WEBVTT 00:00:00.750 --> 00:00:01.971 uh but let's start with you 00:00:02.491 --> 00:00:04.432 uh danielle what is your 00:00:04.552 --> 00:00:05.974 superhero backstory cory 00:00:05.995 --> 00:00:06.716 I'm gonna ask you the same 00:00:06.735 --> 00:00:07.836 question in a couple 00:00:07.876 --> 00:00:08.977 seconds to just like give 00:00:09.018 --> 00:00:10.679 context to like who you are 00:00:10.759 --> 00:00:12.000 and then like what you get 00:00:12.660 --> 00:00:14.483 to do with who where that 00:00:14.503 --> 00:00:15.624 because this is a very I'm 00:00:15.704 --> 00:00:16.464 very excited I don't know 00:00:16.484 --> 00:00:17.245 if you could tell for this 00:00:17.265 --> 00:00:19.847 conversation yeah no that's 00:00:19.888 --> 00:00:20.489 awesome thanks for having 00:00:20.509 --> 00:00:20.989 us uh today I don't know 00:00:21.009 --> 00:00:21.589 that I would put myself in 00:00:21.609 --> 00:00:22.971 the superhero category but 00:00:24.129 --> 00:00:24.550 I do. 00:00:24.990 --> 00:00:25.771 I love what I do. 00:00:25.952 --> 00:00:27.612 I'm an Air Force physical therapist. 00:00:27.652 --> 00:00:28.835 I've been in the Air Force 00:00:28.855 --> 00:00:29.795 for thirteen years. 00:00:29.995 --> 00:00:31.376 I had the opportunity to 00:00:31.577 --> 00:00:32.838 deploy a couple of times, 00:00:33.198 --> 00:00:34.579 supported large scale 00:00:34.740 --> 00:00:36.201 military treatment facilities, 00:00:36.701 --> 00:00:37.662 and then ended up here at 00:00:37.682 --> 00:00:39.445 NASA about almost four years ago. 00:00:39.625 --> 00:00:41.026 Now supporting the astronaut 00:00:41.066 --> 00:00:42.087 corps and working with 00:00:42.226 --> 00:00:43.207 awesome people in the human 00:00:43.228 --> 00:00:45.130 performance team like Corey. 00:00:45.871 --> 00:00:46.991 Well, thanks for your service, Corey. 00:00:47.451 --> 00:00:48.073 What do you get to do? 00:00:49.301 --> 00:00:50.421 Yeah, the same. 00:00:50.502 --> 00:00:51.682 I'm thankful for the 00:00:51.741 --> 00:00:52.563 opportunity to be here. 00:00:52.603 --> 00:00:54.503 Thankful also to be on this podcast. 00:00:55.564 --> 00:00:56.204 So I'm a strength and 00:00:56.225 --> 00:00:57.526 conditioning coach by trade. 00:00:58.085 --> 00:00:59.125 I came up through the 00:00:59.165 --> 00:01:00.286 collegiate realm back in 00:01:00.307 --> 00:01:01.688 the early two thousands. 00:01:01.787 --> 00:01:04.108 And then NASA was my first job. 00:01:04.129 --> 00:01:05.269 So I was here for about five 00:01:05.290 --> 00:01:06.430 years doing the shuttle program. 00:01:06.450 --> 00:01:08.811 Then I left, went back to college football, 00:01:08.871 --> 00:01:10.412 did a military DOD, 00:01:10.852 --> 00:01:12.134 stayed for about three years. 00:01:12.174 --> 00:01:13.093 And then I recently came 00:01:13.134 --> 00:01:14.495 back about four years ago. 00:01:15.608 --> 00:01:17.010 Now, this is not on the question list. 00:01:17.030 --> 00:01:17.750 So I'm sure the public 00:01:17.769 --> 00:01:18.769 relations person is like, wait, 00:01:18.790 --> 00:01:19.730 he's already going off script. 00:01:19.771 --> 00:01:20.971 But Corey, be honest. 00:01:21.350 --> 00:01:23.852 When you put NASA on a resume, 00:01:23.891 --> 00:01:25.072 you're getting that job, right? 00:01:25.173 --> 00:01:27.112 I mean, any job that you're going for, 00:01:27.132 --> 00:01:28.194 when you go back to college football, 00:01:28.213 --> 00:01:31.094 they're like, I guess, right? 00:01:32.355 --> 00:01:34.215 I can't say that's the case sometimes, 00:01:34.275 --> 00:01:34.516 though. 00:01:34.855 --> 00:01:36.016 I think people know which 00:01:36.076 --> 00:01:36.936 makes sense sometimes, 00:01:36.956 --> 00:01:38.197 like the hire specifically 00:01:38.218 --> 00:01:39.897 those that are doing what they're doing, 00:01:39.998 --> 00:01:40.938 what they're hiring for. 00:01:41.379 --> 00:01:43.819 So, you know, in collegiate athletics, 00:01:43.840 --> 00:01:44.400 what I learned, 00:01:45.278 --> 00:01:46.379 The biggest question is, oh, 00:01:46.400 --> 00:01:47.081 are you going to be able to 00:01:47.100 --> 00:01:49.082 handle this work volume 00:01:49.123 --> 00:01:50.906 versus assuming that's the case? 00:01:50.945 --> 00:01:53.588 So, yeah, it does help, though. 00:01:53.608 --> 00:01:55.051 I'm thankful for that opportunity. 00:01:55.724 --> 00:01:56.105 All right. 00:01:56.125 --> 00:01:58.346 So we'll ask this question to both of you. 00:01:58.426 --> 00:01:59.825 You pick who answers first. 00:01:59.865 --> 00:02:00.986 But what's it really like to 00:02:01.027 --> 00:02:02.727 be a physical therapist? 00:02:02.867 --> 00:02:04.007 What's it really like to be 00:02:04.388 --> 00:02:05.268 a strength and conditioning 00:02:05.308 --> 00:02:08.169 specialist in space flight support? 00:02:08.229 --> 00:02:10.270 I mean, this is nine-year-old Jimmy, 00:02:10.569 --> 00:02:12.189 and this is going to date how old I am, 00:02:12.210 --> 00:02:13.230 and maybe the audience will catch on. 00:02:13.531 --> 00:02:15.550 I watched Space Camp as a 00:02:15.610 --> 00:02:16.512 kid and was hoped that I'd 00:02:16.551 --> 00:02:17.271 accidentally get launched 00:02:17.292 --> 00:02:18.211 into space at some point. 00:02:18.252 --> 00:02:19.652 But what's it really like 00:02:20.212 --> 00:02:20.893 Because the audience 00:02:20.932 --> 00:02:21.813 probably is going to make a 00:02:21.854 --> 00:02:23.435 bunch of assumptions about 00:02:23.514 --> 00:02:24.775 what you actually do and 00:02:24.814 --> 00:02:25.475 what you support. 00:02:25.536 --> 00:02:27.157 So let's bust those myths 00:02:27.176 --> 00:02:28.417 and get to the real answer. 00:02:28.497 --> 00:02:30.777 What is it you guys get to do there? 00:02:30.837 --> 00:02:32.179 Yeah, I think for me, 00:02:32.239 --> 00:02:34.000 coming from that operational background, 00:02:34.259 --> 00:02:35.860 it's an opportunity that 00:02:35.881 --> 00:02:39.323 you get to support a huge, robust mission, 00:02:39.443 --> 00:02:40.622 complex mission set. 00:02:40.962 --> 00:02:41.223 Right. 00:02:41.264 --> 00:02:43.224 And it's not just I go to 00:02:43.245 --> 00:02:45.265 work every day and I see patient care, 00:02:45.306 --> 00:02:46.925 but I see patients because 00:02:46.967 --> 00:02:47.766 those patients are 00:02:48.240 --> 00:02:49.020 or hopefully going to the 00:02:49.060 --> 00:02:50.319 International Space Station 00:02:50.379 --> 00:02:52.681 or training for an Artemis mission. 00:02:52.721 --> 00:02:54.181 So to be able to kind of see 00:02:54.200 --> 00:02:55.401 yourself and how you fit 00:02:55.442 --> 00:02:57.122 into that big team and not 00:02:57.162 --> 00:02:58.282 just your healthcare team, 00:02:58.301 --> 00:02:59.682 but your team of human 00:02:59.723 --> 00:03:01.002 performance specialists and 00:03:01.103 --> 00:03:03.082 engineers and all the 00:03:03.122 --> 00:03:03.943 trainers and everybody 00:03:03.984 --> 00:03:04.704 that's getting these 00:03:04.764 --> 00:03:05.883 astronauts ready to go to space. 00:03:05.924 --> 00:03:06.503 I think it's just, 00:03:06.644 --> 00:03:07.824 it's literally living out a 00:03:07.843 --> 00:03:08.544 childhood dream. 00:03:08.625 --> 00:03:09.245 Like you mentioned, 00:03:09.264 --> 00:03:10.365 like we all grow up seeing 00:03:10.425 --> 00:03:12.125 astronauts and seeing about 00:03:12.164 --> 00:03:13.366 space and it's truly, yeah, 00:03:13.385 --> 00:03:14.425 it's an awesome opportunity. 00:03:15.168 --> 00:03:16.248 Yeah, Corey, same thing. 00:03:16.269 --> 00:03:17.009 Like what are some things 00:03:17.030 --> 00:03:18.009 that maybe you do that 00:03:18.311 --> 00:03:20.312 someone like me wouldn't even understand, 00:03:20.331 --> 00:03:21.252 like wouldn't even think of? 00:03:22.153 --> 00:03:23.735 Yeah, I would say for me, 00:03:24.195 --> 00:03:24.996 one of the things that hit 00:03:25.015 --> 00:03:26.557 me always is the big burden 00:03:26.578 --> 00:03:27.437 that comes with it. 00:03:27.478 --> 00:03:28.739 So when we have astronauts 00:03:28.780 --> 00:03:29.479 are working with them, 00:03:29.520 --> 00:03:31.801 they're trusting us to be a 00:03:31.921 --> 00:03:33.002 resource for them while 00:03:33.043 --> 00:03:33.943 they're off the planet. 00:03:33.984 --> 00:03:35.925 They're not just over here, over there, 00:03:35.945 --> 00:03:37.426 they're four hundred K away. 00:03:37.967 --> 00:03:39.168 And they're trusting us to 00:03:39.228 --> 00:03:40.389 help them stay healthy 00:03:40.408 --> 00:03:41.370 while they're off the planet. 00:03:41.409 --> 00:03:43.472 And that's a big responsibility, though. 00:03:43.998 --> 00:03:46.040 As Dr. Anderson mentioned, though, 00:03:46.061 --> 00:03:47.502 there's a big team, you know, 00:03:47.562 --> 00:03:48.462 and even for me, 00:03:48.543 --> 00:03:49.924 how I contribute to that team, 00:03:49.943 --> 00:03:51.485 I'm just like the grease on 00:03:51.504 --> 00:03:53.907 the spoke of a big wheel that spins, 00:03:54.287 --> 00:03:54.546 you know, 00:03:54.586 --> 00:03:55.989 but still just thinking about 00:03:56.049 --> 00:03:56.788 that aspect. 00:03:56.848 --> 00:03:58.189 And then there are some 00:03:58.310 --> 00:03:59.730 aspects of being in human 00:03:59.771 --> 00:04:01.272 performance for a while, but here, 00:04:01.293 --> 00:04:03.514 which is unique, working in football, 00:04:03.574 --> 00:04:05.475 working with other athletic settings, 00:04:05.515 --> 00:04:06.537 I've never had to worry 00:04:06.556 --> 00:04:08.578 about bone and bone 00:04:08.618 --> 00:04:10.479 metabolism or maintaining bone health. 