Rotation otolith tilt-translation reinterpretation (ROTTR) hypothesis: A new hypothesis to explain neurovestibular spaceflight adaptation

Abstract

Normally, the nervous system must process ambiguous graviceptor (e.g., otolith) cues to estimate tilt and translation. The neural processes that help perform these estimation processes must adapt upon exposure to weightlessness and readapt upon return to Earth. In this paper we present a review of evidence supporting a new hypothesis that explains some aspects of these adaptive processes. This hypothesis, which we label the rotation otolith tilt-translation reinterpretation (ROTTR) hypothesis, suggests that the neural processes resulting in spaceflight adaptation include deterioration in the ability of the nervous system to use rotational cues to help accurately estimate the relative orientation of gravity ("tilt"). Changes in the ability to estimate gravity then also influence the ability of the nervous system to estimate linear acceleration ("translation"). We explicitly hypothesize that such changes in the ability to estimate "tilt" and "translation" will be measurable upon return to Earth and will, at least partially, explain the disorientation experienced when astronauts return to Earth. In this paper, we present the details and implications of ROTTR, review data related to ROTTR, and discuss the relationship of ROTTR to the influential otolith tilt-translation reinterpretation (OTTR) hypothesis as well as discuss the distinct differences between ROTTR and OTTR.