Influence of load and carrying method on gait, specifically pelvic movement.

[Purpose] The purpose of this study was to examine how carrying methods and load affects pelvic movement while walking. [Subjects and Methods] Sixteen healthy subjects (age 20.68 ± 1.95 years, height 167.56 ± 8.46 cm, weight 60.25 ± 9.37 kg) volunteered. The items carried included a hand bag, shoulder bag, cross bag, and a back pack. The load weights were 0%, 5%, 10% and 15% of body weight. G-Walk was used to record and analyze pelvic movement while the participants walked with different loads. [Results] In the case of hand bags and shoulder bags, pelvic tilt increased along with weight. In particular, when compared with the 0%, 5% and 10% load conditions, the 15% load of a hand bag induced a significant increase. Pelvic rotation showed a tendency to decrease as the weight increased. [Conclusion] Lateral pelvic tilt is thought to increase when the weight exceeds 15% of body weight, thereby resulting in decreased efficiency of gait. The pelvic rotation is thought to decrease as the weight increases, causing restricted upper limb movements.

The effect of middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises in upper crossed syndrome.

[Purpose] The purpose of this study was to determine the effectiveness of strength and stretching exercises on upper crossed syndrome. [Subjects and Methods] After measuring cervical alignment using the Global Posture System, 30 students with forward head posture were selected and divided into two groups. The experimental group (n=15) participated in strength and stretching exercises, three times per week for 4 weeks. The control group (n=15) did not participate in the exercises. The exercise program comprised middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises. The temperature of the posterior neck was then measured using digital infrared thermographic imaging. [Results] There was a significant difference between the pretest and posttest results in the experimental group, and a significant difference in posterior neck temperature between the two groups. [Conclusion] This study showed that middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises are more effective for upper crossed syndrome.

How different modes of child delivery influence abdominal muscle activities in the active straight leg raise.

[Purpose] The purpose of this study was to examine the activities of the abdominal muscles of women who had experienced vaginal delivery in comparison with those who had experienced Cesarean childbirth. [Subjects and Methods] A total of 14 subjects (7 vaginal delivery, 7 Cesarean section) performed an active straight leg raise to 20 cm above the ground, and we measured the activities of the internal oblique abdominal muscle, the external oblique abdominal muscle, and the rectus abdominal muscle on both sides using electromyography. The effort required to raise the leg was scored on a Likert scale. Then, the subjects conducted maximum isometric contraction for hip joint flexion with the leg raised at 20 cm, and maximum torque and abdominal muscle activities were measured using electromyography. [Results] During the active straight leg raise, abdominal muscle activities were higher in the Cesarean section subjects. The Likert scale did not show a significant difference. The activities of the abdominal muscles and the maximum torque of the hip joint flexion at maximum isometric contraction were higher in the vaginal delivery subjects. [Conclusion] The abdominal muscles of Cesarean section subjects showed greater recruitment for maintaining pelvic stability during the active straight leg raising, but were relatively weaker when powerful force was required. Therefore, we consider that more abdominal muscle training is necessary for maintaining pelvic stability of Cesarean section subjects.

How different knee flexion angles influence the hip extensor in the prone position.

[Purpose] The present study examined the effects of knee flexion angle on hip extensor muscle activity. [Subjects and Methods] Twenty healthy subjects maintained knee flexion angles of 0°, 30°, 60°, 90° and 110° in the prone position and performed maximal voluntary contraction in hip extension. Maximum torque in hip extension at the different angles was measured, and surface electromyogram activities of the gluteus maximus (GM), biceps femoris (BF) and semitendinosus (ST) were recorded and normalized by the maximum voluntary isometric contraction (MVIC). [Results] The maximum torque of the hip extensor showed significant decreases between 0°and 60°, 90° and 110° of knee flexion. The muscle activity of BF was significantly high at 0°, and GM showed a significantly higher activity than both BF and ST at 60°, 90°and 110° of knee flexion. [Conclusion] The maximum torque in hip extension and muscle activities of BF and ST were significantly high at 0° but they decreased at knee flexion angles of more than 60°. Therefore, we consider that more than 60° of knee joint flexion is required to increase GM activity, and to reduce the muscle activities of BF and ST.

