Search Results (11)

Multiple Sclerosis (MS) is a chronic neurological disorder affecting the central nervous system that significantly impairs postural control and functional abilities. Robotic-assisted gait training mitigates this functional deterioration. This preliminary study aims to investigate the effects of a four-week gait training with the ExoAtlet II exoskeleton on static balance control and functional mobility in five individuals with MS (Expanded Disability Status Scale ≤ 2.5). Before and after the training, they were assessed in quiet standing under Eyes Open (EO) and Eyes Closed (EC) conditions and with the Timed Up and Go (TUG) test. Center of Pressure (CoP) Sway Area, Antero–Posterior (AP) and Medio–Lateral (ML) CoP displacement, Stay Time, and Total Instability Duration were computed. TUG test Total Duration, sit-to-stand, stand-to-sit, and linear walking phase duration were analyzed. To establish target reference values for rehabilitation advancement, the same evaluations were performed on a matched healthy cohort. After the training, an improvement in static balance with EO was observed towards HS values (reduced Sway Area, AP and ML CoP displacement, and Total Instability Duration and increased Stay Time). Enhancements under EC condition were less marked. TUG test performance improved, particularly in the stand-to-sit phase. These preliminary findings suggest functional benefits of exoskeleton gait training for individuals with MS. Full article

Korea has a high population density, considering the size of its territory. Therefore, the importance of convenient and comfortable apartment buildings and high-rise residential–commercial complex buildings has been rising. In addition, because of the improvement in the standard of living along with continuous national economic growth, the interest in well-being and the expectation of a quiet life with a comfortable and pleasant residential environment have also been increasing. However, Koreans have a lifestyle involving sitting on the floor, so floor impact noise has been occurring more and more frequently. Because of this, neighborly disputes have been a serious social problem. And lately, damage and disputes from noise between floors have been increasing much more. The present work, therefore, used waste tire chips as a resilient material for reducing floor impact noise in order to recycle waste tires effectively. Also, a compounded resilient material, which combines EPS (expanded polystyrene), a flat resilient material on the upper part, with waste tire chips for the lower part, was developed. After constructing waste tire chips at a standardized test building, experiments with both light-weight and heavy-weight floor impact noise were performed. The tests confirmed that waste tire chips, when used as a resilient material, can effectively reduce both light-weight and heavy-weight floor impact noise. Full article

Background/Objectives: Non-invasive spinal cord transcutaneous stimulation (scTS) has expanded the therapeutic landscape of spinal cord injury (SCI) rehabilitation, offering potential benefits beyond compensatory approaches to paralysis. Children with SCI are particularly susceptible to developing neuromuscular scoliosis due to trunk muscle paralysis and ongoing skeletal growth, making targeted interventions crucial. As demonstrated in adults and pediatrics with SCI, the ability of scTS to acutely and safely enable an upright posture and trunk control could be leveraged as a therapeutic adjunct. Activity-based locomotor training (AB-LT) alone significantly improves trunk control in children with SCIs; combining it with scTS may enhance outcomes. This pilot study evaluated the safety, feasibility, and cumulative effects of AB-LT combined with scTS on trunk control in children with SCI. Methods: Three children with SCI completed 19 to 64 sessions of combined AB-LT and scTS. Adverse effects were monitored session to session, and trunk control was assessed pre- and post-intervention. Results: Across 130 interventions in three participants, 88.5% of sessions were free from adverse effects. Reported adverse events included autonomic dysreflexia (5.4%), skin redness at electrode sites (4.6%), and headaches (1.5%). No significant impact of scTS on fatigue or central hemodynamic parameters was observed. Post-intervention, all participants demonstrated improved trunk control during quiet and perturbed sitting. Conclusions: These findings provide the first evidence supporting the safety and feasibility of this combinatorial approach in pediatric SCI rehabilitation while emphasizing the importance of monitoring skin integrity and signs of autonomic dysreflexia. This intervention shows potential synergistic benefits, warranting further research to confirm efficacy and optimize therapeutic protocols. Full article

Yang Shi initiated the Neo-Confucian methodology of self-cultivation centered on quiet-sitting, and focusing on Yang Shi may shift the study of Confucian quiet-sitting to a more chronologically appropriate “beginning-forward” approach. Incorporating techniques such as breathing and calming the mind, Yang’s approach to self-cultivation follows a model of returning to the state of centrality through quiet-sitting, and then preserving and expanding that state in moments of everyday life. This model is based on a moral psychology and metaphysics that views the comprehensive pattern-principle of the universe, Tianli, as fully manifest in the vital state of the human heartmind achievable through the practice of quiet-sitting. This view inherits major features of Cheng Hao’s philosophy while distinguishing itself from Cheng Yi’s. Yang Shi’s reflections on the differences between Confucian and Buddhist contemplative practices also indicate, despite his view being closer to the Huayan Buddhist metaphysical perspective of perfect fusion between pattern-principle and things compared to Cheng Yi, an insistence on characterizing his quiet-sitting philosophy as distinctively Confucian. Full article