00:04:11.481 --> 00:04:12.681 particularly in flight is a 00:04:12.742 --> 00:04:14.022 very interesting task. 00:04:14.883 --> 00:04:15.524 It's different. 00:04:15.604 --> 00:04:16.783 It's multifactorial. 00:04:17.084 --> 00:04:18.584 There's a lot that goes in there and, 00:04:18.944 --> 00:04:19.185 you know, 00:04:19.245 --> 00:04:21.826 trying to figure out how to 00:04:22.005 --> 00:04:23.807 better combat that from a 00:04:23.826 --> 00:04:25.408 countermeasure standpoint to, again, 00:04:25.447 --> 00:04:25.747 you know, 00:04:25.807 --> 00:04:27.408 to provide better resources for 00:04:27.427 --> 00:04:28.369 the astronauts while they 00:04:28.428 --> 00:04:30.470 do those things are very important. 00:04:30.529 --> 00:04:31.509 So in a sense, 00:04:31.529 --> 00:04:32.930 it's almost like feeling 00:04:32.951 --> 00:04:34.451 like puzzled sometimes, you know, 00:04:34.471 --> 00:04:36.052 where you get like trying to figure out, 00:04:36.072 --> 00:04:36.632 okay, what is, 00:04:36.997 --> 00:04:38.538 We know what to do for strength. 00:04:38.579 --> 00:04:40.362 We know what to do for cardiovascular, 00:04:40.401 --> 00:04:42.105 cardiorespiratory fitness in general. 00:04:42.766 --> 00:04:43.447 That's helpful. 00:04:43.567 --> 00:04:45.529 Not necessarily always in space flight, 00:04:45.569 --> 00:04:47.333 but bone can sometimes be 00:04:47.372 --> 00:04:48.935 the big question mark on 00:04:49.096 --> 00:04:50.418 how best to combat that. 00:04:51.771 --> 00:04:51.951 Yeah. 00:04:51.971 --> 00:04:52.752 Cause gravity, 00:04:52.892 --> 00:04:53.995 you're got a little bit of it, 00:04:54.014 --> 00:04:55.315 not a whole lot of it in space. 00:04:55.817 --> 00:04:56.877 So we've heard about muscle 00:04:56.898 --> 00:04:57.678 and cardiovascular 00:04:57.699 --> 00:04:59.360 deconditioning in space, but like, 00:04:59.461 --> 00:04:59.961 feel free to, 00:04:59.982 --> 00:05:01.362 this is where we get to be geeky, right? 00:05:01.382 --> 00:05:03.064 This is where like, trust me, 00:05:03.084 --> 00:05:03.906 you're not going to go too 00:05:03.946 --> 00:05:04.927 geeky for our audience. 00:05:04.947 --> 00:05:05.668 They're just going to want, 00:05:05.687 --> 00:05:06.608 they'll eat this stuff up. 00:05:07.170 --> 00:05:08.331 what like start from the 00:05:08.350 --> 00:05:10.012 basics what does happen to 00:05:10.072 --> 00:05:11.833 bone and the spine and the 00:05:11.892 --> 00:05:13.334 body in space that maybe 00:05:13.374 --> 00:05:14.834 pts I mean I I know that I 00:05:14.855 --> 00:05:15.694 don't remember the stat but 00:05:15.735 --> 00:05:16.615 we get shorter right 00:05:16.656 --> 00:05:17.815 because less gravity we're 00:05:17.836 --> 00:05:19.276 gonna get shorter like what 00:05:19.317 --> 00:05:21.077 else what else has happens 00:05:21.117 --> 00:05:21.838 and what maybe what else 00:05:21.858 --> 00:05:23.158 surprised you the most when 00:05:23.199 --> 00:05:24.160 you started to learn about 00:05:24.220 --> 00:05:25.161 it and like cory said 00:05:25.480 --> 00:05:26.620 treating it like a puzzle 00:05:26.661 --> 00:05:27.541 like well now that I know 00:05:27.581 --> 00:05:29.142 this I have to figure out 00:05:29.182 --> 00:05:30.723 how to prevent that or solve that 00:05:31.569 --> 00:05:31.829 Yeah. 00:05:31.970 --> 00:05:32.149 Yeah. 00:05:32.250 --> 00:05:32.449 I'll, 00:05:32.490 --> 00:05:34.250 I'll talk a little bit more about 00:05:34.310 --> 00:05:36.672 like the bone and spine side of things. 00:05:36.752 --> 00:05:38.093 I think something that's 00:05:38.112 --> 00:05:39.733 super common in astronauts 00:05:39.773 --> 00:05:40.754 or anybody really that gets 00:05:40.814 --> 00:05:43.134 into microgravity is a lot 00:05:43.175 --> 00:05:43.954 of people experience 00:05:43.975 --> 00:05:44.694 something called space 00:05:44.795 --> 00:05:45.915 adaptation back pain. 00:05:46.596 --> 00:05:47.975 We don't know exactly like 00:05:47.995 --> 00:05:49.656 the pinpoint reason for it, 00:05:49.956 --> 00:05:50.898 but we do know that the 00:05:50.937 --> 00:05:52.538 spine elongates and people 00:05:52.577 --> 00:05:55.098 tend to get a little bit taller in flight, 00:05:55.158 --> 00:05:56.759 even up to like two inches taller. 00:05:57.240 --> 00:05:58.821 And so a lot of people will 00:05:58.922 --> 00:05:59.882 experience this for the 00:05:59.901 --> 00:06:01.423 first several days in flight. 00:06:01.483 --> 00:06:03.425 It's typically not duty limiting. 00:06:04.165 --> 00:06:05.846 It doesn't require a lot of interventions, 00:06:05.887 --> 00:06:06.987 but things like over the 00:06:07.028 --> 00:06:08.588 counter medications and 00:06:08.629 --> 00:06:09.730 stretching can be helpful. 00:06:10.389 --> 00:06:11.451 But then there's also this 00:06:11.490 --> 00:06:13.072 period of like a long term 00:06:13.232 --> 00:06:15.874 impact to the spine specifically, 00:06:16.595 --> 00:06:17.334 where we see that when 00:06:17.375 --> 00:06:19.317 astronauts come home, they typically have 00:06:19.858 --> 00:06:21.161 some alterations in their 00:06:21.201 --> 00:06:22.843 deep spinal stabilizers 00:06:22.882 --> 00:06:24.865 from a muscular standpoint. 00:06:25.605 --> 00:06:27.088 Some cases will have people 00:06:27.127 --> 00:06:27.988 come back with decreased 00:06:28.028 --> 00:06:29.870 cross-sectional area of their multifidus. 00:06:30.391 --> 00:06:32.714 Some may have fatty infiltration, you know, 00:06:32.754 --> 00:06:34.096 looking kind of similar to 00:06:34.136 --> 00:06:35.158 like whiplash style 00:06:35.197 --> 00:06:37.339 patients or patients that have bed rest. 00:06:37.500 --> 00:06:38.701 We see those really similar 00:06:39.526 --> 00:06:40.706 And then that also, 00:06:40.826 --> 00:06:42.387 not just from a muscle 00:06:42.408 --> 00:06:43.749 morphology perspective, 00:06:43.788 --> 00:06:45.149 but it also does increase 00:06:45.168 --> 00:06:46.269 the risk of having 00:06:47.031 --> 00:06:49.451 symptomatic back pain in that first year, 00:06:49.651 --> 00:06:50.432 even that first couple of 00:06:50.451 --> 00:06:51.353 weeks leading up to the 00:06:51.413 --> 00:06:52.793 first year post-flight. 00:06:53.684 --> 00:06:56.404 And even off of planet earth, 00:06:56.425 --> 00:06:57.846 we still sort of don't 00:06:57.865 --> 00:06:59.026 really know where back pain comes from. 00:06:59.045 --> 00:07:00.247 We're like, it just does. 00:07:00.526 --> 00:07:01.026 And I did say, 00:07:01.206 --> 00:07:02.327 I did say astronauts get shorter, 00:07:02.548 --> 00:07:03.088 but I flipped that a 00:07:03.127 --> 00:07:03.747 hundred and eight degrees. 00:07:03.788 --> 00:07:04.668 They get taller in space. 00:07:04.769 --> 00:07:05.269 They get taller. 00:07:05.369 --> 00:07:05.769 Exactly. 00:07:05.788 --> 00:07:06.829 But when they come home and you go, 00:07:06.930 --> 00:07:08.069 they go, yeah, back to normal. 00:07:09.011 --> 00:07:09.310 But yeah, 00:07:09.411 --> 00:07:10.411 I think that just brings to the 00:07:10.451 --> 00:07:12.372 complex nature of back pain, right? 00:07:12.391 --> 00:07:13.992 It's like, it's so complex on earth. 00:07:14.033 --> 00:07:15.392 And then you add in that 00:07:15.452 --> 00:07:17.353 microgravity understand of 00:07:17.394 --> 00:07:19.055 trying to understand what's happening. 00:07:19.415 --> 00:07:20.735 It's definitely, as Corey mentioned, 00:07:21.096 --> 00:07:21.536 one of those, 00:07:21.937 --> 00:07:23.038 multiple puzzles that you're 00:07:23.077 --> 00:07:24.319 trying to put together when 00:07:24.358 --> 00:07:25.540 people have those symptoms. 00:07:25.839 --> 00:07:26.440 So hold on a second. 00:07:26.480 --> 00:07:26.740 Danielle, 00:07:26.761 --> 00:07:28.903 you're talking about difference 00:07:28.923 --> 00:07:30.764 in measurements on really small things, 00:07:30.783 --> 00:07:31.545 which means that you're 00:07:31.685 --> 00:07:33.365 measuring baseline of very, 00:07:33.425 --> 00:07:34.786 very small things. 00:07:34.807 --> 00:07:36.329 Did you say intercostal 00:07:36.369 --> 00:07:38.230 space or length of multifidi? 00:07:38.509 --> 00:07:39.250 These are small things. 00:07:39.271 --> 00:07:40.211 You're measuring all these 00:07:40.232 --> 00:07:42.372 things before and after, obviously, 00:07:42.413 --> 00:07:42.874 I'm assuming? 00:07:43.478 --> 00:07:44.720 Yeah, that's a great question. 00:07:45.240 --> 00:07:46.160 And something that we do a 00:07:46.240 --> 00:07:48.240 lot of medical screening on 00:07:48.360 --> 00:07:49.021 our astronauts, 00:07:49.060 --> 00:07:50.281 both prior to them getting 00:07:50.322 --> 00:07:51.822 selected into the astronaut corps. 00:07:52.262 --> 00:07:54.423 And then again, prior to them launching, 00:07:54.463 --> 00:07:55.024 what's their mission 00:07:55.084 --> 00:07:55.884 assigned to go through a 00:07:55.903 --> 00:07:58.125 whole nother host of medical screening. 00:07:58.785 --> 00:07:59.586 Some of the measures that 00:07:59.625 --> 00:08:00.605 I'm talking about are more 00:08:00.646 --> 00:08:01.826 on the research side. 00:08:02.487 --> 00:08:03.827 There's kind of those two 00:08:03.848 --> 00:08:05.208 different buckets of what 00:08:05.228 --> 00:08:06.629 makes you operationally ready. 