Microgravity significantly challenges cognitive functions, especially spatial tasks, making effective countermeasures essential. Cognitive training improves cognitive performance, and high-definition transcranial direct current stimulation (HD-tDCS), a non-invasive neurostimulation, also improves cognition. However, their effects under microgravity remain unclear. This study investigates whether mental rotation (MR) training alone or combined with parietal HD-tDCS enhances MR and working memory (WM) under microgravity. Using a single-blind between-subjects design, participants were assigned to a no-treatment control group, a cognitive training group that received MR training, and a CT + tDCS group that received MR training combined with HD-tDCS. Participants performed MR and WM tasks before, during, and after 15-day head-down bed rest (HDBR) with behavioral and EEG recording. Microgravity exposure induced reversible behavioral declines and long-term negative neurophysiological effects on MR. Both MR training alone and combined with HD-tDCS effectively countered cognitive damage and exhibited lasting effects. HD-tDCS further enhanced the MR training benefits, improving neural efficiency. Both interventions enhanced WM and promoted re-adaptation after microgravity. Furthermore, the combined intervention increased WM resistance to interference. These results support that MR training, especially with HD-tDCS, effectively counter microgravity-induced cognitive damage, and further support non-invasive neurostimulation as a method to enhance cognitive functions and optimize training protocols under microgravity.
| [1] |
Rezaei S, Seyedmirzaei H, Gharepapagh E, et al. Effect of spaceflight experience on human brain structure, microstructure, and function: systematic review of neuroimaging studies. Brain Imaging Behav. 2024; 18(5): 1256-1279. https://doi.org/10.1007/s11682-024-00894-7
|
| [2] |
Roy-O’Reilly M, Mulavara A, Williams T. A review of alterations to the brain during spaceflight and the potential relevance to crew in long-duration space exploration. Npj Microgravity. 2021; 7(1): 1-9. https://doi.org/10.1038/s41526-021-00133-z
|
| [3] |
Seidler RD, Mao XW, Tays GD, Wang T, Zu Eulenburg P. Effects of spaceflight on the brain. Lancet Neurol. 2024; 23(8): 826-835. https://doi.org/10.1016/S1474-4422(24)00224-2
|
| [4] |
Aubert AE, Larina I, Momken I, et al. Towards human exploration of space: the THESEUS review series on cardiovascular, respiratory, and renal research priorities. Npj Microgravity. 2016; 2(1): 1-9. https://doi.org/10.1038/npjmgrav.2016.31
|
| [5] |
Neje P, Taksande B, Umekar M, Mangrulkar S. Influence of microgravity on cerebrovascular complications: exploring molecular manifestation and promising countermeasures. Microgravity Sci Technol. 2024; 36(4): 46. https://doi.org/10.1007/s12217-024-10131-x
|
| [6] |
Sagirov AF, Sergeev TV, Shabrov AV, Yurov AY, Guseva NL, Agapova EA. Postural influence on intracranial fluid dynamics: an overview. J Physiol Anthropol. 2023; 42(1): 5. https://doi.org/10.1186/s40101-023-00323-6
|
| [7] |
Cassady K, Koppelmans V, Reuter-Lorenz P, et al. Effects of a spaceflight analog environment on brain connectivity and behavior. Neuroimage. 2016; 141: 18-30. https://doi.org/10.1016/j.neuroimage.2016.07.029
|
| [8] |
Barkaszi I, Ehmann B, Tölgyesi B, Balázs L, Altbäcker A. Are head-down tilt bedrest studies capturing the true nature of spaceflight-induced cognitive changes? A review. Front Physiol. 2022; 13:1008508. https://doi.org/10.3389/fphys.2022.1008508
|
| [9] |
Faerman A, Clark JB, Sutton JP. Neuropsychological considerations for long-duration deep spaceflight. Front Physiol. 2023; 14:1146096. https://doi.org/10.3389/fphys.2023.1146096
|
| [10] |
Liu Q, Zhou R, Zhao X, Oei T. Effects of prolonged head-down bed rest on working memory. Neuropsychiatric Dis Treat. 2015; 11: 835-842. https://doi.org/10.2147/NDT.S76292
|
| [11] |
