Abstract
Scopolamine is used to counteract motion sickness in parabolic flight (PF) experiments. Although the drug’s anticholinergic properties effectively impede vomiting, recent studies document other sensory side-effects in the central nervous system that may considerably influence sensorimotor performance. This study aimed to quantify such effects in order to determine if they are of methodological and operational significance for sensorimotor control. Ten subjects of a PF campaign received a weight-sex-based dose of a subcutaneous scopolamine injection. Sensorimotor performance was recorded before medication, 20min, 2h and 4h after injection in four space-relevant paradigms: balance control in one-leg stance with eyes open (protocol 1) and closed as well as force-generating capacity in countermovement jumps and hops (protocol 2). Postural sway, forces and joint angles were recorded. Neuromuscular control was assessed by electromyography and peripheral nerve stimulation; H-reflexes and M-waves were used to monitor spinal excitability of the Ia afferent reflex circuitry and maximal motor output. (1) H-reflex amplitudes, latencies and functional reflexes remained unchanged after scopolamine injection. (2) M-waves, neuromuscular activation intensities and antagonistic muscle coordination did not change with scopolamine administration. (3) Balance performance and force-generating capacity were not impeded by scopolamine. We found no evidence for changes in sensorimotor control in response to scopolamine injection. Sensory processing of daily relevant reflexes, spinal excitability, maximal motor output and performance parameters were not sensitive to the medication. We conclude that scopolamine administration can be used to counteract motion sickness in PF without methodological and operational concerns or interference regarding sensorimotor skills associated with neuromuscular control.
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References
Aagaard, P.: Training-induced changes in neural function. Exerc. Sport Sci. Rev. 31, 61–67 (2003)
Artero, E.G., Espana-Romero, V., Castro-Pinero, J., Ortega, F.B., Suni, J., Castillo-Garzon, M.J., Ruiz, J.R.: Reliability of field-based fitness tests in youth. Int. J. Sports Med. 32, 159–169 (2011)
Borman, P.J., Chatfield, M.J., Damjanov, I., Jackson, P.: Design and analysis of method equivalence studies. Anal. Chem. 81, 9849–9857 (2009)
Brand, J.J., Colquhoun, W.P., Perry, W.L.: Side-effects of 1-hyoscine and cyclizine studied by objective tests. Aerosp. Med. 39, 999–1002 (1968)
Choukèr, A., Kaufmann, I., Kreth, S., Hauer, D., Feuerecker, M., Thieme, D., Vogeser, M., Thiel, M., Schelling, G.: Motion sickness, stress and the endocannabinoid system. PloS One 5, e10752 (2010)
Dichgans, J., Mauritz, K.H., Allum, J.H., Brandt, T.: Postural sway in normals and atactic patients: analysis of the stabilising and destabilizing effects of vision. Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l’agression 17, 15–24 (1976)
Diener, H.C., Ackermann, H., Dichgans, J., Guschlbauer, B.: Medium- and long-latency responses to displacements of the ankle joint in patients with spinal and central lesions. Electroencephalogr. Clin. Neurophysiol. 60, 407–416 (1985)
Dietz, V., Horstmann, G.A., Trippel, M., Gollhofer, A.: Human postural reflexes and gravity–an under water simulation. Neurosci. Lett. 106, 350–355 (1989)
Dietz, V., Mauritz, K.H., Dichgans, J.: Body oscillations in balancing due to segmental stretch reflex activity. Exp. Brain Res. 40, 89–95 (1980)
Fagnani, F., Giombini, A., Di Cesare, A., Pigozzi, F., Di Salvo, V.: The effects of a whole-body vibration program on muscle performance and flexibility in female athletes. Am. J. Phys. Med. Rehabil. 85, 956–962 (2006)
