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Updated: Jun 10, 2026

Quantifying Arms and Legs Contributions during Repetitive Electrically-Assisted Sit-To-Stand Exercise in Paraplegics: A Pilot Study
Published on: November 11, 2022
Foot forces during exercise on the International Space Station
K O Genc1, R Gopalakrishnan, M M Kuklis
1Department of Orthopaedics and Sports Medicine, University of Washington, BB 1065D, 1959 NE Pacific Street, Box 356500, Seattle, WA 98195-6500, USA.
Current exercise devices on the International Space Station (ISS) do not adequately replicate Earth-based loads, potentially impacting astronaut musculoskeletal health. Future countermeasures need enhanced capabilities for effective bone and muscle maintenance during spaceflight.
Area of Science:
- Space medicine
- Human physiology
- Biomechanical engineering
Background:
- Long-duration spaceflight causes detrimental musculoskeletal effects.
- Existing exercise countermeasures on the International Space Station (ISS) have limitations.
- Previous research indicates exercise devices may not provide sufficient loading.
Purpose of the Study:
- To quantify the mechanical loads generated by ISS exercise devices.
- To compare on-orbit loads with terrestrial exercise.
- To assess the efficacy of current countermeasures for maintaining musculoskeletal health.
Main Methods:
- In-shoe force measurements were conducted on four male astronauts during ISS missions.
- Data collected during maximal load activities on treadmill with vibration isolation and stabilization (TVIS), cycle ergometer with vibration isolation and stabilization (CEVIS), and interim resistance exercise device (iRED).
- Comparison with on-orbit and Earth-based exercise data.
Main Results:
- Maximum single-leg loads on TVIS reached 1.77 body weight (BW) during running.
- Resistance exercise yielded maximum single-leg forces of 0.72 BW (heel raises) and 0.68 BW (squats).
- CEVIS generated minimal forces (0.19 BW). Loads were significantly lower than Earth-based exercise, except for maximal CEVIS settings.
Conclusions:
- Current ISS exercise devices, including TVIS, CEVIS, and iRED, generate lower mechanical loads than comparable Earth exercises.
- Significant decrements in loading were observed for walking (77%), running (75%), and squats (65%).
- Future countermeasures require improved harnesses for higher loads and greater resistance capabilities to mitigate spaceflight-induced musculoskeletal decline.
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