Search Results (395)

Toe-in (inward) and toe-out (outward) foot alignments significantly affect gait, posture, and joint stress, causing issues like abnormal gait, joint strain, and foot conditions such as plantar fasciitis and high arches. Addressing these alignments is crucial for improving mobility and comfort. This study introduces IoTToe, a wearable IoT device designed to detect and monitor gait patterns by using six ADXL345 sensors positioned on the foot, allowing healthcare providers to remotely monitor alignment via a webpage, reducing the need for physical tests. Tested on 45 participants aged 20–25 years with diverse BMIs, IoTToe proved suitable for both children and adults, supporting therapy and diagnostics. Statistical tests, including ICC, DFA, and ANOVA, confirmed the device’s effectiveness in detecting gait and postural control differences between legs. Gait variability results indicated that left leg showed more adaptability (DFA close to 0.5), compared to the right leg which was found more consistent (DFA close to 1). Postural control showed stable and agile standing with values between 0.5 and 1. Sensor combinations revealed that removing sensor B (on the gastrocnemius muscle) did not affect data quality. Moreover, taller individuals displayed smaller ankle angle changes, highlighting challenges in balance and upper body stability. IoTToe offers accurate data collection, reliability, portability, and significant potential for gait monitoring and injury prevention. Future studies would expand participation, especially among women and those with alignment issues, to enhance the system’s applicability for foot health management, safety and rehabilitation, further supporting telemetric applications in healthcare. Full article

To address the complex surface curvature, massive dimensions, and variable pitch angles of wind turbine blades, this paper proposes a climbing robot design based on a variable-cell mechanism. By dynamically adjusting the support span and body posture, the robot adapts to the geometric features of different blade regions, enabling stable and efficient non-destructive inspection operations. Two reconfigurable configurations—a planar quadrilateral and a regular hexagon—are proposed based on the geometric characteristics of different blade regions. The configuration switching conditions and multi-leg cooperative control mechanisms are investigated. Through static stability margin analysis, the stable gait space and maximum stride length for each configuration are determined, optimizing the robot’s motion performance on surfaces with varying curvature. Simulation and experimental results demonstrate that the proposed multi-configuration gait planning strategy exhibits excellent adaptability and climbing stability across segments of varying curvature. This provides a theoretical foundation and methodological support for the engineering application of robots in wind turbine blade maintenance. Full article

Upper limb deficiencies can limit the range of tasks children can perform. Current prosthetics provide overall good performance to increase the activities that users can complete, but challenges remain. Body- or electrically powered prostheses struggle to restore the full range of motion needed for specific tasks. Currently, these systems do not allow for controlled hand closure or opening across all possible postures. A breathing-powered prototype named Airbender, which extracts energy from a breathing input by means of a Tesla turbine, provides the possibility of operation in any position. This paper introduces a novel design for a multi-finger actuated breathing-powered upper limb prosthetic concept and analyses its performance through a series of lab-based experiments. Results show that such a design could provide a fully controllable system. The final assembled design is capable of achieving full actuation under a flow rate of 340 Ls/min. The results obtained demonstrate that a functional multi-finger actuated breathing-powered upper limb prosthesis could be feasible and opens a path for future research in the field, with the ultimate goal of reducing the minimum flow rate required and actuation time to further improve its functionality. Full article

Background: Prolonged obesity in children can lead to a gradual decline in postural stability due to changes in biomechanics, musculoskeletal function, and neuromuscular control. Early interventions may help address these issues. This exploratory study examined the potential influence of Thai massage on postural stability in children with overweight and obesity. Methods: This study employed a quasi-experimental, comparative design and was conducted at the Pa Tueng Sub-district Health Promoting Hospital, Chiang Rai, Thailand. A total of 58 children meeting the criteria for overweight or obesity were systematically assigned to either the Thai massage group or the control group based on the order in which they were recruited. The Thai massage group received 45 min full-body Thai massage sessions combined with stretching exercises twice a week for six weeks (a total of 12 sessions), while the control group was advised to perform daily stretching exercises at home. Postural stability was assessed by measuring sway path length and sway velocity during double-leg and single-leg stances with eyes closed, both before and after the intervention. Results: While no statistically significant differences were found between the groups, the Thai massage group exhibited a non-significant trend toward reduced sway path length and sway velocity, whereas the control group showed a significant increase in both measures (p < 0.05), indicating a decline in postural stability over time. Conclusions: These findings suggest that Thai massage showed a potential trend toward stabilizing postural stability in children with overweight and obesity; however, the between-group differences were not statistically significant. As an exploratory study, further research with longer intervention durations and follow-up assessments is needed to determine whether clinically meaningful effects can be established. Full article

