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Simon N van Laarhoven, Matthijs Lipperts, Stijn A A N Bolink, Rachel Senden, Ide C Heyligers, Bernd Grimm
BACKGROUND: A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients. OBJECTIVES: This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA)...
September 19, 2016: Annals of Physical and Rehabilitation Medicine
Richard M Pulsford, James Blackwell, Melvyn Hillsdon, Katarina Kos
OBJECTIVES: Interrupting prolonged periods of sitting may improve postprandial insulin and glucose although it is unclear whether interruptions need to involve physical activity or simply a change in posture (from sitting to standing) to benefit adults without metabolic impairment. This study examined effects of interrupting sitting with intermittent walking, and intermittent standing on dynamic insulin and glucose responses in men without known metabolic impairment. DESIGN: A randomised three-arm, cross-over experimental study comprising three seven-hour days of sustained sitting...
August 27, 2016: Journal of Science and Medicine in Sport
B Barone Gibbs, R J Kowalsky, S J Perdomo, M Grier, J M Jakicic
BACKGROUND: Recent guidelines recommend accruing 2-4h of standing or light activity during the working day. Use of sit-stand desks could achieve this goal, but whether standing can meaningfully increase energy expenditure (EE) is unclear. AIMS: To study EE, heart rate, feelings and productivity during deskwork while sitting, standing or alternating positions. METHODS: We measured EE by indirect calorimetry in working adults over three randomly ordered 60-min conditions while performing deskwork: continuous sitting (SIT), 30min of each standing and sitting (STAND-SIT) and continuous standing (STAND)...
August 11, 2016: Occupational Medicine
Juliane Botter, Rolf P Ellegast, Eva-Maria Burford, Britta Weber, Reinier Könemann, Dianne A C M Commissaris
Increasing evidence is being found for the association of health risk factors with work-related physical inactivity. An increasing number of people are being exposed to this form of inactivity, and as a result, various interventions aimed at increasing physical activity during working hours are being developed. This study aims to investigate the differences in postural, muscular and physical activities resulting from two dynamic workstations, namely an elliptical trainer and a treadmill workstation, compared with a conventional sitting and standing workstation...
March 2016: Ergonomics
Vimonwan Hiengkaew, Sasithom Saengrueangrob, Kornkamon Cheawthamai
OBJECTIVE: To determine the effects of 12-week leg exercise and follow-up on fasting blood glucose (FBG), blood pressure, static and dynamic standing balance time, leg muscle strength, and leg exercise behaviors in type 2 diabetic elderly. MATERIAL AND METHOD: Fourfemales, completing 12-week leg exercise group and 6- and 12-monthfollow-up were examined for FBG blood pressure, standing on firm and foam surfaces, single leg stance, Five-Times-Sit-to-Stand Test (FTSST), alternated stepping, and leg muscle strength at before leg exercise, week 12 of exercise, and months 6 and 12 follow-up after exercise...
June 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Faik Türkmen, Mehmet A Acar, Burkay K Kacıra, İsmail H Korucu, Ömer F Erkoçak, Bayram Yolcu, Serdar Toker
PURPOSE: Q-angle measurement procedure have not been well standardised. There is a lack of consensus about subject position and knee flexion angle while measuring the Q-angle. Morover Q-angle value which obtained in a single position is a static value and gives an information about the subject's current position. The aim of this study is to obtain a more significant parameter which includes different postures (supine, standing, sitting) and different knee flexion angles instead of a single Q-angle in a fixed position...
2015: International Journal of Clinical and Experimental Medicine
David Martínez-Briseño, Rosario Fernández-Plata, Laura Gochicoa-Rangel, Luis Torre-Bouscoulet, Rosalba Rojas-Martínez, Laura Mendoza-Alvarado, Cecilia García-Sancho, Rogelio Pérez-Padilla
INTRODUCTION: Our aim was to estimate the longitudinal effect of Socioeconomic status (SES) on lung function growth of Mexican children and adolescents. MATERIALS AND METHODS: A cohort of Mexican children in third grade of primary school was followed with spirometry twice a year for 6 years through secondary school. Multilevel mixed-effects lineal models were fitted for the spirometric variables of 2,641 respiratory-healthy Mexican children. Monthly family income (in 2002 U...
