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1.
Sports (Basel) ; 11(7)2023 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-37505621

RESUMO

This study aimed to describe the injury profiles of young Korean baseball players according to position and age as the proportion and distribution of injuries based on playing position and age remains unclear. A total of 271 elite youth baseball players aged 8 to 16 years were divided into two groups: elementary school (ES) (n = 135) and middle school (MS) (n = 136). The participants' basic, baseball practice, and injury information were collected. Injuries in the MS group were not limited to the elbow and shoulder, and injury prevalence varied by age group and baseball position. The most injured body region in the ES group was the elbow joint, regardless of the position. In contrast, the most injured body region in the MS group was the lower back, except for infielders whose elbows were the most injured. Additionally, the MS group was more likely to experience injuries to the lower back (OR = 4.27, 95% CI = 2.47-7.40), shoulder (OR = 1.93, 95% CI = 1.08-3.43; p = 0.024), and knee (OR = 2.15, 95% CI = 1.17-3.94; p = 0.012). Our findings indicate that excessive practice and a lack of rest during MS (growth spurt period) can significantly increase the risk of lower back problems in young baseball players.

2.
PeerJ ; 10: e14494, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36545380

RESUMO

Background: At least 60 min of moderate-intensity physical activity per day is recommended for physical and mental health of adolescents. Schools are one of the most suitable places for promoting students' health as it is a place where vigorous physical activity occurs. However, the physical activity of students is threatened because schools are closed worldwide owing to the coronavirus disease (COVID-19) outbreak in 2019. Therefore, this study aimed to analyze the physical fitness changes in 27,782 Korean adolescents during the pandemic and present alternative education and health policies to the school. Methods: We included 29,882 middle school students (age: 13-15 years; males: 14,941, females: 12,841) in Korea from 2019 to 2021 . Participants' physical fitness at school was measured using the physical activity promotion system (PAPS) manual developed to measure students' physical fitness. Physical fitness variables included body mass index (BMI), 20 m shuttle run, handgrip strength, sit-and-reach, and 50 m run. Results: The COVID-19 pandemic has had a negative impact on the BMI and cardiorespiratory endurance of Korean middle school students. Specifically, male students' BMI increased, while body composition, cardiorespiratory endurance, and grip strength decreased significantly. Female students showed significant decreases in BMI and sit-and-reach test scores. It is clear that the physical fitness level of adolescents decreased by a greater degree after the COVID-19 pandemic than before, and the decrease in the physical fitness level of male students was noticeable. Therefore, a lesson strategy should be prepared that considers the contents and methods of physical education classes to improve the physical fitness level of male and female adolescents. Conclusions: Fitness-based classes suitable for online methods should be urgently added as alternative physical education classes to prepare for the second COVID-19 outbreak. In addition, it is necessary to create an environment in which physical activity is a possibility in physical education classes, in any situation using artificial intelligence and virtual reality.


Assuntos
COVID-19 , Pandemias , Humanos , Masculino , Adolescente , Feminino , Pandemias/prevenção & controle , Força da Mão , Distanciamento Físico , Inteligência Artificial , COVID-19/epidemiologia , Aptidão Física , República da Coreia/epidemiologia
3.
Exp Gerontol ; 159: 111674, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34954012