Postural alignment can be influenced by intrinsic and extrinsic factors; failure to control these confounding factors and the use of invalid tools increase the risk of bias and may distort the results. Objective: The first objective is to identify the confounding factors that may influence the evaluation of body posture in children. The second objective is to determine which methods or tools are used to analyze postural alignment and to review the evidence regarding their validity and reliability, in order to strengthen the credibility of the results obtained. Methods: A systematic review was performed following the PRISMA 2020 criteria. Eligible studies were searched in the Virtual Health Library, Scopus, Medline, Web of Science, PEDro, and the Cochrane Library throughout the entire month of December 2024. Observational studies written in English, Portuguese, or Spanish that analyzed body posture (as the dependent variable) in children under 12 years of age were included. Articles not available in full text or those that assessed only a single body region were excluded. The methodological quality of the studies was assessed using the Newcastle–Ottawa scale, while the ROBINS-E tool was used to assess risk of bias. The synthesis of results was presented as a narrative review. Results: A total of 42 observational articles were included. No meta-analysis was conducted, and the findings are synthesized through a narrative review. The ROBINS-E tool showed a generalized result of high risk of bias, while the Newcastle–Ottawa scale reported moderate quality for longitudinal and case–control studies, with worse scores for cross-sectional studies. Methodological limitations: The differences found in the designs, population, and outcome measures generate high methodological variability that limits the possibility of quantitative synthesis. Likewise, the available evidence on the reliability of the tools is insufficient, which conditions the interpretation of the reported results. Conclusions: The findings with the strongest scientific support suggest that anthropometric variables or those related to body composition may be associated with body alignment. By contrast, there is still controversy regarding the influence of sex and age on postural variables. Sport modality or the weight of the school backpack could also play a role in posture; however, more high-quality studies are needed to contrast the results. The quality of the evidence is limited by heterogeneity in study designs, insufficient control of confounding factors, and the use of tools with inadequate validity and reliability. Other: The study was registered in PROSPERO under the number CRD42024618753. This research received no external funding. Full article

This paper presents a narrative review of the contextualization and contribution offered by vision–language models (VLMs) for human-centric understanding in images. Starting from the correlation between humans and their context (background) and by incorporating VLM-generated embeddings into recognition architectures, recent solutions have advanced the recognition of human actions, the detection and classification of violent behavior, and inference of human emotions from body posture and facial expression. While powerful and general, VLMs may also introduce biases that can be reflected in the overall performance. Unlike prior reviews that focus on a single task or generic image captioning, this review jointly examines multiple human-centric problems in VLM-based approaches. The study begins by describing the key elements of VLMs (including architectural foundations, pre-training techniques, and cross-modal fusion strategies) and explains why they are suitable for contextualization. In addition to highlighting the improvements brought by VLMs, it critically discusses their limitations (including human-related biases) and presents a mathematical perspective and strategies for mitigating them. This review aims to consolidate the technical landscape of VLM-based contextualization for human state recognition and detection. It aims to serve as a foundational reference for researchers seeking to control the power of language-guided VLMs in recognizing human states correlated with contextual cues. Full article

