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The incidence of decompression sickness (DCS) in space appears to be less than that predicted to occur on the basis of ground based altitude chamber trials. Our current work uses six hours of chair rest adynamia and likewise produces fewer gas bubbles when compared to standing in a cross over study. Mild exercise during oxygen prebreathe is also very efficacious in reducing DCS and bubble formation (measured by Doppler ultrasound). The effect is postulated to be the result of the alteration in the populations of tissue micronuclei such that the radii are reduced. Surface tension then becomes too great for bubble growth from the existing inert gas partial pressures.

The incidence of DCS in null gravity appears to be considerably less than predicted by 1-g experiments. In NASA studies in 1-g, 83% of the incidents of DCS occur in the legs. We report first on a study with a crossover design that indicated a considerable reduction in the decompression Doppler bubble grade in the lower extremities in subjects in simulated microgravity (bed rest) as compared to themselves when ambulatory in unit gravity. Second we describe the results of a cardiovascular deconditioning study using a tail-suspended rat model. Since there may be a reduction in bubble production in 0-g, this would reduce the possibility of acquiring neurological DCS, especially by arterial gas embolism. Further, cardiovascular deconditioning appears to reduce the pulmonary artery hypertension (secondary to gas embolization) necessary to effect arterialization of bubbles.