RESUMO

INTRODUCTION: Considering the large population of middle-aged adults, it is important to understand the age-related change in lower limb muscles and the possible mechanisms before old age (> 65 years old). The purpose of this study was to investigate age-related neural and muscular alterations of the plantar flexors in young and middle-aged women. METHODS: Twenty two middle-aged (54.0 ± 5.8 yrs) and 17 young (21.8 ± 1.4 yrs) recreationally active women performed rapid maximal voluntary isometric contractions (MVIC) of the plantar flexors. Absolute and normalized rate of torque development (RTD) and electromyography (EMG) were examined. Electrical stimulation was used to examine voluntary activation and contractile properties of the muscle. Ultrasonography was used to examine medial and lateral gastrocnemius muscle thickness and pennation angle. A 6-minute walk and sit to stand task were also performed by all participants. RESULTS: The middle-aged women had significantly lower MVIC torque (141 ± 49 vs. 109 ± 30 Nm, P = 0.031), absolute RTD (753.0 ± 313.6 vs. 423.0 ± 156.1 Nm/s, P = 0.001), and normalized peak RTD (554.0 ± 191.0 vs. 388.0 ± 91.9% MVIC/s, P = 0.001). Normalized early RTD0-50 and late RTD100-200, voluntary activation, and EMG were similar between groups. Resting twitch data showed that time to peak (124.0 ± 20.4 vs. 143.0 ± 16.7 ms, P = 0.002) and half relaxation time (73.1 ± 15.2 vs. 107.0 ± 28.2 ms, P < 0.001) was significantly faster for the young women. Thickness was greater in the lateral gastrocnemius (1.6 ± 0.2 vs. 1.4 ± 0.2 cm, P = 0.006) for the young women. Pennation angle of both muscles were greater for the young women (15.8 ± 3.9 vs. 13.1 ± 2.7 degrees, P < 0.05). Performance of the 6-minute walk was similar between groups, however, the young women performed more repetitions during the sit to stand task (25.6 ± 6.7 vs. 18.3 ± 4.7 reps, P < 0.001). CONCLUSION: Compared to young women, middle-age women were shown to have lower MVIC torque, peak RTD, and functional performance. Muscle architecture and contractile properties are affected by aging.


Assuntos
Contração Isométrica , Força Muscular , Idoso , Eletromiografia , Feminino , Humanos , Contração Isométrica/fisiologia , Pessoa de Meia-Idade , Força Muscular/fisiologia , Músculo Esquelético/fisiologia , Torque
4.
J Neuroeng Rehabil ; 18(1): 177, 2021 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-34930373

RESUMO

BACKGROUND: Freezing of gait (FOG) is a sensitive problem, which is caused by motor control deficits and requires greater attention during postural transitions such as turning in people with Parkinson's disease (PD). However, the turning characteristics have not yet been extensively investigated to distinguish between people with PD with and without FOG (freezers and non-freezers) based on full-body kinematic analysis during the turning task. The objectives of this study were to identify the machine learning model that best classifies people with PD and freezers and reveal the associations between clinical characteristics and turning features based on feature selection through stepwise regression. METHODS: The study recruited 77 people with PD (31 freezers and 46 non-freezers) and 34 age-matched older adults. The 360° turning task was performed at the preferred speed for the inner step of the more affected limb. All experiments on the people with PD were performed in the "Off" state of medication. The full-body kinematic features during the turning task were extracted using the three-dimensional motion capture system. These features were selected via stepwise regression. RESULTS: In feature selection through stepwise regression, five and six features were identified to distinguish between people with PD and controls and between freezers and non-freezers (PD and FOG classification problem), respectively. The machine learning model accuracies revealed that the random forest (RF) model had 98.1% accuracy when using all turning features and 98.0% accuracy when using the five features selected for PD classification. In addition, RF and logistic regression showed accuracies of 79.4% when using all turning features and 72.9% when using the six selected features for FOG classification. CONCLUSION: We suggest that our study leads to understanding of the turning characteristics of people with PD and freezers during the 360° turning task for the inner step of the more affected limb and may help improve the objective classification and clinical assessment by disease progression using turning features.


Assuntos
Transtornos Neurológicos da Marcha , Doença de Parkinson , Idoso , Fenômenos Biomecânicos , Marcha , Transtornos Neurológicos da Marcha/diagnóstico , Transtornos Neurológicos da Marcha/etiologia , Humanos , Modelos Logísticos , Doença de Parkinson/complicações
5.
Artigo em Inglês | MEDLINE | ID: mdl-34769864

RESUMO

Gait and physical fitness are related to cognitive function. A decrease in motor function and physical fitness can serve as an indicator of declining global cognitive function in older adults. This study aims to use machine learning (ML) to identify important features of gait and physical fitness to predict a decline in global cognitive function in older adults. A total of three hundred and six participants aged seventy-five years or older were included in the study, and their gait performance at various speeds and physical fitness were evaluated. Eight ML models were applied to data ranked by the p-value (LP) of linear regression and the importance gain (XI) of XGboost. Five optimal features were selected using elastic net on the LP data for men, and twenty optimal features were selected using support vector machine on the XI data for women. Thus, the important features for predicting a potential decline in global cognitive function in older adults were successfully identified herein. The proposed ML approach could inspire future studies on the early detection and prevention of cognitive function decline in older adults.


