Пространственная дезориентация: причины, последствия и профилактика.

Inability of a person to correctly determine their body position in space
Spatial disorientation is the inability to determine position or relative motion, commonly occurring during periods of challenging visibility, since vision is the dominant sense for orientation. The auditory system, vestibular system (within the inner ear), and proprioceptive system (sensory receptors located in the skin, muscles, tendons and joints) collectively work to coordinate movement with balance, and can also create illusory nonvisual sensations, resulting in spatial disorientation in the absence of strong visual cues. In aviation, spatial disorientation can result in improper perception of the altitude of the aircraft, referring to the motion of the aircraft (whether turning, ascending or descending). For aviators, proper recognition of aircraft altitude is most critical at night or in poor weather, when there is no visible horizon, and spatial disorientation has led to numerous aviation accidents. Spatial disorientation can occur in other situations where visibility is reduced, such as diving operations.

Spatial orientation in flight is difficult to achieve because numerous sensory stimuli (visual, vestibular, and proprioceptive) vary in magnitude, direction, and frequency. Any differences or discrepancies between visual, vestibular, and proprioceptive sensory inputs result in a sensory mismatch that can produce illusions and lead to spatial disorientation. The visual sense is considered to be the largest contributor to orientation. In 1926, Ocker was subjected to a Bárány chair equilibrium test by Dr. David A. Myers at Crissy Field; the resulting duplication of the somatogyral illusion he had experienced and a subsequent re test, which he passed using the turn indicator, led him to develop and champion instrumented flight. With Lt. Carl Crane, Ocker published the instructional text Blind Flying in Theory and Practice in 1932. Influential advocates of instrumented flight training included Albert Hegenberger and Jimmy Doolittle. A new version of the advisory was issued in 1983 as AC 60 4A, defining spatial disorientation as "the inability to tell which way is 'up. Statistics show that between 5% and 10% of all general aviation accidents can be attributed to spatial disorientation, 90% of which are fatal. Spatial D and G force induced loss of consciousness (g LOC) are two of the most common causes of death from human factors in military aviation. A study on the prevalence of spatial disorientation incidents concluded that "if a pilot flies long enough there is no chance that he/she will escape experiencing at least one episode of [spatial disorientation]. Looked at another way, pilots can be considered to be in one of two groups; those who have been disorientated, and those who will be."

There are four physiologic systems that interact to allow humans to orient themselves in space. Vision is the dominant sense for orientation, but the vestibular system, proprioceptive system and auditory system also play a role. Spatial orientation (the inverse being spatial disorientation, aka spatial D) is the ability to maintain body orientation and posture in relation to the surrounding environment (physical space) at rest and during motion. Humans have evolved to maintain spatial orientation on the ground. Good spatial orientation on the ground relies on the use of visual, auditory, vestibular, and proprioceptive sensory information. Changes in linear acceleration, angular acceleration, and gravity are detected by the vestibular system and the proprioceptive receptors, and then compared in the brain with visual information. The three dimensional environment of flight is unfamiliar to the human body, creating sensory conflicts and illusions that make spatial orientation difficult and sometimes impossible to achieve. The result of these various visual and nonvisual illusions is spatial disorientation. Various models have been developed to yield quantitative predictions of disorientation associated with known aircraft accelerations.

The vestibular system detects linear and angular (rotational) acceleration using specialized organs in the inner ear. Linear accelerations are detected by the otolith organs, while angular accelerations are detected by the semicircular canals.

Without a visual reference or cues, such as a visible horizon, humans will rely on non visual senses to establish their sense of motion and equilibrium. During the abnormal acceleratory environment of flight, the vestibular and proprioceptive systems can be misled, resulting in spatial disorientation. When an aircraft is maneuvering, inertial forces can be created by changes in vehicle speed (linear acceleration) and/or changes in direction (rotational acceleration and centrifugal force), resulting in perceptual misjudgment of the vertical, as the combined forces of gravity and inertia do not align with what the vestibular system assumes is the vertical direction of gravity (towards the center of the Earth). Under ideal conditions, visual cues will provide sufficient information to override illusory vestibular inputs, but at night or in poor weather, visual inputs can be overwhelmed by these illusory nonvisual sensations, resulting in spatial disorientation. Low visibility flight conditions include night, Similarly, it is possible to gradually climb or descend without a noticeable change in pressure against the seat. In some aircraft, it is possible to execute a loop without pulling negative g forces so that, without visual reference, the pilot could be upside down without being aware of it. A gradual change in any direction of movement may not be strong enough to activate the vestibular system, so the pilot may not realize that the aircraft is accelerating, decelerating, or banking. Gyroscopic flight instruments such as the attitude indicator (artificial horizon) and the turn and slip indicator are designed to provide information to counteract misleading sensations from the non visual senses.

