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A new method for mitigation of the negative consequences of blood shift toward the cranial end as a result of simulation of the hemodynamic effects of microgravity (head-down tilt at -6 degrees) combines the lower body negative pressure (LBNP) and negative pressure respiration (NPR) to accelerate blood outflow from cerebral vessels and, additively, to restrain blood inflow from the lower body. The longitudinal hydrostatic pressure gradient is thus reproduced but main hemodynamic parameters assume values characteristic of the vertical posture. The objective was to compare the strength of LBNP and LBNP + NRP training in preventing orthostatic disorders following 7-d HDT. Subjects were 6 male volunteers aged 24 to 40 yrs. In the control experiment, every subject experienced episodes of orthostatic disorders. In the second experiment (LBNP), 4 subjects were afflicted; in the third experiment (LBNP + NPR), orthostatic disorders were minor, if at all. Absence of profound hemodynamic, autonomic or pre-syncope symptoms leads to the conclusion that combination LBNP + NPR is a more favorable preventive method than discrete LBNP.

In experiments with anesthetized cats effects of breathing under negative pressure (BNP, -5 cm of water column) combined with lower body negative pressure (LBNP, -20 cm of water column) on the cardiorespiratory reactions to postural simulation of the hemodynamic shifts in microgravity were studied. Evidence was obtained that this complex barometric exposure of tilted animals (-30 degrees) imitated the central and peripheral hemodynamics characteristic of tilt at the calculated inclination of +6 degrees up to +12 degrees. Extrapolation of the experimental data on the orthodox physiological model of microgravity (HDT, -6 degrees) allows an assumption that the protocol of complex barometric exposure tested in this experiment transforms the hemodynamic parameters under study to the levels close to those in the vertical body. Results of the investigation infer an additive character of the complex barometric exposure (LBNP + BNP) and its utility as a model of orthostatic g-loads.

Proposed is a modified method to counteract the headword redistribution of local blood volumes in microgravity by discrete or combined exposure to respiration at negative pressure (RNP) and lower body negative pressure (LBNP). Physically and physiologically substantiated levels of the barometric influences on the central and peripheral hemodynamics to approximate the normal gradients of blood hydrostatic pressure along the body axis are given. Discrete RNP applied to test-subjects during HDT was shown to return the cerebral and cervical hemodynamic parameters to levels determined in horizontal position. Combination of RNP and LBNP had additive character as it advantaged the recovery of values characteristic of the orthostatic position. There are technical possibilities to integrate the LBNP and RNP devices for the benefit of scientific, certification, predictive, and training objectives of space biomedicine.

According to the previous study [2], simulation of the physiological effects of weightlessness leads to deconditioning of the respiratory muscles which, in its turn, may be a factor impacting the aerobic working capacity. In the present work the experimental findings laid the basis for a physiological concept for medical/engineering requirements to countermeasures against deconditioning of the respiratory muscles, designing and laboratory and physiological testing of a prototype of training loading vest Elastik-R. The vest was shown to enhance speed and force qualities of the respiratory muscles in training athletes, to improve ventilation and gas-exchange functions of the lung, and to increase physical performance and aerobic capacity. Recommendations on utilization of the Elastik-R vest during space flight have been issued.

Literature data and results of our own studies into an effect of micro- and macro-gravity on an external respiration function of man are presented. It is found that in cosmonauts following the 7-366 day space missions there is an enhanced tendency associated with an increased flight duration toward a decrease in the lung volume and breathing mechanics parameters: forced vital capacity of the lungs FVC) by 5-25 percent, peak inspiratory and expiratory (air) flows (PIF, PEF) by 5-40 percent. A decrease in FVC appears to be explained by a new balance of elastic forces of the lungs, chest and abdomen occurring in microgravity as well as by an increased blood filling and pulmonary hydration. A decline of PIF and PEF is probably resulted from antigravitational deconditioning of the respiratory muscles with which a postflight decreased physical performance can in part be associated. The ventilation/perfusion ratios during orthostasis and +Gz and +Gx accelerations are estimated. The biophysical nature of developing the absorption atelectases on a combined exposure to accelerations and 100% oxygen breathing is confirmed. A hypothesis that hypervolemia and pulmonary congestion can increase the tendency toward the development of atelectases in space in particular during pure oxygen breathing is suggested. Respiratory physiology problem area which is of interest for space medicine is defined.

The effect of 7-day water immersion combined at night with head-down (6 degrees) tilting on the volumes of lung expiratory closing was examined in 6 healthy male test subjects, aged 25-35. During immersion they showed, along with a stable reduction of the lung vital and functional residual capacity (by 4.2 and 14.8%, respectively), an increase in the fraction parameters of the expiratory closing volumes. The increase in the closing volume (up to 40%) (P less than 0.05) was particularly distinct on immersion day 2. Subsequent changes indicated gradual recovery of the closing volumes and a decline in regional nonuniformity of lung ventilation. The time-course variations in the closing volumes may be attributed to an increase in the intrapulmonary blood volume at the early stage of adaptation to immersion and to a decrease in the nonuniformity of the ventilation-perfusion ratios.