Navigating into the future of science museum education: focus on educators' adaptation during COVID-19.

Repeated closures of the world's science museums to stem the spread of COVID-19 have significantly reduced visitors' access to informal science learning opportunities. Interviews with educators and an analysis of the online content of a science museum were used in this case study to examine the impact of this phenomenon on informal science education. We present several education examples to highlight how educators have attempted to adapt. Specifically, we describe and characterize educators' strategies-collaboration, networking, and feedback-to address difficulties involved in developing virtually accessible content that will engage users. In addition, we analyze essential attributes of informal learning in the science museum attributes of interaction, free-choice learning, hands-on experience, and authentic learning that the educators kept in mind while planning and redesigning educational programs and cultural events in response to COVID-19. We conclude by forecasting the future of science museums based on the educators' perceptions of their roles and the nature of informal science learning, assuming that educators are the crucial agents to build a new future direction.

Comparison of sit-to-stand and static standing balance ability between patients with total knee arthroplasty and elderly healthy subjects.

BACKGROUND: Identifying the functional status of patients after total knee arthroplasty is important. This study aimed to examine the differences in sit-to-stand and static standing ability balance between patients who underwent total knee arthroplasty and healthy participants. METHODS: Twenty patients (mean age 70.05 years) who underwent total knee arthroplasty and 20 healthy participants (mean age 69.20 years) participated in this study. To assess the participants' sit-to-stand, the Good Balance System (Metitur Ltd, Finland) was used to measure each participant's mediolateral center of pressure (COP) displacement and time required to complete the sit-to-stand movement. To assess the participants' static standing balance, the Good Balance System was used to measure each patient's mediolateral COP displacement, anteroposterior COP displacement, and velocity moment when standing with eyes open and with eyes closed. RESULTS: A significant difference was found in the mediolateral COP displacement and the time required to complete the sit-to-stand movement in the two groups (P< 0.05). A significant difference was also found in the mediolateral and anteroposterior COP displacement and the velocity moment when standing with eyes open and with eyes closed in the two groups (P< 0.05). CONCLUSIONS: Patients who had total knee arthroplasty showed decreased sit-to-stand and static standing balance ability compared with the control group in the initial period after surgery.

Association between Metabolic Syndrome and Microalbuminuria in Korean Adults.

BACKGROUND: We conducted a population-based cross-sectional study of Korean adults to evaluate the association between metabolic syndrome and microalbuminuria as a marker for early-stage chronic kidney disease. METHODS: A total of 8,497 adults (3,625 men and 4,872 women) who participated in the Korea National Health and Nutrition Examination Survey between 2011 and 2012 were included. Metabolic syndrome was defined according to recommendation from a joint interim statement of international organizations published in 2009. Microalbuminuria was defined as a urinary albumin-to-creatinine ratio of 30 to 300 mg/g. The association between metabolic syndrome and microalbuminuria was evaluated using logistic regression analysis with adjustment for covariates while considering sampling weights and the complex survey design. RESULTS: The prevalence of microalbuminuriain subjects with metabolic syndrome was 11% for men and 14.4% for women, whereas the prevalence in subjects without metabolic syndrome was 3.1% for men and 6.7% for women. Metabolic syndrome was significantly associated with an increased risk of microalbuminuriain both women (odds ratio, 2.79; 95% confidence interval, 2.01 to 3.88) and men (odds ratio, 3.00; 95% confidence interval, 2.11 to 4.27). All components of the metabolic syndrome were associated with a significantly increased risk of microalbuminuria with the strongest association for high blood pressure. The risk of microalbuminuria increased in a dose-dependent manner (P-value for trend < 0.001) with the number of metabolic syndrome components observed for both sexes. CONCLUSION: These findings suggest that metabolic syndrome is a risk factor for chronic kidney disease from an early stage.