Bruce W. Webbon

Physiologic and functional responses of MS patients to body cooling.

ObjectiveThe objective of this study was to compare the responses of multiple sclerosis (MS) patients to short-term cooling therapy using three different vest configurations. DesignEach garment was used to cool 13 male and 13 female MS subjects (31–67 yr). Oral and right and left ear temperatures were logged manually every 5 min. Arm, leg, chest, and rectal temperatures, heart rate, and respiration were recorded continuously on a Biolog ambulatory monitor. Each subject was given a series of subjective and objective evaluation tests before and after cooling. ResultsThe Life Enhancement Technologies and Steele vests test groups had similar, significant (P < 0.01) cooling effects on oral and ear canal temperatures, which decreased approximately 0.4°C and 0.3°C, respectively. The Life Enhancement Technologies active liquid cooling vest produced the coldest (P < 0.01) skin temperature and provided the most improvement on subjective and objective performance measures. ConclusionsThese results show that the various garment configurations tested do not produce similar thermal responses in all MS patients. The circulating liquid cooling vest was found to be more effective than either of the two passive cooling garments tested.

Hemodynamic and Thermal Responses to Head and Neck Cooling in Men and Women

Personal cooling systems are used to alleviate symptoms of multiple sclerosis and to prevent increased core temperature during daily activities. The objective of this study was to determine the operating characteristics and the physiologic changes produced by short term use of one commercially available thermal control system. A Life Support Systems, Inc. Mark VII portable cooling system and a liquid cooling helmet were used to cool the head and neck regions of 12 female and 12 male subjects (25-55 yr) in this study. The healthy subjects, seated in an upright position at normal room temperature (approximately 21 degrees C), were tested for 30 min with the liquid cooling garment operated at its maximum cooling capacity. Electrocardiograms and scalp and intracranial blood flows were recorded periodically during each test sequence. Scalp, right and left ear, and oral temperatures and cooling system parameters were logged every 5 min. Scalp, right and left ear canal, and oral temperatures were all significantly (P <0.05) reduced by 30 min of head and neck cooling. Oral temperatures decreased approximately 0.2-0.6 degrees C after 30 min and continued to decrease further (approximately 0.1-0.2 degrees C) for a period of approximately 10 min after removal of the cooling helmet. Intracranial blood flow decreased significantly (P < 0.05) during the first 10 min of the cooling period. Both right and left ear temperatures in the women were significantly lower than those of the men during the cooling period. These data indicate that head and neck cooling may be used to reduce core temperature to that needed for symptomatic relief of both male and female multiple sclerosis patients. This study quantifies the operating characteristics of one liquid cooling garment as an example of the information needed to compare the efficiency of other garments operated under different test conditions.

Physiologic and thermal responses of male and female patients with multiple sclerosis to head and neck cooling

Personal cooling systems are used to alleviate symptoms of multiple sclerosis and to prevent increased core temperature during daily activities. The objective of this study was to determine the thermal and physiologic responses of patients with multiple sclerosis to short-term maximal head and neck cooling. A Life Support Systems, Inc. Mark VII portable cooling system and a liquid cooling helmet were used to cool the head and neck regions of 24 female and 26 male patients with multiple sclerosis in this study. The subjects, seated in an upright position at normal room temperature (approximately 22 degrees C), were cooled for 30 min by the liquid cooling garment, which was operated at its maximum cooling capacity. Oral, right, and left ear temperatures and cooling system parameters were logged manually every 5 min. Forearm, calf, chest, and rectal temperatures, heart rate, and respiration rate were recorded continuously on a U.F.I., Inc. Biolog ambulatory monitor. This protocol was performed during the winter and summer to investigate the seasonal differences in the way patients with multiple sclerosis respond to head and neck cooling. No significant differences were found between the male and female subject groups mean rectal or oral temperature responses during any phase of the experiment. The mean oral temperature decreased significantly (P < 0.05) for both groups approximately 0.3 degrees C after 30 min of cooling and continued to decrease further (approximately 0.1-0.2 degrees C) for a period of approximately 15 min after removal of the cooling helmet. The mean rectal temperatures decreased significantly (P < 0.05) in both male and female subjects in the winter studies (approximately 0.2-0.3 degrees C) and for the male subjects during the summer test (approximately 0.2 degrees C). However, the rectal temperature of the female subjects did not change significantly during any phase of the summer test. These data indicate that head and neck cooling may, in general, be used to reduce the oral and body temperatures of both male and female patients with multiple sclerosis by the approximate amount needed for symptomatic relief as shown by other researchers. However, thermal response of patients with multiple sclerosis may be affected by gender and seasonal factors, which should be considered in the use of liquid cooling therapy.

Measurement of Metabolic Responses to an Orbital-Extravehicular Work-Simulation Exercise

This paper describes a new system designed to simulate orbital EVA work and measure metabolic responses to these space-work exercises. The system incorporates an experimental protocol, a controlled-atmosphere chamber, an EVA-work exercise device, the instrumentation, and a data acquisition system. Engineering issues associated with the design of the proposed system are discussed. This EVA-work simulating system can be used with various types of upper-body work, including task boards, rope pulling, and arm ergometry. Design diagrams and diagrams of various types of work simulation are included.

Metabolic responses to simulated extravehicular activity

Automatic control of the liquid cooling garment (LCG) worn by astronauts during extravehicular activity (EVA) would more efficiently regulate astronaut thermal comfort and improve astronaut productivity. An experiment was conducted in which subjects performed exercise profiles on a unique, supine upper body ergometer to elicit physiological and thermal responses similar to those achieved during zero-g EVAs. Results were analyzed to quantify metabolic rate, various body temperatures, and other heat balance parameters. Such data may lead to development of a microprocessor-based system to automatically maintain astronaut heat balance during extended EVAs.

Capillary Movement of Liquid in Granular Beds

Knowledge of capillary migration of liquids in granular beds in microgravity is essential for the development of a substrate based nutrient delivery sytem for the growth of plants in space. This problem is also interesting from the theoretical as well as the practical point of view. The purpose of this study was to model capillary water propagation through a granular bed in microgravity. In our ground experiments, water propagation is driven primarily by capillary force. Data for spherical partical sizes in the range from 0.46 to 2 mm have been obtained. It was shown that the velocity of water propagation is very sensitive to particle size. Theoretical consideration is also provided. Actual space flight experiments are planned for the future to confirm our results.

A unique exercise facility for simulating orbital extravehicular activity

A unique exercise facility has been developed and used to simulate orbital extravehicular activity (EVA). The device incorporates an arm ergometer into a mechanism which places the subject in the zero-g neutral body posture. The intent of this configuration is to elicit muscular, cardiovascular, respiratory, and thermoregulatory responses similar to those observed during orbital EVA. Experiments done with this facility will help characterize the astronauts dynamic heat balance during EVA and will eventually lead to the development of an automated thermal control system which would more effectively maintain thermal comfort.