Background: Blind 5-A-side football is an intermittent sport that requires the development of specific physical, physiological, and technical–tactical variables, making the identification of recovery processes such as sleep, well-being, and athletes’ perceptions key factors in performance. However, to date, no systematic review has analyzed the scientific evidence on performance variables in players with visual impairments. Objective: To identify performance variables in blind 5-A-side football through the analysis of physical fitness factors, physiological demands, technical–tactical actions, and recovery variables. Materials and Methods: The following databases were consulted: Scopus, PubMed (Medline), Web of Science, ScienceDirect, and Google Scholar. This systematic review follows the PRISMA guidelines and those for conducting systematic reviews in sports science. The PICOS strategy was used to select and include studies. The quality of the studies was assessed methodologically using the Joanna Briggs Institute Critical Appraisal Tool. Results: The included studies evaluated multiple aspects of physical and physiological fitness in blind 5-A-side football, with a predominance of descriptive and observational research, although longitudinal interventions in national teams were also identified. The most studied physiological-physical variables are aerobic capacity and cardiovascular response; anthropometry and body composition; strength, power, and injury risk; external competition demands; balance; and postural control. The studies in the technical–tactical dimension focused on the effectiveness of shots on goal and on the characterization of control, dribbling, and shooting actions. The most studied recovery variable was sleep. Conclusions. The evidence suggests that training processes should integrate both improvements in physical fitness and physiological demands, as well as the refinement of decision-making and offensive actions. Despite advances, scientific output in this discipline remains limited, highlighting the need to promote studies with greater methodological rigor and sample diversity. Full article

In naturally ventilated dairy barns, many questions regarding airflow, indoor air quality, and emissions are still unanswered, often resulting in inaccurate environmental control of the housing. Particularly, limited understanding of the implications of the constantly changing outdoor weather conditions in interaction with the building design and the role of the characteristics of the animals’ movement inside the building enhances uncertainties in the estimation of airflows within and across the barns. Computational fluid dynamics (CFD) have been used in the past to better understand the dynamics of barn climate, but the models are typically too slow to be used for real-time prediction and control. We investigated the effect of animal characteristics (i.e., animal location, orientation, body posture, and dimensions) on the pressure drop in the animal occupied zone considering inlet wind speed from 0.1 m s⁻¹ to 5 m s⁻¹ and wind direction of 0° and 90° in a CFD model. The cow position in general had little impact on the pressure drop at low wind speeds, but became relevant at higher wind speeds. Cows distributed in a more organized alignment showed less airflow resistance, and, therefore, a lower pressure drop and higher air velocities. Moreover, the cow breed affected the pressure drop, with higher withers resulting in a higher pressure drop and air resistance. In contrast, the effects of cow lying–standing ratio on the pressure drop and airflow resistance coefficients were negligible for both investigated wind directions. Our study aims to provide guidance for optimizing parametrizations of the animal occupied zone in order to enhance the speed of simulations without significant loss in model accuracy. In addition, the conclusions drawn from our study may support the adaption of building design and herd management to improve the effectiveness of ventilation concepts of naturally ventilated dairy barns. Full article

Balance is referred to as a state of equilibrium where forces of agonist and antagonistic muscles are equal. This is particularly relevant in the practice of Goju-Ryu Karate-Do, a martial art style with combinations of hard and soft techniques. Particularly, karate stances not only depend on technical aspects but also on the ability to achieve a centered posture. In this narrative review, we aim to integrate the existing knowledge about alignment parameters of the spine to various stances in Goju-Ryu Karate-Do to improve biomechanical understanding, allow technical modifications, and consequently enhance positive training experience. Balance is constantly challenged during the interplay of accelerated movements and subsequent controlled postures (Japanese: “Kamae”). This requires continuous neuromuscular coordination to maintain the body’s equilibrium. In particular, the body’s center of gravity, which is located around the second sacral vertebra in a standing position, needs to be kept within Dubousset’s “efficiency cone” for low energy consumption and minimal fatigue. This state is primarily maintained by aligning the spine, the pelvis, and the lower extremities, which is a result of complex biomechanical interactions of various spinopelvic parameters. Applying these concepts of Dubousset to stances in Goju-Ryu Karate-Do helps to explain why during the aging process or natural degeneration, technical modifications are needed to guarantee an optimal training experience in senior or disabled practitioners of Karate-Do. Biomechanical parameters of the spinopelvic axis are crucial in mastering the art of Goju-Ryu Karate-Do. Only with a balanced stance and an optimally situated center of gravity, a block or attack may be successful and movement strategies effective. However, technical modifications of stances must be considered in aged or disabled karateka to allow a sustained training experience. Full article

