Walking in Natural Environments as Geriatrician’s Recommendation for Fall Prevention: Preliminary Outcomes from the “Passiata Day” Model

Background: The Geriatric Unit of the University of Palermo developed the “Passiata Day” model, a green exercise intervention consisting of a one-hour walk, once/week, in a city park. The purpose of this study was to assess body balance in older people who walked regularly compared to sedentary people. Methods: 106 older people (75 women and 31 men; mean age: 72.3 ± 8.2 years) without fall history were invited to participate voluntarily in this natural environment walking program. After six months, both the participants who had taken part regularly in the walk (i.e., the physical activity group (PAG; n = 72; 54 women and 18 men; mean age: 70.7 ± 7.2 years)), and who had not accepted to be included in the outdoor walking program (i.e., the sedentary group (SG; n = 34; 21 women and 13 men; mean age: 75.5 ± 9.4 years)), performed a stabilometric test with open eyes (OE) and with closed eyes (CE). Results: Our preliminary results showed significant differences between groups on the ellipse sway area both in the OE (p < 0.05) and in CE condition (p < 0.01). Moreover, we found a significant difference on sway along the frontal plane both in the OE (p < 0.05) and in the CE condition (p < 0.01), and on sway along the sagittal plane for the test with CE (p < 0.01). Conclusion: Based on our preliminary findings, we suggest that walking regularly in an outdoor setting could lead to a greater body balance in older people and could be recommended by geriatricians for preventing the risk of falls. The next step will be to investigate the effect of an experimental outdoor walking program structured in terms of intensity, frequency and volume.

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Improved Visualization and Assessment of Condylar Position in the Glenoid Fossa for Different Occlusions: A CBCT Study

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1912 ◽

2016 ◽

Vol 17 (8) ◽

pp. 679-686 ◽

Cited By ~ 6

Author(s):

Amandeep Kaur ◽

Amanpreet S Natt ◽

Simranjeet K Mehra ◽

Karan Maheshwari ◽

Amanjot Kaur

Keyword(s):

Orthodontic Treatment ◽

Sagittal Plane ◽

Frontal Plane ◽

Cone Beam ◽

Glenoid Fossa ◽

Computed Tomographic ◽

Significant Difference ◽

Condylar Position ◽

The Stability ◽

The Right

ABSTRACT Introduction The position of the condyle in the glenoid fossa plays an important role in the stability of occlusion after orthodontic treatment. Cone beam computed tomography (CBCT) provides an optimal imaging of the osseous components of the temporomandibular joint (TMJ) and give a full size truly threedimensional (3D) description in real anatomical size. The present study aimed to visualize and compare the position of condyle in the glenoid fossa for different occlusions by using CBCT. Materials and methods Cone beam computed tomographic images of 45 subjects, aged 18 to 42 years, were evaluated. Subjects were equally divided into three groups according to the A point, nasion, B point (ANB) angle. Results In the sagittal plane, condyle is positioned nonconcentrically; positioned anteriosuperiorly in class I and III occlusions and lies posteriosuperiorly in class II occlusion. In the frontal plane, condyle is positioned centrally (mediolaterally) in all the three types of occlusions. In the axial plane, the parameters showed significant difference between the different occlusions. No statistical significant distinction could be made in the position of the condyle when comparing the right and left joints. Conclusion The position of condyle in glenoid fossa influences sagittal, transverse, and vertical relationships of the jaws which eventually contribute to development of various malocclusions. Nonconcentricity is the feature of the condyle in the sagittal plane in different malocclusions. Clinical significance An important consideration in orthodontic treatment is the recognition of the importance that the dentition should be in harmony with the related musculoskeletal structures. Therefore, the condylar position is an important concern in maintaining or restoring temporomandibular harmony with the dentition and the position of the condyle in the glenoid fossa plays an important role in the stability of occlusion after orthodontic treatment. How to cite this article Kaur A, Natt AS, Mehra SK, Maheshwari K, Singh G, Kaur A. Improved Visualization and Assessment of Condylar Position in the Glenoid Fossa for Different Occlusions: A CBCT Study. J Contemp Dent Pract 2016;17(8):679-686.

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The Effects of Acute Intense Physical Exercise on Postural Stability in Children With Cerebral Palsy

Adapted Physical Activity Quarterly ◽

10.1123/apaq.2015-0115 ◽

2016 ◽

Vol 33 (3) ◽

pp. 271-282 ◽

Cited By ~ 3

Author(s):

Matthew J. Leineweber ◽

Dominik Wyss ◽

Sophie-Krystale Dufour ◽

Claire Gane ◽

Karl Zabjek ◽

...