Assuntos
Disfunção Cognitiva , Marcha , Idoso , Cognição , Disfunção Cognitiva/diagnóstico , Feminino , Humanos , Aprendizado de Máquina , Masculino , Aptidão Física
6.
Artigo em Inglês | MEDLINE | ID: mdl-34769925

RESUMO

Various choline-based multi-ingredient supplementations (CMS) have been suggested in the current market, but the research is limited. The purpose of this study was to investigate the acute effect of a CMS on physical performance. Fourteen male college football players (20.4 ± 1.0 years) participated in a randomized double-blind crossover experiment separated by 7 days. Subjects were given a CMS or a placebo 60 min before physical performance testing measures, including maximum vertical jumps, maximum voluntary isometric contractions (MVIC), maximal voluntary concentric contractions (MVCC), and fatiguing contractions. Four MVICs and seven sets of two MVCCs at various loads (1 N·m to 60% MVIC torque) were performed with the knee extensor muscles while seated on a dynamometer before and after the fatiguing tasks. During the fatiguing tasks, 120 MVCCs (4 sets × 30 reps) were performed with a load equivalent to 20% MVIC. Twitch interpolation technique was used to assess muscle contractile properties and voluntary activation. No significant differences were seen at baseline between sessions for all testing measures including vertical jump height, strength, power, muscle contractile properties and voluntary activation. Rate of torque development and impulse was higher in supplemental session compared to control session throughout the fatiguing contractions (p = 0.018, p < 0.001, respectively). Acute CMS can improve explosive strength by delaying the onset of fatigue.


Assuntos
Substâncias Explosivas , Fadiga Muscular , Colina , Suplementos Nutricionais , Eletromiografia , Fadiga , Humanos , Masculino , Músculo Esquelético
7.
Artigo em Inglês | MEDLINE | ID: mdl-34831575

RESUMO

The elderly population in South Korea accounted for 15.5% of the total population in 2019. Thus, it is important to study the various elements governing the process of healthy aging. Therefore, this study investigated multiple prediction models to determine the health-related quality of life (HRQoL) in elderly adults based on the demographics, questionnaires, gait ability, and physical fitness. We performed eight physical fitness tests on 775 participants wearing shoe-type inertial measurement units and completing walking tasks at slower, preferred, and faster speeds. The HRQoL for physical and mental components was evaluated using a 36-item, short-form health survey. The prediction models based on multiple linear regression with feature importance were analyzed considering the best physical and mental components. We used 11 variables and 5 variables to form the best subset of features underlying the physical and mental components, respectively. We laid particular emphasis on evaluating the functional endurance, muscle strength, stress level, and falling risk. Furthermore, stress, insomnia severity, number of diseases, lower body strength, and fear of falling were taken into consideration in addition to mental-health-related variables. Thus, the study findings provide reliable and objective results to improve the understanding of HRQoL in elderly adults.


Assuntos
Acidentes por Quedas , Qualidade de Vida , Adulto , Idoso , Estudos Transversais , Medo , Marcha , Humanos , Aptidão Física , República da Coreia , Inquéritos e Questionários
8.
Artigo em Inglês | MEDLINE | ID: mdl-34639604

RESUMO

This study aimed to investigate the effects of online physical education classes, using Tabata training, on middle school students' physical fitness. Fifty-four adolescents were randomly assigned to either the asynchronous online class group (AOCG, n = 24, age: 15.8 ± 0.4 years) or the synchronous online class group (SOCG, n = 24 age: 15.9 ± 0.3 years). The online physical education class lasted two days per week for 10 weeks. Recorded video lectures were conducted for the AOCG, and Tabata training for the SOCG, as real-time lecture methods. Baseline and post-online physical education class measures included muscular strength, muscular endurance, flexibility, balance, and cardiorespiratory fitness tests. The results showed that the synchronous online physical education class had a positive effect on the improvement of muscle mass, ankle strength (dorsiflexion), hip strength (abduction, flexion, extension, and external rotation), knee strength (extension and flexion), and balance (Y-balance test) in adolescents. These findings suggest that the physical fitness of adolescents can be sufficiently improved through appropriate online physical education class methods. Further research should focus on developing and evaluating different types of exercises for synchronous online physical education classes as a precautionary measure for the second wave of COVID-19.


