Manobra Anti-G
uma revisão narrativa
Resumo
Introdução: Aeronaves mais valiosas, sofisticadas e potentes são incorporadas às forças armadas. Os avanços tecnológicos são notáveis por aumentar a carga fisiológica durante o voo, tornando os recursos humanos um fator limitante nessas operações. É necessário entender as demandas fisiológicas às quais os pilotos de aeronaves estão expostos, especialmente os pilotos de combate. Objetivo: Este estudo teve como objetivo apresentar: i. consequências fisiológicas no corpo humano devido às altas forças de aceleração durante voos de alto desempenho; ii. eficiência da contramedida AGSM para tais consequências; e iii. estado da arte sobre os usos da eletromiografia de superfície em AGSM. Método: Busca bibliográfica na base de dados PubMed usando as palavras-chave “anti-G straining maneuver” e “electromyography” e seus sinônimos foi conduzida, seguida de uma revisão narrativa dos resultados, que permitiu uma discussão abrangente sobre o tema, possibilitando uma contextualização aprofundada em um campo de estudo próspero. Essas características são adequadas para detectar lacunas na literatura e direcionar a discussão da pesquisa. Discussão: Há um consenso na literatura de que o AGSM é o recurso mais eficaz para prevenir a perda de consciência induzida por carga G. A sEMG é uma ferramenta acessível e útil para o treinamento de AGSM, especialmente quando indisponível centrífugas humanas. Conclusão: A literatura atual sobre a aplicação do sEMG no contexto do treinamento do AGSM é limitada, apresentando uma diversidade de objetivos, metodologia e parâmetros analisados. Contudo, seu uso como biofeedback em tempo real pode melhorar as habilidades de controle muscular do piloto durante o AGSM.
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Referências
FEDERAL AVIATION ADMINISTRATION. Acceleration in aviation: G-Force. Oklahoma: FAA, 2022.
BANKS, R. D. et al. The "push-pull effect". Aviation, Space, and Environmental Medicine, v. 65, n. 8, p. 699-704, 1994.
BURNS, J. W. et al. Protection to +12 Gz. Aviation, Space, and Environmental Medicine, v. 72, n. 5, p. 413-21, 2001. Available: https://www.ncbi.nlm.nih.gov/pubmed/11346005.
BURTON, R. R.; LEVERETT JR, S. D.; MICHAELSON, E. D. Man at High Sustained +Gz Acceleration. Paris: Advisory Group for Aerospace Research and Development, 1974.
CHEANA, C. Fuerzas Acelerativas – G-LOC.Santiago: Fuerza Aerea de Chile, 2011..
CHEN, H. H.; WU, Y. C.; KUO, M. D. An electromyographic assessment of the anti-G straining maneuver. Aviation, Space, and Environmental Medicine, v. 75, n. 2, p. 162-7, 2004. Available: https://www.ncbi.nlm.nih.gov/pubmed/14960053.
CHOI, B. et al. Detection of G-Induced Loss of Consciousness (G-LOC) prognosis through EMG monitoring on gastrocnemius muscle in flight. Annual International Conference of the IEEE Engineering in Medicine and Biology Society, p. 7007-7010, 2015. DOI: https://doi.org/10.1109/EMBC.2015.7320005
CORNWALL, M. W.; KROCK, L. P. Electromyographic activity while performing the anti-G straining maneuver during high sustained acceleration. Aviation, Space, and Environmental Medicine, v. 63, n. 11, 1992.
CRISMAN, R. P.; BURTON, R. R. Physical fitness program to enhance aircrew G tolerance. Dayton, Ohio: Naval Aerospace Medical Research Laboratory, 1988. DOI: https://doi.org/10.21236/ADA204689
DAVID, J. R.; DAVID, P. G. Ernsting’s aviation medicine. London: Edward Arnold, 2006.
DAVIS, J. R. et al. Fundamentals of aerospace medicine. Philadelphia: Wolters Kluwer, 2012.
DE LUCA, C. J. The Use of Surface Electromyography in Biomechanics. Journal of Applied Biomechanics, v. 13, 1997. DOI: https://doi.org/10.1123/jab.13.2.135
EPPERSON, W. L.; BURTON, R. R.; BERNAUER, E. M. The effectiveness of specific weight training regimens on simulated aerial combat maneuvering G tolerance. Aviation, Space, and Environmental Medicine, v. 56, n. 6, p. 534-9,1985. Available: https://www.ncbi.nlm.nih.gov/pubmed/4015564.
FORSTER, E. M.; SHENDER, B. S.; FORSTER, E. C. The effect of aircrew age on +Gz tolerance as measured in a human-use centrifuge. In: RTO HFM Symposium, 1999, France. DOI: https://doi.org/10.21236/ADA368563
GARCIA, M. A. C.; VIEIRA, T. M. M. Surface electromyography: Why, when and how to use it. Revista Andaluza de Medicina del Deporte, v. 4, n. 1, p. 17-28, 2011.
