Background: Sustained acceleration protection ensembles are being deve
loped to help pilots of high performance aircraft endure high G exposu
res for longer periods of time. It has been assumed that better G endu
rance confers better pilot task performance. This premise was studied
on the Armstrong Laboratory Dynamic Environment Simulator centrifuge.
Method: Human subjects repeatedly endured prolonged high-C simulated a
erial combat on a centrifuge to the point of loss of vision or physica
l exhaustion. Some profiles included over 20 exposures to +9 Gz. While
enduring the G exposures, subjects tracked a simulated ''bogey'' airc
raft on a visual display and performed a secondary task. Measures of c
ognitive function and physiologic status were taken throughout the exp
osures. G protection ensembles included the standard CSU 13 B/P anti-G
suit, the Advanced Technology Anti-G Suit (ATAGS), COMBAT EDGE positi
ve pressure breathing system with the CSU 13 B/P, COMBAT EDGE with ATA
GS, and the Northrop Advanced Protection System (APS). Results: More a
dvanced protective systems not only allow longer G endurance, but prov
ide adequate support for maintained cognitive performance throughout t
he extended exposure. Although measures were affected by the type of p
rotective system the subject was wearing, as well as individual abilit
y and coping strategies, consistent target tracking task performance,
rapid choice reaction time, and sufficient arterial oxygen saturation
were maintained throughout extended exposures to a point preceding ter
mination by only a second or two. Conclusions: Those anti-G protection
ensembles that cover and protect the body and which employ positive p
ressure breathing allow longer high G exposures which provide support
for maintained cognitive performance.