Effects of Corrective Taping on Balance and Gait in Patients With Hallux Valgus

2016 ◽  
Vol 38 (5) ◽  
pp. 532-540 ◽  
Author(s):  
Gozde Gur ◽  
Ozden Ozkal ◽  
Burcu Dilek ◽  
Songul Aksoy ◽  
Nilgun Bek ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Dynamic Balance ◽  
Acute Effect ◽  
Clinical Test ◽  
Middle Aged ◽  
Positive Effects ◽  
Lack Of Information ◽  
Computerized Posturography ◽  
Significant Difference ◽  
Middle Aged Adults

Background: Taping is an effective temporary therapy for improving hallux valgus (HV) in adults. Although HV has been demonstrated to impair postural balance, there is a lack of information about how corrective taping affects balance and gait patterns in adults with HV deformity. Methods: Eighteen middle-aged female patients (average age, 53.5 years) with HV were included. Corrective tape was applied to correct HV angulation. A series of balance and gait stability tests were performed before applying tape and 1 hour after the tape was applied with a Balance Master computerized posturography device. The study involved the following tests: modified clinical test of sensory interaction and balance (mCTSIB), unilateral stance (US), limit of stability (LoS), step up/over (SUO), and walk across (WA) tests. Results: No significant difference was found between the no-tape and taped condition in the static balance mCTSIB and US tests ( P > .05). The taping intervention resulted in significant improvement in the dynamic balance measures for the LoS test’s backward reaction time and left maximum excursion ( P < .05), a significantly higher impact index bilaterally in the SUO assessment ( P < .05), and an increase in step width mean and variability in the WA test ( P < .05). Conclusions: Taping for correcting HV angulation had negative acute effects on dynamic balance in the SUO and WA tests and positive effects in the LoS test. Clinical Relevance: Corrective taping, although a form of conservative treatment for hallux valgus, has been insufficiently studied in terms of effects on balance. Our results show that taping, as an acute effect, may impair balance in middle-aged adults when walking or ascending and descending stairs.

Encoding of a binaural speech stimulus at the brainstem level in middle-aged adults

2020 ◽  
pp. 1-8
Author(s):  
A K Neupane ◽  
S K Sinha ◽  
K Gururaj
Keyword(s):  
Binaural Hearing ◽  
Auditory Pathway ◽  
Auditory Brainstem ◽  
Speech Stimulus ◽  
Auditory Brainstem Responses ◽  
Middle Aged ◽  
Fast Fourier Transform Analysis ◽  
Significant Difference ◽  
Brainstem Response ◽  
Middle Aged Adults

Abstract Objective Binaural hearing is facilitated by neural interactions in the auditory pathway. Ageing results in impairment of localisation and listening in noisy situations without any significant hearing loss. The present study focused on comparing the binaural encoding of a speech stimulus at the subcortical level in middle-aged versus younger adults, based on speech-evoked auditory brainstem responses. Methods Thirty participants (15 young adults and 15 middle-aged adults) with normal hearing sensitivity (less than 15 dB HL) participated in the study. The speech-evoked auditory brainstem response was recorded monaurally and binaurally with a 40-ms /da/ stimulus. Fast Fourier transform analysis was utilised. Results An independent sample t-test revealed a significant difference between the two groups in fundamental frequency (F0) amplitude recorded with binaural stimulation. Conclusion The present study suggested that ageing results in degradation of F0 encoding, which is essential for the perception of speech in noise.

Decreased dynamic balance and dorsiflexion range of motion in young and middle-aged adults with chronic ankle instability

2019 ◽  
Vol 22 (9) ◽  
pp. 976-980 ◽  
Author(s):  
Kyle B. Kosik ◽  
Nathan F. Johnson ◽  
Masafumi Terada ◽  
Abbey C. Thomas ◽  
Carl G. Mattacola ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Ankle Instability ◽  
Dynamic Balance ◽  
Chronic Ankle Instability ◽  
Middle Aged ◽  
Middle Aged Adults

scholarly journals Cervical Vestibular-Evoked Myogenic Potentials and Balance Testing in Children with Down Syndrome

2021 ◽  
Author(s):  
Sule Kaya ◽  
Banu Bas ◽  
Serap Er ◽  
Kemal Keseroglu ◽  
Hakan Korkmaz
Keyword(s):  
Down Syndrome ◽  
Balance Control ◽  
Dynamic Balance ◽  
Vestibular Evoked Myogenic Potentials ◽  
Control Group ◽  
Clinical Test ◽  
Timed Up And Go ◽  
Children With Down Syndrome ◽  
Lower Amplitude ◽  
Significant Difference