Assuntos
COVID-19 , Educação Física e Treinamento , Adolescente , Humanos , Força Muscular , Aptidão Física , SARS-CoV-2
9.
Sci Rep ; 11(1): 12183, 2021 06 09.
Artigo em Inglês | MEDLINE | ID: mdl-34108595

RESUMO

This study aimed to identify the optimal features of gait parameters to predict the fall risk level in older adults. The study included 746 older adults (age: 63-89 years). Gait tests (20 m walkway) included speed modification (slower, preferred, and faster-walking) while wearing the inertial measurement unit sensors embedded in the shoe-type data loggers on both outsoles. A metric was defined to classify the fall risks, determined based on a set of questions determining the history of falls and fear of falls. The extreme gradient boosting (XGBoost) model was built from gait features to predict the factor affecting the risk of falls. Moreover, the definition of the fall levels was classified into high- and low-risk groups. At all speeds, three gait features were identified with the XGBoost (stride length, walking speed, and stance phase) that accurately classified the fall risk levels. The model accuracy in classifying fall risk levels ranged between 67-70% with 43-53% sensitivity and 77-84% specificity. Thus, we identified the optimal gait features for accurate fall risk level classification in older adults. The XGBoost model could inspire future works on fall prevention and the fall-risk assessment potential through the gait analysis of older adults.


Assuntos
Acidentes por Quedas/prevenção & controle , Análise da Marcha/métodos , Marcha , Aprendizado de Máquina , Software , Caminhada , Acidentes por Quedas/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Humanos , Pessoa de Meia-Idade , Prognóstico , Velocidade de Caminhada
10.
PeerJ ; 9: e11356, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33987024

RESUMO

BACKGROUND: The functional movement screen (FMS)TM is a screening tool used to evaluate fundamental motor function. A score of 14 for the composite total FMS score (TFMS) is generally used as the cut-off point (≤14/21). In addition, gait analysis is used to evaluate fundamental motor function in humans. Thus, evaluating the fundamental motor function using the FMSTM test and gait analysis at various speeds can provide further understanding of any decline in gait stability. In this study, we aimed to investigate the association between gait ability and fundamental movement patterns in young adults according to the cut-off point. METHODS: A total of 439 participants (male: 203, female: 236) successfully completed the FMS test and a 1 min treadmill test; the participants were classified into two groups: low TFMS (≤14) and high TFMS (>14). RESULTS: The low TFMS group exhibited slower and shortened walking patterns and worsen gait variability than the high TFMS group. The coefficient of variance (CV) for the double support phase at a faster speed (male) and the stride length at a slower speed (female) were classifiers between the two groups. In addition, the low TFMS group demonstrated insufficient gait adaptation at the preferred and faster speeds based on the CV of the double support phase and gait asymmetry. Lower TFMS is associated with a decline in gait ability. Therefore, participants with a lower TFMS and poor gait ability may require intervention programs to prevent risk of future injury and to enhance motor function.

11.
Artigo em Inglês | MEDLINE | ID: mdl-33925047

RESUMO

Gait variability (GV), which is a variable for predicting mobility issues and risk of falling in elderly people, is defined as the fluctuation in spatiotemporal characteristics from one step to the next in walking. The goal of this study was to analyze the age- and sex-related spatiotemporal variability characteristics of elderly individuals using the measurements taken while walking on a treadmill for one minute based on gait speed variation. Gait testing was conducted on 225 healthy male and female individuals aged 60-79 years who were able to walk and move on their own and, specifically, walk on a treadmill for one minute. The test was performed at three speed conditions-the preferred speed of the participant, 20% higher than the preferred speed, and 20% lower than the preferred speed-and data were recorded using shoe-type data loggers. The different age groups and sex could be distinguished using the coefficient of variance (CV) of the double support phase and gait asymmetry (GA) at the preferred speed, and CVs of stride length and stance phase at faster speed. The results indicated that the values of GV obtained from the test were used to determine the variation in gait characteristics of elderly individuals.


