Search Results (7)

Background: This study investigated how static postural parameters influence dynamic spinopelvic balance across varying walking speeds. One hundred healthy young adults (aged 18–25) underwent rasterstereographic assessment (DIERS 4Dmotion^®) to quantify static global alignment metrics including craniovertebral angle (CVA), Q-angle, sagittal and coronal imbalance, pelvic rotation, torsion, obliquity, vertebral rotation, thoracic kyphosis, lumbar lordosis, and pelvic tilt, followed by dynamic spinopelvic analysis during treadmill walking at 1, 2, 4, and 5 km/h. Methods: Multiple linear regression models were used to determine the predictive value of static postural measures for dynamic outcomes at each speed. At slower walking speeds (1–2 km/h), static alignment variables significantly predicted dynamic spinopelvic parameters (adjusted R² = 0.53–0.73; RMSE = 0.59–0.81), with CVA, sagittal imbalance, and pelvic torsion emerging as the most consistent predictors. Results: At higher speeds (4–5 km/h), predictive strength declined substantially (adjusted R² = 0.04–0.34), indicating a shift from posture-driven to neuromuscular-governed gait control. The Q-angle showed limited and inconsistent predictive value across all conditions. Conclusions: Overall, static postural alignment, particularly CVA, sagittal imbalance, and pelvic torsion, serves as a moderate predictor of spinopelvic dynamics at slow to moderate gait speeds but loses explanatory power as velocity increases, emphasizing the growing role of neuromuscular control in maintaining dynamic balance. These findings highlight the clinical relevance of integrating both static and dynamic assessments to comprehensively evaluate postural and locomotor function. Full article

Consumer-grade wrist-based wearable devices have grown in popularity among researchers to continuously collect metrics such as physical activity and heart rate. However, manufacturers rarely disclose the preprocessing sensor data algorithms, and user-generated data are typically shared leading to data governance issues. Open-source technology may address these limitations. This study evaluates the validity of the Bangle.js2 for step counting and heart rate during lab-based validation and agreement with other wearable devices (steps: Fitbit Charge 5; heart rate: Polar H10) in free-living conditions. A custom open-source application was developed to capture the sensor data from the Bangle.js2. Participants (n = 47; 25 males; 27 ± 11 years) were asked to complete a lab-based treadmill validation (3 min stages at 2, 3, 4, and 5 mph) and stair climbing procedure followed by a 24 h free-living period. The Bangle.js2 demonstrated systematic undercounting of steps at slower walking speeds with acceptable error achieved at 5 km/h. During free-living conditions, the Bangle.js2 demonstrated strong agreement with the Fitbit Charge 5 for per-minute step counting (CCC = 0.90) and total steps over 24 h (CCC = 0.96). Additionally, the Bangle.js2 demonstrated strong agreement with the Polar H10 for minute-averaged heart rate (CCC = 0.78). In conclusion, the Bangle.js2 is a valid open-source hardware and software solution for researchers interested in step counting and heart rate monitoring in free-living conditions. Full article

This paper provides a comprehensive discussion on the physiological impacts of hypoxic training, its benefits to endurance performance, and a rationale for utilizing it to improve performance in the equine athlete. All exercise-induced training adaptations are governed by genetics. Exercise prescriptions can be tailored to elicit the desired physiological adaptations. Although the application of hypoxic stimuli on its own is not ideal to promote favorable molecular responses, exercise training under hypoxic conditions provides an optimal environment for maximizing physiological adaptations to enhance endurance performance. The combination of exercise training and hypoxia increases the activity of the hypoxia-inducible factor (HIF) pathway compared to training under normoxic conditions. Hypoxia-inducible factor-1 alpha (HIF-1α) is known as a master regulator of the expression of genes since over 100 genes are responsive to HIF-1α. For instance, HIF-1-inducible genes include those critical to erythropoiesis, angiogenesis, glucose metabolism, mitochondrial biogenesis, and glucose transport, all of which are intergral in physiological adaptations for endurance performance. Further, hypoxic training could conceivably have a role in equine rehabilitation when high-impact training is contraindicated but a quality training stimulus is desired. This is achievable through purpose-built equine motorized treadmills inside commercial hypoxic chambers. Full article