Abstract Introduction Vestibular otolith function plays a major role in balance control. Objective To investigate the saccular and balance functions of children with Down syndrome (DS). Methods In total, 15 children with DS aged between 9 and 11 years were included. An age- and gender-matched control group (CG) composed of 15 normal participants was also included. The subjects with DS had trisomy 21, without hearing or organic problems, and they had independence in stance. The saccular function among the children with DS and among the controls was tested using air-conduction cervical vestibular-evoked myogenic potentials (cVEMPs). In addition, the static and dynamic balance statuses were evaluated using the following assessments; the Pediatric Balance Scale (PBS), the modified Clinical Test of Sensory Interaction on Balance (mCTSIB), the Romberg test, and the Timed Up and Go (TUG) test. Results In the present study, the results of the saccular function test showed that there was a significant difference between children with and without DS (p < 0.05). The DS subjects had significantly earlier N1 latancy and lower amplitude of the cVEMPs (< 70 μV) compared with the control subjects. The static-dynamic balance ability was statistically and significantly different in children with DS compared with the controls (p < 0.05). Conclusion These results revealed that saccular function seems to be affected in DS subjects. The dysfunction in static and dynamic balance abilities of the children with DS may be attributed to vestibular dysfunction as well as low gross motor skills. This knowledge should be taken into account when assessing motor performance in those subjects. Additional larger studies testing other dimensions of the vestibular system in children with DS are needed.

The Effects of Animation on the Guessability of Universal Healthcare Symbols for Middle-Aged and Older Adults

2021 ◽  
pp. 001872082110609
Author(s):  
Hao Chen ◽  
Chao Liu ◽  
Szu-Erh Hsu ◽  
Ding-Hau Huang ◽  
Chia-Yi Liu ◽  
...  
Keyword(s):  
Older Adults ◽  
Age Groups ◽  
The United States ◽  
Middle Aged ◽  
Universal Healthcare ◽  
Significant Difference ◽  
Symbol Comprehension ◽  
English Speaking ◽  
Middle Aged Adults ◽  
Better Than

Objective The purpose of this study was to investigate whether animation can help to improve the comprehension of universal healthcare symbols for middle-aged and older adults. Background The Hablamos Juntos (HJ) healthcare symbol system is a set of widely used universal healthcare symbols that were developed in the United States. Some studies indicated that HJ healthcare symbols are not well-understood by users in non-English-speaking areas. Other studies found that animations can improve users’ comprehension of complex symbols. Thus, we wanted to test whether animation could help to improve users’ comprehension of HJ symbols. Methods The participants included 40 middle-aged and 40 older adults in Taiwan. We redesigned the 12 HJ symbols into three visual formats—static, basic animation, and detailed animation—and compared them to find which best improved the participants’ guessability scores. Results (1) Middle-aged adults’ comprehension of static and basic animated symbols was significantly better than that of older adults, but there was no significant difference in the guessability scores between the two age groups in terms of detailed animated symbols; (2) In general, both basic animation and detailed animation significantly improved the guessability score, but the effect with detailed animation was significantly greater than that with basic animation; (3) Older women were more receptive to detailed animation and showed better guessing performance. Conclusion Detailed animation contains more details and provides a more complete explanation of the concept of the static symbols, helping to improve the comprehension of HJ symbols for middle-aged and older adult users. Application Our findings provide a reference for the possibility of new style symbol design in the digital and aging era, which can be applied to improve symbol comprehension.

Young and Middle Aged Adults Differ in Neural Correlate of Sustained Attention: A fNIRS Study

2021 ◽  
Vol 14 ◽  
Author(s):  
Shweta Shenoy ◽  
Prachi Khandekar ◽  
Abhinav Sathe
Keyword(s):  
Young Adults ◽  
Sustained Attention ◽  
Near Infrared ◽  
Middle Age ◽  
Neural Correlates ◽  
Middle Aged ◽  
Functional Near Infrared Spectroscopy ◽  
Age Related ◽  
Significant Difference ◽  
Middle Aged Adults

: Sustained attention (SA) is a construct of cognition that tends to decline with age. There is a lack of literature regarding the neural correlates of SA in middle age, a link between young and old age. This study evaluated the differences in SA ability and its neural correlates using functional near-infrared spectroscopy (fNIRS) between young and middle-aged adults. 38 young and 25 middle-aged adults were evaluated for the changes in neural correlates (oxy and deoxyhemoglobin concentration in the prefrontal cortex) during a SA task known as cognition. The results showed that young adults performed significantly better than middle-aged adults on the SA task with no gender difference in their performance. There was a significant difference in the prefrontal activation pattern between young and middle-aged adults. We found right prefrontal dominance in young adults and left the prefrontal authority in middle-aged adults. This study concludes that the ability to maintain SA diminishes with age, advancing from young to middle age. Hemodynamic findings confirmed significant differences in neural resources in the prefrontal cortical areas between young and middle age. Findings document the neurobiological basis of age-related decline in the middle-aged population to understand changes in the brain's functioning during SA-related cognitive tasks.