00:08:06.848 --> 00:08:07.168 And then 00:08:07.968 --> 00:08:08.928 Research is also going to 00:08:08.968 --> 00:08:09.870 look at things in a much 00:08:09.910 --> 00:08:11.050 different capacity. 00:08:11.391 --> 00:08:12.632 So we do have a lot of 00:08:12.653 --> 00:08:13.913 research studies that have 00:08:13.973 --> 00:08:15.435 looked really closely like 00:08:15.555 --> 00:08:16.877 ultrasound testing, 00:08:17.576 --> 00:08:19.319 even in-flight ultrasound testing, 00:08:19.358 --> 00:08:19.819 coming home, 00:08:19.839 --> 00:08:21.781 looking at intersegmental space, 00:08:21.821 --> 00:08:23.983 looking at MRI muscle morphology. 00:08:24.303 --> 00:08:25.845 So really into the weeds on 00:08:26.064 --> 00:08:27.466 what's happening, which is really cool. 00:08:28.103 --> 00:08:28.463 Now, Corey, 00:08:28.483 --> 00:08:29.442 are you doing something similar? 00:08:29.483 --> 00:08:29.642 I mean, 00:08:29.824 --> 00:08:30.983 we're all really familiar with like 00:08:31.043 --> 00:08:32.344 the combine for the NFL. 00:08:32.403 --> 00:08:33.445 Is there something similar 00:08:33.485 --> 00:08:34.565 that you get that you're 00:08:34.585 --> 00:08:35.725 doing in terms of measuring 00:08:36.225 --> 00:08:36.865 before and after? 00:08:36.885 --> 00:08:37.806 I mean, because like you said, 00:08:37.846 --> 00:08:38.905 these astronauts are also 00:08:38.966 --> 00:08:41.147 probably it sounds like an experiment, 00:08:41.187 --> 00:08:41.386 right? 00:08:41.407 --> 00:08:42.667 You're measuring what's happening. 00:08:43.587 --> 00:08:46.207 You know, we especially for ISS missions, 00:08:46.248 --> 00:08:47.129 we do have a a. 00:08:48.447 --> 00:08:49.668 fitness assessment that we 00:08:49.727 --> 00:08:50.447 run them through. 00:08:50.488 --> 00:08:51.748 And the goal for that is to 00:08:51.807 --> 00:08:54.168 assess muscular strength. 00:08:54.509 --> 00:08:57.691 So the IMTP is a big aspect 00:08:57.711 --> 00:08:58.990 for us to understand lower 00:08:59.010 --> 00:09:00.172 body muscular strength. 00:09:00.792 --> 00:09:03.852 We also, for isometric mid-thigh pull, 00:09:03.873 --> 00:09:04.953 we would like to get better 00:09:05.033 --> 00:09:05.854 at understanding the 00:09:05.913 --> 00:09:07.154 neuromuscular properties of 00:09:07.235 --> 00:09:08.674 producing that strength so 00:09:08.695 --> 00:09:10.196 far as rate of force development, 00:09:10.216 --> 00:09:11.817 being able to do that efficiently too, 00:09:12.157 --> 00:09:13.517 to understand what happens 00:09:13.557 --> 00:09:14.577 to our ability to be able 00:09:14.638 --> 00:09:16.259 to recruit motor patterns 00:09:16.318 --> 00:09:17.119 and things like that. 00:09:18.078 --> 00:09:19.120 We also have a, 00:09:19.620 --> 00:09:20.640 when that part is 00:09:20.701 --> 00:09:21.782 pre-imposed just to 00:09:21.822 --> 00:09:22.623 characterize the 00:09:22.682 --> 00:09:24.705 consequence of space flight, you know, 00:09:24.745 --> 00:09:26.125 but there's also an aspect 00:09:26.166 --> 00:09:27.726 of that to go into readiness. 00:09:28.427 --> 00:09:29.908 As we know with IMTP or 00:09:30.028 --> 00:09:31.149 isometric mid-dipole, 00:09:31.190 --> 00:09:31.890 there are some 00:09:31.910 --> 00:09:34.052 relationships to dynamic 00:09:34.072 --> 00:09:35.634 tasks as far as squat and 00:09:35.673 --> 00:09:36.894 then other things as far as 00:09:37.095 --> 00:09:38.596 certain aspects of sprinting, 00:09:38.635 --> 00:09:39.517 certain segments of 00:09:39.537 --> 00:09:40.957 sprinting and so forth, 00:09:40.998 --> 00:09:42.399 where that type of 00:09:42.460 --> 00:09:44.041 information in a controlled 00:09:44.100 --> 00:09:45.241 environment can be useful. 00:09:45.652 --> 00:09:46.932 One of the things that I say 00:09:46.972 --> 00:09:48.193 that I think is critical 00:09:48.214 --> 00:09:49.335 for us is that too, 00:09:49.375 --> 00:09:51.255 when they come back from space flight, 00:09:51.615 --> 00:09:53.457 we also have to scope out 00:09:53.477 --> 00:09:55.158 or pick tests that they can 00:09:55.239 --> 00:09:59.302 do at that early stage of reconditioning. 00:09:59.621 --> 00:10:00.643 So when we get them here, 00:10:00.682 --> 00:10:03.345 we say R plus a return plus seven days. 00:10:03.664 --> 00:10:06.147 So five to seven days after they get back, 00:10:06.447 --> 00:10:08.388 they need to be able to do that test. 00:10:08.889 --> 00:10:10.429 And if it's a strength measure, 00:10:10.730 --> 00:10:11.890 we need to make sure all 00:10:11.910 --> 00:10:13.032 the other stuff that they 00:10:13.091 --> 00:10:14.633 are dealing with 00:10:15.663 --> 00:10:17.164 even potentially orthostatic 00:10:17.205 --> 00:10:18.485 intolerance or something like that, 00:10:18.905 --> 00:10:20.248 won't put too much noise in 00:10:20.307 --> 00:10:21.389 our strength measures so we 00:10:21.408 --> 00:10:22.529 can really understand if 00:10:22.649 --> 00:10:23.270 our in-flight 00:10:23.291 --> 00:10:24.511 countermeasures were as 00:10:25.033 --> 00:10:26.533 efficient at preserving 00:10:26.573 --> 00:10:29.918 their muscular strength. 00:10:29.937 --> 00:10:30.778 You've thought about this. 00:10:30.818 --> 00:10:31.960 For a second there, I heard the beeping. 00:10:31.980 --> 00:10:33.160 I thought we were about to take off. 00:10:33.221 --> 00:10:35.523 I thought you were going to 00:10:35.562 --> 00:10:36.563 pull a space camp on me, 00:10:36.583 --> 00:10:37.885 and I was very upset that I wasn't there. 00:10:42.129 --> 00:10:42.870 What are some of the things 00:10:42.889 --> 00:10:44.773 that might surprise other 00:10:44.793 --> 00:10:45.673 things that might surprise 00:10:45.813 --> 00:10:46.735 physical therapists or 00:10:47.015 --> 00:10:48.957 strength and conditioning 00:10:49.418 --> 00:10:55.768 professionals about what these – 00:10:52.951 --> 00:10:53.192 I mean, 00:10:53.371 --> 00:10:55.313 I learned this term when I was a PT 00:10:55.333 --> 00:10:57.235 student, tactical athletes, right? 00:10:57.275 --> 00:10:58.196 Like these are people who 00:10:58.255 --> 00:10:59.717 are going to do a lot of 00:10:59.758 --> 00:11:00.538 things that you know, 00:11:01.158 --> 00:11:01.778 and then they're going to 00:11:01.798 --> 00:11:02.740 have to do some stuff on 00:11:02.759 --> 00:11:04.522 the fly because stuff happens, 00:11:05.062 --> 00:11:06.623 especially in space, 00:11:06.763 --> 00:11:08.004 to prepare them for all the 00:11:08.044 --> 00:11:08.965 things that happen. 00:11:09.085 --> 00:11:10.025 Like, I don't know, 00:11:10.306 --> 00:11:11.466 maybe having to be in space 00:11:11.506 --> 00:11:13.308 for dozens of extra days 00:11:13.349 --> 00:11:14.629 when that wasn't predicted, right? 00:11:17.065 --> 00:11:17.284 Yeah, 00:11:17.445 --> 00:11:19.486 so they're prior to you can kind of 00:11:19.506 --> 00:11:20.628 scope out like what the 00:11:20.668 --> 00:11:22.688 mission set looks like prior to a launch. 00:11:22.909 --> 00:11:23.750 The crew are usually 00:11:23.789 --> 00:11:24.711 assigned anywhere from 00:11:24.951 --> 00:11:25.912 eighteen to twenty four 00:11:25.951 --> 00:11:28.614 months prior to going on a 00:11:28.653 --> 00:11:30.716 six month or even shorter 00:11:30.836 --> 00:11:32.476 or longer mission set. 00:11:32.956 --> 00:11:33.898 And through that time, 00:11:33.937 --> 00:11:35.418 they are going through a ton of training. 00:11:35.479 --> 00:11:36.679 So from our end, 00:11:37.100 --> 00:11:37.921 the training looks like 00:11:37.941 --> 00:11:38.981 getting them familiar with 00:11:39.022 --> 00:11:40.383 the exercise countermeasures. 00:11:40.423 --> 00:11:42.044 So Corey is a strength and 00:11:42.065 --> 00:11:43.225 conditioning coach and we 00:11:43.245 --> 00:11:44.225 also have three athletic 00:11:44.265 --> 00:11:45.187 trainers in our group. 00:11:45.955 --> 00:11:47.395 They're really trying to get 00:11:47.436 --> 00:11:49.738 them comfortable on the ARED device, 00:11:49.758 --> 00:11:50.518 which is the Advanced 00:11:50.557 --> 00:11:53.399 Resistive Exercise Device, the SEVISH, 00:11:53.440 --> 00:11:55.741 which is the cycle that's in-flight, 00:11:55.802 --> 00:11:56.562 and then the T-II, 00:11:56.581 --> 00:11:57.442 which is the treadmill. 00:11:58.043 --> 00:11:59.664 And so their goal is to make 00:11:59.705 --> 00:12:00.445 sure they are fully 00:12:00.504 --> 00:12:01.765 confident and capable to be 00:12:01.785 --> 00:12:02.866 able to use those exercise 00:12:02.886 --> 00:12:04.268 equipment when they get in there. 00:12:04.868 --> 00:12:06.089 Not a surprise that we're 00:12:06.129 --> 00:12:11.032 using a lot of acronyms with NASA, right? 00:12:11.131 --> 00:12:11.371 All right. 00:12:12.614 --> 00:12:14.153 I didn't think about this 00:12:14.293 --> 00:12:15.695 until you mentioned a few things, 00:12:16.095 --> 00:12:18.556 but are you guys just the ultimate, 00:12:19.076 --> 00:12:20.155 once the astronauts are in space, 00:12:20.235 --> 00:12:21.216 are you the ultimate like 00:12:21.495 --> 00:12:22.817 telehealth providers? 00:12:22.956 --> 00:12:25.197 Because you can't be on site 00:12:25.256 --> 00:12:26.118 with the people that you're 00:12:26.158 --> 00:12:27.498 taking care of. 00:12:28.018 --> 00:12:30.158 So like, what's the big, 00:12:30.979 --> 00:12:32.379 picture of how you're taking 00:12:32.399 --> 00:12:34.340 and managing injuries while 00:12:34.360 --> 00:12:36.139 they're already is off planet? 