Staging of mobility, transfer and walking functions of elderly persons based on the codes of the International Classification of Functioning, Disability and Health.

BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) was introduced by the World Health Organization as a common taxonomy to describe the burden of health conditions. This study focuses on the development of a scale for staging basic mobility and walking functions based on the ICF. METHODS: Thirty-three ICF codes were selected to test their fit to the Rasch model and their location. Of these ICF items, four were used to develop a Guttman- type scale of "basic mobility" and another four to develop a"walking" scale to stage functional performance in the elderly. The content validity and differential item functioning of the scales were assessed. The participants, chosen at random, were Japanese over 65 years old using the services of public long-term care insurance, and whose functional assessments were used for scale development and scale validation. RESULTS: There were 1164 elderly persons who were eligible for scale development. To stage the functional performance of elderly persons, two Guttman-type scales of "basic mobility" and "walking" were constructed. The order of item difficulty was validated using 3260 elderly persons. There is no differential item functioning about study location, sex and age-group in the newly developed scales. These results suggested the newly developed scales have content validity. CONCLUSIONS: These scales divided functional performance into five stages according to four ICF codes, making the measurements simple and less time-consuming and enable clear descriptions of elderly functioning level. This was achieved by hierarchically rearranging the ICF items and constructing Guttman-type scales according to item difficulty using the Rasch model. In addition, each functional level might require similar resources and therefore enable standardization of care and rehabilitation. Illustrations facilitate the sharing of patient images among health care providers. By using the ICF as a common taxonomy, these scales could be used internationally as assessment scales in geriatric care settings. However these scales require further validity and reliability studies for international application.

Gait-specific metabolic costs and preferred speeds in ring-tailed lemurs (Lemur catta), with implications for the scaling of locomotor costs.

Metabolic costs of resting and locomotion have been used to gain novel insights into the behavioral ecology and evolution of a wide range of primates; however, most previous studies have not considered gait-specific effects. Here, metabolic costs of ring-tailed lemurs (Lemur catta) walking, cantering and galloping are used to test for gait-specific effects and a potential correspondence between costs and preferred speeds. Metabolic costs, including the net cost of locomotion (COL) and net cost of transport (COT), change as a curvilinear function of walking speed and (at least provisionally) as a linear function of cantering and galloping speeds. The baseline quantity used to calculate net costs had a significant effect on the magnitude of speed-specific estimates of COL and COT, especially for walking. This is because non-locomotor metabolism constitutes a substantial fraction (41-61%, on average) of gross metabolic rate at slow speeds. The slope-based estimate of the COT was 5.26 J kg(-1) m(-1) for all gaits and speeds, while the gait-specific estimates differed between walking (0.5 m s(-1) : 6.69 J kg(-1) m(-1) ) and cantering/galloping (2.0 m s(-1) : 5.61 J kg(-1) m(-1) ). During laboratory-based overground locomotion, ring-tailed lemurs preferred to walk at ~0.5 m s(-1) and canter/gallop at ~2.0 m s(-1) , with the preferred walking speed corresponding well to the COT minima. Compared with birds and other mammals, ring-tailed lemurs are relatively economical in walking, cantering, and galloping. These results support the view that energetic optima are an important movement criterion for locomotion in ring-tailed lemurs, and other terrestrial animals.

Multistage particle windows for fast and accurate object detection.

The common paradigm employed for object detection is the sliding window (SW) search. This approach generates grid-distributed patches, at all possible positions and sizes, which are evaluated by a binary classifier: The tradeoff between computational burden and detection accuracy is the real critical point of sliding windows; several methods have been proposed to speed up the search such as adding complementary features. We propose a paradigm that differs from any previous approach since it casts object detection into a statistical-based search using a Monte Carlo sampling for estimating the likelihood density function with Gaussian kernels. The estimation relies on a multistage strategy where the proposal distribution is progressively refined by taking into account the feedback of the classifiers. The method can be easily plugged into a Bayesian-recursive framework to exploit the temporal coherency of the target objects in videos. Several tests on pedestrian and face detection, both on images and videos, with different types of classifiers (cascade of boosted classifiers, soft cascades, and SVM) and features (covariance matrices, Haar-like features, integral channel features, and histogram of oriented gradients) demonstrate that the proposed method provides higher detection rates and accuracy as well as a lower computational burden w.r.t. sliding window detection.