Objectives: The aim of our investigation was to explore the relationship between unaided pure-tone and speech audiometry and self-reported aided performance measured according to five predetermined COSI categories among first-time hearing aid users and experienced hearing aid users. Methods: Data from 286 patients were retrospectively evaluated. We divided the sample into first-time hearing aid users (G1) and experienced hearing aid users (G2). The correlation between unaided tonal and speech audiometry and five preliminary selected client-oriented scale of improvement (COSI) categories was studied. Results: A greater percentage of hearing aid users aged >80 years and a higher prevalence of severe-to-profound hearing loss in G2 group were observed (p < 0.05). For the total cohort, a mean hearing threshold of 60.37 ± 18.77 db HL emerged in the right ear, and 59.97 ± 18.76 db HL was detected in the left ear (p > 0.05). A significant statistical difference was observed in the group of first-time hearing aid users for the “Television/Radio at normal volume” item, where patients with a lower speech intellection threshold (SIT) were associated with higher COSI scores (p = 0.019). Studying the relationship between the speech reception threshold (SRT) and the COSI item “conversation with 1 or 2 in noise” evidenced worse speech audiometry in patients who scored ≤2 among experienced hearing aid users (p = 0.00012); a higher mean 4–8 kHz frequencies threshold for the better ear was found within the G2 group among those who scored ≤2 in the COSI item “conversation with 1 or 2 in quiet” (p = 0.043). Conclusions: Our study confirms a poor correlation between unaided tonal and speech audiometry and self-reported patient assessment. Although we included only five COSI categories in this study, it is clear that unaided audiometric tests may drive the choice of proper hearing rehabilitation, but their value in predicting the benefit of hearing aids remains limited. Full article

The relationship between urban greenspaces and the benefits to psychological, social, and physical aspects of human wellbeing are important to study, particularly in rapidly urbanizing areas and underrepresented communities. This interaction was theorized, analyzed, and measured in this paper through the transactional paradigm and operationalized through the use of a volunteer geographic information questionnaire, SoftGIS, which activated the urban greenspace–human wellbeing interaction through its map-based data collection. Over 450 unique place-based relationships were statistically analyzed within the Greater Glasgow Urban Region of Paisley, Scotland, a vulnerable community. This study revealed that multiple components of human wellbeing are supported through interactions with urban greenspaces. The Paisley region’s respondents visited greenspaces, generally, and most often to receive psychological benefits such as reduction of stress and mental relaxation through interactions which included sitting and relaxing in quiet spaces, enjoying natural surroundings, and viewing nature and wildlife. The physical and social wellbeing benefits were not as frequent in these urban greenspace interactions but were distinctly present. The results imply pathways towards management and multifunctional greenspace design responses in urbanizing regions and indicate strategies for public policy, human health, and urban planning, which deliver wellbeing benefits to communities. Full article

While the study of Confucianism has been ongoing in the United States for quite some time, the idea of its viability in the American context is quite recent. Even more recent are experimental attempts to practice Confucianism in the U.S. This article chronicles several such attempts and considers what demographic data there are, and their frameworks of measurement, of Confucianism in the U.S. It focuses on a case study of debates and conversations about what it means for Confucianism to be “portable” among a small but committed second generation of Boston Confucians. From quiet-sitting meditation, to textual studies and interpretation, to ritual veneration of Confucius and ancestors, this article is one of the first empirical studies of Confucianism as a lived tradition in the United States. It situates these practices, and descriptions, discussions, and debates about them by their enactors, in the context of the Protestantized religious landscape in the U.S. It also considers how Confucianism has registered in unexpected ways in the U.S. context amidst the COVID-19 pandemic. Confucianism in the U.S. emerges as a form of way-making, irreducible to the categories of philosophy or religion, that both reflects and transforms its inheritance of Confucianism from East Asia. Full article