2015: PloS One
Fabiana Braga Benatti, Mathias Ried-Larsen
INTRODUCTION: Prolonged time spent in sedentary behaviors (i.e., activities performed while sitting or reclining) has been consistently shown as an independent risk factor for increased cardiometabolic risk and all-cause mortality, whereas breaking up sedentary time is associated with improved cardiometabolic profile. However, there is still great controversy with the respect to what would be the optimal or minimum type, intensity, and frequency of physical activity necessary to revenue such positive outcomes in different populations...
October 2015: Medicine and Science in Sports and Exercise
Carina Hagman, Christer Janson, Andrei Malinovschi, Hans Hedenström, Margareta Emtner
INTRODUCTION: The respiratory movement measuring instrument (RMMI) is a laser-based non-invasive technique to measure breathing patterns and respiratory movements (RMs). Little knowledge is known about the ability of the RMMI to measure breathing patterns and the correlation between RMs and breathing volumes. OBJECTIVES: One aim was to investigate whether the RMMI could discriminate between normal versus abdominal versus high costal breathing patterns in different body positions...
September 2016: Clinical Physiology and Functional Imaging
Wen-Hui Fang, Guo-Shu Huang, Hsien-Feng Chang, Ching-Yang Chen, Chi-Yu Kang, Chih-Chien Wang, Chin Lin, Jia-Hwa Yang, Wen Su, SenYeong Kao, Sui-Lung Su
OBJECTIVE: To investigate the importance of the WOMAC index score, health-related quality of life and physical performance in each domain affected by knee osteoarthritis (OA) and to identify gender differences in the importance of these domains and physical performances. MATERIAL AND METHODS: We performed a population-based study for radiographic knee OA among participants aged more than 65 years. Demographic data were collected and anthropometric measurement, radiographic assessment, the WOMAC index score, the short-form 12 (SF-12), the Timed and Up to Go Test (TUGT) and the Five Times Sit to Stand Test (FTSST) were performed...
2015: BMJ Open
Natalia Aquaroni Ricci, Mayra Cristina Aratani, Heloísa Helena Caovilla, Fernando Freitas Ganança
OBJECTIVE: The aim of this study was to compare the effects of vestibular rehabilitation protocols on balance control in elderly with dizziness. DESIGN: This is a randomized clinical trial with 3-mo follow-up period. The sample was composed of 82 older individuals with chronic dizziness from vestibular disorders. The control group was treated according to the Conventional Cawthorne & Cooksey protocol (n = 40), and the experimental group was submitted to a Multimodal Cawthorne & Cooksey protocol (n = 42)...
April 2016: American Journal of Physical Medicine & Rehabilitation
(no author information available yet)
BACKGROUND: Ehlers-Danlos syndrome (EDS) is an inherited disorder affecting the connective tissue. EDS can manifest with symptoms attributable to the spine or craniovertebral junction (CVJ). In addition to EDS, numerous congenital, developmental, or acquired disorders can increase ligamentous laxity in the CVJ and cervical spine. Resulting abnormalities can lead to morbidity and serious neurologic complications. Appropriate imaging and diagnosis is needed to determine patient management and need for complex surgery...
2015: Ontario Health Technology Assessment Series
Sonya Wallbank, Jane Wonnacott
This paper offers a review of a new model of supervision; the integrated restorative model, to underpin effective safeguarding supervision in health settings. This seeks to capitalize on the benefits of using both restorative supervision (Wallbank, 2010) and an integrated model commonly referred to as the 4x4x4 model (Morrison 2005, Wonnacott, 2012). It challenges the notion that restorative supervision is a stand- alone supervisory process sitting outside of safeguarding supervision and demonstrates how effective safeguarding supervision needs to combine critical reflective practice and critical thinking with a restorative experience in order for the professional to feel supported and maintain their capacity to think...
May 2015: Community Practitioner: the Journal of the Community Practitioners' & Health Visitors' Association
Allan J Kozlowski, Thomas N Bryce, Marcel P Dijkers
BACKGROUND: Powered exoskeletons have been demonstrated as being safe for persons with spinal cord injury (SCI), but little is known about how users learn to manage these devices. OBJECTIVE: To quantify the time and effort required by persons with SCI to learn to use an exoskeleton for assisted walking. METHODS: A convenience sample was enrolled to learn to use the first-generation Ekso powered exoskeleton to walk. Participants were given up to 24 weekly sessions of instruction...
