Journal articles on the topic 'Walking – Health aspects'
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Boonstra, A. M., V. Fidler, and W. H. Eisma. "Walking speed of normal subjects and amputees: Aspects of validity of gait analysis." Prosthetics and Orthotics International 17, no. 2 (August 1993): 78–82. http://dx.doi.org/10.3109/03093649309164360.
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This study investigated some aspects of the validity of walking speed recording in 15 normal subjects, 16 trans-femoral amputees and 8 knee disarticulation amputees. The variability and test-retest reliability of walking speed and the influence of simultaneous recording of EMG and goniometry on comfortable and fast walking speeds were studied. The variability between sessions was mainly determined by the variance within each session. The variance of speed within sessions while walking with fast speed, was higher when walking without equipment than when walking with equipment. The variances of speed within sessions of the normal subjects were higher than those for both amputee groups. The test-retest reliability, expressed by the intra-class correlation coefficient, was good: between 0.83 and 0.98. The speed when walking without equipment was significantly higher both in normal subjects and amputees than the speed when.walking with equipment.
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Barashkov, G. N., V. N. Sergeev, and N. S. Karamnova. "Terrencures and physical training by walking: rehabilitation — preventive aspects." Profilakticheskaya meditsina 24, no. 5 (2021): 87. http://dx.doi.org/10.17116/profmed20212405187.
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Akiyama, Junko, and Mitsuaki Ohta. "Hormonal and Neurological Aspects of Dog Walking for Dog Owners and Pet Dogs." Animals 11, no. 9 (September 18, 2021): 2732. http://dx.doi.org/10.3390/ani11092732.
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The hormone oxytocin is involved in various aspects of the relationship between humans and animals. Dog walking is a common activity for dog owners and their dogs. The walk, of course, should be good for the health of the dog as well as its owner. In Experiment I, we assessed whether salivary oxytocin and cortisol in dog owners changed because of walking their dogs. Ten owners walked with their dogs and walked alone. Similar to other previous research, walking with a dog did not significantly change oxytocin and cortisol. Therefore, in Experiment II, we investigated the effect of dog walking on brain noradrenergic and GABAergic neural activity, as indicated by salivary MHPG and GABA, in 14 dog owners. Walking with a dog reduced salivary MHPG compared to walking alone, and MHPG was correlated negatively with GABA. Thus, dog walking activated GABAergic nerves in the brain and suppressed noradrenergic nerves, effectively relieving stress.
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Paydar, Mohammad, Asal Fard, and Marzieh Khaghani. "Pedestrian Walkways for Health in Shiraz, Iran, the Contribution of Attitudes, and Perceived Environmental Attributes." Sustainability 12, no. 18 (September 4, 2020): 7263. http://dx.doi.org/10.3390/su12187263.
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Walking is important for improving physical activity and public health. The pedestrian walkways called Walkways for Health in Shiraz, Iran, present a high standard of aesthetic and design features which attract many people for the purpose of recreation. In addition, a significant percentage of Iranians suffer from mental disorders. The contribution of aesthetic and design features toward walking for recreation as well as mental health has been demonstrated in previous studies, which have focused on either one or the other of these aspects. This interdisciplinary research study aims to evaluate both of these aspects simultaneously. A quantitative approach including a survey questionnaire and multiple regression analysis was used to examine the objectives. The contributions of walking attitudes and several perceived environmental attributes to the attractiveness for walking and to general/mental health were determined, which suggested the need for new arrangements of the visual sequences and social setting along these walkways. In addition, the observation that younger people suffer are more affected by mental health disorders was one of the most challenging findings. The policy makers of this city could apply the findings of this study to these pedestrian walkways in order to improve the attractiveness for walking as well as general and mental health.
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Paydar, Mohammad, and Asal Kamani Fard. "The Hierarchy of Walking Needs and the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 18, no. 14 (July 13, 2021): 7461. http://dx.doi.org/10.3390/ijerph18147461.
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More than 150 cities around the world have expanded emergency cycling and walking infrastructure to increase their resilience in the face of the COVID 19 pandemic. This tendency toward walking has led it to becoming the predominant daily mode of transport that also contributes to significant changes in the relationships between the hierarchy of walking needs and walking behaviour. These changes need to be addressed in order to increase the resilience of walking environments in the face of such a pandemic. This study was designed as a theoretical and empirical literature review seeking to improve the walking behaviour in relation to the hierarchy of walking needs within the current context of COVID-19. Accordingly, the interrelationship between the main aspects relating to walking-in the context of the pandemic- and the different levels in the hierarchy of walking needs were discussed. Results are presented in five sections of “density, crowding and stress during walking”, “sense of comfort/discomfort and stress in regard to crowded spaces during walking experiences”, “crowded spaces as insecure public spaces and the contribution of the type of urban configuration”, “role of motivational/restorative factors during walking trips to reduce the overload of stress and improve mental health”, and “urban design interventions on arrangement of visual sequences during walking”.