Caffeine is often used in a variety of forms to enhance athletic performance; however, research regarding caffeine’s effects on strength and power in female athletes is lacking. Therefore, the purpose of this study was to analyze the acute effects of caffeine anhydrous (6 mg/kg of body mass) on jumping performance and maximal strength in female collegiate athletes. Eleven athletes (19.7 ± 0.9 yrs; 166.4 ± 10.2 cm, 67.7 ± 9.4 kg) performed two testing sessions separated by one week, and randomly received caffeine or placebo using a double-blind approach. Heart rate, blood pressure, and tympanic temperature were recorded before athletes received each condition, following 60 min of quiet sitting, and directly after performance testing. Athletes were assessed on unweighted and weighted squat jump height (SJH0, SJH20) and countermovement jump height (CMJH0, CMJH20), isometric mid-thigh pull peak force (IPF), and rate of force development from 0–200 ms (RFD200). Resting systolic blood pressure was significantly greater following caffeine administration compared to a placebo (p = 0.017). There were small, significant differences in SJH0 (p = 0.035, g = 0.35), SJH20 (p = 0.002, g = 0.49), CMJH0 (p = 0.015, g = 0.19), and CMJH20 (p < 0.001, g = 0.37) in favor of caffeine over placebo. However, there was no significant difference in IPF (p = 0.369, g = 0.12) and RFD200 (p = 0.235, g = 0.32) between conditions. Therefore, caffeine appears to enhance jumping performance, but not maximal strength in female collegiate athletes. Full article

The transverse arch of the foot receives and transfers loads during gait. We aim to identify the difference in its structure between normal feet and hallux valgus (HV) feet and the effects of loading. Two groups, Without-HV and With-HV (HV ≥ 20°), were assessed using a weight-bearing plantar ultrasound imaging device to view the structure of the transverse arch. Measurements were recorded in sitting, quiet standing, and 90% weight-shift (90% W.S.) loading positions on the tested foot. Images were then processed using ImageJ software to analyze the transverse arch length (TAL), the length between the metatarsal heads (MTHs), transverse arch height (TAH), and the height of each MTH. TAL significantly increased in all positions in the With-HV group compared to that in the Without-HV group. It also increased in both groups under loading. TAH was not significantly higher in the With-HV group than in the Without-HV group in sitting and standing positions, except in the 90% W.S position, where both groups showed similar results. TAH decreased in both groups under loading. In summary, the structure of the transverse arch changes in HV feet and under loading conditions. This finding will help understand the structural differences between normal and HV feet and help resolve shoe fit problems in individuals with HV deformity. Full article

The inertial measurement unit is popularly used as a wearable and flexible tool for human motion tracking. Sensor-to-body alignment, or anatomical calibration (AC), is fundamental to improve accuracy and reliability. Current AC methods either require extra movements or are limited to specific joints. In this research, the authors propose a novel method to achieve AC from standard motion tests (such as walking, or sit-to-stand), and compare the results with the AC obtained from specially designed movements. The proposed method uses the limited acceleration range on medial-lateral direction, and applies principal component analysis to estimate the sagittal plane, while the vertical direction is estimated from acceleration during quiet stance. The results show a good correlation between the two sets of IMUs placed on frontal/back and lateral sides of head, trunk and lower limbs. Moreover, repeatability and convergence were verified. The AC obtained from sit-to-stand and walking achieved similar results as the movements specifically designed for upper and lower body AC, respectively, except for the feet. Therefore, the experiments without AC performed can be recovered through post-processing on the walking and sit-to-stand data. Moreover, extra movements for AC can be avoided during the experiment and instead achieved through the proposed method. Full article

Presence of speech and motion artifacts has been shown to impact the performance of wearable sensor systems used for automatic detection of food intake. This work presents a novel wearable device which can detect food intake even when the user is physically active and/or talking. The device consists of a piezoelectric strain sensor placed on the temporalis muscle, an accelerometer, and a data acquisition module connected to the temple of eyeglasses. Data from 10 participants was collected while they performed activities including quiet sitting, talking, eating while sitting, eating while walking, and walking. Piezoelectric strain sensor and accelerometer signals were divided into non-overlapping epochs of 3 s; four features were computed for each signal. To differentiate between eating and not eating, as well as between sedentary postures and physical activity, two multiclass classification approaches are presented. The first approach used a single classifier with sensor fusion and the second approach used two-stage classification. The best results were achieved when two separate linear support vector machine (SVM) classifiers were trained for food intake and activity detection, and their results were combined using a decision tree (two-stage classification) to determine the final class. This approach resulted in an average F1-score of 99.85% and area under the curve (AUC) of 0.99 for multiclass classification. With its ability to differentiate between food intake and activity level, this device may potentially be used for tracking both energy intake and energy expenditure. Full article