)</p> Signup and view all the answers

How does postural stability immediately after returning from the ISS compare to before departure?

<p>It is elevated relative to before (A)</p> Signup and view all the answers

What type of damage occurs due to head trauma, specifically described in the context?

<p>Diffuse Axonal Damage (B)</p> Signup and view all the answers

What adaptation is assessed in astronauts during their stay on the ISS?

<p>Sensitivity to vibration (C)</p> Signup and view all the answers

What is one effect of a coup injury in the context of head trauma?

<p>Contusion at the site of impact (C)</p> Signup and view all the answers

What characteristic of the postural stabilograms indicates more swaying?

<p>Longer black lines (C)</p> Signup and view all the answers

What term is used to describe long-term effects resulting from repeated brain injuries?

<p>Chronic Traumatic Encephalopathy (C)</p> Signup and view all the answers

Which factors did researchers consider when testing astronauts' sensitivity to vibration?

<p>Different frequencies (D)</p> Signup and view all the answers

Which system plays a significant role in concussion, as mentioned?

<p>Vestibular System (B)</p> Signup and view all the answers

What does the acronym SOT stand for in the context of astronaut assessments?

<p>Sensory Organization Test (A)</p> Signup and view all the answers

What was a key finding about astronauts' balance control after their return from the ISS?

<p>Their balance control worsens immediately after return (D)</p> Signup and view all the answers

Which tool is primarily used in clinical settings to rate symptoms of concussion?

<p>Glasgow Coma Scale (B)</p> Signup and view all the answers

What does the Sports Concussion Assessment Tool 5 (SCAT-5) focus on?

<p>Rating various symptoms of concussion (B)</p> Signup and view all the answers

Which of the following is an app-based tool used for tracking concussion testing?

<p>HeadCheck Health (D)</p> Signup and view all the answers

What is the main function of the Protxx device?

<p>Measure balance performance (D)</p> Signup and view all the answers

Which statement accurately describes the effect of head trauma on the vestibular system?

<p>It damages the vestibular hair cells. (A)</p> Signup and view all the answers

Which type of impact generates the highest rotational accelerations?

<p>Being punched (A)</p> Signup and view all the answers

What is the purpose of the Sensory Organization Tests?

<p>To examine somatosensory input related to body sway (B)</p> Signup and view all the answers

Which factor contributes to higher linear translations in football compared to other sports?

<p>Body checks and collisions (C)</p> Signup and view all the answers

What major concern arises from severe head trauma related to blood vessels?

<p>Hematoma (D)</p> Signup and view all the answers

What is indicated by a high-density crescent-shaped fluid collection on a CT scan after a head injury?

<p>Acute subdural hematoma (C)</p> Signup and view all the answers

Which statement about Chronic Traumatic Encephalopathy (CTE) is true?

<p>CTE is caused by exposure to head trauma. (A)</p> Signup and view all the answers

What cognitive symptoms are often associated with CTE?

<p>Aggression and memory reductions (D)</p> Signup and view all the answers

What are the consequences of severe head trauma evidenced by historical incidents in sports?

<p>Deaths due to hematomas (A)</p> Signup and view all the answers

What type of hematoma is characterized by a high-density area within the brain's subcortical region?

<p>Traumatic intracerebral hematoma (B)</p> Signup and view all the answers

What type of professional activity is associated with a higher risk of developing CTE?

<p>Military service (C)</p> Signup and view all the answers

What result from autopsies indicates severe neurological damage related to CTE?

<p>Deterioration of the nervous system (A)</p> Signup and view all the answers

What does it mean when visual information is described as 'sway referenced'?

<p>The visual scene moves along with the observer's postural sway. (B)</p> Signup and view all the answers

Which test is particularly sensitive to detecting vestibular dysfunction in individuals with concussions?

<p>Sensory Organization Test - Condition 5 (SOT-5) (A)</p> Signup and view all the answers

How do career fighters' vestibular system responses compare to non-fighters based on their history of Repetitive Head Impacts (RHI)?

<p>They have lower and delayed vestibular system responses. (D)</p> Signup and view all the answers

What effect was observed in lower-limb muscles during sparring matches at lighter intensities?

<p>Acute drop in vestibulospinal reflex amplitude. (D)</p> Signup and view all the answers

What does a 'locked ankle at 90°' imply for somatosensory receptor activation?

<p>Reduced activation of somatosensory receptors. (B)</p> Signup and view all the answers

Which of the following best describes the relationship between vestibular system aging and fighters?

<p>Fighters show advanced aging of their vestibular system. (A)</p> Signup and view all the answers

What is indicated by the presence of a Short Latency Response (SLR)?