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Serpell, James. "Beneficial Effects of Pet Ownership on Some Aspects of Human Health and Behaviour." Journal of the Royal Society of Medicine 84, no. 12 (December 1991): 717–20. http://dx.doi.org/10.1177/014107689108401208.
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A 10-month prospective study was carried out which examined changes in behaviour and health status in 71 adult subjects following the acquisition of a new pet (either dogs or cats). A group of 26 subjects without pets served as a comparison over the same period. Both pet-owning groups reported a highly significant reduction in minor health problems during the first month following pet acquisition, and this effect was sustained in dog owners through to 10 months. The pet-acquiring groups also showed improvements in their scores on the 30-item General Health Questionnaire over the first 6 months and, in dog owners, this improvement was maintained until 10 months. In addition, dog owners took considerably more physical exercise while walking their dogs than the other two groups, and this effect continued throughout the period of study. The group without pets exhibited no statistically significant changes in health or behaviour, apart from a small increase in recreational walking. The results provide evidence that pet acquisition may have positive effects on human health and behaviour, and that in some cases these effects are relatively long term.
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Haehl, Anne L., Cynthia B. Cohen, David A. Scott, and Sondra E. Wheeler. "Walking a Fine Line." Hastings Center Report 32, no. 1 (January 2002): 6. http://dx.doi.org/10.2307/3528285.
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Silva, Franciele Cascaes da, Beatriz Angélica Valdivia Arancibia, Elizandra Gonçalves Ferreira, Ricardo Moreno Lima, Paulo José Barbosa Gutierres Filho, and Rudney Da Silva. "Effects of swimming and walking on aspects related to the health of police officers." Revista Brasileira de Educação Física e Esporte 31, no. 2 (June 27, 2018): 333. http://dx.doi.org/10.11606/1807-5509201700020333.
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O presente estudo teve como objetivo comparar os efeitos da natação e caminhada após 24 semanas de treinamento sobre os indicadores antropométricos de obesidade, atividade física, risco coronariano e com qualidade de vida relacionada á saúde entre os policiais militares do estado de Santa Catarina, Brasil. A amostra incluiu 51 policiais militares (sexo masculino) que tinham média de idade de 35,53 ± 7,63 anos, com amplitude de 22 a 49 anos, e que preencheram os critérios de inclusão do estudo realizado entre os meses de junho-dezembro de 2012. Os sujeitos foram entrevistados e coletados os dados demográficos e ocupacionais, antropometria, nível de atividade física e saúde. Os voluntários foram divididos em três grupos de acordo com a sua preferência: Grupo Experimental de Natação (n = 24); Grupo Experimental de Caminhada (n = 24); e Grupo Controle (n = 24). As análises estatísticas foram realizadas utilizando análise descritiva e Anova One-Way e Anova Two-Way seguido pelo post hoc de Bonferroni, teste t de Student, teste de Kruskal-Wallis e o teste U de Mann-Whitney seguido pela correção de Bonferroni, o teste de Wilcoxon, e teste d de Cohen. Houve uma diferença significativa na perimetria da cintura, índice de conicidade e relação cintura-estatura, atividade física no trabalho, atividades vigorosas e risco coronariano no grupo natação e no grupo de caminhada, houve uma diferença significativa no percentual de gordura, massa magra e massa gorda após 24 semanas de treinamento. O programa de natação contribuiu para reduções significativas na circunferência da perimetria da cintura, índice de conicidade e relação cintura-estatura e risco coronariano e no aumento dos níveis de atividade física no trabalho e atividades vigorosas. Além disso, um programa de caminhada contribuiu para reduções significativas na gordura corporal relativa e massa gorda e no aumento da massa magra entre os policiais militares.
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Croff, Raina L., Edline Francois, Caroline Lawrence, Zoe Rothberg, Juell Towns, Patrice Fuller, Andre Pruitt, and Jeffrey Kaye. "PAIRING STORIES AND EDUCATIONAL CONTENT FOR A CULTURALLY CELEBRATORY HEALTHY AGING COMMUNITY RESOURCE." Innovation in Aging 3, Supplement_1 (November 2019): S517. http://dx.doi.org/10.1093/geroni/igz038.1906.