Dev SI, Khader AM, Begerowski SR, Anderson SR, Clément G, Bell ST. Cognitive performance in ISS astronauts on 6-month low earth orbit missions. Front Physiol. 2024; 15:1451269. https://doi.org/10.3389/fphys.2024.1451269
|
| [12] |
Navarro Morales DC, Kuldavletova O, Quarck G, Denise P, Clément G. Time perception in astronauts on board the international space station. Npj Microgravity. 2023; 9(1): 1-7. https://doi.org/10.1038/s41526-023-00250-x
|
| [13] |
Takács E, Barkaszi I, Czigler I, et al. Persistent deterioration of visuospatial performance in spaceflight. Sci Rep. 2021; 11(1):9590. https://doi.org/10.1038/s41598-021-88938-6
|
| [14] |
Strangman GE, Sipes W, Beven G. Human cognitive performance in spaceflight and analogue environments. Aviat Space Environ Med. 2014; 85(10): 1033-1048. https://doi.org/10.3357/ASEM.3961.2014
|
| [15] |
Zhao X, Wang Y, Zhou R, Wang L, Tan C. The influence on individual working memory during 15 days −6° head-down bed rest. Acta Astronaut. 2011; 69(11): 969-974. https://doi.org/10.1016/j.actaastro.2011.07.003
|
| [16] |
Koppelmans V, Mulavara AP, Yuan P, et al. Exercise as potential countermeasure for the effects of 70 days of bed rest on cognitive and sensorimotor performance. Front Syst Neurosci. 2015; 9:121. https://doi.org/10.3389/fnsys.2015.00121
|
| [17] |
Pusil S, Zegarra-Valdivia J, Cuesta P, et al. Effects of spaceflight on the EEG alpha power and functional connectivity. Sci Rep. 2023; 13(1):9489. https://doi.org/10.1038/s41598-023-34744-1
|
| [18] |
Demertzi A, Van Ombergen A, Tomilovskaya E, et al. Cortical reorganization in an astronaut’s brain after long-duration spaceflight. Brain Struct Funct. 2016; 221(5): 2873-2876. https://doi.org/10.1007/s00429-015-1054-3
|
| [19] |
Qian Y, Jiang S, Jing X, et al. Effects of 15-Day head-down bed rest on emotional time perception. Front Psychol. 2021; 12:732362. https://doi.org/10.3389/fpsyg.2021.732362
|
| [20] |
Jillings S, Pechenkova E, Tomilovskaya E, et al. Prolonged microgravity induces reversible and persistent changes on human cerebral connectivity. Commun Biol. 2023; 6(1):1. https://doi.org/10.1038/s42003-022-04382-w
|
| [21] |
Friedl-Werner A, Machado ML, Balestra C, et al. Impaired attentional processing during parabolic flight. Front Physiol. 2021; 12:675426. https://doi.org/10.3389/fphys.2021.675426
|
| [22] |
Tays GD, Hupfeld KE, McGregor HR, et al. The microgravity environment affects sensorimotor adaptation and its neural correlates. Cerebr Cortex. 2025; 35(2):bhae502. https://doi.org/10.1093/cercor/bhae502
|
| [23] |
Tays GD, Hupfeld KE, McGregor HR, et al. Daily artificial gravity partially mitigates vestibular processing changes associated with head-down tilt bedrest. Npj Microgravity. 2024; 10(1): 1-10. https://doi.org/10.1038/s41526-024-00367-7
|
| [24] |
Gros A, Furlan FM, Rouglan V, Favereaux A, Bontempi B, Morel J-L. Physical exercise restores adult neurogenesis deficits induced by simulated microgravity. Npj Microgravity. 2024; 10(1): 1-22. https://doi.org/10.1038/s41526-024-00411-6
|
| [25] |
Scott JM, Feiveson AH, English KL, et al. Effects of exercise countermeasures on multisystem function in long duration spaceflight astronauts. Npj Microgravity. 2023; 9(1): 1-9. https://doi.org/10.1038/s41526-023-00256-5
|
| [26] |
Balbim GM, Falck RS, Barha CK, et al. Exercise counters the negative impact of bed rest on executive functions in middle-aged and older adults: a proof-of-concept randomized controlled trial. Maturitas. 2024; 179:107869. https://doi.org/10.1016/j.maturitas.2023.107869
|
| [27] |
Wang Y, Li Z, Su R, et al. Effects of exercise intervention on executive function in 90-day head-down bed rest. Acta Astronaut. 2025; 232: 23-31. https://doi.org/10.1016/j.actaastro.2025.02.033
|
| [28] |
Brauns K, Friedl-Werner A, Gunga H-C, Stahn AC. Effects of two months of bed rest and antioxidant supplementation on attentional processing. Cortex J Devoted Study Nerv Syst Behav. 2021; 141: 81-93. https://doi.org/10.1016/j.cortex.2021.03.026
|
| [29] |