<p>Immediate muscular response to vestibular stimuli. (B)</p> Signup and view all the answers

Which statement is true regarding Stochastic Vestibular Stimulation (SVS)?

<p>SVS can aid in diagnosing vestibular system issues. (B)</p> Signup and view all the answers

What is the primary cause of a contre-coup injury?

<p>The brain contacting the skull on the opposite side of initial impact (D)</p> Signup and view all the answers

What major change occurs in nerve cells as a result of tearing the cell membrane during diffuse axonal injury?

<p>Ionic imbalances affecting electrical signaling (A)</p> Signup and view all the answers

What imaging technique is commonly used to detect severe damage from diffuse axonal injury?

<p>Computed Tomography (CT scan) (D)</p> Signup and view all the answers

What is a significant risk of severe diffuse axonal injury related to blood vessels?

<p>Hematoma from tearing of blood vessels (A)</p> Signup and view all the answers

How are sub-concussive impacts generally detected in brain imaging scans?

<p>They typically do not show clear hyperintense regions (D)</p> Signup and view all the answers

Which characteristic of hyperintense regions indicates that diffuse axonal injury has occurred?

<p>They are white-colored on imaging scans (C)</p> Signup and view all the answers

What impact do ionic imbalances have on nerve cells during diffuse axonal injury?

<p>They disrupt the adaptation rates of action potentials (D)</p> Signup and view all the answers

What consequence can result from severe tearing of blood vessels during a traumatic brain injury?

<p>Hematoma formation (C)</p> Signup and view all the answers

Flashcards

Contre-Coup

A brain injury where the brain hits the skull on the opposite side of the initial impact.

Diffuse Axonal Injury (DAI)

Damage to the brain caused by the stretching and tearing of nerve fibers. Impacts can be severe or 'sub-concussive'.

Sub-concussive Impacts

These impacts often do not show up on brain scans, but the damage is still happening at the microscopic level.

Hyperintense Regions

Areas on brain scans that appear white due to DAI.

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Hematoma

A bleeding pool in the brain caused by the rupture of blood vessels, which is a serious concern.

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Computed Tomography (CT Scan)

A technique that uses X-rays to create images of the brain.

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Magnetic Resonance Imaging (MRI Scan)

A technique that uses magnetic fields to create detailed images of the brain.

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Brain Hemorrhage

Bleeding within the brain, often caused by a tear in a blood vessel.

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Subdural Hematoma

A severe type of brain hemorrhage caused by bleeding between the brain and the skull.

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Intracerebral Hematoma

A type of brain hemorrhage that occurs within the brain tissue itself.

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Chronic Traumatic Encephalopathy (CTE)

A progressive neurological disorder caused by repeated head injuries.

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CTE Symptoms

Symptoms of CTE include memory loss, personality changes, and problems with thinking.

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CTE Risk Factors

CTE occurs in people who have experienced repeated head injuries in sports or the military.

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CTE Brain Damage

Autopsies reveal damage to the brain in people with CTE, showing buildup of protein from injured cells.

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Sensorimotor Adaptation

The ability of the body to sense and respond to changes in the environment, particularly related to movement and position.

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Microgravity

A state of weightlessness or reduced gravity experienced in space.

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International Space Station (ISS)

A research facility orbiting Earth, providing a unique environment for studying the effects of microgravity on humans and other organisms.

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Astronaut Training

Specialized equipment used by astronauts to train for space missions, often simulating the challenges of microgravity.

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Neurocom Balance Platform

A platform used to test and evaluate a person's balance and stability, often in a controlled environment.

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Postural Stabilogram

A measurement of how much a person's center of gravity shifts during a balance test, indicating their stability.

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SOT-5 (Sensory Organization Test)

A test on the Neurocom Balance Platform designed to specifically assess vestibular function, which is important for balance and spatial awareness.

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Cutaneous Receptors

A sensory receptor located in the skin that detects vibrations and pressure.

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Diffuse Axonal Damage

Damage to the nerve fibers that connect different parts of the brain, caused by a forceful impact that causes the brain to move within the skull.

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Contrecoup Injury

A type of impact injury that occurs on the opposite side of the skull where the initial impact happened.

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Clinical Tools for Assessing Concussion

Clinical tools like the Neurocom system that can quantify balance, coordination, and movement.

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Vestibular System

The inner ear system responsible for balance, spatial awareness, and eye movements. It plays a vital role in concussion recovery.

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Mild traumatic brain injury (mTBI)

A mild form of brain injury that can cause various symptoms like headaches, dizziness, and cognitive impairment.

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Axonal Sheering Forces

These forces cause damage to neurons, disrupting the delicate balance of brain function.