Assuntos
Velocidade de Caminhada , Caminhada , Idoso , Teste de Esforço , Feminino , Marcha , Humanos , Masculino , Pessoa de Meia-Idade , Sapatos
12.
PeerJ ; 8: e9463, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32655998

RESUMO

BACKGROUND: No previous study has examined the age-dependent characteristics of gait in individuals between 50 and 79 years simultaneously in healthy individuals and individuals with Parkinson's disease (PD) over continuous gait cycles. This study aimed to investigate age-related differences in gait characteristics on individuals age ranged 50-79 years, including individuals with PD, during a 1-minute treadmill walking session. Additionally, we aimed to investigate the differences associated with spatiotemporal gait parameters and PD compared in age-matched individuals. METHODS: This study included 26 individuals with PD and 90 participants age ranged 50-79 years. The treadmill walking test at a self-preferred speed was performed for 1 min. The embedded inertial measurement unit sensor in the left and right outsoles-based system was used to collect gait characteristics based on tri-axial acceleration and tri-axial angular velocities. RESULTS: Participants aged >60 years had a decreased gait speed and shortened stride and step, which may demonstrate a distinct shift in aging (all p < 0.005). Individuals with PD showed more of a decrease in variables with a loss of consistency, including gait asymmetry (GA), phase coordination index (PCI) and coefficient of variation (CV) of all variables, than age-matched individuals (all p < 0.001). Gait speed, stride and step length, stance phase, variability, GA and PCI were the variables that highly depended on age and PD. DISCUSSION: Older adults could be considered those older than 60 years of age when gait alterations begin, such as a decreased gait speed as well as shortened stride and step length. On the other hand, a loss of consistency in spatiotemporal parameters and a higher GA and PCI could be used to identify individuals with PD. Thus, the CV of all spatiotemporal parameters, GA and PCI during walking could play an important role and be useful in identifying individuals with PD. CONCLUSION: This study provided the notable aging pattern characteristics of gait in individuals >50 years, including individuals with PD. Increasing age after 60 years is associated with deterioration in spatiotemporal parameters of gait during continuous 1-minute treadmill walking. Additionally, GA, PCI and the CV of all variables could be used to identify PD which would be placed after 70 years of age. It may be useful to determine the decline of gait performance in general and among individuals with PD.

13.
Sensors (Basel) ; 20(15)2020 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-32717956

RESUMO

BACKGROUND: This study aimed to examine the effect of a 12-week progressive trunk resistance and stretching exercise program on fall-related factors in patients with Parkinson's disease (PD). METHODS: A randomized study assessed a progressive trunk resistance and stretching exercise program over a 12-week period. A total of 17 patients with PD participated and wererandomly allocated into an exercise group (n = 10) or a control group (n = 7). Participants in the exercise group completed the exercise program in 60- to 90-min sessions for three days per week. Primary and secondary outcome measures included the trunk mobility scale, functional fitness test, standing balance, and sit-to-walk test. RESULTS: The exercise group showed improvements in functional fitness, trunk mobility, standing balance, and dynamic stability compared with the control group (all p < 0.05). The 2.44 m timed up and go test (odds ratio (OR): 0.125) and the 2 min step test (OR: 10.584) of the functional fitness test, and the first-step length (OR: 3.558) and first-toe clearance height (OR: 4.777) of the sit-to-walk test, were different between the groups following the exercise program. CONCLUSION: This 12-week exercise program improved fall-related factors in patients with PD and may lead to prevention of fall-related injuries.


Assuntos
Doença de Parkinson , Acidentes por Quedas/prevenção & controle , Idoso , Terapia por Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/terapia , Projetos Piloto , Equilíbrio Postural , Estudos de Tempo e Movimento
14.
Artigo em Inglês | MEDLINE | ID: mdl-32709118

RESUMO

This study investigates the gait characteristics of elderly women, aged more than 65 years, with subthreshold insomnia stage at various walking speeds. A total of 392 participants (insomnia: 202 and controls: 190) wearing shoe-type inertial measurement units completed walking tests on a treadmill for a duration of 1 min at slower, preferred, and faster speeds. The insomnia group indicated lower pace parameters (range of Cohen's d: 0.283-0.499) and the single support phase (Cohen's d: 0.237), greater gait variability (range of Cohen's d: 0.217-0.506), and bilateral coordination (range of Cohen's d: 0.254-0.319), compared with their age-matched controls; the coefficient of variance (CV) of the stance phase at the faster speed condition was a crucial variable for distinguishing between insomnia and control groups. In addition, the insomnia group demonstrated insufficient gait adaptation at the slower and preferred speeds, as indicated by the CVs of the stride length, stride time, and step time. In particular, participants with worsened insomnia symptoms or sleep problems showed that these worse gait patterns may increase the potential risk of falling in elderly women. Thus, elderly women with subthreshold insomnia stage need to improve their sleep quality to enhance their physical functions.