Keyword(s):

Cerebral Palsy ◽

Physical Exercise ◽

Postural Stability ◽

Sagittal Plane ◽

Center Of Pressure ◽

Force Plate ◽

Frontal Plane ◽

Increased Risk ◽

Children With Cerebral Palsy ◽

Risk Of Falls

This study evaluated the effects of intense physical exercise on postural stability of children with cerebral palsy (CP). Center of pressure (CoP) was measured in 9 typically developing (TD) children and 8 with CP before and after a maximal aerobic shuttle-run test (SRT) using a single force plate. Anteroposterior and mediolateral sway velocities, sway area, and sway regularity were calculated from the CoP data and compared between pre- and postexercise levels and between groups. Children with CP demonstrated significantly higher pre-SRT CoP velocities than TD children in the sagittal (18.6 ± 7.6 vs. 6.75 1.78 m/s) and frontal planes (15.4 ± 5.3 vs. 8.04 ± 1.51 m/s). Post-SRT, CoP velocities significantly increased for children with CP in the sagittal plane (27.0 ± 1.2 m/s), with near-significant increases in the frontal plane (25.0 ± 1.5m/s). Similarly, children with CP evidenced larger sway areas than the TD children both pre- and postexercise. The diminished postural stability in children with CP after short but intense physical exercise may have important implications including increased risk of falls and injury.

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Energy Expenditure of Transfemoral Amputees Walking on a Horizontal and Tilted Treadmill Simulating Different Outdoor Walking Conditions

Prosthetics and Orthotics International ◽

10.3109/03093640903585016 ◽

2010 ◽

Vol 34 (2) ◽

pp. 184-194 ◽

Cited By ~ 17

Author(s):

Inger-Marie Starholm ◽

Terje Gjovaag ◽

Anne Marit Mengshoel

Keyword(s):

Energy Expenditure ◽

Oxygen Uptake ◽

Sagittal Plane ◽

Frontal Plane ◽

Gait Pattern ◽

Tilted Surface ◽

Outdoor Walking ◽

Energy Consuming ◽

Transfemoral Amputees ◽

The Difference

Transfemoral amputees often report that walking on tilted pavements or on terrain with the prosthesis on the side of higher elevation is quite strenuous. This study investigates the energy expenditure of transfemoral amputees ( n = 8) on a motorized treadmill, simulating different strenuous outdoor walking conditions. Oxygen uptake at self-selected speed of gait was measured during walking at three different treadmill positions: (i) Horizontal treadmill, (ii) 3% tilt in the sagittal plane and (iii) 3% tilt in both the sagittal and frontal plane of the treadmill. The difference in median values of oxygen uptake between position (i) and (ii) was 4.3%, and 16.4% between position (ii) and (iii) ( p ≤ 0.05, for both comparisons). The subjects utilized about 50% of their VO2max when walking in position (i) and (ii), with an increase to about 60% of their VO2max when walking in position (iii). Transfemoral amputees use significantly more energy when walking on a moderately tilted surface in the frontal plane compared to walking with a tilt in the sagittal plane. This is probably because the prosthetic leg becomes functionally too long when the walking surface is tilted sideways, and the transfemoral amputees adopt a more energy consuming gait pattern.

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Body balance in standing position in people after cerebral stroke on the basis of posturographic examinations

Physiotherapy ◽

10.1515/physio-2015-0021 ◽

2015 ◽

Vol 23 (4) ◽

Author(s):

Kamila Jasińska

Keyword(s):