Chan ATC, Ip RTF, Tran JYS, Chan JYC, Tsoi KKF. Computerized cognitive training for memory functions in mild cognitive impairment or dementia: a systematic review and meta-analysis. npj Digit Med. 2024; 7(1): 1-11. https://doi.org/10.1038/s41746-023-00987-5
|
| [30] |
Yang T, Liu W, He J, et al. The cognitive effect of non-invasive brain stimulation combined with cognitive training in Alzheimer’s disease and mild cognitive impairment: a systematic review and meta-analysis. Alzheimers Res Ther. 2024; 16(1): 140. https://doi.org/10.1186/s13195-024-01505-9
|
| [31] |
McDougal E, Silverstein P, Treleaven O, et al. Assessing the impact of LEGO® construction training on spatial and mathematical skills. Dev Sci. 2024; 27(2):e13432. https://doi.org/10.1111/desc.13432
|
| [32] |
Berger EM, Fehr E, Hermes H, Schunk D, Winkel K. The impact of working-memory training on children’s cognitive and noncognitive skills. J Polit Econ. 2025; 133(2): 492-521. https://doi.org/10.1086/732884
|
| [33] |
Birtwistle E, Chernikova O, Wünsch M, Niklas F. Training of executive functions in children: a meta-analysis of cognitive training interventions. Sage Open. 2025; 15(1):21582440241311060. https://doi.org/10.1177/21582440241311060
|
| [34] |
Dong L, Ke Y, Zhu X, Liu S, Ming D. Long-term cognitive and neurophysiological effects of mental rotation training. Npj Sci Learn. 2025; 10(1): 1-9. https://doi.org/10.1038/s41539-025-00309-2
|
| [35] |
Zhu C, Leung COY, Lagoudaki E, et al. Fostering spatial ability development in and for authentic STEM learning. Front Educ. 2023; 8: 323-336. https://doi.org/10.3389/feduc.2023.1138607
|
| [36] |
Ke Y, Liu S, Chen L, Wang X, Ming D. Lasting enhancements in neural efficiency by multi-session transcranial direct current stimulation during working memory training. Npj Sci Learn. 2023; 8(1):48. https://doi.org/10.1038/s41539-023-00200-y
|
| [37] |
Müller D, Habel U, Brodkin ES, Weidler C. High-definition transcranial direct current stimulation (HD-tDCS) for the enhancement of working memory – a systematic review and meta-analysis of healthy adults. Brain Stimul. 2022; 15(6): 1475-1485. https://doi.org/10.1016/j.brs.2022.11.001
|
| [38] |
Romanella SM, Sprugnoli G, Ruffini G, Seyedmadani K, Rossi S, Santarnecchi E. Noninvasive brain stimulation and space exploration: opportunities and challenges. Neurosci Biobehav Rev. 2020; 119: 294-319. https://doi.org/10.1016/j.neubiorev.2020.09.005
|
| [39] |
Zhu R, Wang Z, You X. Anodal transcranial direct current stimulation over the posterior parietal cortex enhances three-dimensional mental rotation ability. Neurosci Res. 2021; 170: 208-216. https://doi.org/10.1016/j.neures.2020.09.003
|
| [40] |
Burton CZ, Garnett EO, Capellari E, et al. Combined cognitive training and transcranial direct current stimulation in neuropsychiatric disorders: a systematic review and meta-analysis. Biol Psychiatry Cogn Neurosci Neuroimaging. 2023; 8(2): 151-161. https://doi.org/10.1016/j.bpsc.2022.09.014
|
| [41] |
Salazar AP, McGregor HR, Hupfeld KE, et al. Changes in working memory brain activity and task-based connectivity after long-duration spaceflight. Cerebr Cortex. 2023; 33(6): 2641-2654. https://doi.org/10.1093/cercor/bhac232
|
| [42] |
Peysakhovich V, Kiehl T, Martinez LV, et al. Short-term microgravity effects simulation does not affect fNIRS measures of cerebral oxygenation changes induced by cognitive load. Front Physiol. 2025; 16:1425302. https://doi.org/10.3389/fphys.2025.1425302
|
| [43] |
Peirce JW. Generating stimuli for neuroscience using PsychoPy. Front Neuroinf. 2009; 2(Jan):10. https://doi.org/10.3389/neuro.11.010.2008
|
| [44] |
Windhoff M, Opitz A, Thielscher A. Electric field calculations in brain stimulation based on finite elements: an optimized processing pipeline for the generation and usage of accurate individual head models. Wiley Subscription Services, Inc., A Wiley Company; 2013: 923-935. https://doi.org/10.1002/hbm.21479
|
| [45] |
Shepard RN, Metzler J. Mental rotation of three-dimensional objects. Science. 1971; 171(3972): 701-703. https://doi.org/10.1126/science.171.3972.701
|
| [46] |
