Spatial disorientation results in a person being unable to determine their 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 attitude of the aircraft, referring to the motion of the aircraft (whether turning, ascending or descending). For aviators, proper recognition of aircraft attitude 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. Flight safety, history, and statistics 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. While testing an early turn and slip indicator devised by his friend Elmer Sperry in 1918, United States Army Air Corps pilot William Ocker entered a graveyard spiral while flying through clouds without visual references; the turn indicator showed he was in a turn, but his senses told him he was in level flight. Emerging from the clouds, Ocker was able to recover from the dive. 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. Sperry would go on to invent the gyrocompass and attitude indicator, both of which were being tested by 1930. 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. In 1965, the Federal Aviation Agency of the United States issued Advisory Circular AC 60-4, warning pilots about the hazards of spatial disorientation, which