Sagittal Plane ◽

Frontal Plane ◽

Standing Position ◽

Centre Of Pressure ◽

Body Balance ◽

Eyes Closed ◽

Affected Side ◽

Eyes Open ◽

Left And Right ◽

The Mean

AbstractA stroke has a number of direct effects on body balance. Despite the progress in medical science, it continues to be one of the major causes of disability in adults.The objective of the study was to evaluate the body balance in people after stroke depending on the side of hemiparesis.The study included 30 patients with left and right-sided hemiparesis. The mean age of the patients was 66 years. The tests were conducted on the R50300 Cosmogamma balance platform, in a standing position. Each patient was examined twice: with and without vision, in a standing position. The statistical analysis was carried out using the STATISTICA software.The results revealed statistical differences in the maximum lateral sways of the Centre of Pressure (COP) with the eyes open, the maximum front-back sways of the Centre of Pressure with the eyes closed, and the mean COP values in the frontal plane with and without vision in individuals with right and left-sided hemiparesis. Patients with left and right-sided hemiparesis were found to underload the affected side, regardless of whether they were tested with or without vision. Moreover, patients with right-sided hemiparesis who were tested with their eyes open had greater difficulty maintaining body balance in the frontal plane than those with left-sided hemiparesis, and patients with right-sided hemiparesis who were examined with their eyes closed had greater difficulty maintaining body balance in the sagittal plane than those with left-sided hemiparesis.During the posturographic examination, individuals with left and right-sided hemiparesis displayed underloading of the affected side, both when tested with their eyes open and closed. When tested with vision, patients with right-sided hemiparesis had greater difficulty maintaining body balance in the frontal plane than those with left-sided hemiparesis. When tested without vision, patients with right-sided hemiparesis had greater difficulty maintaining body balance in the sagittal plane than those with left-sided hemiparesis.

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Biomechanical Characteristics on the Lower Extremity of Three Typical Yoga Manoeuvres

Applied Bionics and Biomechanics ◽

10.1155/2021/7464719 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Elizabeth Whissell ◽

Lin Wang ◽

Pan Li ◽

Jing Xian Li ◽

Zhen Wei

Keyword(s):

Knee Joint ◽

Lower Extremity ◽

Hip Joint ◽

Sagittal Plane ◽

Knee Injuries ◽

Three Dimensional ◽

Knee Extensor ◽

Frontal Plane ◽

Significant Difference ◽

Angular Impulse

This study was aimed at exploring the biomechanical characteristics of the lower extremity amongst three typical yoga manoeuvres. A total of thirteen experienced female yoga practitioners were recruited in the current study; they were all certified with the Yoga Alliance. A three-dimensional motion capture system with 10 cameras combined with four synchronised force plates was used to collect kinematics of the lower extremity and ground reactive force whilst the participants performed the crescent lunge pose, warrior II pose, and triangle pose. One-way repeated ANOVA was used in exploring the differences amongst the three yoga movements, and the significance was set to alpha < 0.05 . The triangle pose performed the largest range of motion (ROM) of the hip ( 90.5 ° ± 22.9 ° ), knee ( 68.8 ° ± 23.1 ° ), and ankle ( 46.4 ° ± 11.3 ° ) in the sagittal plane and the hip ( 54.8 ° ± 6.5 ° ), knee ( 42.4 ° ± 12.8 ° ), and ankle ( 4.8 ° ± 1.7 ° ) in the frontal plane amongst the three manoeuvres ( P < 0.05 ). No significant difference was found for the hip and ankle joint moment amongst the three manoeuvres ( P > 0.05 ). Knee joint travelled into 9.5° of extension and slight adduction of 1.94° whilst expressing the largest knee joint adduction moments ( 0.30 ± 0.22 Nm / kg ) in the triangle pose. The distribution of the angular impulse of the lower limb joints indicated that the hip joint contributed significantly the most in the sagittal and frontal planes of the three yoga manoeuvres ( P < 0.05 ), ranging from 51.67% to 70.56%. Results indicated that triangle pose may be superior to the other two manoeuvres, which improved hip joint ROM, strength, and dynamic stability. However, knee injuries such as osteoarthritis (OA) should be considered because of the large knee extensor angle and adductor moments.

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PENGARUH LATIHPengaruh Latihan Fisik Terhadap Kemampuan Kognitif Lansia Di Desa Ngesrep Kecamatan Ngemplak Kabupaten BoyolaliAN FISIK TERHADAP KEMAMPUAN KOGNITIF LANSIA DI DESA NGESREP KECAMATAN NGEMPLAK KABUPATEN BOYOLALI

Interest : Jurnal Ilmu Kesehatan ◽

10.37341/interest.v6i2.98 ◽

2017 ◽

Vol 6 (2) ◽

Author(s):

Andreany Kusumowardani ◽

Endang Sri Wahyuni

Keyword(s):

