Balance and gait analysis after 30 days -6 degrees bed rest: influence of lower-body negative-pressure sessions.

Five volunteers took part in -6 degrees head-down bed-rest experiments for 30 d. In the first experiment, three subjects underwent several sessions of lower-body negative-pressure (LBNP) per day, with two others serving as controls. In the second, the LBNP group of the first experiment became the control and vice versa. Two experimental protocols analyzed the bed-rest-induced modifications of balance and gait and the efficiency of LBNP in counteracting these modifications. A kymographic method allowed the measurement of walking parameters. Anteroposterior and lateral sways were successively studied with both a force platform (static condition) and a rocking platform (dynamic condition). The tests were performed 2 d before the bed-rest period, and over the 1st, 3rd and 4th days of the recovery period. When the subjects were controls, bed rest decreased step length, walking velocity, and balance stability. LBNP completely counteracted the bed-rest-induced modifications of gait and static balance and of dynamic balance for the lateral sway. As LBNP was ineffective in counteracting the modifications of the anteroposterior sway, dynamic balance deficiency was independent of the beneficial effect of LBNP on the decreased orthostatic tolerance induced by -6 degrees head-down bed rest. The results indicate that head-down bed rest, like spaceflight, induces certain sensorimotor changes involved in the decrease of gait and balance performance.