00:12:36.179 --> 00:12:36.820 Is that what you call it? 00:12:36.860 --> 00:12:36.960 Like, 00:12:37.019 --> 00:12:38.321 how do you reference where they look 00:12:38.400 --> 00:12:38.880 off planet? 00:12:38.921 --> 00:12:39.181 I don't know. 00:12:39.201 --> 00:12:40.240 How do you reference where they are? 00:12:40.941 --> 00:12:41.640 And what do you do? 00:12:41.681 --> 00:12:41.841 Like, 00:12:41.880 --> 00:12:44.701 how do you how do you how do you work 00:12:44.741 --> 00:12:45.522 on patients when they're 00:12:45.562 --> 00:12:46.542 not on the same planet? 00:12:46.601 --> 00:12:47.363 Is the first time I ever had 00:12:47.383 --> 00:12:49.222 to think about this? 00:12:49.302 --> 00:12:50.442 Yeah, it's a great question. 00:12:50.942 --> 00:12:52.004 We talked a little bit about 00:12:52.203 --> 00:12:53.823 the screening piece leading up to it. 00:12:53.864 --> 00:12:54.563 And I think that's one of 00:12:54.583 --> 00:12:55.864 the most important pieces, right, 00:12:55.903 --> 00:12:56.945 is like trying to prevent 00:12:56.985 --> 00:12:58.205 something prior to 00:13:01.138 --> 00:13:02.818 to becoming an issue. 00:13:02.859 --> 00:13:03.839 So there's a ton of medical 00:13:03.859 --> 00:13:05.720 screening leading up to flight. 00:13:05.740 --> 00:13:06.720 There's a ton of preparation. 00:13:06.779 --> 00:13:08.259 We want to make sure people are launching, 00:13:08.440 --> 00:13:09.561 you know, fully ready to go. 00:13:09.860 --> 00:13:11.400 So that's number one, that's key. 00:13:11.821 --> 00:13:13.162 And then if something does 00:13:13.201 --> 00:13:14.642 happen in flight, 00:13:14.662 --> 00:13:16.682 this doesn't happen incredibly often. 00:13:16.722 --> 00:13:16.962 I'll have, 00:13:17.062 --> 00:13:18.503 I think Corey can talk a lot 00:13:18.562 --> 00:13:19.203 about the strength and 00:13:19.224 --> 00:13:20.244 conditioning side and how 00:13:20.323 --> 00:13:22.465 vital that is to preventing injuries. 00:13:23.065 --> 00:13:24.804 But if something does happen in flight, 00:13:24.825 --> 00:13:25.144 you're right. 00:13:25.245 --> 00:13:26.865 It's full on telemedicine, right? 00:13:26.885 --> 00:13:27.245 We have 00:13:27.902 --> 00:13:28.903 team's capability. 00:13:28.942 --> 00:13:29.984 We do have a diagnostic 00:13:30.063 --> 00:13:31.806 ultrasound in flight where 00:13:31.826 --> 00:13:33.486 we can guide another 00:13:33.567 --> 00:13:34.727 astronaut to do remote 00:13:34.748 --> 00:13:36.370 guided diagnostic ultrasound, 00:13:36.389 --> 00:13:37.850 which is vital to helping 00:13:38.010 --> 00:13:39.192 us understand the condition 00:13:39.212 --> 00:13:39.712 that they have. 00:13:40.419 --> 00:13:41.181 And then just a lot of 00:13:41.221 --> 00:13:43.302 ingenuity of how if I 00:13:43.341 --> 00:13:45.222 wanted to do something on 00:13:45.243 --> 00:13:46.303 the cervical spine to 00:13:46.364 --> 00:13:48.164 mobilize a certain region 00:13:48.205 --> 00:13:49.125 to help somebody's pain, 00:13:49.144 --> 00:13:50.385 how can we do that in flight? 00:13:50.485 --> 00:13:51.986 Is that gonna be with another crew member? 00:13:52.067 --> 00:13:52.886 Is it gonna be with 00:13:53.528 --> 00:13:56.469 potentially like a resistance band, 00:13:56.509 --> 00:13:57.330 something like that? 00:13:57.710 --> 00:13:58.990 But I think Corey's piece of 00:13:59.010 --> 00:13:59.931 the strength and 00:13:59.951 --> 00:14:00.751 conditioning and the 00:14:00.812 --> 00:14:01.991 programming that they do is 00:14:02.052 --> 00:14:04.553 so vital to the injury prevention side. 00:14:05.130 --> 00:14:05.552 Yeah, Corey, 00:14:05.572 --> 00:14:08.674 what's exercise prescription 00:14:08.695 --> 00:14:10.537 look like while someone is already, 00:14:11.077 --> 00:14:12.879 you know, on a mission off the planet? 00:14:12.919 --> 00:14:15.803 Like, are they, you know, are you just, 00:14:16.124 --> 00:14:18.166 you know, DMing them like the WOD, 00:14:18.206 --> 00:14:19.027 their workout of the day? 00:14:19.047 --> 00:14:19.868 What does it look like? 00:14:20.889 --> 00:14:22.010 Sometimes, quick joke, 00:14:22.091 --> 00:14:22.652 I think one of the 00:14:22.711 --> 00:14:23.832 astronauts called my cell 00:14:23.852 --> 00:14:25.215 phone one time and it said U.S. 00:14:25.254 --> 00:14:25.554 government. 00:14:26.115 --> 00:14:28.157 And it kind of scared me. 00:14:28.597 --> 00:14:29.599 I didn't want to pick up, 00:14:29.639 --> 00:14:30.679 so I had to pick it up. 00:14:30.740 --> 00:14:32.741 And then it was one of the astronauts. 00:14:32.761 --> 00:14:33.722 And it was cool because we 00:14:33.743 --> 00:14:34.322 were able to have a 00:14:34.383 --> 00:14:35.804 conversation about the exercise. 00:14:36.184 --> 00:14:36.966 I will say one of the things 00:14:37.005 --> 00:14:37.966 that took me back from 00:14:38.006 --> 00:14:38.908 coming here and actually 00:14:38.927 --> 00:14:40.109 training ISS crew members 00:14:42.582 --> 00:14:43.364 I hear a lot of them now, 00:14:43.384 --> 00:14:44.184 it's almost like a joke. 00:14:44.225 --> 00:14:44.664 They say, well, 00:14:44.706 --> 00:14:45.626 I want to do what I'm going 00:14:45.647 --> 00:14:47.388 to do on International Space Station. 00:14:47.427 --> 00:14:48.929 And my response is, no, you don't. 00:14:48.950 --> 00:14:50.692 And then they say, yes, I do. 00:14:50.731 --> 00:14:51.692 Because just the sheer 00:14:51.732 --> 00:14:53.894 volume is crazy of what 00:14:53.914 --> 00:14:54.956 they can do and withstand. 00:14:54.996 --> 00:14:56.457 They actually do resistance 00:14:56.498 --> 00:14:57.840 training every day. 00:14:58.279 --> 00:14:59.341 Probably most of them about 00:14:59.380 --> 00:15:00.042 six days a week, 00:15:00.062 --> 00:15:00.942 but some of them will burn 00:15:01.023 --> 00:15:01.884 seven days a week, 00:15:01.943 --> 00:15:03.686 about two hours of resistance training. 00:15:04.046 --> 00:15:05.246 And that's a volume or a 00:15:05.287 --> 00:15:07.128 magnitude that is not 00:15:07.187 --> 00:15:09.129 sustainable in one G or back here. 00:15:09.849 --> 00:15:10.328 So that's, 00:15:10.668 --> 00:15:12.429 but it still carries with it a 00:15:12.770 --> 00:15:13.931 mechanical stress that we 00:15:13.951 --> 00:15:14.851 have to account for. 00:15:15.152 --> 00:15:16.052 So we still need that 00:15:16.172 --> 00:15:17.952 systematic variation in the 00:15:18.033 --> 00:15:19.313 volume and intensity that 00:15:19.333 --> 00:15:21.014 they're doing over time so 00:15:21.034 --> 00:15:22.755 they don't get any issues. 00:15:23.495 --> 00:15:24.535 And because even though 00:15:24.556 --> 00:15:25.596 they're recovering for 00:15:25.797 --> 00:15:27.658 twenty two hours in space or floating, 00:15:27.977 --> 00:15:29.019 they're still having to 00:15:29.058 --> 00:15:30.259 deal with that array that's 00:15:30.298 --> 00:15:31.340 being squished under that 00:15:31.399 --> 00:15:32.440 load and the array in that 00:15:32.480 --> 00:15:33.341 sandwich aspect. 00:15:33.722 --> 00:15:35.183 And the biggest asset that 00:15:35.224 --> 00:15:36.764 we have for remote human 00:15:36.804 --> 00:15:37.664 performance that I will 00:15:37.684 --> 00:15:38.725 call is education. 00:15:39.166 --> 00:15:40.746 So our goal is to have 00:15:40.886 --> 00:15:42.288 astronauts to understand 00:15:42.748 --> 00:15:44.389 what our goals are for them 00:15:44.428 --> 00:15:45.389 and how we can help and 00:15:45.429 --> 00:15:46.570 assist them while they go 00:15:46.610 --> 00:15:47.331 do their mission. 00:15:47.750 --> 00:15:48.951 In addition, I would say this, 00:15:49.511 --> 00:15:50.732 which is very important, 00:15:50.773 --> 00:15:52.153 is proper integration. 00:15:52.866 --> 00:15:54.587 when we're working with astronauts, 00:15:54.607 --> 00:15:55.769 when they are off the planet, 00:15:55.808 --> 00:15:57.029 there are certain aspects 00:15:57.110 --> 00:15:58.331 or things that come up that 00:15:58.371 --> 00:16:00.552 are in line with my skill set. 00:16:01.734 --> 00:16:03.375 And, you know, that's pretty limited. 00:16:03.416 --> 00:16:04.797 You know, I'm just with the meatheads, 00:16:04.836 --> 00:16:06.238 just come on, let's just lift weights. 00:16:06.278 --> 00:16:07.759 But then there are times 00:16:07.798 --> 00:16:09.019 when things start to fall 00:16:09.120 --> 00:16:10.000 out of my skill sets. 00:16:10.061 --> 00:16:11.282 And then we rotate who's 00:16:11.322 --> 00:16:12.263 running point on those 00:16:12.302 --> 00:16:14.205 situations to make sure 00:16:14.225 --> 00:16:15.426 that we do not dig any 00:16:15.485 --> 00:16:16.446 holes from a 00:16:16.485 --> 00:16:17.626 musculoskeletal health 00:16:17.647 --> 00:16:18.908 standpoint or for certain 00:16:18.927 --> 00:16:19.629 things like that. 00:16:19.948 --> 00:16:21.910 And when we do a good job of that, 00:16:22.355 --> 00:16:24.495 we don't really have any bad issues. 00:16:24.534 --> 00:16:26.316 We kind of stop stuff before 00:16:26.336 --> 00:16:27.775 they become real bad issues. 00:16:27.836 --> 00:16:28.635 And when, 00:16:28.995 --> 00:16:30.917 what happens is if there are 00:16:31.017 --> 00:16:33.177 issues that that's important, 00:16:33.197 --> 00:16:34.756 because if you get an 00:16:34.956 --> 00:16:36.317 astronaut who can't load, 00:16:36.457 --> 00:16:38.097 it's a bigger consequence 00:16:38.138 --> 00:16:40.498 than in one G that if they can't load, 00:16:40.538 --> 00:16:41.719 because now we're talking 00:16:41.759 --> 00:16:42.958 about a bigger consequence, 00:16:42.999 --> 00:16:44.038 potentially with bone and 00:16:44.078 --> 00:16:45.678 muscle deconditioning when 00:16:45.698 --> 00:16:46.399 they're not able to 00:16:46.440 --> 00:16:48.399 exercise versus just with one G. 00:16:49.878 --> 00:16:51.938 What are you able to monitor? 