Background and Objectives: Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that affects postural alignment, function, and quality of life. Telerehabilitation has emerged as a promising approach to enhance accessibility and continuity of exercise-based treatment in AIS. This study aimed to compare the effects of telerehabilitation-supported home exercise programs with standard home exercises on posture, pain, body image, and quality of life in adolescents with mild AIS. Materials and Methods: Forty adolescents aged 10–18 years with mild AIS (Cobb angle 10–25°, Risser 0–3) were randomly assigned to two groups: study (n = 20) and control (n = 20). Both groups performed an 8-week home-based exercise program. The study group additionally received weekly online supervision by a physiotherapist. Outcomes included pain severity (VAS), posture (New York Posture Assessment Scale), body image (Walter Reed Visual Assessment Scale), and quality of life (SRS-22 questionnaire). Statistical analyses were performed using non-parametric tests, with a significance level of p < 0.05. Results: Twenty-nine participants completed the study (15 in the study group, 14 in the control group). Significant improvements were observed in the study group in SRS-22 total, pain, and function subscores, as well as posture scores (p < 0.05). In the control group, only the satisfaction subscore improved significantly (p < 0.05). No significant changes were detected in body image (WRVAS) in either group. Between-group comparisons showed greater overall clinical gains in the study group despite similar exercise adherence rates. Conclusions: Supervised telerehabilitation enhances the effectiveness of home-based exercise programs in adolescents with mild AIS by improving postural alignment, reducing pain, and increasing functional capacity and quality of life. Telerehabilitation represents an accessible and efficient complementary strategy for managing AIS when in-person supervision is limited. Full article

Introduction: The increasing development of wearable devices for postural monitoring (provide feedback on posture) or correction (mechanical or biofeedback to promote change) is partly driven by the rising prevalence of poor posture in the general population and its impact on pain perception and functional capacity. Objective: Examine the effects of wearable devices on posture correction or prevention and on related outcomes, including postural alignment, muscle activity, pain and functional performance. Methods: The review followed the PRISMA 2020 guidelines. Searches were performed in PubMed, Scopus, Web of Science, and PEDro for studies published between 2012 and 2025. Eligible studies included randomized controlled trials and quasi-experimental designs involving participants with postural deviations or at risk of developing them, who underwent interventions using wearable devices that provided vibratory, auditory, visual, or tactile biofeedback. Results: Eight studies reported immediate improvements in postural alignment, body awareness, and self-reported pain, particularly with devices providing vibratory or visual biofeedback. Functional task stability improved, and muscle activity during risky postures decreased. However, the strong heterogeneity across devices and protocols, small sample sizes, short intervention durations, and, in some cases, the lack of independent control groups limit the strength and generalizability of these findings. Conclusions: Wearable devices have potential as complementary tools in physiotherapy due to their autonomous and potentially effective nature. Nevertheless, current evidence remains insufficient to support definitive clinical recommendations. Full article

Background: Osteoporotic vertebral fractures in the thoracic–lumbar spine are common in older adults and can lead to pain, kyphotic posture, impaired postural control, and altered gait. These changes increase the risk of falls and reduce functional mobility, highlighting the need for effective assessment and intervention strategies. Objectives: To analyze stability and gait in patients who sustained a thoracic–lumbar spinal fracture and underwent minimally invasive surgery. Methods: Seventeen patients participated in this study (women = 11, age 68.36 ± 6.15 years, body weight 68.18 ± 12.8 kg, height 161.45 ± 5.26 cm; men = 6, age 62.67 ± 4.41 years, body weight 78.5 ± 20.36 kg, height 176.67 ± 12.64 cm). All participants had undergone minimally invasive spinal surgery using percutaneous screws reinforced with bone cement 12 months prior. Each patient underwent two assessments: postural stability measurement and biomechanical gait analysis. Statistical analysis was performed using Statistica software (StatSoft, PL), with significance set at p < 0.05. Results: In the stability test, seven participants could not complete the measurement due to falls (FRT = 6.45 ± 2.43), six performed within the normal range (FRT = 2.41 ± 0.9), and four were below the normal range for their age group (FRT = 2.22 ± 1.7). Patients exhibited slower walking speed, shorter stride length, and reduced hip extension during the stance phase (approximately 5° less) due to a forward-leaning posture and cautious gait. Foot placement was flat rather than heel-first, likely as a compensatory strategy to enhance safety. Conclusions: Patients after osteoporotic thoracic–lumbar vertebral fractures treated with minimally invasive surgery demonstrate shorter, wider, and slower steps, along with reduced postural stability, indicating a persistent risk of forward falls. Full article

