太空飞行对上肢矫形健康的影响。

IF 0.9 4区 医学 Q4 BIOPHYSICS Aerospace medicine and human performance Pub Date : 2024-10-01 DOI:10.3357/AMHP.6482.2024
Benjamin Fiedler, Meghana Jami, Taylor Rakauskas, Adil Shahzad Ahmed
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引用次数: 0

摘要

导言:随着商业太空飞行和太空旅游的增加,以及对更长时间太空飞行的推动,了解太空飞行对肌肉骨骼健康的影响尤为重要。上肢损伤是航天飞行中最常见的肌肉骨骼损伤。因此,确定太空飞行期间上肢的变化至关重要。本研究的目的是了解太空飞行对上肢矫形健康影响的知识状况,找出知识差距和未来研究领域:方法:进行文献综述,纳入收集了有关肩部、肘部、腕部和手部健康数据的研究和报告:结果:太空飞行会降低上肢骨矿物质密度,增加骨折风险,尤其是在返回重力环境后。太空飞行对所有肌肉的影响并不一致;在肩部,跨越关节的各种肌肉似乎受到不同程度的影响:三角肌的萎缩程度大于肩袖肌。太空飞行还会影响外周神经系统,宇航员会感到手麻和失去手部灵活性,但这些症状的原因尚不确定。宇航服也可能导致上肢损伤,尤其是在训练或进行舱外活动时:讨论:虽然对航天飞行中上肢矫形健康的了解尚不全面,但已知的适应性会增加衰弱和受伤的风险。现有研究为最佳实践提供了有价值的信息,但要优化航天飞行中的上肢健康,仍有许多问题有待发现。费德勒 B、贾米 M、拉考斯卡斯 T、艾哈迈德 AS。太空飞行对上肢矫形健康的影响。Aerosp Med Hum Perform.2024; 95(10):777-783.
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Impact of Spaceflight on Upper Extremity Orthopedic Health.

Introduction: With increased access to commercial spaceflight and space tourism, plus a push for longer duration spaceflights, it is especially important to understand the impact of spaceflight on musculoskeletal health. Upper extremity injuries are the most common musculoskeletal injuries in spaceflight. It is, therefore, vital to determine the changes to the upper extremities during spaceflight. The purpose of this study was to examine the state of knowledge on the impact of spaceflight on upper extremity orthopedic health, and to identify knowledge gaps and future areas of research.

Methods: A literature review was performed and studies and reports that amassed data on shoulder, elbow, wrist, and hand health were included.

Results: Spaceflight decreases bone mineral density in the upper extremities and increases risk of fracture, especially upon return to gravitational environments. Spaceflight does not uniformly affect all muscles; in the shoulder, the various muscles crossing the joint appear to be variably affected: the deltoid experiences a greater degree of atrophy than the rotator cuff muscles. Spaceflight additionally affects the peripheral nervous system, with astronauts experiencing hand numbness and loss of manual dexterity but cause of these symptoms is undetermined. Spacesuits have also been implicated in causing upper extremity injury, especially while training for or performing extravehicular activities.

Discussion: While upper extremity orthopedic health in spaceflight is incompletely understood, known adaptations increase risk for weakening and injury. Existing research provides valuable information for best practices, but there is still much to be discovered to optimize upper extremity health in spaceflight. Fiedler B, Jami M, Rakauskas T, Ahmed AS. Impact of spaceflight on upper extremity orthopedic health. Aerosp Med Hum Perform. 2024; 95(10):777-783.

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来源期刊
Aerospace medicine and human performance
Aerospace medicine and human performance PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -MEDICINE, GENERAL & INTERNAL
CiteScore
1.10
自引率
22.20%
发文量
272
期刊介绍: The peer-reviewed monthly journal, Aerospace Medicine and Human Performance (AMHP), formerly Aviation, Space, and Environmental Medicine, provides contact with physicians, life scientists, bioengineers, and medical specialists working in both basic medical research and in its clinical applications. It is the most used and cited journal in its field. It is distributed to more than 80 nations.
期刊最新文献
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