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Abstract Culturally celebratory programming exceeds cultural relevancy, engaging participants in celebration-making and culture-creating. African Americans aged 55+ in the Sharing History through Active Reminiscence and Photo-imagery (SHARP) study celebrate their heritage in gentrifying neighborhoods through walking-reminiscence sessions; they create culture through discussing ideas, beliefs, norms, values, and shared experiences of the past while considering these aspects within presently changing cultural dynamics. The SHARP study’s narrative approach supports cognitively healthy behaviors and community priorities of cultural preservation in response to marginalization. The SHARP smartphone application houses 72 themed walking routes in Portland, Oregon’s historically Black neighborhoods. One-mile routes with GPS-triggered historical neighborhood images prompt conversational reminiscence among walking triads. Recorded narratives are organized in a process called storytabling and thematically coded. Selections referencing cognitively healthy behaviors are flagged for pairing with online brain health content tested by 12 African Americans aged 55+. Historical images and narratives anchor educational content to relatable life experiences, framing healthy aging in a culturally celebratory, neighborhood context to improve applicability. The online resource, routes, and recorded narratives are community deliverables. Currently, 254 walking narratives from 2016-2018 walkers (n=40; 8 with mild cognitive impairment) have been transcribed and 60 analyzed. Walkers found image prompts and walking within triads of similar sociocultural backgrounds as highly motivating, healthy ways of addressing change. Content testers found narratives lent depth, meaning, and a sense of cultural resilience to educational content. Narrative approaches situate cognitive health in participant-driven terms and experiences, informing brain health best practices for marginalized and minority populations.
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Emery, James, Carolyn Crump, and Philip Bors. "Reliability and Validity of Two Instruments Designed to Assess the Walking and Bicycling Suitability of Sidewalks and Roads." American Journal of Health Promotion 18, no. 1 (September 2003): 38–46. http://dx.doi.org/10.4278/0890-1171-18.1.38.
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Purpose. Public health professionals hypothesize that when community environments provide suitable walking and bicycling conditions, community members will be more active. Measurement indicators and assessment instruments are needed to evaluate suitability. This study determined the reliability and validity of two instruments to assess the suitability of sidewalks for walking and roads for bicycling. Methods. Two data collectors used walking and bicycling suitability assessment instruments to collect data on 31 road segments. In addition, three transportation experts used a 7-point Likert response system to subjectively evaluate walking and bicycling conditions for the same segments. Intraclass correlations determined the reliability of each assessment instrument and the reliability of the Likert response system. Pearson correlations (research staff assessments with expert assessments) were calculated to determine the criterion-related validity of the suitability measures. Results. Intercoder reliability (intraclass) correlations for the walking and bicycling assessment instruments were r = .79 and .90, respectively. Intercoder reliability of the experts' Likert response system was r = .73 for the walking form and r = .77 for the bicycling form. Criterion-related validity (Pearson) correlations for the walking and bicycling assessment instruments were r = .58 and .62, respectively. Conclusion. Although some variables have lower reliability and validity than is ideal, the walking and bicycling suitability assessment instruments appear promising as instruments for community members and professionals to systematically assess key aspects of the physical environment.
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Seles, Emre, and Yasemin Afacan. "Exploring the Relationship Between Health and Walkability." Open House International 44, no. 1 (March 1, 2019): 44–52. http://dx.doi.org/10.1108/ohi-01-2019-b0006.
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This study aimed to broaden Theory of Planned Behaviour (TPB) by including healthy urban performance attributes of the residential neighbourhoods as an additional predictor for walking behaviour. First, the study reviewed the literature on TPB and walkability in residential environments, and then constructed a TPB model based on walkability to set the hypotheses. The study explored the correlations among walkability attributes and walkability behaviour through a survey conducted with residents in Ankara, Turkey (n= 220). To analyse the data, first confirmatory factor analysis and later, structural equation modelling were used. The findings of the study highlighted two aspects of planning for a walkable neighbourhood: (i) a walkability model based on the three constructs of TPB should not neglect the measured and experienced urban performance; (ii) utilizing pedestrian environment for walking as fully as possible requires a collaborative and an experiential approach as well as a multi-parameter decision-making process.
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Zurawik, Marta. "Thematic analysis of the social aspects of nordic walking: the instructors’ perspective." Human Movement 21, no. 2 (2020): 9–18. http://dx.doi.org/10.5114/hm.2020.89909.