Dose-Response Effect of Acute Resistance Exercise on Tower of London in Middle-Aged Adults

2011 ◽  
Vol 33 (6) ◽  
pp. 866-883 ◽  
Author(s):  
Yu-Kai Chang ◽  
I-Hua Chu ◽  
Feng-Tzu Chen ◽  
Chun-Chih Wang
Keyword(s):  
Resistance Exercise ◽  
Dose Response ◽  
Exercise Intensity ◽  
Moderate Intensity ◽  
Middle Aged ◽  
Tower Of London ◽  
Acute Bout ◽  
Positive Effects ◽  
Dose Response Effect ◽  
Middle Aged Adults

The present research attempts to evaluate the dose-response relationship between acute resistance exercise and planning. Seventeen participants performed the Tower of London (TOL) in control condition and three different exercise intensity conditions (40%, 70%, and 100% 10-repetition maximal) in a counterbalanced order. The results revealed positive effects of an acute bout of resistance exercise on the TOL. Specifically, a curvilinear trend was observed between exercise intensity and TOL scores that measured performances of “correct” and “move,” where moderate intensity demonstrated the most optimal performance compared with the other conditions. None of these differences were found in TOL scores that measure performances of “violation” and “planning speed.” These results suggest that acute moderate intensity resistance exercise could facilitate planning-related executive functions in middle-aged adults.

scholarly journals Screening Test for At-Risk Drinking: Development of New Abbreviated Version of Alcohol Use Disorder Identification Test for Young and Middle-Aged Adults

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Jae Hee Lee ◽  
Koo Young Jung ◽  
Yoon Hee Choi
Keyword(s):  
At Risk ◽  
Alcohol Use ◽  
National Health ◽  
Screening Test ◽  
Nutrition Examination Survey ◽  
Middle Aged ◽  
Health And Nutrition ◽  
Significant Difference ◽  
Identification Test ◽  
Middle Aged Adults

Several abbreviated versions of the Alcohol Use Disorders Identification Test (AUDIT) have been developed for use in high-volume clinical situations such as emergency departments. In this study, we developed a new abbreviated version of AUDIT called the Screening Tool for At-risk Drinking (STAD) for young and middle-aged adults, consisting of two questions that reflect the structure of the AUDIT questionnaire using data from the Korea National Health and Nutrition Examination Survey (KNHANES). To derive the abbreviated test considering AUDIT item structure, we performed confirmatory factor analysis on the 10 AUDIT questions in the Korea National Health and Nutrition Examination Survey (KNHANES) IV. To validate the new abbreviated test, we analyzed the sensitivity, specificity, and area under the receiver operating characteristic curve (AUROC) on the KNHANES V-VI except for the KNHANES VI-2. Based on the two-factor structure of AUDIT, question (Q) 3 and Q7 were finally selected for STAD. In validation, AUROC was significantly wider for STAD than for AUDIT-QF, which has the same number of questions. There was no significant difference between AUDIT-C, consisting of three questions, and STAD. It can be used as a simple and reliable screening test in clinical settings.

scholarly journals Comparison of effect of concurrent phone texting on gait speed in young and middle aged healthy subjects

2019 ◽  
Vol 6 (12) ◽  
pp. 5142
Author(s):  
Vaibhavi R. Shah ◽  
Megha S. Sheth
Keyword(s):  
Dynamic Balance ◽  
Age Groups ◽  
Text Messages ◽  
Wilcoxon Test ◽  
Middle Aged ◽  
Mobile Media ◽  
The Difference ◽  
Middle Aged Adults ◽  
Climbing Stairs ◽  
Walking Time