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Sports Concussion Assessment Tool 5 (SCAT-5)

A widely used tool for diagnosing concussion, assessing the severity of symptoms, and monitoring recovery.

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HeadCheck Health

An app-based concussion assessment tool used for both professional and amateur sports leagues.

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Protxx

A wearable device that measures balance performance to detect potential concussions.

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Sway Referencing

The process of using sensory information from different parts of the body, like the feet or ankles, to maintain balance.

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Sensory Organization Tests

Tests designed to assess the body's ability to maintain balance using different sensory inputs.

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Head Trauma Forces

The specific types of forces that most severely impact the vestibular system and contribute to concussion.

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Optic Flow Reduction

The visual scene moves with you, reducing the amount of optic flow information.

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SOT-5 Test

A test used to diagnose and rehabilitate concussions, particularly sensitive to vestibular dysfunction.

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Anterolateral Sway

A term describing sway that occurs along the front and side of the body.

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Stochastic Vestibular Stimulation (SVS)

A technique involving random stimulation of the vestibular system.

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Vestibulospinal Reflex (VSR) Amplitude

A measurement of the strength and timing of the vestibular system's response to a stimulus.

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VSR Response in Fighters

Repeated head impacts can lead to reduced and delayed VSR responses, suggesting accelerated aging of the vestibular system.

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VSR Amplitude Change During Sparring

During sparring, even at lighter intensities, VSR amplitude can drop in lower limb muscles.

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Short Latency Response (SLR) and Medium Latency Response (MLR)

Short-latency and medium-latency responses measured during vestibular testing, providing insight into the function of the vestibular system.

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Study Notes

Lecture 18: Humans in Space: Adaptations in Microgravity II

  • Sensorimotor Adaptation in Space: Research examines how astronauts' sensory and motor systems adapt to microgravity.
  • Astronaut Training and Research: This includes training programs and studies conducted on astronauts.
  • Selective skin sensitivity changes and sensory reweighting following short-duration space flight: Studies show changes in sensitivity to vibration in astronauts before and after space missions, impacting cutaneous receptors.
  • Lowrey et al 2014 study: This study investigated selective skin sensitivity changes and sensory reweighting following short-duration space flight. Their experiment involved testing astronauts before and after their stay on the ISS, observing vibration sensitivity variations.

Lecture 18: Mild Traumatic Brain Injuries (mTBI) & Concussion

  • Diffuse Axonal Damage: Head trauma damages brain tissue resulting in neuronal damage.
  • Brain Hemorrhage (Hematoma): Severe head trauma can lead to bleeding in the brain, a critical concern.
  • Long-Term Effects – Chronic Traumatic Encephalopathy (CTE): Repeated concussions can cause CTE, a progressive neurological disorder.
  • Clinical Tools for Assessing Concussion: The Glasgow Coma Scale, SCAT-5 and HeadCheck Health are used to assess concussion severity and monitor recovery.
  • Role of Vestibular System in Concussion: Head trauma can damage the vestibular system altering balance, and posture. This can manifest in abnormal responses or decreased coordination.

Specific Research and Concepts

  • Sensorimotor Adaptations in Space (further research/concepts): Studies involve measuring postural stability, evaluating the effects of microgravity, and analyzing how adaptations in cutaneous receptors relate to various vestibular functions.
  • **Neurocom Balance Platform:**Used in assessing postural stability, detecting any imbalance or swaying in patient's posture.
  • Sensorimotor Adaptation in Space: Assesses sensitivity to vibration before and after space missions (using four types of cutaneous receptors and specific frequencies).
  • Chronic Traumatic Encephalopathy (CTE): Repeated head injuries lead to CTE, characterized by progressive damage to the brain. Symptoms manifest in personality changes and memory loss.
  • Glasgow Coma Scale: Clinically used to rate concussion severity based on eye opening, verbal response, and motor response.
  • Sports Concussion Assessment Tool 5 (SCAT-5): Widely used, participant-driven scale for assessing concussion symptoms, used in various sports and leagues.
  • Protxx: A company creating wearable technology for measuring balance and detecting concussion in athletes.
  • Stochastic Vestibular Stimulation (SVS): Researchers use this to stimulate the vestibular system to study how concussions impact and how the vestibular system recovers.
  • Vestibulospinal Reflex (VSR): Lower-limb muscle responses during head movements, reflecting vestibular system function. Drop in VSR amplitude can be a sign of concussion, even at lower levels of impact.

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Description

Test your knowledge on the vestibular assessments performed on astronauts in space. This quiz covers adaptations, tests, and implications related to balance and sensitivity in microgravity conditions. Explore how astronauts' postural stability is affected before and after missions, along with the effects of head trauma.

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