Assuntos
Transtornos Neurológicos da Marcha , Marcha , Distúrbios do Início e da Manutenção do Sono , Idoso , Teste de Esforço , Feminino , Humanos , Sapatos , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Caminhada , Velocidade de Caminhada
15.
Artigo em Inglês | MEDLINE | ID: mdl-32635202

RESUMO

This study aimed to identify classifier variables by considering both gait and physical fitness for identifying adults aged over 75 years and global cognitive function declines in older adults. The participants included 735 adults aged 65-89 years who were asked to walk at three different speeds (slower, preferred, and faster) while wearing inertial measurement units embedded in shoe-type data loggers and to perform nine physical fitness tests. The variability in the stance phase as well as the strength, balance, and functional endurance showed a strong dependence on the age being over 75 years. The cognitive function was evaluated by the Mini-Mental State Examination; a longer stance phase at a slower walking speed and decreased grip strength and five times sit-to-stand were associated with cognitive function. These findings may be useful for determining the decline in physical performance of older adults. A longer stance phase and decreased grip strength and five times sit-to-stand may be factors that help distinguish declines in cognitive function from normal age-related declines.


Assuntos
Cognição , Marcha , Aptidão Física , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Feminino , Humanos , Masculino , Caminhada , Velocidade de Caminhada
16.
Sensors (Basel) ; 20(11)2020 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-32486303

RESUMO

This study investigated the turning characteristics of the more-affected limbs in Parkinson's disease (PD) patients in comparison with that of a control group, and in PD patients with freezing of gait (FOG; freezers) in comparison with those without FOG (non-freezers) for 360° and 540° turning tasks at the maximum speed. A total of 12 freezers, 12 non-freezers, and 12 controls participated in this study. The PD patients showed significantly longer total durations, shorter inner and outer step lengths, and greater anterior-posterior (AP) root mean square (RMS) center of mass (COM) distances compared to those for the controls. The freezers showed significantly greater AP and medial-lateral (ML) RMS COM distances compared to those of non-freezers. The turning task toward the inner step of the more-affected side (IMA) in PD patients showed significantly greater step width, total steps, and AP and ML RMS COM distances than that toward the outer step of the more-affected side (OMA). The corresponding results for freezers revealed significantly higher total steps and shorter inner step length during the 540° turn toward the IMA than that toward the OMA. Therefore, PD patients and freezers exhibited greater turning difficulty in performing challenging turning tasks such as turning with an increased angle and speed and toward the more-affected side.


Assuntos
Análise da Marcha , Transtornos Neurológicos da Marcha/fisiopatologia , Doença de Parkinson/fisiopatologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
17.
Sensors (Basel) ; 20(7)2020 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-32290054

RESUMO

Evaluating gait stability at slower or faster speeds and self-preferred speeds based on continuous steps may assist in determining the severity of motor symptoms in Parkinson's disease (PD) patients. This study aimed to investigate the gait ability at imposed speed conditions in PD patients during overground walking. Overall, 74 PD patients and 52 age-matched healthy controls were recruited. Levodopa was administered to patients in the PD group, and all participants completed imposed slower, preferred, and faster speed walking tests along a straight 15-m walkway wearing shoe-type inertial measurement units. Reliability of the slower and faster conditions between the estimated and measured speeds indicated excellent agreement for PD patients and controls. PD patients demonstrated higher gait asymmetry (GA) and coefficient of variance (CV) for stride length and stance phase than the controls at slower speeds and higher CVs for phases for single support, double support, and stance. CV of the double support phase could distinguish between PD patients and controls at faster speeds. The GA and CVs of stride length and phase-related variables were associated with motor symptoms in PD patients. Speed conditions should be considered during gait analysis. Gait variability could evaluate the severity of motor symptoms in PD patients.