2015: Topics in Spinal Cord Injury Rehabilitation
Thomas Radtke, Milo A Puhan, Helge Hebestreit, Susi Kriemler
BACKGROUND: We aimed to assess the measurement properties and the minimal important difference (MID) of the 1-min sit-to-stand (STS) test in cystic fibrosis (CF). METHODS: Patients with CF were tested during a pulmonary rehabilitation program. Five STS tests were performed during the program; two tests at the beginning (STS0 and STS1) and three tests at the end (STS2a-2c). Exercise capacity, pulmonary function, and health-related quality of life (HRQoL) and patient-reported health status were measured at the beginning and end of the program...
March 2016: Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society
Manitha B Nair, Gaurav Baranwal, Prajuna Vijayan, Kripa S Keyan, R Jayakumar
Intervertebral disc degeneration, occurring mainly in nucleus pulposus (NP), is a leading cause of low back pain. In seeking to mitigate this condition, investigators in the field of NP tissue engineering have increasingly studied the use of hydrogels. However, these hydrogels should possess appropriate mechanical strength and swelling pressure, and concurrently support the proliferation of chondrocyte-like cells. The objective of this study was to develop and validate a composite hydrogel for NP tissue engineering, made of chitosan-poly(hydroxybutyrate-co-valerate) (CP) with chondroitin sulfate (CS) nanoparticles, without using a cross linker...
December 1, 2015: Colloids and Surfaces. B, Biointerfaces
Ângela Fernandes, Andreia S P Sousa, Joana Couras, Nuno Rocha, João Manuel R S Tavares
Postural control deficits are the most disabling aspects of Parkinson's disease (PD), resulting in decreased mobility and functional independence. The aim of this study was to assess the postural control stability, revealed by variables based on the centre of pressure (CoP), in individuals with PD while performing a sit-to-stand-to-sit sequence under single- and dual-task conditions. An observational, analytical and cross-sectional study was performed. The sample consisted of 9 individuals with PD and 9 healthy controls...
November 2015: Medical Engineering & Physics
Hilde A E Geraedts, Wiebren Zijlstra, Helco G Van Keeken, Wei Zhang, Martin Stevens
Regular physical activity is essential for older adults to stay healthy and independent. However, daily physical activity is generally low among older adults and mainly consists of activities such as standing and shuffling around indoors. Accurate measurement of this low-energy expenditure daily physical activity is crucial for stimulation of activity. The objective of this study was to assess the validity of a necklace-worn sensor-based method for detecting time-on-legs and daily life mobility related postures in older adults...
2015: PloS One
Rodrigo Villar, Thomas Beltrame, Richard L Hughson
We tested the validity of the Hexoskin wearable vest to monitor heart rate (HR), breathing rate (BR), tidal volume (VT), minute ventilation, and hip motion intensity (HMI) in comparison with laboratory standard devices during lying, sitting, standing, and walking. Twenty healthy young volunteers participated in this study. First, participants walked 6 min on a treadmill at speeds of 1, 3, and 4.5 km/h followed by increasing treadmill grades until 80% of their predicted maximal heart rate. Second, lying, sitting, and standing tasks were performed (5 min each) followed by 6 min of treadmill walking at 80% of their ventilatory threshold...
October 2015: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
Emma J Quinn, Zack Blumenfeld, Anca Velisar, Mandy Miller Koop, Lauren A Shreve, Megan H Trager, Bruce C Hill, Camilla Kilbane, Jaimie M Henderson, Helen Brontë-Stewart
BACKGROUND: Investigations into the effect of deep brain stimulation (DBS) on subthalamic (STN) beta (13-30 Hz) oscillations have been performed in the perioperative period with the subject tethered to equipment. Using an embedded sensing neurostimulator, this study investigated whether beta power was similar in different resting postures and during forward walking in freely moving subjects with Parkinson's disease (PD) and whether STN DBS attenuated beta power in a voltage-dependent manner...
November 2015: Movement Disorders: Official Journal of the Movement Disorder Society
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