Fleiss, J.L.: The Design and Analysis of Clinical Experiments. Wiley, New York (1986)
Freund, H.J., Budingen, H.J., Dietz, V.: Activity of single motor units from human forearm muscles during voluntary isometric contractions. J. Neurophysiol. 38, 933–946 (1975)
Granit, R.: The functional role of the muscle spindles–facts and hypotheses. Brain J. Neurol. 98, 531–556 (1975)
Hayashi, R., Tokuda, T., Tako, K., Yanagisawa, N.: Impaired modulation of tonic muscle activities and H-reflexes in the soleus muscle during standing in patients with Parkinson’s disease. J. Neurol. Sci. 153, 61–67 (1997)
Hermens, H.J., Freriks, B., Disselhorst-Klug, C., Rau, G.: Development of recommendations for SEMG sensors and sensor placement procedures. J. Electromyogr. Kinesiol. 10, 361–374 (2000)
Hogrel, J.-Y.: Use of surface EMG for studying motor unit recruitment during isometric linear force ramp. J. Electromyogr. Kinesiol. 13, 417–423 (2003)
Janowsky, D.S., Risch, S.C., Ziegler, M., Kennedy, B., Huey, L.: A cholinomimetic model of motion sickness and space adaptation syndrome. Aviat. Space Environ. Med. 55, 692–696 (1984)
Kneis, S., Wehrle, A., Freyler, K., Lehmann, K., Rudolphi, B., Hildenbrand, B., Bartsch, H.H., Bertz, H., Gollhofer, A., Ritzmann, R.: Balance impairments and neuromuscular changes in breast cancer patients with chemotherapy-induced peripheral neuropathy. Clin. Neurophysiol. (2015). doi:10.1016/j.clinph.2015.07.022
Komi, P.V., Gollhofer, A.: Stretch reflexes can have an important role in force enhancement during SSC exercise. J. Appl. Biomech. 13, 451–460 (1997)
Kramer, A., Gollhofer, A., Ritzmann, R.: Acute exposure to microgravity does not influence the H-reflex with or without whole body vibration and does not cause vibration-specific changes in muscular activity. J. Electromyogr. Kinesiol. 23, 872–878 (2013)
Kramer, A., Ritzmann, R., Gollhofer, A., Gehring, D., Gruber, M.: A new sledge jump system that allows almost natural reactive jumps. J. Biomech. 43, 2672–2677 (2010)
Kramer, A., Ritzmann, R., Gruber, M., Gollhofer, A.: Leg stiffness can be maintained during reactive hopping despite modified acceleration conditions. J. Biomech. 45, 1816–1822 (2012)
Laitinen, L.A., Tokola, O., Gothoni, G., Vapaatalo, H.: Scopolamine alone or combined with ephedrine in seasickness: a double-blind, placebo-controlled study. Aviat. Space Environ. Med. 52, 6–10 (1981)
Layne, C.S., Mulavara, A.P., McDonald, P.V., Pruett, C.J., Kozlovskaya, I.B., Bloomberg, J.J.: Effect of long-duration spaceflight on postural control during self-generated perturbations. J. Appl. Physiol. 90, 997–1006 (2001)
Lee, R.G., Tatton, W.G.: Longloop reflexes in man: clinical applications. In: Desmedt, J. (ed.) Cerebral Motor Control in Man, pp 320–333. Karger, Basel (1978)
Lestienne, F., Berthoz, A., Mascot, J.C., Koitcheva, V.: Effets posturaux induits par une scène visuelle en mouvement linéaire. Agressologie: revue internationale de physio-biologie et de pharmacologie appliquées aux effets de l’agression 17, 37–46 (1976)
Litvan, I., Blesa, R., Clark, K., Nichelli, P., Atack, J.R., Mouradian, M.M., Grafman, J., Chase, T.N.: Pharmacological evaluation of the cholinergic system in progressive supranuclear palsy. Ann. Neurol. 36, 55–61 (1994)
Liu, Y., Peng, C.-H., Wei, S.-H., Chi, J.-C., Tsai, F.-R., Chen, J.-Y.: Active leg stiffness and energy stored in the muscles during maximal counter movement jump in the aged. J. Electromyogr. Kinesiol. 16, 342–351 (2006)
Makowski, A.L., Lindgren, K., Locke, J.P.: Visual side effects of scopolamine/ dextroamphetamine among parabolic fliers. Aviat. Space Environ. Med. 82, 683–688 (2011)