00:16:52.879 --> 00:16:54.899 You know, I wear the Apple Watch, right? 00:16:54.938 --> 00:16:55.739 It tells me when I need to 00:16:55.778 --> 00:16:56.879 sleep more and yada, yada. 00:16:57.220 --> 00:16:58.259 What sort of data? 00:16:58.580 --> 00:17:00.061 I mean, I've seen Apollo thirteen, too, 00:17:00.120 --> 00:17:00.221 right? 00:17:00.240 --> 00:17:01.160 When the guy rips off his 00:17:01.221 --> 00:17:02.740 biometrics and everybody's freaking out. 00:17:03.120 --> 00:17:04.122 What are you looking at? 00:17:04.142 --> 00:17:05.301 What are you able to measure 00:17:05.402 --> 00:17:06.422 and like what's important 00:17:06.461 --> 00:17:07.622 or what are you looking at a lot? 00:17:10.583 --> 00:17:10.903 Yeah, 00:17:10.942 --> 00:17:12.824 so right now what we're looking at to 00:17:12.864 --> 00:17:13.983 give us the understanding 00:17:14.023 --> 00:17:14.903 of internal load, 00:17:14.923 --> 00:17:16.825 what we're reliable is just heart rate. 00:17:18.068 --> 00:17:18.769 We have that. 00:17:18.910 --> 00:17:22.073 We are heavy on RPE, one to ten scale, 00:17:22.673 --> 00:17:23.814 because the brain is an 00:17:23.854 --> 00:17:25.776 amazing piece that can give a 00:17:26.371 --> 00:17:27.872 Big evaluation of the entire 00:17:27.912 --> 00:17:29.053 body and understanding of 00:17:29.133 --> 00:17:30.133 everything that's going on 00:17:30.473 --> 00:17:31.574 and give that back into a 00:17:31.653 --> 00:17:33.675 good composite score of RPE. 00:17:33.715 --> 00:17:35.076 So we love both of those. 00:17:35.457 --> 00:17:37.178 We also monitor the external 00:17:37.238 --> 00:17:38.338 load as far as when they're 00:17:38.358 --> 00:17:39.179 doing exercise, 00:17:39.199 --> 00:17:40.440 as far as the load they're using, 00:17:40.880 --> 00:17:43.122 in addition to the wattage 00:17:43.162 --> 00:17:44.403 if they're doing a cycle or 00:17:44.423 --> 00:17:45.883 the speed and the load that 00:17:45.903 --> 00:17:47.023 they're being pulled down 00:17:47.064 --> 00:17:48.244 when they're running on the treadmill. 00:17:48.823 --> 00:17:50.443 what we do is we put all of 00:17:50.463 --> 00:17:51.786 that into a bucket and we 00:17:52.066 --> 00:17:53.567 make relationships with all 00:17:53.606 --> 00:17:55.028 those things and then we 00:17:55.087 --> 00:17:56.769 look at them over time and 00:17:56.829 --> 00:17:58.111 see how those relationships 00:17:58.171 --> 00:17:59.531 are changing or staying the 00:17:59.571 --> 00:18:01.432 same to give an indication 00:18:01.512 --> 00:18:03.375 on their performance um and 00:18:03.394 --> 00:18:04.256 that's important but there 00:18:04.276 --> 00:18:05.676 are some spin-ups a lot of 00:18:05.737 --> 00:18:06.917 amazing scientists that we 00:18:06.958 --> 00:18:08.499 have here now that are 00:18:08.519 --> 00:18:10.381 looking at other ways to 00:18:10.441 --> 00:18:12.182 monitor less invasive ways 00:18:12.221 --> 00:18:13.864 to monitor different things 00:18:14.523 --> 00:18:16.465 um in the future as far as hrv 00:18:17.693 --> 00:18:19.474 and uh even cortisol or 00:18:19.535 --> 00:18:20.535 things like that have been 00:18:20.575 --> 00:18:23.035 discussed what most people 00:18:23.075 --> 00:18:24.355 don't realize is that 00:18:24.415 --> 00:18:25.836 though trying to monitor 00:18:25.915 --> 00:18:26.896 something like that in 00:18:26.997 --> 00:18:28.576 space is a very difficult 00:18:28.596 --> 00:18:30.416 task it's not as easy as 00:18:30.457 --> 00:18:31.958 just me wearing a garment 00:18:31.978 --> 00:18:32.817 watch and then going 00:18:32.837 --> 00:18:33.678 driving down the car 00:18:33.698 --> 00:18:34.558 because we actually have to 00:18:34.598 --> 00:18:36.118 get it up there and it has 00:18:36.159 --> 00:18:37.598 to be a type of hardware 00:18:38.059 --> 00:18:39.859 that doesn't create 00:18:39.880 --> 00:18:41.119 vulnerability for the crew 00:18:41.140 --> 00:18:42.101 while they're wearing it 00:18:42.141 --> 00:18:43.381 while they're in space also 00:18:43.968 --> 00:18:44.387 Understood. 00:18:44.407 --> 00:18:44.688 Danielle, 00:18:44.708 --> 00:18:45.808 I think I cut you off there for a 00:18:45.828 --> 00:18:46.528 second because I got real 00:18:46.548 --> 00:18:47.888 excited to ask about what you can measure, 00:18:47.949 --> 00:18:49.230 but what were you going to say? 00:18:49.349 --> 00:18:49.890 No, no. 00:18:49.990 --> 00:18:50.769 All I was going to say is I 00:18:50.789 --> 00:18:52.070 think what Corey said was 00:18:52.090 --> 00:18:53.431 vital about injuries, right? 00:18:53.451 --> 00:18:55.451 Like in one G we can tell 00:18:55.471 --> 00:18:56.251 somebody that go ahead and 00:18:56.271 --> 00:18:57.451 take two weeks off, right? 00:18:57.491 --> 00:18:58.873 Maybe do some light exercise, 00:18:58.893 --> 00:19:00.712 do some simple isometric stuff. 00:19:00.772 --> 00:19:06.474 Rest is usually a great tool and rehab. 00:19:06.494 --> 00:19:08.175 We don't have that tool in flight. 00:19:08.316 --> 00:19:08.695 It's really, 00:19:09.405 --> 00:19:10.746 actually vital that we keep 00:19:10.786 --> 00:19:12.406 pressing because of those 00:19:12.446 --> 00:19:13.487 deconditioning impacts, 00:19:13.507 --> 00:19:15.167 bone impacts that Corey mentioned. 00:19:15.627 --> 00:19:17.689 So that's just key. 00:19:17.729 --> 00:19:19.108 Now, when you mentioned countermeasures, 00:19:19.628 --> 00:19:21.470 this is not like an Air Force, 00:19:21.549 --> 00:19:22.851 Space Force term, right? 00:19:22.871 --> 00:19:24.010 Countermeasures is like a 00:19:24.050 --> 00:19:24.830 term you guys use. 00:19:25.131 --> 00:19:25.951 Like, what is it? 00:19:25.971 --> 00:19:26.811 What are you referring to? 00:19:26.832 --> 00:19:29.633 And how's NASA evolving countermeasures? 00:19:29.653 --> 00:19:30.073 What are they? 00:19:31.549 --> 00:19:34.111 Yeah, so countermeasures is a NASA term. 00:19:34.131 --> 00:19:35.332 So NASA has a lot of 00:19:35.511 --> 00:19:36.712 different risks that are 00:19:36.732 --> 00:19:38.314 associated with spaceflight. 00:19:38.334 --> 00:19:40.394 We've talked a lot about the muscular risk, 00:19:40.934 --> 00:19:41.954 the bone risks, 00:19:42.015 --> 00:19:44.836 the MSK risks that are associated. 00:19:44.896 --> 00:19:46.837 And so with every identified risk, 00:19:47.397 --> 00:19:48.278 there is a goal to 00:19:48.358 --> 00:19:50.119 establish an effective countermeasure. 00:19:50.935 --> 00:19:51.895 We've talked about the 00:19:51.915 --> 00:19:53.436 muscular deconditioning, 00:19:53.477 --> 00:19:54.857 cardiovascular deconditioning. 00:19:54.897 --> 00:19:56.278 So their countermeasures are 00:19:56.317 --> 00:19:57.239 the advanced resisted 00:19:57.298 --> 00:19:59.558 exercise device inside, 00:19:59.598 --> 00:20:00.240 which is kind of like a 00:20:00.259 --> 00:20:03.320 jackknife of all trades for bench press, 00:20:03.361 --> 00:20:04.240 squat, stud lifts. 00:20:04.300 --> 00:20:05.761 It has a ton of capabilities 00:20:05.821 --> 00:20:07.883 and can load up to six hundred pounds. 00:20:08.522 --> 00:20:10.604 And then we have the cycle 00:20:10.624 --> 00:20:11.463 for cardiovascular 00:20:11.483 --> 00:20:13.785 deconditioning and the treadmill as well. 00:20:14.164 --> 00:20:15.185 I think Corey can speak to a 00:20:15.246 --> 00:20:16.365 lot about what they're 00:20:16.385 --> 00:20:18.267 looking at for future exploration. 00:20:20.426 --> 00:20:20.646 Yeah, 00:20:21.587 --> 00:20:22.968 one thing that's interesting with 00:20:23.067 --> 00:20:23.949 what we currently have, 00:20:23.969 --> 00:20:25.190 we have a lot of space and 00:20:25.390 --> 00:20:27.711 also the A-RED amazing 00:20:27.750 --> 00:20:30.752 device is still mass and volume. 00:20:30.792 --> 00:20:32.272 So we hear that issue a lot. 00:20:32.292 --> 00:20:33.814 So mass and volume is 00:20:33.874 --> 00:20:35.674 expensive to fly and to 00:20:35.694 --> 00:20:37.256 develop hardware that has, you know, 00:20:37.296 --> 00:20:38.376 that mass and volume. 00:20:38.396 --> 00:20:39.997 So the future hardware, 00:20:40.018 --> 00:20:44.859 it's helpful if it's smaller, 00:20:45.259 --> 00:20:46.461 but still have those same 00:20:46.500 --> 00:20:48.382 capabilities because we've learned 00:20:48.766 --> 00:20:50.768 from going from our iRED, 00:20:50.948 --> 00:20:52.509 another smaller resistive 00:20:52.568 --> 00:20:53.589 exercise device that did 00:20:53.630 --> 00:20:56.112 not have the capabilities of the A-RED, 00:20:56.132 --> 00:20:57.972 the current advanced resistance device, 00:20:58.413 --> 00:21:00.775 is that it is easier to 00:21:01.075 --> 00:21:02.817 maintain crew health with the A-RED. 00:21:04.557 --> 00:21:06.098 But again, we need that load. 00:21:06.118 --> 00:21:07.119 So there are a lot of things 00:21:07.160 --> 00:21:08.080 that are being looked at 00:21:08.141 --> 00:21:10.923 now as far as digital load 00:21:10.962 --> 00:21:12.423 type systems or things like 00:21:12.443 --> 00:21:14.345 that to where our motorized load, 00:21:14.384 --> 00:21:16.346 excuse me, where we can have the, 00:21:17.028 --> 00:21:18.711 the same load or intensity 00:21:19.031 --> 00:21:20.494 with the smaller footprint 00:21:20.555 --> 00:21:21.616 to be able to put on the ship, 00:21:21.656 --> 00:21:23.140 but which is also very, 00:21:23.701 --> 00:21:26.105 I would say difficult is that, 00:21:26.852 --> 00:21:28.373 Usually everything that goes on the ship, 00:21:28.413 --> 00:21:29.873 the force that is created 00:21:29.913 --> 00:21:30.973 when you're exercising, 00:21:30.993 --> 00:21:32.473 that has to be absorbed or 00:21:32.554 --> 00:21:34.234 else that force goes into the ship. 00:21:34.634 --> 00:21:35.694 Now I'm not a loads and 00:21:35.734 --> 00:21:38.316 dynamics structural engineer. 