Older People ◽

Cognitive Performance ◽

Exercise Intervention ◽

T Test ◽

Control Group ◽

Test Analysis ◽

Significant Difference ◽

Post Test ◽

Quasi Experimental ◽

And Control

Abstract : Exercise, Older People, Cognitive Performance, MMSE. Cognitive performance in older people declines gradually due to aging process. It raises problems in functional daily activities, risks of injury, and dependency. Literatures have been revealed the benefits of exercise for health, not only physically, but also mentally. The purpose of this study was to determine the effect of exercise on the cognitive performance of older people in Ngesrep Village, Boyolali District. This study was a quasi experimental one group pre test- post test with control group. A constitutive sampling method was applied to get subjects, and found 20 people for each experiment and control group. The instrument used was Mini Mental State Examination (MMSE). Based on paired t-test analysis in the experiment group, it was found a significant difference on the cognitive performance pre and post exercise intervention (α = 0.05, t = 2.492, p = 0.022, r = 0.657). In the control group, there was no diferrence in pre and post test (p = 0.053). Based on independent t-test analysis between experiment and control group, it was found a significant difference before the intervention (p = 0.031), but after the intervention, there was no difference between the two groups. It was due to the increasing MMSE’s score on the experiment group, whereas the score of control group was relatively the same. Physical exercise had a significant influence on the cognitive performance of older people in this study, so it should be held in Ngesrep Village’s Posyandu routinely.

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Evaluation of the Radial Procurvatum Using the Center of Rotation of Angulation Methodology in Chondrodystrophic Dogs

Frontiers in Veterinary Science ◽

10.3389/fvets.2021.774993 ◽

2022 ◽

Vol 8 ◽

Author(s):

Minji Kwon ◽

Danbee Kwon ◽

Jonghyop Lee ◽

Kichang Lee ◽

Hakyoung Yoon

Keyword(s):

Sagittal Plane ◽

Frontal Plane ◽

Angular Deformity ◽

Joint Angles ◽

Joint Orientation ◽

Center Of Rotation ◽

Mean Values ◽

Average Value ◽

Significant Difference ◽

The Mean

The radial joint orientation angles were calculated using the center of rotation of angulation (CORA) methodology within the frontal and sagittal planes in chondrodystrophic dog breeds, including Welsh Corgi, Dachshund, Pekinese, Poodle, Beagle and Maltese, and it was compared whether there is a statistically significant difference between the breeds. Radial joint orientation angles were obtained in eighty-eight dogs, including 23 Welsh Corgis, 16 Dachshunds, 14 Pekinese, 13 Maltese, 12 Poodles and 10 Beagles. Using the CORA methodology, the cranial proximal radial angle (CrPRA) and caudal distal radial angle (CdDRA) in the sagittal plane and medial proximal radial angle (MPRA) and lateral distal radial angle (LDRA) in the frontal plane were measured for the six breeds studied. The mean values of joint angles for each breed were compared statistically were observed. The CrPRA, CdDRA, and LDRA mean values of Dachshund and Welsh Corgi breeds were significantly smaller than other breeds, and in MPRA, Pekingese showed significantly smaller values than other breeds. This study confirms that the mean values of radial joint orientation angles can be significantly different among chondrodystrophic breeds. To accurately evaluate the degree of angular deformity of the radius, it may be helpful to refer to the average value for each breed with chondrodystrophy.

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AN INNOVATIVE FOOT MODULE WITH EASILY ACCESSIBLE FRONTAL PLANE ADAPTATION ENHANCES THE LOCOMOTION ON UNEVEN GROUND

Canadian Prosthetics & Orthotics Journal ◽

10.33137/cpoj.v1i2.32029 ◽

2018 ◽

Author(s):

Björn Altenburg ◽

Michael Ernst ◽

Thomas Schmalz

Keyword(s):

