Published:
2025, 2025 New Trends in Aviation Development (NTAD), IEEE (Institute of Electrical and Electronics Engineers)), p. 94-99), ISBN 979-8-3315-8792-5, ISSN 2836-2764
Annotation:
Hypoxia represents a significant concern in aviation safety. Numerous studies have examined its impact on cognitive performance and other aspects of human functioning, but only a limited number have addressed its effects on balance, which involves multisensory integration and contributes to postural stability. A PRISMA-based literature search confirmed that evidence in this area remains scarce. Consequently, an experimental study was conducted to investigate the influence of hypoxic conditions on postural stability in pilots. Eleven licensed pilots were exposed to normobaric hypoxia, induced by breathing a reduced-oxygen gas mixture at ambient pressure, simulating an altitude of 4572 m(15000 ft). The experiment involved two simulated flights under normoxic and hypoxic conditions, while postural stability was assessed before, between, and after the flights using a balance board. Several parameters derived from center of pressure (COP) displacement in both one- and two-dimensional analyses were evaluated. Data were analyzed using repeated-measures ANOVA (rANOVA) followed by post-hoc testing.The results did not reveal consistent statistically significant effects of hypoxia on postural stability. Significant differences were observed only in mediolateral parameters (SD-ML and ROM-ML) when aggregated across sensory conditions, but no effects were found when conditions were examined individually. Within the limitations of the small sample size, single simulated altitude, and short exposure duration, the study concludes that acute mild hypoxia at 4572 m(15000 ft) does not measurably impair basic postural stability in pilots.