Marsden, C.D., Merton, P.A., Morton, H.B., Adam, J., Hallett, M.: Automatic and voluntary responses to muscle stretch in man. In: Desmedt, J. (ed.) Cerebral Motor Control in Man, pp 167–177. Karger, Basel (1978)
Matheson, L.A., Duffy, S., Maroof, A., Gibbons, R., Duffy, C., Roth, J.: Intra- and inter-rater reliability of jumping mechanography muscle function assessments. J. Musculoskelet. Neuronal Interact. 13, 480–486 (2013)
Meylan, C.M.P., Cronin, J.B., Oliver, J.L., Hughes, M.G., McMaster, D.T.: The reliability of jump kinematics and kinetics in children of different maturity status. J. Strength Cond. Res. 26, 1015–1026 (2012)
Milner-Brown, H.S., Stein, R.B., Yemm, R.: Changes in firing rate of human motor units during linearly changing voluntary contractions. J. Physiol. 230, 371–390 (1973a)
Milner-Brown, H.S., Stein, R.B., Yemm, R.: The orderly recruitment of human motor units during voluntary isometric contractions. J. Physiol. 230, 359–370 (1973b)
Moritani, T., Muro, M.: Motor unit activity and surface electromyogram power spectrum during increasing force of contraction. Eur. J. Appl. Physiol. Occup. Physiol. 56, 260–265 (1987)
Mrachacz-Kersting, N., Grey, M.J., Sinkjaer, T.: Evidence for a supraspinal contribution to the human quadriceps long-latency stretch reflex. Exp. Brain Res. 168, 529–540 (2006)
Mulavara, A.P., Feiveson, A.H., Fiedler, J., Cohen, H., Peters, B.T., Miller, C., Brady, R., Bloomberg, J.J.: Locomotor function after long-duration space flight: effects and motor learning during recovery. Exp. Brain Res. 202, 649–659 (2010)
Nagai, K., Yamada, M., Tanaka, B., Uemura, K., Mori, S., Aoyama, T., Ichihashi, N., Tsuboyama, T.: Effects of balance training on muscle coactivation during postural control in older adults: a randomized controlled trial. J. Gerontol. A Biol. Sci. Med. Sci. 67, 882–889 (2012)
Nashner, L.M.: Adapting reflexes controlling the human posture. Exp. Brain Res. 26, 59–72 (1976)
Norfleet, W.T., Degioanni, J.J., Calkins, D.S., Reschke, M.F., Bungo, M.W., Kutyna, F.A., Homick, J.L.: Treatment of motion sickness in parabolic flight with buccal scopolamine. Aviat. Space Environ. Med. 63, 46–51 (1992)
Nuotto, E.: Psychomotor, physiological and cognitive effects of scopolamine and ephedrine in healthy man. Eur. J. Clin. Pharmacol. 24, 603–609 (1983)
Palmieri, R.M., Ingersoll, C.D., Hoffman, M.A.: The hoffmann reflex: methodologic considerations and applications for use in sports medicine and athletic training research. J. Athl. Train. 39, 268–277 (2004)
Pingree, B.J., Pethybridge, R.J.: A comparison of the efficacy of cinnarizine with scopolamine in the treatment of seasickness. Aviat. Space Environ. Med. 65, 597–605 (1994)
Pletser, V., Winter, J., Duclos, F., Bret-Dibat, T., Friedrich, U., Clervoy, J.-F., Gharib, T., Gai, F., Minster, O., Sundblad, P.: The first joint european Partial-G parabolic flight campaign at moon and mars gravity levels for science and exploration. Microgravity Sci. Technol. 24, 383–395 (2012)
Price, N.M., Schmitt, L.G., McGuire, J., Shaw, J.E., Trobough, G.: Transdermal scopolamine in the prevention of motion sickness at sea. Clin. Pharmacol. Ther. 29, 414–419 (1981)
Ramos Reis, P.M., Eckhardt, H., Denise, P., Bodem, F., Lochmann, M.: Localization of scopolamine induced electrocortical brain activity changes in healthy humans at rest. J. Clin. Pharmacol. 53, 619–625 (2013)
Riley, Z.A., Maerz, A.H., Litsey, J.C., Enoka, R.M.: Motor unit recruitment in human biceps brachii during sustained voluntary contractions. J. Physiol. 586, 2183–2193 (2008)
Ritzmann, R., Freyler, K., Weltin, E., Krause, A., Gollhofer, A.: Load dependency of postural control–kinematic and neuromuscular changes in response to over and under load conditions. PloS one 10, e0128400 (2015)