Background. The best format of exercise training (ET) in the setting of cardiac rehabilitation in patients with chronic heart failure (CHF) is still to be defined. Current guidelines recommend aerobic exercises, such as running and cycling, including some sessions per week of resistance exercise. Aim. The aim of this study was to address the effectiveness of a concurrent exercise training program utilizing a circuit of sequential endurance and resistance exercises on functional capacity and muscular strength in patients with CHF. Methods. Ninety-five consecutive male patients (age 63.1 ± 6 years) with CHF (EF < 40%) in NYHA functional class II/III, were randomly assigned on 1:1 basis to a 12-week aerobic continuous training (AT) or concurrent CT), aerobic + resistance, training (CT), three times a week, with each session lasting 80 min. We used high quality, specifically designed ergometers, connected with each other and governed by a central console, and managed by a single physiotherapist. Before and after training all patients performed a symptoms-limited exercise test on a treadmill and a 6-min walking test (6MWT). Patients in the CT group also performed resistance exercises of upper and lower body. Results. The 6MWT and exercise duration at ergometric test increased significantly in both AT and CT groups, with the increase being greater in CT group (p < 0.001; ES = 0.13; p < 0.01; ES = 0.07). Muscular strength increased significantly in the CT group, particularly in the lower body muscular districts (p < 0.001). Quality of life improved in both groups, with a significantly greater improvement in the CT group (p < 0.05). No side effects leading to discontinuation of training were observed. Conclusions. These findings indicate that concurrent, within-session training results in larger improvements in functional capacity, in addition to muscle performance, in patients with CHF, in comparison to single-mode aerobic training. Full article

Global human health threats, such as the ongoing COVID-19 pandemic, necessitate coordinated responses at multiple levels. Public health professionals and other experts broadly agree about actions needed to address such threats, but implementation of this advice is stymied by systemic factors such as prejudice, resource deficits, and high inequality. In these cases, crises like epidemics may be viewed as opportunities to spark structural changes that will improve future prevention efforts. However, crises can also weaken governance and reinforce systemic failures. In this paper, we use the concept of the governance treadmill to demonstrate cross-level dynamics that help or hinder the alignment of capacities toward prevention during public health crises. We find that variation in capacities and responses across local, national, and international levels contributes to the complex evolution of global and local health governance. Where capacities are misaligned, effective local prevention of global pandemic impacts tends to be elusive in the short term, and multiple cycles of crisis and response may be required before capacities align toward healthy governance. We demonstrate that this transition requires broader societal adaptation, particularly towards social justice and participatory democracy. Full article

The interface pressure between the residual limb and prosthetic socket has a significant effect on the amputee’s mobility and level of comfort with their prosthesis. This paper presents a socket interface pressure (SIFP) system to compare the interface pressure differences during gait between two different types of prosthetic sockets for a transtibial amputee. The system evaluates the interface pressure in six critical regions of interest (CROI) of the lower limb amputee and identifies the peak pressures during certain moments of the gait cycle. The six sensors were attached to the residual limb in the CROIs before the participant with transtibial amputation donned a prosthetic socket. The interface pressure was monitored and recorded while the participant walked on a treadmill for 10 min at 1.4 m/s. The results show peak pressure differences of almost 0.22 kgf/cm${}^2$ between the sockets. It was observed that the peak pressure occurred at 50% of the stance phase of the gait cycle. This SIFP system may be used by prosthetists, physical therapists, amputation care centers, and researchers, as well as government and private regulators requiring comparison and evaluation of prosthetic components, components under development, and testing. Full article

Recurrent haze in Southeast Asian countries including Singapore is largely attributable to rampant forest fires in Indonesia due to, for example, extensive slash-and-burn (S & B) culture. Drawing on the “treadmill of production” and environmental governance approach, we examine causes and consequences of this culture. We found that, despite some perceived benefits, its environmental consequences include deforestation, soil erosion and degradation, global warming, threats to biodiversity, and trans-boundary haze pollution, while the societal consequences comprise regional tension, health risks, economic and productivity losses, as well as food insecurity. We propose sustainability through a plural coexistence framework of governance for targeting S & B that incorporates strategies of incentives, education and community resource management. Full article