GILLINGHAM, K. K.; FOSDICK, J. P. High-g training for fighter aircrew. Aviation, Space, and Environmental Medicine, v. 59, n. 1, p. 12-19, 1988.
HABAZETTL, H. et al. Microvascular responses to (hyper-)gravitational stress by short-arm human centrifuge: arteriolar vasoconstriction and venous pooling. European Journal of Applied Physiology, v. 116, n. 1, p. 57-65, 2016. Available: https://www.ncbi.nlm.nih.gov/pubmed/26280651. DOI: https://doi.org/10.1007/s00421-015-3241-6
KIM, S. et al. G-LOC Warning Algorithms Based on EMG Features of the Gastrocnemius Muscle. Aerospace Medicine and Human Performance, v. 88, n. 8, p. 737-742, 2017. Available: https://www.ncbi.nlm.nih.gov/pubmed/28720183. DOI: https://doi.org/10.3357/AMHP.4781.2017
MERLETTI, R.; FARINA, D. Surface Electromyography: Physiology, Engineering, and Applications. New Jersey: John Wiley & Sons, 2016. DOI: https://doi.org/10.1002/9781119082934
OKSA, J.; LINJA, T.; RINTALA, H. The effect of lumbar support on the effectiveness of anti-G straining manuevers. Aviation, Space, and Environmental Medicine, v. 74, n. 8, p. 886-90, 2003. Available: https://www.ncbi.nlm.nih.gov/pubmed/12924767.
PARK, J.; YUN, C.; KANG, S. Physical Condition Does Not Affect Gravity Induced Loss of Consciousness during Human Centrifuge Training in Well-Experienced Young Aviators. PLoS ONE, v. 11, n. 1, e0147921, 2016. DOI: https://doi.org/10.1371/journal.pone.0147921
PARK, M. et al. Unpredictability of fighter pilots' g duration tolerance by anthropometric and physiological characteristics. Aerospace Medicine and Human Performance, v. 86, n. 4, p. 397-401, 2015. Available: https://www.ncbi.nlm.nih.gov/pubmed/25945558. DOI: https://doi.org/10.3357/AMHP.4032.2015
SAH, I.; NATARAJA, M. S.; RASTOGI, P. Quantified muscular contraction during agsm and its correlation with straining +Gz tolerance. Indian Journal of Aerospace Medicine, v. 62, n. 2, p. 11, 2018.
SHAW, D. M.; HARRELL, J. W. Integrating physiological monitoring systems in military aviation: a brief narrative review of its importance, opportunities, and risks. Ergonomics, v. 66, n. 12, p. 2242-2254, 2023. Available: https://www.ncbi.nlm.nih.gov/pubmed/36946542. DOI: https://doi.org/10.1080/00140139.2023.2194592
TESCH, P. A.; HJORT, H.; BALLDIN, U. I. Effects of strength training on G tolerance. Aviation, Space, and Environmental Medicine, v. 54, n. 8, p. 691-5, 1983. Available: https://www.ncbi.nlm.nih.gov/pubmed/6626076.
TU, M. Y. et al. Combined effect of heart rate responses and the anti-G straining manoeuvre effectiveness on G tolerance in a human centrifuge. Scientific Reports, v. 10, n. 1, p. 21611, 2020. Available: https://www.ncbi.nlm.nih.gov/pubmed/33303828. DOI: https://doi.org/10.1038/s41598-020-78687-3
VAN LIESHOUT, E. J. et al. Assessment of cardiovascular refexes is of limited value in predicting maximal +Gz-tolerance. Aviation, Space, and Environmental Medicine, v. 63, n. 1, p. 21-26, 1992.
WEBB, J. T.; OAKLEY, C. J.; MEEKER, L. J. Unpredictability of fighter pilot G tolerance using anthropometric and physiological variables. Aviation, Space, and Environmental Medicine, v. 62, n. 2, p. 128-135, 1991.
WHINNERY, J. E.; WHINNERY, A. M. Acceleration-induced loss of consciousness. A review of 500 episodes. Archives of Neurology, v. 47, n. 7, p. 764-76, 1990. Available: https://www.ncbi.nlm.nih.gov/pubmed/2357157. DOI: https://doi.org/10.1001/archneur.1990.00530070058012
WHINNERY, T.; FORSTER, E. M. The +Gz-induced loss of consciousness curve. Extreme Physiology & Medicine, v. 2, n. 1, p. 19, 2013. Available: https://www.ncbi.nlm.nih.gov/pubmed/23849181. DOI: https://doi.org/10.1186/2046-7648-2-19
YUN, C.; OH, S.; SHIN, Y. H. AGSM Proficiency and Depression Are Associated With Success of High-G Training in Trainee Pilots. Aerospace Medicine and Human Performance, v. 90, n. 7, p. 613-617, 2019. Available: https://www.ncbi.nlm.nih.gov/pubmed/31227034. DOI: https://doi.org/10.3357/AMHP.5323.2019
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