00:21:38.695 --> 00:21:41.076 I do know that that's not bad for the, 00:21:41.297 --> 00:21:44.057 that's not advantageous for 00:21:44.077 --> 00:21:46.098 the ship and the trajectory that is on. 00:21:47.500 --> 00:21:48.599 And, you know, it could be, 00:21:49.359 --> 00:21:50.602 As far as the solar arrays, 00:21:50.642 --> 00:21:51.564 like if you're working out 00:21:51.604 --> 00:21:53.186 of their loads or they're 00:21:53.426 --> 00:21:54.569 flapping and things like that, 00:21:54.589 --> 00:21:55.852 it could create a lot of problems. 00:21:55.872 --> 00:21:58.596 So it could be very interesting. 00:21:58.917 --> 00:21:59.878 So we have all those 00:21:59.919 --> 00:22:01.863 constraints that we're 00:22:02.887 --> 00:22:04.469 are also trying to fit 00:22:04.650 --> 00:22:06.191 exercise in that envelope 00:22:06.230 --> 00:22:07.011 of understanding. 00:22:07.071 --> 00:22:08.333 And it's not an easy task. 00:22:08.373 --> 00:22:10.213 It's actually a very difficult task, 00:22:10.233 --> 00:22:10.914 but we have a lot of 00:22:10.954 --> 00:22:12.236 amazing engineers here 00:22:12.276 --> 00:22:13.977 being able to help us figure that out. 00:22:14.357 --> 00:22:15.638 And once, and you know, 00:22:15.679 --> 00:22:16.839 some of the things we deal 00:22:16.859 --> 00:22:17.820 with from exercise 00:22:17.861 --> 00:22:19.281 specialists is the 00:22:19.362 --> 00:22:20.242 constraints are the 00:22:20.282 --> 00:22:21.222 perimeter that the 00:22:21.284 --> 00:22:24.046 engineers paint on far as exercise. 00:22:24.125 --> 00:22:24.365 Okay. 00:22:24.385 --> 00:22:26.167 Well, when you're doing this modality, 00:22:26.607 --> 00:22:28.229 okay, these are your restrictions, 00:22:28.269 --> 00:22:28.970 this cadence, 00:22:29.308 --> 00:22:30.789 this beat or whatever or 00:22:30.829 --> 00:22:31.911 something like this or this 00:22:31.990 --> 00:22:34.153 load and now we're back and 00:22:34.212 --> 00:22:35.575 we have that in our pocket 00:22:35.595 --> 00:22:36.595 and we're saying okay now 00:22:36.655 --> 00:22:37.635 how do I keep this 00:22:37.695 --> 00:22:39.117 particular individual fit 00:22:39.458 --> 00:22:40.919 with these restrictions 00:22:41.779 --> 00:22:43.080 don't deadlift so hard you 00:22:43.121 --> 00:22:45.282 take this the the the ifs 00:22:45.343 --> 00:22:46.284 off course is what you're 00:22:46.384 --> 00:22:49.487 doing I want you to set a 00:22:49.527 --> 00:22:51.528 pr but don't knock us off course 00:22:55.461 --> 00:22:56.781 So looking ahead to Artemis, 00:22:56.821 --> 00:22:58.383 first give some context to 00:22:58.403 --> 00:22:59.203 what Artemis is, 00:22:59.243 --> 00:23:01.185 but looking ahead to Artemis and beyond, 00:23:01.506 --> 00:23:02.186 what are some of the 00:23:02.227 --> 00:23:03.288 biggest human performance 00:23:03.347 --> 00:23:04.789 challenges that NASA is 00:23:04.849 --> 00:23:08.732 already thinking towards? 00:23:08.792 --> 00:23:10.275 Yeah, great question. 00:23:10.295 --> 00:23:12.717 So Artemis is the mission 00:23:12.737 --> 00:23:14.179 that will put people back 00:23:14.199 --> 00:23:15.480 to the moon for the first time. 00:23:15.500 --> 00:23:16.760 So we have Artemis II where 00:23:16.780 --> 00:23:17.622 we already have a crew 00:23:18.123 --> 00:23:18.703 And they're going to go 00:23:18.743 --> 00:23:20.827 around and circle the moon and come home. 00:23:21.308 --> 00:23:22.270 And then the next step will 00:23:22.290 --> 00:23:24.895 be to get foots back on the moon, 00:23:25.576 --> 00:23:26.919 ultimately to create an 00:23:27.039 --> 00:23:28.162 ecosystem that we can 00:23:28.201 --> 00:23:29.564 launch and go further into 00:23:29.644 --> 00:23:30.967 exploration onto Mars. 00:23:31.904 --> 00:23:32.984 From my perspective, 00:23:33.025 --> 00:23:33.945 I think Corey and I kind of 00:23:33.965 --> 00:23:35.746 bring both the ends of the 00:23:35.786 --> 00:23:37.027 human performance spectrum 00:23:37.247 --> 00:23:39.106 where I'm really focused on 00:23:39.646 --> 00:23:41.028 MSK injury prevention, 00:23:41.107 --> 00:23:43.288 primarily around the new spacesuit. 00:23:43.327 --> 00:23:44.648 So we're headed into a time 00:23:44.689 --> 00:23:47.068 where there's a ton unknown 00:23:47.189 --> 00:23:48.730 with the type of spacesuit, 00:23:48.890 --> 00:23:51.411 the mission set and duration, 00:23:51.451 --> 00:23:52.330 the tempo of the 00:23:53.230 --> 00:23:54.531 missions that we're going to be doing, 00:23:54.612 --> 00:23:55.932 it is completely different 00:23:55.952 --> 00:23:57.054 than what we do with the 00:23:57.193 --> 00:23:58.474 ISS training right now. 00:23:59.035 --> 00:24:00.016 So we're headed into just a 00:24:00.056 --> 00:24:00.756 lot of unknowns, 00:24:00.776 --> 00:24:02.356 which is also incredibly exciting. 00:24:03.057 --> 00:24:04.117 So our team is really 00:24:04.157 --> 00:24:04.999 focused on trying to get 00:24:05.038 --> 00:24:05.900 ahead of some of the 00:24:06.000 --> 00:24:06.740 injuries that we're 00:24:06.799 --> 00:24:08.461 anticipating with the 00:24:08.480 --> 00:24:09.301 spacesuit because the 00:24:09.342 --> 00:24:10.542 spacesuit is a very unique 00:24:10.583 --> 00:24:12.124 environment that poses 00:24:12.183 --> 00:24:14.164 unique challenges to the MSK system. 00:24:14.204 --> 00:24:15.705 So that's where I'm kind of 00:24:16.145 --> 00:24:17.287 coming at it from the human 00:24:17.326 --> 00:24:18.928 performance perspective is 00:24:18.948 --> 00:24:20.028 really trying to understand 00:24:20.048 --> 00:24:21.410 and characterize injuries 00:24:23.105 --> 00:24:23.884 in the space suit. 00:24:23.924 --> 00:24:25.246 What's communication like 00:24:25.446 --> 00:24:26.646 when someone is on a mission? 00:24:27.048 --> 00:24:28.229 Are you sitting in the room? 00:24:28.269 --> 00:24:29.450 We all know from Apollo 00:24:29.490 --> 00:24:31.411 thirteen because that person, 00:24:31.510 --> 00:24:32.192 the health person, 00:24:32.271 --> 00:24:35.795 was not treated well in Apollo thirteen. 00:24:35.815 --> 00:24:36.595 They kept bothering. 00:24:36.634 --> 00:24:37.855 He kept trying to bother the astronauts, 00:24:37.875 --> 00:24:38.557 try to sleep. 00:24:38.576 --> 00:24:39.577 And they're like, we're not sleeping, 00:24:39.657 --> 00:24:39.917 right? 00:24:39.958 --> 00:24:41.598 Like so what is actually going on? 00:24:41.699 --> 00:24:42.740 What what is your I mean, 00:24:42.759 --> 00:24:43.560 besides Corey getting 00:24:43.980 --> 00:24:45.301 straight up phone calls from space, 00:24:46.782 --> 00:24:48.124 what is that like when a 00:24:48.183 --> 00:24:48.964 mission is going on? 00:24:48.984 --> 00:24:49.965 What's your what's your 00:24:50.205 --> 00:24:51.507 what's your day like? 00:24:53.529 --> 00:24:54.230 Yeah, great question. 00:24:54.250 --> 00:24:55.731 So we mission control is a 00:24:55.771 --> 00:24:57.554 twenty four seven operations, 00:24:57.614 --> 00:24:58.374 three hundred and sixty 00:24:58.394 --> 00:25:00.395 five days out of the year. 00:25:00.997 --> 00:25:01.936 Within that team, 00:25:02.157 --> 00:25:03.739 all your mission critical 00:25:03.759 --> 00:25:05.140 personnel are going to be 00:25:05.259 --> 00:25:06.201 in mission control. 00:25:06.821 --> 00:25:09.364 And of that team from seven 00:25:09.403 --> 00:25:11.365 to four or five in the 00:25:11.506 --> 00:25:13.728 afternoon or evening is a flight surgeon. 00:25:13.768 --> 00:25:15.048 So a flight surgeon is 00:25:15.128 --> 00:25:16.509 typically on console during 00:25:16.650 --> 00:25:18.132 the normal operations of 00:25:18.352 --> 00:25:19.613 when crew are awake. 00:25:20.336 --> 00:25:21.657 If there's any critical 00:25:21.718 --> 00:25:23.678 events like launches, landings, 00:25:24.179 --> 00:25:25.659 any spacewalks that are happening, 00:25:25.699 --> 00:25:26.798 there's always medical 00:25:26.838 --> 00:25:27.980 support in the form of a 00:25:28.059 --> 00:25:30.861 flight surgeon on mission control. 00:25:31.000 --> 00:25:31.681 Our team gets the 00:25:31.721 --> 00:25:33.261 opportunity to meet with 00:25:33.321 --> 00:25:35.122 our crew via Teams through 00:25:35.162 --> 00:25:36.002 private exercise 00:25:36.022 --> 00:25:37.982 conferences once a month. 00:25:38.084 --> 00:25:40.124 They can also call, as Corey mentioned, 00:25:40.804 --> 00:25:41.904 anytime that they want. 00:25:42.545 --> 00:25:43.305 And then we do a lot of 00:25:43.384 --> 00:25:44.806 email communications as well. 00:25:45.656 --> 00:25:46.217 That's great. 00:25:46.656 --> 00:25:46.876 All right. 00:25:46.896 --> 00:25:47.577 So this is going to be like 00:25:47.597 --> 00:25:49.377 an off topic question. 