A STUDY OF METHODS OF RECUPERATION FRCM IMPAIRMENT OF PERFORMANCE AS A RESULT OF PREVIOUS ACTIVITY A Dissertation Presented to the Faculty of the Graduate School The University of Southern California In Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy by Elizabeth M« Prange June 1950 UMI Number: DP29689 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. Dissertation Publishing UMI DP29689 Published by ProQuest LLC (2014). Copyright in the Dissertation held by the Author. Microform Edition © ProQuest LLC. All rights reserved. This work is protected against unauthorized copying under Title 17, United States Code ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 {H.D ?.£*■ 's > This dissertation, written by .............ELIZ1BETH..1L..EHANGE..................................... under the guidance of h.^r— Faculty Committee on Studies, and approved by all its members, has bee*n presented to and accepted by the Council on Graduate Study and Research, in partial ful fillment of requirements for the degree of DOCTOR OF PHILOSOPHY 1ean Date. AUGUST _.!95Q Committee on Studies \trman ii TABIE OF CONTENTS CHAPTER PAGE I. INTRODUCTION......................................................................... 1 The problem .........................................................................* 2 Statement of the problem...................................... 2 Organization of remainder of the dissertation 3 II. REVIEW OF LITERATURE..................... 4 Fatigue and impairment • ....................................... 5 Physiologists* concept ♦ • . . • .................. 5 Psychologists* concept........................................... 8 The special problem of flight fatigue. . . . . 10 Summary of viewpoints on fatig u e .....................• • 13 Studies of the recovery period * • • • • • • • 14 Physiology of recovery from w ork..................... 14 Studies of recuperative aids • • • • • • • • 16 Effect of exercise and recovery upon certain physiologioal measures ..................... 27 The use of ergographs for studies of fatigue and recovery • • • • « . . .................................. 31 III. METHODS AND PROCEDURES ................................... 34 The pursuit-meter ergograph................................... 34 The end point of w o rk ........................................... 36 Recuperative m easures........................................... 37 Measurements tak en .................................................... 38 iii CHAPTER PAGE Subjects . . . . . . . . . . . . . . . . . . . 39 Indoctrination • • • • • . • • • • • • • • • • 39 Experimental procedure • • • • • • • • • • • « 40 Order of experiments • • . • • • • . . . . • • 42 XV. ANALYSIS OF DATA........................... ........................« . . . 43 The analysis of variance technique..................... 43 Analysis of work time. • • • • • • • • • • • • 44 Analysis of physiological data • • • • • • • • 47 Correlation Work I and Work I I ..................... 50 V. INTERPRETATION AND DISCUSSION OF RESULTS.................. 51 Work Period II • • • • • • • • • • • • • • • • 53 Physiological measures • • • • • • • • • • • • 54 Subjective comments . • • • • • • • • • • • • 55 VI. SUMMARY AND CONCLUSIONS..................... 60 Conclusions • • • • • • • • • • • • • . • • • • 63 Implications for further study . . • • • • • • • 64 BIBLIOGRAPHY.......................................................................................... 66 APPENDIX................................................................................................... 74 iv LIST OP TABLES table: page I AGE* HEIGHT, WEIGHT..................................................... 74 II SITTING (1) RECUPERATION............................................. 75 III MILD EXERCISE ................................................. 76 IV COLD PACK ....................................... 77 V HOT SHOWER.......................................................................... 78 VI WHISKEY............................................................ 79 VII SITTING (S )...................................................................... 80 VIII MEANS, WORK I AND I I . ................................................ 81 CHAPTER I INTRODUCTION Tasks which are fatiguing and which cannot be made easier by adjustments in work rate or load are often arranged in multiple work periods separated by periods of rest* During the periods of rest some recovery from fatigue is made* The amount of recovery during the rest period is a factor in the performance in the subsequent work periods* Thus, procedures which increase the amount of recovery would directly improve the performance of the subsequent work* Fur thermore, the cumulative effect of such reductions in post-exposure intensity and duration of fatigue may well reduce deterioration of v ital functions observed in men in stressful occupations* M ilitary flying missions frequently follow the pattern of al ternating stress and rest* Periods of flight may be alternated with periods of rest, during which time the aircraft is on the ground for refueling, rearming or reloading* /While the aircraft is on the ground, the flyer has the opportunity of gaining some measure of reoovery from the fatigue of the previous flight* Greater reduction of fatigue in such situations may increase the flyer*s tolerance to successive stressful missions, reduce flying accident rates and contribute to the prolongation of active flying careers* The question of the proper care of the flyer between flights is of great concern to the flig h t surgeon. Several different procedures have been suggested to hasten the flyer*s recovery from fatigue, and a few of them have been administered* An objective as sessment of these procedures in terms of improvement of performance in subsequent flight tasks has not been made* The objective assessment of several varieties of recuperative procedures of potential use by flyers in m ilitary aircraft is the sub- jeot of the study reported in this paper* THE PROBLEM Statement of the problem. The purpose of this investigation was to differentiate between various recuperative procedures as to their ef- fectiveness in facilitating recovery from stress resulting from a simu lated flight task* There were three primary aspects of the investigation, each of which contributes to the study of the effectiveness of the recuperative procedures (l) to design and construct ah apparatus which would simu late some of the' components present in the operation of aircraft, such as coordination, visual response, decision and submaximal muscular ef fort; (2) to determine an end point of measurement for each task since the stress experienced by pilots is acknowledged to be a state less than physical exhaustion; and (3) to determine the relative recuperative ef fects of certain procedures which might be used by flyers of m ilitary aircraft in the brief periods between suooessive tasks. ORGANIZATION OF REMAINDER OF TEE DISSERTATION The remainder of the dissertation is organized in an effort to acquaint the reader with literature pertinent to the problem (Ghapter II) to present a systematic discussion of the methods and procedures used (Chapter III); and to convey a clear understanding of the analytical treatment of the data with ensuing results (Chapter IV)• A discussion and interpretation of results obtained follows in Chapter V* A summary, conclusions and recommendations for further study appear in Chapter VI. Complete tables of data are found in the Appendix. 4 CHAPTER II REVIEW OF LITERATURE * A review of scientific literature revealed much research on mus cular work performed in response to external stim uli. These research workers were concerned primarily with maximum effort* its effect on the human organism and the measurement of changes which occur when work - ceases* Litble and inconclusive evidenoe appears in the literature con cerning the effects of various agents upon the recovery from previous activity* Effects of recuperative aids* when mentioned* have been in cidental to the research* the primary concern having been with the adap tation of the organism to alteration of homeostasis* Further, those studies most prevalent in the literature concerned with impairment of performance were focused upon small muscle groups and the ** localized fatigue11 syndrome. Rot until the last decade has atten tion been sharply focused upon the generalized1* concept of impairment and fatigue* Increased pressure of industrial production and the strains and stresses of war upon members of the armed forces and civilians brought forth the need to study and investigate the vague and generally unknown area of fatigue resulting not from maximal physical effort but from the demands made upon the organism by an array of complex stim uli. As a result of the war-time impetus given to these problems, a variety of concepts has been forthcoming concerning the nature of