Georde Vuillermin, Kelly-Ann Bowles, Ross Iles, and Cylie Williams
Health professionals responsible for return to work plans have little data about allied health movement to guide recommendations following lower back injury. This study aimed to quantify the lumbar movement patterns of allied health professionals within a health care facility throughout a normal workday. An observational case study was undertaken at a public health care facility with 122 allied health professionals. The lumbar movements were recorded with the ViMove together with pain scale measurement. The mean (SD) recording time for allied health was 7.7 (0.7) hours. A mean (SD) 3 (1.4) hours total were spent in standing, 3.8 (1.7) hours in sitting, and 0.8 (0.4) hours in locomotion. Forty-nine flexions were recorded on average per session, most identified as short term (<30 s) within low range (0°–20°). Lumbar movement patterns differed among professions. Thirty-seven (31%) participants reported a history of lower back injury, and 57 (47%) reported low back pain at the end of their workday. This study provides an insight into allied health professionals’ back movement in a hospital or community-based health care setting. These data may inform those who make return to work recommendations or provide rehabilitation services for allied health professionals working with a lower back injury.
Erika Zemková, Alena Cepková, and José M. Muyor
This study investigates postural responses to unexpected perturbations induced by a load release of different weights. Groups of 26 men (age 22.6 ± 2.4 years, height 178.0 ± 9.1 cm, and body mass 86.9 ± 11.5 kg) and 21 women (age 21.9 ± 2.7 years, height 168.8 ± 6.8 cm, and body mass 65.3 ± 8.7 kg) underwent load-triggered postural perturbations by 1 and 2 kg while standing on a force plate with either eyes open or eyes closed. Postural perturbations induced by a heavier load, representing about 2% and 3% of body weight in men and women, respectively, led to significantly higher peak anterior and peak posterior center of pressure displacements when compared with a lighter load (29.6% and 45.4%, respectively) both with eyes open (36.9%) and closed (42.1%). Their values were significantly lower in men than women only when a higher load was used (∼25%). However, there were no significant differences in time to peak anterior and posterior center of pressure displacements. These findings indicate that heavier load-induced postural perturbations are greater in women than men regardless of visual conditions. This underlines the importance of loading dose in the magnitude of postural responses to externally induced perturbations.
W. Tolentino-Castro, L. Mochizuki, and H. Wagner
According to the literature, persons with intellectual disabilities have poor motor control in tasks in which motor anticipation is needed. Our study aimed to assess their motor behavior during interceptive tasks (a tennis ball interception with external-and-oneself throw conditions). A stick-bar was used as a reference or to support cloth to occlude a ball’s trajectory. Catch performance and interceptive behavior were analyzed (26 persons). The results show that high/low values of the initial approaching movement led to successful/successful catches, respectively. Our results are in line with the literature about the impact of poor motor control on performance in those with intellectual disabilities. We suggest that low anticipation may relate to problems in real-life situations.
Ernst Albin Hansen
Investigations of behavior and control of voluntary stereotyped rhythmic movement contribute to the enhancement of motor function and performance of disabled, sick, injured, healthy, and exercising humans. The present article presents examples of unprompted alteration of freely chosen movement rate during voluntary stereotyped rhythmic movements. The examples, in the form of both increases and decreases of movement rate, are taken from activities of cycling, finger tapping, and locomotion. It is described that, for example, strength training, changed power output, repeated bouts, and changed locomotion speed can elicit an unprompted alteration of freely chosen movement rate. The discussion of the examples is based on a tripartite interplay between descending drive, rhythm-generating spinal neural networks, and sensory feedback, as well as terminology from dynamic systems theory.
Karlee Naumann, Jocelyn Kernot, Gaynor Parfitt, Bethany Gower, and Kade Davison
The purpose of this study was to produce a descriptive overview of the types of water-based interventions for people with neurological disability, autism, and intellectual disability and to determine how outcomes have been evaluated. Literature was searched through MEDLINE, EMBASE, Ovid Emcare, SPORTDiscus, Google Scholar, and Google. One hundred fifty-three papers met the inclusion criteria, 115 hydrotherapy, 62 swimming, 18 SCUBA (self-contained underwater breathing apparatus), and 18 other water-based interventions. Common conditions included cerebral palsy, spinal cord injury, Parkinson’s disease, and intellectual disability. Fifty-four papers explored physical outcomes, 36 psychosocial outcomes, and 24 both physical and psychosocial outcomes, with 180 different outcome measures reported. Overall, there is a lack of high-quality evidence for all intervention types. This review provides a broad picture of water-based interventions and associated research. Future research, guided by this scoping review, will allow a greater understanding of the potential benefits for people with neurological disability, autism, and intellectual disability.