00:25:49.438 --> 00:25:50.699 See if we can put two things together. 00:25:50.759 --> 00:25:53.319 What lessons from space 00:25:53.380 --> 00:25:55.401 flight physical therapy, 00:25:55.760 --> 00:25:57.422 from space flight strength 00:25:57.461 --> 00:25:58.001 and conditioning, 00:25:58.061 --> 00:25:58.961 do you think that every 00:25:59.001 --> 00:26:01.103 healthcare provider, leader, 00:26:01.163 --> 00:26:03.364 business owner, anybody could steal? 00:26:03.903 --> 00:26:04.064 I mean, 00:26:04.084 --> 00:26:05.424 NASA was also famous with like 00:26:05.525 --> 00:26:06.845 checklists and making sure 00:26:06.904 --> 00:26:07.826 things were in order 00:26:07.865 --> 00:26:09.625 because we want to minimize risk. 00:26:09.865 --> 00:26:10.787 So what are some lessons 00:26:10.826 --> 00:26:11.727 from the things that you do 00:26:11.747 --> 00:26:12.267 that you think are 00:26:12.287 --> 00:26:13.688 applicable to anybody in healthcare? 00:26:17.028 --> 00:26:19.469 take that? 00:26:19.509 --> 00:26:19.628 Yeah. 00:26:21.650 --> 00:26:22.250 The lessons, 00:26:22.609 --> 00:26:23.611 I would say the biggest 00:26:23.651 --> 00:26:25.832 lessons is that it's a human business, 00:26:25.951 --> 00:26:28.153 whether any situation that I was in. 00:26:28.692 --> 00:26:30.453 And where I'm going with 00:26:30.493 --> 00:26:32.134 that is that it's not just 00:26:32.174 --> 00:26:33.935 sets and reps necessarily. 00:26:34.395 --> 00:26:36.876 So people respond to exercise differently. 00:26:36.896 --> 00:26:39.698 There's variability in how they respond. 00:26:39.938 --> 00:26:40.979 There's a variability on how 00:26:40.999 --> 00:26:42.339 they tolerate the stress of 00:26:42.359 --> 00:26:43.059 that exercise. 00:26:43.532 --> 00:26:45.534 So if we can get tunnel 00:26:45.574 --> 00:26:46.775 vision or fixed on our 00:26:46.815 --> 00:26:48.194 specific approach or our 00:26:48.234 --> 00:26:49.615 desire to do it a certain 00:26:49.675 --> 00:26:51.517 way and not respond to the 00:26:51.596 --> 00:26:53.637 human and end up in a place 00:26:53.678 --> 00:26:55.538 we don't want to be. 00:26:55.598 --> 00:26:57.380 So I think that's the biggest thing. 00:26:57.400 --> 00:26:58.359 And for us, 00:26:58.440 --> 00:26:59.961 it's more of a risk for that to 00:27:00.020 --> 00:27:01.741 happen again when they're off the planet. 00:27:03.463 --> 00:27:04.825 That's probably one of one 00:27:04.865 --> 00:27:05.705 of the biggest things, 00:27:05.945 --> 00:27:06.987 like even coming up from 00:27:07.166 --> 00:27:08.327 one mission to the other 00:27:08.867 --> 00:27:10.489 and training a different astronaut. 00:27:10.548 --> 00:27:12.270 And I feel like, OK, I got this template. 00:27:12.290 --> 00:27:12.730 Here we go. 00:27:12.770 --> 00:27:14.392 And this is what we're doing. 00:27:14.853 --> 00:27:16.054 And next thing you know, 00:27:16.074 --> 00:27:17.394 that template's on his head. 00:27:17.454 --> 00:27:18.736 But we figure out these 00:27:18.756 --> 00:27:20.057 principles that are important. 00:27:20.477 --> 00:27:20.817 And, you know, 00:27:20.836 --> 00:27:22.238 we put the same ingredients there. 00:27:22.258 --> 00:27:24.059 We just change it up a little bit, 00:27:24.099 --> 00:27:25.181 cook it a little longer, 00:27:25.280 --> 00:27:27.541 do whatever to make it more 00:27:27.662 --> 00:27:29.002 suitable for the individual 00:27:29.044 --> 00:27:29.663 we're working with. 00:27:30.502 --> 00:27:31.063 It's a little bit different 00:27:31.083 --> 00:27:32.124 when a physical therapist asks, 00:27:32.183 --> 00:27:32.785 so are you going on any 00:27:32.825 --> 00:27:34.746 trips anytime soon for a patient? 00:27:34.826 --> 00:27:35.846 Maybe a little bit different 00:27:35.886 --> 00:27:39.470 when you're asking your astronauts. 00:27:39.509 --> 00:27:40.351 Are you guys ready to play a 00:27:40.411 --> 00:27:42.393 game I like to call Ground 00:27:42.432 --> 00:27:43.534 Control Quickfire? 00:27:43.574 --> 00:27:44.433 Are you guys ready for that? 00:27:44.453 --> 00:27:44.815 Yeah, I think so. 00:27:45.434 --> 00:27:50.819 Let's hear it. 00:27:52.098 --> 00:27:52.338 All right, 00:27:52.378 --> 00:27:54.601 here comes ground control quick fire. 00:27:55.621 --> 00:27:56.882 You can each answer for these. 00:27:56.902 --> 00:27:58.383 I'm going to ask you five. 00:27:58.663 --> 00:28:00.023 So just rapid fire, 00:28:00.104 --> 00:28:01.305 whatever comes to mind first. 00:28:01.785 --> 00:28:02.726 First thing you think of 00:28:02.766 --> 00:28:06.288 when someone says rehab in microgravity. 00:28:06.508 --> 00:28:07.229 What is it, Danielle? 00:28:07.269 --> 00:28:09.730 What's the first thing that comes to mind? 00:28:09.750 --> 00:28:11.511 Say ingenuity or creativity. 00:28:11.531 --> 00:28:12.972 You got to be creative. 00:28:12.992 --> 00:28:14.413 Corey, rehab in microgravity. 00:28:14.433 --> 00:28:14.834 What do you got? 00:28:15.961 --> 00:28:17.202 Did I give you two high lows 00:28:17.262 --> 00:28:18.083 on back squat? 00:28:20.785 --> 00:28:22.226 What's one human performance 00:28:22.286 --> 00:28:23.445 myth you'd love to just 00:28:23.506 --> 00:28:24.666 launch into space and get 00:28:24.727 --> 00:28:26.167 rid of and just completely abolish? 00:28:26.188 --> 00:28:28.769 What's the myth, Danielle? 00:28:28.828 --> 00:28:28.929 Ooh, 00:28:28.949 --> 00:28:31.431 I'd say that when astronauts come home, 00:28:31.550 --> 00:28:32.851 that they can't walk, 00:28:32.891 --> 00:28:33.852 they can't function. 00:28:34.332 --> 00:28:35.432 Some of that is a little bit 00:28:35.452 --> 00:28:37.493 true from the sensory motor perspective. 00:28:37.513 --> 00:28:39.434 There are challenges, but man, 00:28:39.454 --> 00:28:40.115 they come back in 00:28:40.134 --> 00:28:41.635 incredible shape and they 00:28:41.655 --> 00:28:42.957 are ready to hit the ground 00:28:42.977 --> 00:28:43.737 running when we see them, 00:28:43.757 --> 00:28:44.458 which is exciting. 00:28:45.063 --> 00:28:45.262 Good. 00:28:45.303 --> 00:28:45.502 Corey, 00:28:45.522 --> 00:28:46.523 what's a myth you want to get rid of? 00:28:47.243 --> 00:28:48.244 I think a myth is that 00:28:48.345 --> 00:28:49.986 exercise programming is easy. 00:28:50.705 --> 00:28:52.528 It is initially, but over time, 00:28:52.548 --> 00:28:54.608 that's where skill comes in. 00:28:54.648 --> 00:28:54.848 Yeah, 00:28:54.949 --> 00:28:56.410 and creativity is what I'm getting a 00:28:56.450 --> 00:28:56.890 theme here. 00:28:57.530 --> 00:28:58.871 Coolest technology you've 00:28:58.951 --> 00:29:01.633 seen or used in your career 00:29:02.012 --> 00:29:02.854 working with astronauts? 00:29:04.594 --> 00:29:07.174 Mine would be ultrasound in flight, 00:29:07.275 --> 00:29:08.375 getting to be on the ground, 00:29:08.496 --> 00:29:09.516 telling an astronaut how to 00:29:09.536 --> 00:29:10.876 do diagnostic ultrasounds. 00:29:11.116 --> 00:29:11.616 Incredible. 00:29:11.836 --> 00:29:12.557 That's wild. 00:29:12.616 --> 00:29:13.458 Corey, cool tech. 00:29:13.498 --> 00:29:15.298 What do you got? 00:29:15.318 --> 00:29:16.538 Couldn't be any cooler than 00:29:16.558 --> 00:29:17.640 getting in a space suit a 00:29:17.700 --> 00:29:18.480 couple of times. 00:29:18.680 --> 00:29:19.961 Oh, yeah. 00:29:20.000 --> 00:29:21.820 That is awesome. 00:29:21.840 --> 00:29:22.461 We got two more. 00:29:22.501 --> 00:29:24.521 We got two more. 00:29:24.903 --> 00:29:26.742 What would surprise most PTs 00:29:26.782 --> 00:29:27.223 and strength and 00:29:27.263 --> 00:29:28.124 conditioning specialists 00:29:28.183 --> 00:29:30.525 about astronauts' physical preparation? 00:29:37.261 --> 00:29:39.061 I would say that they are 00:29:39.102 --> 00:29:40.063 generally committed, 00:29:40.103 --> 00:29:41.202 but how busy their 00:29:41.262 --> 00:29:43.003 schedules get as they 00:29:43.044 --> 00:29:44.584 approach launch day. 00:29:44.644 --> 00:29:47.605 I mean, it's pretty intense, you know, 00:29:47.664 --> 00:29:48.585 the last, say, 00:29:48.665 --> 00:29:50.145 sixty days or thirty days 00:29:50.205 --> 00:29:52.106 outside of a launch, how busy they are. 00:29:52.146 --> 00:29:53.567 But they're still committed 00:29:53.606 --> 00:29:54.727 and what they do to try to 00:29:54.767 --> 00:29:56.367 maintain their fitness during that time. 00:29:57.409 --> 00:29:57.909 Love it. 00:29:57.929 --> 00:29:59.671 All right. 00:29:59.691 --> 00:30:01.751 You want to be pushing exercise, right? 00:30:01.832 --> 00:30:03.173 Like that's that's what we want. 00:30:03.192 --> 00:30:04.374 But we also respect 00:30:04.534 --> 00:30:05.755 everything that they have 00:30:05.775 --> 00:30:06.816 to do leading up to flight. 00:30:07.415 --> 00:30:08.257 Yeah, understood. 00:30:08.676 --> 00:30:09.297 And last one we'll do. 00:30:09.336 --> 00:30:10.657 What's one leadership or 00:30:10.758 --> 00:30:12.839 mindset tool that helps 00:30:12.960 --> 00:30:14.641 each of you think long term 00:30:14.661 --> 00:30:15.741 that you get to apply in your work? 00:30:18.823 --> 00:30:20.844 I think for me, like the vision is the key, 00:30:20.943 --> 00:30:21.144 right? 