Background: Around the world today, adoption of mobile media phones and its advancement have been growing at dizzying pace in all age groups. People use phone while walking on/crossing roads, climbing stairs, driving cars, etc. Using a smartphone while walking has shown decrease in walking speed and affect dynamic balance by reducing cognitive ability. The objective of study is to see and compare effect of concurrent phone texting while obstacle walking on walking time in young and middle-aged healthy subjects.Methods: An observational study with 100 healthy individuals (50 young and 50 middle-aged) were taken and had to walk on a 15 m walkway with obstacle (approximately 10% of subject’s height) at 8m distance from start without and with texting. The text messages used were all short objective questions and were sent to them approximately 2 steps prior to reaching the obstacle. Their walking time was analyzed.Results: Wilcoxon test used to analyze difference within group. In young people without phone texting it was11.41±1.24 seconds and with texting was14.79±2.67seconds, (z=-6.101, p<0.001) and in middle aged was14.93±1.20 seconds and 20.52±1.87 seconds respectively (z=-6.154, p<0.001). Mann Whitney test used to analyze difference between groups. For without texting in young and middle aged walking time (U=48.0, p<0.001), with texting young and middle aged walking time (U=122.00, p<0.001) and comparing the difference in walking time between young and middle aged with and without phone texting (U=372.5, p<0.001).Conclusions: Phone texting increases walking time in young and middle aged with difference in walking time more in middle aged adults.

scholarly journals Post Vaccination Titers of Serum Anti-Diphtheria in Indonesian Young and Middle-Aged Adults

2021 ◽  
Author(s):  
Gatot Soegiarto ◽  
Diksi Novritasari ◽  
Ari Baskoro ◽  
Deasy Fetarayani ◽  
Wita Kartika Nurani
Keyword(s):  
Antibody Titer ◽  
Serum Antibody ◽  
Age Groups ◽  
Middle Aged ◽  
Adult Age ◽  
Significant Difference ◽  
Antibody Titers ◽  
The Difference ◽  
Middle Aged Adult ◽  
Middle Aged Adults

Objective: This study aimed to evaluate the antibody responses in two adult age groups after diphtheria vaccination. Study Design: An observational analytic study was carried out to determine the difference in serum titer of anti-diphtheria antibody. Methods: Serum antibody titers were measured just before and 3 months after injection of Diphtheria toxoid vaccine. Vaccine was given to two adult age groups of health care personnel in hospital: the young (&lt; 40 years) and the middle-aged (≥ 40 years). Data were analyzed using the Mann-Whitney test (p &lt; 0.05). Results: Significant increase in serum anti-diphtheria antibody titers were recorded after vaccination in both age group (p &lt; 0.001 in young adult and p = 0.001 in middle-aged adult, respectively). There were no substantial differences between the two groups in terms of antibody titer before vaccination (p = 0.741), 3 months after vaccination (p = 0.317) and in the increase of antibody titer (p = 0.479). Conclusions: This study showed that there was no significant difference in the increase of anti-diphtheria antibody titers between the two age groups, proving that both young and middle-aged adults had an equal immune response to a given diphtheria vaccine.

scholarly journals The Effects of Cognitive Learning and Imagination Training on the Balances of the 14-16 Years Old Handball Players

2018 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Mehmet Behzat Turan ◽  
Osman Dişçeken
Keyword(s):  
Dynamic Balance ◽  
Cognitive Learning ◽  
Control Group ◽  
Test Results ◽  
Study Program ◽  
Positive Effects ◽  
Significant Difference ◽  
Post Test ◽  
And Control ◽  
Experimental Group

The purpose of this research is to examine the effects of imagination and cognitive learning exercises, which are applied to increase the success of elite handball players, on their balance skills.The research group consists of a total of 36 voluntary male athletes, 18 of which are the control group and 18 of them are the experimental group, aged between 14 and 16, with at least 5 years of sports experience, who have been playing handball in Kayseri Youth Sports Club. For the study group, 8-day, 30-minute cognitive training and imagination study program was applied as two sets per day. No exercise was applied to the control group. Static and dynamic balance tests were applied to all of the participants (study and control group at the beginning and end of the study. According to the results of the analysis performed at the end of the study, a significant difference was found between the post-test results of all balance parameters of the experimental and control groups (p <0.05). When the pre-test and post-test results of the control group were compared, there was a significant difference between the scores of Static, Level8, Level4 and Oscillation CE (p<0.05) and there was no significant difference between Level2 and Oscillation OE (p>0.05). When the pre-test and post-test results of the experimental group were compared, a significant difference was found between all equilibrium parameters (p<0.05).As the result, it was found that cognitive imagination programs have positive effects on learning the balance skills in handball players under the light of the obtained findings.

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