Whitney N. Neal, Emma Richardson, and Robert W. Motl
The uptake and benefits of the Canadian Physical Activity Guidelines for Adults with Multiple Sclerosis (PAGs) have been validated, but there is limited understanding regarding the knowledge, needs, and preferences of people with multiple sclerosis (MS) for implementing the PAGs outside of clinical research. The authors conducted online, semistructured interviews with 40 persons with MS from across the United States seeking information on awareness of and potential approaches for increasing the uptake of the PAGs. They identified first impressions and potential approaches for increasing the uptake of the PAGs through inductive, semantic thematic analysis. Participants perceived the PAGs as a good introduction for structured exercise but desired more information on how to meet the PAGs. Participants further believed that modifying the PAGs for inclusivity and applying a multifaceted approach for dissemination and implementation may increase uptake of exercise behavior. Physical activity research in MS should include both analyzing the effects of exercise and the unique challenges faced by persons with MS in putting the PAGs into practice.
Frédéric Dierick, Fabien Buisseret, Loreda Filiputti, and Nathalie Roussel
The objective of this study was to explore the effects of static and dynamic hamstring muscles stretching on kinematics and esthetics of grand battement (high velocity kicks) in adolescent recreational dancers. Sixteen participants were assessed before and immediately after both stretching modalities. Kinematics of movement was measured by an optoelectronic system and esthetics was scored by a jury of professional dancers. Both stretching modalities led to significant kinematic differences compared with without stretching. Significant linear correlations between kinematic parameters and esthetic scores have been observed: improving dancers’ physical performances has noticeable impact on the perception of their movements.
The goal of this study was to determine if emotional expressions at the end of swimmers’ 2016 Paralympic races varied according to medal won and if their race wins and losses were close or not close. Using FaceReader software, videos of 46 races of medal-winning Paralympic (M age = 24.6; SD = 5.4) swimmers’ faces (78 males and 60 females) from 22 countries were analyzed. Silver medalists were angrier and sadder than gold medalists and angrier and more disgusted than bronze medalists. Swimmers who swam slower than their 2015 best time were angrier than Paralympians who swam faster. Paralympians who finished lower than their 2015 world ranking had more neutral emotions and were less happy than Paralympians who finished higher. Gold medalists who narrowly defeated silver medalists were less happy and more fearful than gold medalists who won easily. Bronze medalists with close wins had fewer neutral emotions and were happier, less angry, and more surprised than bronze medalists with not-close wins. All medalists with close wins were more surprised than medalists with easier wins. Bronze medalists with close losses to silver medalists were happier and less angry than bronze medalists who lost more easily. Effect sizes ranged from d = 0.27 to 1.01. These results provide theoretical support to basic emotion theory and confirm the anecdotal observations that Paralympic competition generates wide-ranging and diverse emotions.
Kati S. Karinharju, Sjaan R. Gomersall, Kelly M. Clanchy, Stewart G. Trost, Li T. Yeo, and Sean M. Tweedy
This study evaluated the validity of two wheelchair-mounted devices—the Cateye® and Wheeler—for monitoring wheelchair speed and distance traveled. Speed estimates were validated against a calibrated treadmill at speeds from 1.5 to 10 km/hr. Twenty-five wheelchair users completed a course of known distance comprising a sequence of everyday wheelchair activities. Speed estimate validity was very good (mean absolute percentage error ≤ 5%) for the Wheeleri at all speeds and for the Cateye at speeds >3 km/hr but not speeds <3 km/hr (mean absolute percentage error > 20%). Wheeleri distance estimates were good (mean absolute percentage error < 10%) for linear pushing activities and general maneuvering but poor for confined-space maneuvering. Cateye estimates were good for continuous linear propulsion but poor for discontinuous pushing and maneuvering (both general and confined space). Both devices provided valid estimates of speed and distance for typical wheelchair-based exercise activities. However, the Wheeleri provided more accurate estimates of speed and distance during typical everyday wheelchair activities.