00:30:21.163 --> 00:30:22.204 Being able to effectively 00:30:22.224 --> 00:30:23.325 communicate the vision, 00:30:23.384 --> 00:30:24.405 keep people motivated on 00:30:24.445 --> 00:30:25.566 the vision and having a 00:30:25.625 --> 00:30:26.866 common goal to execute that. 00:30:26.967 --> 00:30:28.267 It is so vital to make sure 00:30:28.287 --> 00:30:29.407 that the vision is well 00:30:29.428 --> 00:30:30.587 understood within the team. 00:30:31.229 --> 00:30:31.989 Yeah. 00:30:32.009 --> 00:30:32.648 Corey, what do you got? 00:30:33.849 --> 00:30:35.171 Yeah, I would say vision too. 00:30:35.211 --> 00:30:37.050 And the vision is that the 00:30:37.111 --> 00:30:38.372 responsibility and the 00:30:38.551 --> 00:30:39.992 burden we have to serve 00:30:40.032 --> 00:30:41.693 this community in a way of 00:30:41.733 --> 00:30:42.453 human performance, 00:30:42.554 --> 00:30:43.733 I think is like the 00:30:43.775 --> 00:30:44.815 cornerstone that I have. 00:30:46.071 --> 00:30:46.491 Perfect. 00:30:46.971 --> 00:30:47.211 All right. 00:30:47.251 --> 00:30:48.952 So let's talk about an event 00:30:48.972 --> 00:30:50.272 you have coming up pretty soon. 00:30:50.292 --> 00:30:51.153 Let's talk about that. 00:30:51.212 --> 00:30:53.074 Like who who's coming and 00:30:53.114 --> 00:30:53.574 what are they going to 00:30:53.594 --> 00:30:54.753 learn while they're there? 00:30:56.335 --> 00:30:56.555 Yeah, 00:30:56.595 --> 00:30:58.454 so we have a lot of this stuff that 00:30:58.474 --> 00:30:59.335 we discussed today. 00:30:59.355 --> 00:31:00.736 We have an event coming up 00:31:00.776 --> 00:31:01.836 that's going to happen at 00:31:02.016 --> 00:31:03.935 Space Center Houston down here in Texas, 00:31:03.976 --> 00:31:05.797 right adjacent from Johnson Space Center. 00:31:06.277 --> 00:31:07.676 And the name of the event is 00:31:07.696 --> 00:31:08.798 the Spaceflight Human 00:31:08.857 --> 00:31:10.837 Optimization and Performance Summit. 00:31:10.877 --> 00:31:12.858 So shop twenty five by the 00:31:12.898 --> 00:31:13.939 year for for short. 00:31:14.385 --> 00:31:15.027 And what it is, 00:31:15.086 --> 00:31:16.689 is a technical interchange 00:31:16.749 --> 00:31:18.130 between some of the 00:31:18.170 --> 00:31:20.132 greatest minds in human performance. 00:31:20.153 --> 00:31:21.673 So we have over thirty SME 00:31:21.713 --> 00:31:24.497 subject matter experts across the DOD, 00:31:24.596 --> 00:31:26.640 across elite athletics and 00:31:26.720 --> 00:31:27.921 here at Johnson Space 00:31:27.941 --> 00:31:29.903 Center all around coming 00:31:29.942 --> 00:31:31.945 together to understand how 00:31:32.066 --> 00:31:33.406 best we can care for human 00:31:33.467 --> 00:31:34.828 systems while they leave the planet. 00:31:35.369 --> 00:31:37.171 But it's not just that lens 00:31:37.230 --> 00:31:38.092 on space flight, 00:31:38.172 --> 00:31:39.173 because we believe some of 00:31:39.192 --> 00:31:40.794 these conversations can be 00:31:40.913 --> 00:31:42.134 leveraged to help other 00:31:42.174 --> 00:31:43.496 communities as far as where 00:31:43.536 --> 00:31:45.576 they meet athletes, even general health. 00:31:46.038 --> 00:31:47.239 And as we come together and 00:31:47.278 --> 00:31:48.439 probably look at these 00:31:48.599 --> 00:31:51.582 issues and look at these things, again, 00:31:51.602 --> 00:31:52.561 we can push the needle 00:31:52.602 --> 00:31:53.542 forward to all human 00:31:53.583 --> 00:31:54.384 performance all the way 00:31:54.423 --> 00:31:56.605 down to general health. 00:31:56.644 --> 00:31:57.586 So who can come to this? 00:31:57.685 --> 00:31:59.287 Anybody who just wants to come to this? 00:31:59.326 --> 00:32:00.268 There you go. 00:32:05.454 --> 00:32:05.795 Can you hear me? 00:32:05.815 --> 00:32:08.696 Yeah, we got you now. 00:32:08.718 --> 00:32:09.417 Who can come to this? 00:32:09.458 --> 00:32:10.078 Who's the audience? 00:32:10.378 --> 00:32:11.078 Who do you want to see in 00:32:11.098 --> 00:32:11.920 the audience learning? 00:32:12.840 --> 00:32:14.301 So we would want to see 00:32:14.442 --> 00:32:15.563 anyone in the audience, 00:32:15.782 --> 00:32:16.804 one who's learning. 00:32:16.864 --> 00:32:17.984 So we had a lot of interest 00:32:18.025 --> 00:32:18.825 in spaceflight just 00:32:18.865 --> 00:32:21.547 recently with the return of the crew, 00:32:21.606 --> 00:32:23.269 Barry Wilmore and Sonny Williams. 00:32:23.709 --> 00:32:24.730 Anybody who is even 00:32:24.809 --> 00:32:26.230 interested in what really 00:32:26.270 --> 00:32:27.531 happens to astronauts 00:32:27.571 --> 00:32:28.992 bodies when they leave the planet. 00:32:29.909 --> 00:32:30.730 That community, 00:32:30.890 --> 00:32:32.510 in addition to across to 00:32:33.451 --> 00:32:35.333 people who are just interested in space, 00:32:35.853 --> 00:32:37.013 all the way down to people 00:32:37.034 --> 00:32:37.934 who are practitioners 00:32:37.994 --> 00:32:38.994 working in human 00:32:39.035 --> 00:32:40.195 performance from a 00:32:40.316 --> 00:32:42.458 multidisciplinary standpoint too. 00:32:42.538 --> 00:32:44.239 So we're not just physiologists, 00:32:44.278 --> 00:32:46.181 we're also cognitive specialists, 00:32:46.861 --> 00:32:48.982 sports psych, and then even engineers. 00:32:49.002 --> 00:32:50.804 That's one thing that's unique about this. 00:32:51.407 --> 00:32:52.647 event but then in space 00:32:52.667 --> 00:32:54.009 flight in general as far as 00:32:54.048 --> 00:32:55.868 the engineering also have 00:32:55.888 --> 00:32:56.730 to be in the human 00:32:56.769 --> 00:32:58.789 performance team because 00:32:59.089 --> 00:32:59.770 we're talking about 00:32:59.830 --> 00:33:00.830 hardware hardware 00:33:00.871 --> 00:33:01.891 restrictions and all of 00:33:01.911 --> 00:33:03.372 that stuff and then we as 00:33:03.412 --> 00:33:04.112 human performance 00:33:04.132 --> 00:33:05.832 specialists have to also 00:33:05.872 --> 00:33:06.952 tell the engineers the 00:33:06.992 --> 00:33:08.952 capabilities we need to 00:33:08.992 --> 00:33:10.473 protect people so it's a 00:33:10.534 --> 00:33:11.854 going back collaboration 00:33:11.874 --> 00:33:13.914 and relationship so it it 00:33:13.994 --> 00:33:15.954 is a again a community for 00:33:16.075 --> 00:33:18.115 all um who's interested in 00:33:18.604 --> 00:33:19.523 I guess space flight, 00:33:19.544 --> 00:33:20.704 but then moving into the 00:33:20.724 --> 00:33:21.444 human performance, 00:33:21.484 --> 00:33:23.865 human factors and so forth. 00:33:24.405 --> 00:33:24.665 Yeah. 00:33:24.685 --> 00:33:25.326 And some of the biggest 00:33:25.346 --> 00:33:26.406 innovations usually come 00:33:26.426 --> 00:33:27.626 out of the military or NASA. 00:33:27.646 --> 00:33:27.807 I mean, 00:33:27.846 --> 00:33:29.288 you guys have found all these 00:33:29.367 --> 00:33:31.167 latent problems and then solve them. 00:33:31.347 --> 00:33:32.228 And lots of us have 00:33:32.249 --> 00:33:33.229 benefited from those things. 00:33:34.449 --> 00:33:35.430 Yeah. 00:33:35.450 --> 00:33:35.509 Yep. 00:33:35.529 --> 00:33:38.431 We do have CEUs for physical therapists, 00:33:39.010 --> 00:33:39.871 NSCA, 00:33:39.990 --> 00:33:41.811 and then also BOC for athletic 00:33:41.832 --> 00:33:42.551 trainers as well. 00:33:43.393 --> 00:33:43.653 Perfect. 00:33:43.692 --> 00:33:43.873 All right. 00:33:43.893 --> 00:33:44.933 We'll drop the link in the 00:33:44.953 --> 00:33:46.375 show notes if anybody wants 00:33:46.395 --> 00:33:48.738 to tag along and check out shop. 00:33:49.417 --> 00:33:50.679 Last thing we do, Danielle and Corey, 00:33:50.699 --> 00:33:52.260 on the show is called the parting shot. 00:33:53.182 --> 00:33:54.303 What is the last thing you'd 00:33:54.343 --> 00:33:55.443 want to leave with the 00:33:55.523 --> 00:33:56.503 audience as we wrap up? 00:33:56.565 --> 00:33:56.924 Parting. 00:33:57.625 --> 00:33:59.547 Final quote, mic drop moment, 00:33:59.567 --> 00:34:00.448 soapbox statement, 00:34:00.528 --> 00:34:01.669 whatever you want to wrap up with. 00:34:01.709 --> 00:34:03.269 What do you got, Danielle? 00:34:03.590 --> 00:34:05.251 I think we've threaded it a lot here, 00:34:05.271 --> 00:34:06.673 but I absolutely love that 00:34:06.732 --> 00:34:07.834 everybody says spaceflight 00:34:07.854 --> 00:34:08.514 is a team sport. 00:34:09.130 --> 00:34:10.472 and how we fit into that 00:34:10.693 --> 00:34:13.076 team matrix on the human performance side, 00:34:13.175 --> 00:34:14.556 I think is super exciting. 00:34:14.637 --> 00:34:16.219 But I think that can match 00:34:16.239 --> 00:34:18.141 into any organization of just, 00:34:18.521 --> 00:34:19.603 it takes a team to make 00:34:19.643 --> 00:34:20.983 really complex things happen. 00:34:21.724 --> 00:34:22.206 That's great. 00:34:22.286 --> 00:34:23.547 Corey, no pressure to follow that one, 00:34:23.567 --> 00:34:24.228 but what's your parting story? 00:34:24.248 --> 00:34:26.530 Yeah, she stole my, I'll piggyback that. 00:34:26.590 --> 00:34:27.592 I'll say team is key. 00:34:27.632 --> 00:34:29.313 Teamwork is absolute key. 00:34:30.048 --> 00:34:30.608 That's perfect. 00:34:31.230 --> 00:34:32.230 Thanks for doing what you do. 00:34:32.451 --> 00:34:33.251 Thanks for sharing it, 00:34:33.311 --> 00:34:34.331 not just in this podcast, 00:34:34.351 --> 00:34:35.311 but for things like shop 00:34:35.351 --> 00:34:37.494 and just letting us see that team support, 00:34:37.713 --> 00:34:39.514 you know, live on and off the planet. 00:34:39.554 --> 00:34:40.135 We appreciate it. 00:34:40.155 --> 00:34:41.715 Awesome. 00:34:41.795 --> 00:34:42.577 Thank you. 00:34:42.597 --> 00:34:46.539 Thank you. 00:34:46.559 --> 00:34:47.119 That's it.