Roelants, M., Verschueren, S.M.P., Delecluse, C., Levin, O., Stijnen, V.: Whole-body-vibration-induced increase in leg muscle activity during different squat exercises. J. Strength Cond. Res. 20, 124–129 (2006)
Sinkjaer, T., Andersen, J.B., Nielsen, J.F., Hansen, H.J.: Soleus long-latency stretch reflexes during walking in healthy and spastic humans. Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology 110, 951–959 (1999)
Spinks, A.B., Wasiak, J., Villanueva, E.V., Bernath, V.: Scopolamine (hyoscine) for preventing and treating motion sickness. Cochrane Database Syst. Rev. (2007). doi:10.1002/14651858.CD002851.pub3
Taffe, M.A., Weed, M.R., Gold, L.H.: Scopolamine alters rhesus monkey performance on a novel neuropsychological test battery. Brain research. Cogn. Brain Res. 8, 203–212 (1999)
Taube, W., Gruber, M., Gollhofer, A.: Spinal and supraspinal adaptations associated with balance training and their functional relevance. Acta Physiol. 193, 101–116 (2008)
Taube, W., Leukel, C., Gollhofer, A.: How neurons make us jump: the neural control of stretch-shortening cycle movements. Exerc. Sport Sci. Rev. 40, 106–115 (2012)
Tokola, O., Laitinen, L.A., Aho, J., Gothoni, G., Vapaatalo, H.: Drug treatment of motion sickness: scopolamine alone and combined with ephedrine in real and simulated situations. Aviat. Space Environ. Med. 55, 636–641 (1984)
Uijtdehaage, S.H., Stern, R.M., Koch, K.L.: Effects of scopolamine on autonomic profiles underlying motion sickness susceptibility. Aviat. Space Environ. Med. 64, 1–8 (1993)
van Marion, W.F., Bongaerts, M.C., Christiaanse, J.C., Hofkamp, H.G., van Ouwerkerk, W.: Influence of transdermal scopolamine on motion sickness during 7 days’ exposure to heavy seas. Clin. Pharmacol. Ther. 38, 301–305 (1985)
Wesnes, K., Warburton, D.M.: Effects of scopolamine and nicotine on human rapid information processing performance. Psychopharmacology (Berl) 82, 147–150 (1984)
Wiley, M.E., Damiano, D.L.: Lower-extremity strength profiles in spastic cerebral palsy. Dev. Med. Child Neurol. 40, 100–107 (1998)
Wollseiffen, P., Vogt, T., Abeln, V., Strüder, H.K., Askew, C.D., Schneider, S.: Neuro-cognitive performance is enhanced during short periods of microgravity. Physiol. Behav. 155, 9–16 (2016)
Wood, C.D., Graybiel, A.: Theory of antimotion-sickness drug mechanisms. Aerosp. Med. 43, 249–252 (1972)
Zuur, A.T., Lundbye-Jensen, J., Leukel, C., Taube, W., Grey, M.J., Gollhofer, A., Nielsen, J.B., Gruber, M.: Contribution of afferent feedback and descending drive to human hopping. J. Physiol. 588, 799–807 (2010)
Acknowledgments
This study was funded by the German Aerospace Center (DLR) FKZ 50WB1120. The authors want to thank the DLR Spaceflight Department, particularly Dr Ulrike Friedrich and Dr Hans-Ulrich Hoffmann for their assistance with parabolic flight experiment preparation.
No neuromuscular side-effects of scopolamine in sensorimotor control and force-generating capacity among parabolic fliers.
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This study was funded by the German Aerospace Center (DLR) FKZ 50WB1120. The authors want to thank the DLR Spaceflight Department, particularly Dr Ulrike Friedrich and Dr Hans-Ulrich Hoffmann for their assistance with parabolic flight experiment preparation.
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Ritzmann, R., Freyler, K., Krause, A. et al. No Neuromuscular Side-Effects of Scopolamine in Sensorimotor Control and Force-Generating Capacity Among Parabolic Fliers. Microgravity Sci. Technol. 28, 477–490 (2016). https://doi.org/10.1007/s12217-016-9504-y
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DOI: https://doi.org/10.1007/s12217-016-9504-y