Oral Presentation ◽

Sagittal Plane ◽

Real Life ◽

Frontal Plane ◽

Scientific Committee ◽

Carbon Structure ◽

National Assembly ◽

Movement Strategies ◽

Outdoor Walking ◽

Force Impact

INTRODUCTION Real-life outdoor walking of amputees is challenged by uneven ground. Uneven ground requires either a component adaptation in the sagittal plane or in frontal plane or both. The lack of adaptability of prosthetic components requires compensational movement strategies by the user. Common energy storing and returning (ESR) feet have some basic flexibility through the carbon structure allowing for some limited adaptation in both planes. For the frontal plane the split toe feature adds some functionality. However, even with split toe the ROM is clearly limited and needs high force impact for minor adaptations. Now there is a novel foot module allowing for 10° inversion/eversion through a dedicated joint. This study investigates the hypothesis that such a foot module with easily accessible frontal plane adaptation enhances the locomotion on uneven ground. Abstract PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/32029/24446 How to cite: Altenburg B, Ernst M, Schmalz T. AN INNOVATIVE FOOT MODULE WITH EASILY ACCESSIBLE FRONTAL PLANE ADAPTATION ENHANCES THE LOCOMOTION ON UNEVEN GROUND. CANADIAN PROSTHETICS & ORTHOTICS JOURNAL, VOLUME 1, ISSUE 2, 2018; ABSTRACT, ORAL PRESENTATION AT THE AOPA’S 101ST NATIONAL ASSEMBLY, SEPT. 26-29, VANCOUVER, CANADA, 2018. DOI: https://doi.org/10.33137/cpoj.v1i2.32029 Abstracts were Peer-reviewed by the American Orthotic Prosthetic Association (AOPA) 101st National Assembly Scientific Committee. http://www.aopanet.org/

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Body balance in a free-standing position in road and off-road cyclists

Baltic Journal of Health and Physical Activity ◽

10.2478/bjha-2014-0022 ◽

2014 ◽

Vol 6 (4) ◽

Cited By ~ 1

Author(s):

Paulina Hebisz ◽

Rafal Hebisz ◽

Marek Zaton

Keyword(s):

Sagittal Plane ◽

Standing Position ◽

The Body ◽

Free Standing ◽

Body Balance ◽

Eyes Closed ◽

Road Cycling ◽

Progressive Exercise ◽

Before And After ◽

Road Cyclists

AbstractBackground: The purpose of this study was to compare body balance in road and off-road cyclists, immediately before and after the racing season.Material/Methods: Twenty individuals participated in the study and they were divided into two groups: specialists in road-cycling (n = 10) and in off-road cycling (n = 10). Immediately before and after the five-month racing season stabilographic trials were carried out (at rest and after progressive exercise). In assessing body balance the distance and velocity of the centre shifts (in the anterior-posterior and left-right direction) were analysed. The tests were performed with the cyclists’ eyes open, eyes closed, and in feedback.Results: After the racing season, in the off-road cyclists’ group, distance and velocity of the centre of pressure shifts increased after a progressive exercise.Conclusions: In the off-road cyclists’ group the balance of the body in the sagittal plane deteriorated after the racing season. Moreover, after the racing season off-road cyclists were characterized by a worse balance of the body, compared to road cyclists

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Using Biofeedback to Reduce Step Length Asymmetry Impairs Dynamic Balance in People Poststroke

Neurorehabilitation and Neural Repair ◽

10.1177/15459683211019346 ◽

2021 ◽

pp. 154596832110193

Author(s):

Sungwoo Park ◽

Chang Liu ◽

Natalia Sánchez ◽

Julie K. Tilson ◽

Sara J. Mulroy ◽

...

Keyword(s):

Angular Momentum ◽

Sagittal Plane ◽

Dynamic Balance ◽

Objective Measure ◽

Frontal Plane ◽

Step Length ◽

Berg Balance Scale ◽

Whole Body ◽

Functional Gait ◽

Full Body

Background People poststroke often walk with a spatiotemporally asymmetric gait, due in part to sensorimotor impairments in the paretic lower extremity. Although reducing asymmetry is a common objective of rehabilitation, the effects of improving symmetry on balance are yet to be determined. Objective We established the concurrent validity of whole-body angular momentum as a measure of balance, and we determined if reducing step length asymmetry would improve balance by decreasing whole-body angular momentum. Methods We performed clinical balance assessments and measured whole-body angular momentum during walking using a full-body marker set in a sample of 36 people with chronic stroke. We then used a biofeedback-based approach to modify step length asymmetry in a subset of 15 of these individuals who had marked asymmetry and we measured the resulting changes in whole-body angular momentum. Results When participants walked without biofeedback, whole-body angular momentum in the sagittal and frontal plane was negatively correlated with scores on the Berg Balance Scale and Functional Gait Assessment supporting the validity of whole-body angular momentum as an objective measure of dynamic balance. We also observed that when participants walked more symmetrically, their whole-body angular momentum in the sagittal plane increased rather than decreased. Conclusions Voluntary reductions of step length asymmetry in people poststroke resulted in reduced measures of dynamic balance. This is consistent with the idea that after stroke, individuals might have an implicit preference not to deviate from their natural asymmetry while walking because it could compromise their balance. Clinical Trials Number: NCT03916562.

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