Background: The visual attention tracking task plays a pivotal role in studying posture control and gait regulation. This study aims to explore the effects of visual attention tracking tasks on gait performance in young adults, providing a theoretical basis for gait optimization strategies through dual-task training. Method: Twenty healthy young males were recruited. Participants in the experimental group performed a multi-objective tracking task while walking (dual-task, DT), while the control group performed only walking (single-task, ST). The Vicon motion capture system and gait analysis system were used to collect full-body kinematic and ground reaction force data. The symmetry index of key spatiotemporal parameters and continuous relative phase (CRP) metrics were calculated to assess gait symmetry and inter-joint coordination. Result: The dual-task condition led to significant alterations in gait patterns, characterized by increased stride time and frequency, as evidenced by a longer gait line and greater foot inclination angle. Furthermore, inter-joint coordination was disrupted, demonstrated by elevated magnitude of absolute relative phase values at the hip–knee and knee–ankle joints, alongside more variable continuous relative phase trajectories. Conclusions: Visual attention tracking during walking significantly compromises gait symmetry and inter-joint coordination in young adults, suggesting that divided attention during athletic activities may elevate injury risk and should be considered in training program design. Full article

Background/Objectives: Attentional focus, wherein motor performance differs between internal focus (IF), which directs attention to body parts, and external focus (EF), which directs attention to the external environment, has exhibited a dominance that enhances performance in healthy participants, whereby IF-dominant and EF-dominant groups show higher performance under IF and EF conditions, respectively. In this cross-sectional study, we aimed to verify the dominance of attentional focus in sitting postural control among patients with stroke and explored the involvement of the disconnectome in the dominance of attentional focus. Methods: Stroke survivors performed sitting postural control tasks under IF and EF conditions to evaluate attentional focus dominance. The severity of white matter disconnection was calculated using brain imaging analysis and compared between the IF-dominant and EF-dominant groups. Results: The results showed a dominance of attentional focus in sitting postural control in patients with stroke. Performance in the IF condition influenced the dominance of attentional focus. The EF-dominant group exhibited a higher disconnection severity in the corticostriatal tract (posterior). Conclusions: This study highlights the importance of customized interventions based on the dominance of attentional focus to improve sitting postural control abilities in patients with stroke. Full article

Background: Posturography is a diagnostic method used to evaluate postural stability by recording body sway and the distribution of pressure on the ground. Temporomandibular disorders (TMDs) involve musculoskeletal and neuromuscular dysfunctions affecting the temporomandibular joint, masticatory muscles, and associated structures. Given the anatomical and functional connections between the stomatognathic system and postural control mechanisms, this study aimed to assess whether TMDs influence body posture and balance as measured by posturographic parameters. Methods: 75 volunteers, aged 19–48, were included. The TMD group (n = 45) was diagnosed based on the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD), and the control group (n = 30) showed no signs of TMD. All participants underwent posturographic assessment and jaw opening range measurement. Posturography was performed using a pressure platform that recorded the center of pressure (COP) in static conditions. Postural stability was assessed using the Romberg test with eyes open and closed. Results: No statistically significant differences were found between the TMD and control groups in COP parameters, including ellipse area (EA) and total load distribution. Within both groups, COP sway increased significantly in the eyes-closed (EC) condition, as reflected by a greater unsteadiness length (UL). In contrast, EA was larger in the eyes-open (EO) condition in both groups, indicating a wider but more controlled spatial dispersion of COP. Intra-group analysis further revealed a significantly higher load on the left side in the control group only. Conclusions: The results do not support a significant postural imbalance in individuals with TMD compared to healthy controls. However, increased sway with eyes closed suggests that visual input plays a key role in postural control, regardless of TMD status. Full article