Neighborhood disadvantage and physical activity: baseline results from the HABITAT multilevel longitudinal study.

PURPOSE: To examine the association between neighborhood disadvantage and physical activity (PA). METHODS: We use data from the HABITAT multilevel longitudinal study of PA among middle-aged (40-65 years) men and women (N = 11,037, 68.5% response rate) living in 200 neighborhoods in Brisbane, Australia. PA was measured using three questions from the Active Australia Survey (general walking, moderate, and vigorous activity), one indicator of total activity, and two questions about walking and cycling for transport. The PA measures were operationalized by using multiple categories based on time and estimated energy expenditure that were interpretable with reference to the latest PA recommendations. The association between neighborhood disadvantage and PA was examined with the use of multilevel multinomial logistic regression and Markov chain Monte Carlo simulation. The contribution of neighborhood disadvantage to between-neighborhood variation in PA was assessed using the 80% interval odds ratio. RESULTS: After adjustment for sex, age, living arrangement, education, occupation, and household income, reported participation in all measures and levels of PA varied significantly across Brisbane's neighborhoods, and neighborhood disadvantage accounted for some of this variation. Residents of advantaged neighborhoods reported significantly higher levels of total activity, general walking, moderate, and vigorous activity; however, they were less likely to walk for transport. There was no statistically significant association between neighborhood disadvantage and cycling for transport. In terms of total PA, residents of advantaged neighborhoods were more likely to exceed PA recommendations. CONCLUSIONS: Neighborhoods may exert a contextual effect on the likelihood of residents participating in PA. The greater propensity of residents in advantaged neighborhoods to do high levels of total PA may contribute to lower rates of cardiovascular disease and obesity in these areas.

Gait parameters in children with motor disabilities using an electronic walkway system: assessment of reliability.

PURPOSE: The study was designed to determine the reliability of temporal-spatial gait parameters in children with motor disabilities in two conditions: bare foot and with shoes and orthoses. SUBJECTS: : Nineteen children (mean age of 6.8 years) with Gross Motor Functional Classification System levels I-III participated. METHODS: Participants walked over the GAITRite(R) Walkway System and gait velocity (cm/sec), cadence (steps/min), stance time (% gait cycle), stride length (cm), base width (cm), and cycle time (sec) were evaluated. RESULTS: The single and three-trial average relative reliability estimates of the intraclass correlation coefficients met the minimum reliability coefficient criteria of 0.80. CONCLUSION: This was an initial attempt to evaluate the reliability of an instrumented walkway system. Further study should include more participants and address age, functional limitations, diagnoses, and use of assistive devices.

[Reliability, validity and responsiveness of the German short musculoskeletal function assessment questionnaire (SMFA-D) in patients with osteoarthritis of the hip undergoing total hip arthroplasty]. / Reliabilitäts-, Validitätsund Responsivitätsprüfung des Funktionsfragebogen Bewegungsapparat (SMFA-D) bei Patienten mit Coxarthrose und totalendoprothetischem Gelenkersatz des Hüftgelenkes.

BACKGROUND: The aim of the present study was to check for reliability, validity and responsiveness of the Musculoskeletal Function Assessment questionnaire (SMFA-D) in patients with coxarthrosis undergoing total hip replacement. PATIENTS AND METHOD: In a prospective clinical trial the SMFA-D, the SF-36, the Harris Hip score, test of walking speed and the functional impairment according to the physician assessment were recorded. RESULTS: The reliability of the instrument could be demonstrated by a correlation coefficient of r = 0.78 for the function index and r = 0.84 for the bother index. Patients could be distinguished by the physician's assessment to show discriminative validity. Both indices correlated significantly with the Harris Hip score, scales of the SF-36 and the walking speed supporting the construct validity. The responsiveness could be shown with large effect sizes (1.04 for the function index and 1.02 for the bother index) at the three-month follow-up. CONCLUSIONS: The SMFA-D was found to be a reliable, valid and responsive instrument in patients with coxarthrosis undergoing hip replacement and the use of this instrument can be recommended.