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ROUGH DRAFT SITE · Educational use only — not medical advice and not operational guidance. Disclaimer

Home › Browse › Body system › Musculoskeletal

Body system

Musculoskeletal

16 articles tagged · 1 topic · 7 clinical · 1 equipment · 7 research

SMF-T-0009 · draft

Spaceflight Bone Loss

Unloading in microgravity drives loss of bone mineral, particularly at weight-bearing sites, with incomplete recovery after return.

Gravity FieldsMusculoskeletalRenal & GU

Clinical articles (7)

SMF-C-0005 · countermeasure · draft

Bone loss countermeasures

How much bone astronauts lose, what prevents it (resistance exercise, nutrition, and in research, bisphosphonates), how NASA monitors BMD with DXA, T-scores and FRAX, and what a primary care clinician should do after a long flight.

◆◆◆◇ Moderate · F A E

SMF-C-0014 · protocol · draft

DCS & EVA

Why spacewalks carry decompression risk, how prebreathe protocols prevent it, how DCS is recognized and treated without a hyperbaric chamber, and other EVA hazards (CO2, water in the helmet, hand injuries) — with links to dive and altitude medicine.

◆◆◆◇ Moderate · E A F

SMF-C-0006 · countermeasure · draft

Exercise countermeasures

What spaceflight does to aerobic capacity and muscle, NASA's fitness standards in plain numbers, how in-flight exercise works, and how to prescribe reconditioning after return.

◆◆◆◇ Moderate · F A E

SMF-C-0010 · topic · draft

Emergencies & evacuation

What medical care is actually available on a spacecraft, who provides it, how evacuation works from orbit, and why the model changes completely for lunar and Mars missions.

◆◆◆◇ Moderate · F E C

SMF-C-0013 · topic · draft

Kidney stones

Why spaceflight raises stone-forming risk (bone calcium loss, low urine volume), what prevents it, how a stone would be recognized in flight, and what to watch for in the year after return.

◆◆◆◇ Moderate · F C E

SMF-C-0015 · guide · draft

Postflight recovery & surveillance

A timeline of what to expect after landing — day 0 to day 45 and beyond — what NASA measures and when, which problems can persist for months or years, and how lifelong occupational surveillance works.

◆◆◆◇ Moderate · F E

SMF-C-0000 · guide · draft

Clinician quick-start

A one-page orientation for GPs, emergency physicians, nurses and flight/aviation doctors: what to ask, what to check, the red flags, and where to find the details — before and after spaceflight.

◆◆◆◇ Moderate · E F

Equipment guides (1)

SMF-E-0001 · guide · draft

Pre-Flight & Post-Flight Clinic

A plain-language design guide for a clinic that certifies people before flight and evaluates them after landing: equipment by evaluation domain, what to do in-house versus refer out, a room-by-room layout and an essential / recommended / advanced build.

◆◆◆◇ Moderate · F E

Research pages (7)

RSK-11 · NASA risk · draft

Bone loss & fracture

Bones lose density without gravity's load. Exercise and drugs reduce the loss, but recovery after flight can be incomplete.

◆◆◆◇ Moderate · F E

RSK-12 · NASA risk · draft

Muscle & aerobic fitness

Even with about 10 hours of exercise a week, astronauts lose fitness in flight, and some don't meet NASA's standards. Exploration spacecraft will have less room for exercise equipment.

◆◆◆◇ Moderate · F E

STU-03 · landmark study · draft

ISS long-duration cohorts

Most of what clinicians know about 6-month spaceflight comes from cohorts of 4 to 46 ISS astronauts. Key studies, what they found, and their limits.

◆◆◆◇ Moderate · F

STU-04 · landmark study · draft

Bed-rest studies

Lying in bed tilted 6° head-down for weeks reproduces many effects of weightlessness. It is the workhorse for testing countermeasures, with important blind spots.

◆◆◆◇ Moderate · A

RSK-15 · NASA risk · draft

Launch & landing loads

Launch, landing and abort forces can injure crew, especially deconditioned crew. Today's injury standards are borrowed from car and military testing.

◆◆◇◇ Low · F E

RSK-20 · NASA risk · draft

Decompression sickness

No case of decompression sickness has been reported in flight, but frequent surface spacewalks in partial gravity could change that.

◆◆◆◇ Moderate · F A E

RSK-21 · NASA risk · draft

Spacewalk (EVA) injury & performance

Suits cause training injuries, and planetary spacewalks will be more frequent and more physical than ISS spacewalks. How to prevent suit injuries is not well understood.

◆◆◇◇ Low · F E