The Effects of Spaceflight Microgravity on the Musculoskeletal System Of
Physiol. Res. 70: 119-151, 2021 https://doi.org/10.33549/physiolres.934550 INVITED REVIEW The Effects of Spaceflight Microgravity on the Musculoskeletal System of Humans and Animals, with an Emphasis on Exercise as a Countermeasure: A Systematic Scoping Review Darya MOOSAVI1, David WOLOVSKY1, Angela DEPOMPEIS1, David UHER1, David LENNINGTON1, Roddy BODDEN1, Carol Ewing GARBER1 1Department of Biobehavioral Sciences, Teachers College, Columbia University. New York City, NY, United States Received July 29, 2020 Accepted February 18, 2021 Summary Existing studies have produced only limited data on the combined The purpose of this systematic review is twofold: 1) to identify, effects on bone and muscle of human spaceflight, despite the evaluate, and synthesize the heretofore disparate scientific likelihood that the effects on these two systems are complicated literatures regarding the effects of direct exposure to due to the components of the musculoskeletal system being microgravity on the musculoskeletal system, taking into account anatomically and functionally interconnected. Bone is directly for the first time both bone and muscle systems of both humans affected by muscle atrophy as well as by changes in muscle and animals; and 2) to investigate the efficacy and limitations of strength, notably at muscle attachments. Given this interplay, the exercise countermeasures on the musculoskeletal system under most effective exercise countermeasure is likely to be robust, microgravity in humans. The Framework for Scoping Studies individualized, resistive exercise, primarily targeting muscle mass (Arksey and O'Malley 2005) and the Cochrane Handbook for and strength. Systematic Reviews of Interventions (Higgins JPT 2011) were used to guide this review. The Preferred Reporting Items for Key words Systematic Reviews and Meta-Analyses (PRISMA) checklist was Microgravity • Musculoskeletal system • Exercise countermeasure utilized in obtaining the combined results (Moher, Liberati et al.
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