Two otolith organs, the saccule and utricle, are located in each ear and are set at right angles to each other. The utricle detects changes in linear acceleration in the horizontal plane, while the saccule detects linear accelerations in the vertical plane; humans have evolved to assume the vertical acceleration is caused by gravity. However, the saccule and utricle can provide misleading sensory perception when gravity is not limited to the vertical plane, or when vehicle speeds and accelerations result in inertial forces comparable to the force of gravity, as the otoliths only detect acceleration, and cannot distinguish inertial forces from the force of gravity. Once an aircraft enters conditions under which the pilot cannot see a distinct visual horizon, the drift in the inner ear continues uncorrected. Errors in the perceived rate of turn about any axis can build up at a rate of 0.2 to 0.3 degrees per second. If the pilot is not proficient in the use of gyroscopic flight instruments, these errors will build up to a point that control of the aircraft is lost, usually in a steep, diving turn known as a graveyard spiral. During the entire time, leading up to and well into the maneuver, the pilot remains unaware of the turning, believing that the aircraft is maintaining straight flight. In a 1954 study (180 – Degree Turn Experiment), the University of Illinois Institute of Aviation found that 19 out of 20 non instrument rated subject pilots went into a graveyard spiral soon after entering simulated instrument conditions. The 20th pilot also lost control of his aircraft, but in another maneuver. The average time between onset of instrument conditions and loss of control was 178 seconds. Spatial disorientation can also affect instrument rated pilots in certain conditions. A powerful tumbling sensation (vertigo) can result if the pilot moves his or her head too much during instrument flight. This is called the Coriolis illusion. Because the semicircular canals are set in three different axes of rotation, if the aviator suddenly moves their head during a rotational acceleration, one canal may abruptly start to detect an angular acceleration while another ceases, resulting in a tumbling sensation.

+Selected list of aviation accidents attributed to spatial disorientation Date Location Accident/Flight Notes & Refs. 1959 Clear Lake, Iowa, USA The Day the Music Died Crash of Beechcraft Bonanza that killed Buddy Holly, Ritchie Valens, and "The Big Bopper" J. P. Richardson; pilot was not qualified for instrumented flight but took off into deteriorating weather because the passengers were important. Forensic evidence showed the aircraft was in a steep right bank (90°), nose down attitude at when it crashed. 1963 Camden, Tennessee, USA 1963 Camden PA 24 crash Four deaths, including singer Patsy Cline. 1964 Brentwood, Nashville, Tennessee, USA 1964 Beechcraft Debonair crash It is believed that singer Jim Reeves was suffering from spatial disorientation when his Beechcraft aircraft crashed in the Brentwood area of Nashville, Tennessee, during a violent thunderstorm on July 31, 1964, claiming the lives of both Reeves and his pianist Dean Manuel. 1978 Arabian Sea, near Santacruz Airport, Bombay, India Air India Flight 855 1978 Bass Strait, Australia Disappearance of Frederick Valentich 1992 Darién Gap, near Tucutí, Panama Copa Airlines Flight 201 1999 Atlantic Ocean, off the west coast of Martha's Vineyard, Massachusetts, USA John F. Kennedy Jr. plane crash Crash occurred during a night flight over water near Martha's Vineyard. Subsequent investigation pointed to spatial disorientation as a probable cause of the accident. Because of pilot John F. Kennedy Jr.'s fame, the cause of the crash led to extensive reporting of spatial disorientation in the press in 1999. the crash killed Missouri Governor Mel Carnahan. 2004 Red Sea, near Sharm El Sheikh International Airport, Egypt Flash Airlines Flight 604 Disputed cause: possible pilot error (from spatial disorientation) or mechanical/software malfunctions 2005 near Campbeltown, Argyll, Scotland 2005 Loganair Islander accident 2007 Makassar Strait off Majene, Sulawesi, Indonesia Adam Air Flight 574Due to the crew's focus on troubleshooting a problem with the INS, they had disconnected the autopilot without noticing and did not realize that they were in a descent until recovery was improbable. The G forces on the aircraft were stressing the hull of the aircraft and further disoriented the crew until the aircraft broke up in mid air. 2007 Douala International Airport, Cameroon Kenya Airways Flight 507 2007 Türbetepe, Keçiborlu, Isparta Province, Turkey Atlasjet Flight 4203 2008 Perm, Russia Aeroflot Flight 821 2009 over Atlantic Ocean, near waypoint TASIL Air France Flight 447 2010 Tripoli International Airport, Libya Afriqiyah Airways Flight 771 2010 near Shikharpur, Nepal Agni Air Flight 101 2012 Upper Kandanga, Queensland, Australia 2012 Queensland DH.84 Dragon crash Vintage aircraft named RiamaMar 19, 2016Rostov on Don, RussiaFlydubai Flight 981 2018 near Centennial Airport, Colorado, USA Cirrus SR22 crash Federal investigators determined that pilot disorientation in difficult weather conditions likely was the cause of a fatal small plane crash. 2019 Trinity Bay, Texas, USA Atlas Air Flight 3591 The crash of the Boeing 767 cargo jet was caused by the inappropriate response by the first officer as the pilot flying to an inadvertent activation of the plane's go around mode at a high altitude (6,200 feet), which led to his spatial disorientation. 2019 near Aomori Prefecture, Japan 2019 JASDF F 35 crash First crash of an F 35A; pilot descended rapidly during a simultaneous left hand turn. 2020 Calabasas, California, USA 2020 Calabasas helicopter crash Ara Zobayan, the helicopter pilot in the fatal accident that killed Kobe Bryant along with his daughter Gianna and six others on January 26, 2020, was determined to have likely experienced spatial disorientation according to NTSB investigation.