Peters M, Battista C. Applications of mental rotation figures of the shepard and metzler type and description of a mental rotation stimulus library. Brain Cognit. 2008; 66(3): 260-264. https://doi.org/10.1016/j.bandc.2007.09.003
|
| [47] |
Jaeggi SM, Buschkuehl M, Perrig WJ, Meier B. The concurrent validity of the N-back task as a working memory measure. Mem Hove Engl. 2010; 18(4): 394-412. https://doi.org/10.1080/09658211003702171
|
| [48] |
Delorme A, Makeig S. EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis. J Neurosci Methods. 2004; 134(1): 9-21. https://doi.org/10.1016/j.jneumeth.2003.10.009
|
| [49] |
Privitera AJ, Sun R. The P3 and academic performance in healthy adults: a systematic review and meta-analysis. Int J Educ Res. 2024; 128:102462. https://doi.org/10.1016/j.ijer.2024.102462
|
| [50] |
Polich J. Neuropsychology of p300. In: Oxford Handbook of Event-Related Potential Components. Oxford University Press; 2011: 160-188. https://doi.org/10.1093/oxfordhb/9780195374148.013.0089
|
| [51] |
Heil M. The functional significance of ERP effects during mental rotation. Psychophysiology. 2002; 39(5): 535-545. https://doi.org/10.1111/1469-8986.3950535
|
| [52] |
van Dinteren R, Arns M, Jongsma MLA, Kessels RPC. P300 development across the lifespan: a systematic review and meta-analysis. PLoS One. 2014; 9(2):e87347. https://doi.org/10.1371/journal.pone.0087347
|
| [53] |
Berkovits I, Hancock GR, Nevitt J. Bootstrap resampling approaches for repeated measure designs: relative robustness to sphericity and normality violations. Educ Psychol Meas. 2000; 60(6): 877-892. https://doi.org/10.1177/00131640021970961
|
| [54] |
Cole JC, Akbar AM, Chakarvarty S, Jahangiri FR. The effects of microgravity on EEG recordings: a systematic review. J Neurophysiol Monit. 2024; 2(2). https://doi.org/10.5281/zenodo.10689996
|
| [55] |
Cebolla AM, Petieau M, Palmero-Soler E, Cheron G. Brain potential responses involved in decision-making in weightlessness. Sci Rep. 2022; 12(1):12992. https://doi.org/10.1038/s41598-022-17234-8
|
| [56] |
Kozaki T. Training effect on sex-based differences in components of the shepard and metzler mental rotation task. J Physiol Anthropol. 2022; 41(1): 39. https://doi.org/10.1186/s40101-022-00314-z
|
| [57] |
Yang Y, Sakimoto Y, Mitsushima D. Postnatal development of synaptic plasticity at hippocampal CA1 synapses: correlation of learning performance with pathway-specific plasticity. Brain Sci. 2024; 14(4):382. https://doi.org/10.3390/brainsci14040382
|
| [58] |
Shucard DW, Covey TJ, Shucard JL. Single trial variability of event-related brain potentials as an index of neural efficiency during working memory. In: Foundations of Augmented Cognition: Neuroergonomics and Operational Neuroscience. Springer; 2016: 273-283. https://doi.org/10.1007/978-3-319-39955-3_26
|
| [59] |
Abraham WC. Metaplasticity: tuning synapses and networks for plasticity. Nat Rev Neurosci. 2008; 9(5): 387. https://doi.org/10.1038/nrn2356
|
| [60] |
Chan MMY, Yau SSY, Han YMY. The neurobiology of prefrontal transcranial direct current stimulation (tDCS) in promoting brain plasticity: a systematic review and meta-analyses of human and rodent studies. Neurosci Biobehav Rev. 2021; 125: 392-416. https://doi.org/10.1016/j.neubiorev.2021.02.035
|
| [61] |
Liu L, Wang H, Xing Y, et al. Dose–response relationship between computerized cognitive training and cognitive improvement. npj Digit Med. 2024; 7(1): 214. https://doi.org/10.1038/s41746-024-01210-9
|
| [62] |
Cheron G, Leroy A, Palmero-Soler E, et al. Gravity influences top-down signals in visual processing. PLoS One. 2014; 9(1):e82371. https://doi.org/10.1371/journal.pone.0082371
|
| [63] |
Cheron G, Leroy A, De Saedeleer C, et al. Effect of gravity on human spontaneous 10-Hz electroencephalographic oscillations during the arrest reaction. Brain Res. 2006; 1121(1): 104-116. https://doi.org/10.1016/j.brainres.2006.08.098
|
RIGHTS & PERMISSIONS
2025 The Author(s). Journal of Intelligent Medicine published by John Wiley & Sons Australia, Ltd on behalf of Tianjin University.