Assuntos
Marcha/fisiologia , Doença de Parkinson/patologia , Caminhada , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Levodopa/uso terapêutico , Masculino , Pessoa de Meia-Idade , Doença de Parkinson/tratamento farmacológico , Velocidade de Caminhada , Dispositivos Eletrônicos Vestíveis
18.
Sensors (Basel) ; 20(7)2020 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-32276416

RESUMO

This study investigated the gait characteristics of healthy young adults using shoe-type inertial measurement units (IMU) during treadmill walking. A total of 1478 participants were tested. Principal component analyses (PCA) were conducted to determine which principal components (PCs) best defined the characteristics of healthy young adults. A non-hierarchical cluster analysis was conducted to evaluate the essential gait ability, according to the results of the PC1 score. One-way repeated analysis of variance with the Bonferroni correction was used to compare gait performances in the cluster groups. PCA outcomes indicated 76.9% variance for PC1-PC6, where PC1 (gait variability (GV): 18.5%), PC2 (pace: 17.8%), PC3 (rhythm and phase: 13.9%), and PC4 (bilateral coordination: 11.2%) were the gait-related factors. All of the pace, rhythm, GV, and variables for bilateral coordination classified the gait ability in the cluster groups. We suggest that the treadmill walking task may be reliable to evaluate the gait performances, which may provide insight into understanding the decline of gait ability. The presented results are considered meaningful for understanding the gait patterns of healthy adults and may prove useful as reference outcomes for future gait analyses.


Assuntos
Análise da Marcha/métodos , Sapatos , Caminhada , Análise por Conglomerados , Feminino , Humanos , Masculino , Análise de Componente Principal , Dispositivos Eletrônicos Vestíveis , Adulto Jovem
19.
PeerJ ; 8: e8820, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32211246

RESUMO

BACKGROUND: Several studies have reported the association between gait and global cognitive function; however, there is no study explaining the age-specific gait characteristics of older women and association between those characteristics and global cognitive function by age-specific differences and gait speed modification. The aim of this study was to examine age-specific differences in gait characteristics and global cognitive function in older women as well as identify gait domains strongly associated with global cognitive function in older women based on gait speed modification. METHODS: One hundred sixty-four female participants aged 65-85 years were examined. Participants were assessed for global cognitive function through the mini-mental state examination. They also performed three trials of the overground walking test along a straight 20 m walkway. Inertial measurement unit sensors with shoe-type data loggers on both the left and right outsoles were used to measure gait characteristics. RESULTS: The pace at all speeds and the variability and phase at faster speeds were altered in women aged >75 years (all pace domain parameters, p < 0.05); variability and phase highly depended on age (all p < 0.05). Variability at slower speeds (ß = -0.568 and p = 0.006) and the phase at the preferred (ß = -0.471 and p = 0.005) and faster speeds (ß = -0.494 and p = 0.005) were associated with global cognitive function in women aged >75 years. DISCUSSION: The variability and phase domains at faster speeds were considered to identify gait changes that accompany aging. In addition, the decreases in global cognitive function are associated with increased variability and phase domains caused by changes in gait speed in older women. CONCLUSION: Our results are considered useful for understanding age-related gait characteristics with global cognitive function in old women.

20.
BMJ Open Sport Exerc Med ; 6(1): e000660, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32095270

RESUMO

OBJECTIVE: The purpose of this study was to determine the effect of fatigue level and sex on the range of motions of the lower extremities and impulses during the jump-landing phase after performing bilateral fatiguing tasks. METHODS: In total, 41 healthy young adults volunteered for this study. Participants' jump-landing trajectories were monitored using nine cameras, and ground reaction forces were measured using a force plate. Participants performed five maximal bilateral countermovement jumps as prefatiguing tasks. The fatiguing tasks consisted of maximal effort contractions of the knee extensor at 60°/s on a dynamometer until task failure, defined as the inability to reach 50% of the peak knee extension torque for three consecutive times. The post-task maximal bilateral jumps were immediately captured after the participants failed the fatiguing task. Participants were asked to perform this cycle again, performing the fatiguing contraction task until failure to reach 30% of the peak knee extension torque. RESULTS AND CONCLUSION: It was found that the knee joint was more extended in the post-30% fatiguing task, which was due to the reduction of the flexion angle of the hip and knee joints in response to fatigue level. The impulses for both sexes were reduced at the severe fatigue level. Fatigability altered jump-landing kinematics, jump heights and impulses in response to fatigue level. The post-30% fatiguing task elicited more fatigue than the post-50% fatiguing task.

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