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Илькевич, Сергей, and Sergey Ilkevich. "ORGANIZATIONAL AND ECONOMIC PRINCIPLES OF DESIGN, DEVELOPMENT AND IMPROVEMENT OF SUBURBAN WALKING TRAILS." Services in Russia and abroad 11, no. 3 (July 5, 2017): 62–76. http://dx.doi.org/10.22412/1995-042x-11-3-6.
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The article presents an analysis and systematization of the central organizational and economic principles of design, development and improvement (arrangement) of suburban (neighborhood) walking trails, based primarily on international experience due to the very weak development of the suburban trail segment in Russia and almost complete absence of Russian scientific and practical studies in this field. The nearest concept to suburban trails, which received some attention (in terms of aspects) in the Russian scientific literature, is the "eco and local history trail", which is not sufficient from the point of view of the needs of practice. First of all, the work reveals in detail the multidimensional specificity of suburban walking trails, including such factors as thematic focus, tourist motivation, combination with suburban passenger rail transport, influence on local residents and other stakeholder groups, including through increases in the value of real estate, safety, importance for health and social well-being, correlation with other objectives of infrastructural development of suburbs. Further, the article highlights the role, significance and international experience in the arrangement and improvement of trails, including both road-engineering aspects and informatization. The next section illustrates international experience in route integration of suburban walking trails with suburban railway and bus transportation. The article also touches upon the aspects of economic justification and rationale for expanding the segment of suburban walking trails as a public good (primarily as a catalyst and multiplier of tourist activity in the region), as well as certain aspects of differentiated marketing strategies, along with the principles of sustainable development and a remarkable potential for implementing volunteer programs. In conclusion, the author suggests an extensive list of problems and thematic areas for prospective studies of suburban walking routes, emphasizing an extreme need to form a range pf scientific and scientific-practical works in order to conceptually and methodologically explore the segment of suburban walking trails in Russia.
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Towns, Juell, Patrice Fuller, Edline Francois, Raina L. Croff, and Jeffrey Kaye. "WALKING AND TALKING ABOUT WHAT USED TO BE: THE SHARP NEIGHBORHOOD WALKING PROGRAM FOR OLDER AFRICAN AMERICANS." Innovation in Aging 3, Supplement_1 (November 2019): S517. http://dx.doi.org/10.1093/geroni/igz038.1907.
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Abstract The Sharing History through Active Reminiscence and Photo-Imagery (SHARP) study aims to preserve African American cognitive health through neighborhood walking and social engagement in a way that celebrates Black culture. For 6 months, African Americans aged 55+ (2016 n=19; 2017 n=21) grouped in triads walked 1-mile routes accessible via the SHARP application. Routes included historical image prompts about Portland, Oregon’s historically Black neighborhoods. Participant focus groups at months 1, 3, and 6 drove program development and refinements, and provided valuable insight into the program’s meaning for participants. Discussions were thematically coded. Emergent themes included “suggested improvements,” “technology,” “mental health impact,” “cultural incongruence,” and “cultural significance.” Participants suggested improvements to the application’s navigational aspects and expressed willingness to engage technology despite initial apprehension. The triadic structure and place-based memory prompts aided reminiscence, allowing participants to make meaningful links between their own life experiences and their walking partners’. Neighborhood walking brought to the surface participant concerns about a lack of understanding between African American generations, and between long-time residents and whiter, wealthier demographics moving in. Some participants found it emotionally taxing to walk in the now gentrified historically Black neighborhoods, but still saw the program overall as useful, interesting, and necessary--to their physical and cognitive health, to their mental health as they processed neighborhood changes and community loss, and as an important contribution to preserving community history. Addressing individual health alongside pressing issues affecting older African Americans’ sense of well-being and community may make cognitive health programs more meaningful and applicable.
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Carver, Alison, Jo Salmon, Karen Campbell, Louise Baur, Sarah Garnett, and David Crawford. "How Do Perceptions of Local Neighborhood Relate to Adolescents' Walking and Cycling?" American Journal of Health Promotion 20, no. 2 (November 2005): 139–47. http://dx.doi.org/10.4278/0890-1171-20.2.139.
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Purpose. To examine how perceptions of the local neighborhood relate to adolescents' walking and cycling. Design. Exploratory cross-sectional study. Setting. Birth cohort from the Nepean Hospital, Sydney, Australia. Subjects. Three hundred forty-seven adolescents (79.1% response rate; 49.6% boys; mean age = 13.0 ± 0.2 years) and their parents. Measures. Self-report and parental-report questionnaires. Results. Multiple linear regressions, adjusted for level of maternal education, revealed that boys who reported having many peers to hang out with locally, cycled for recreation (β = 0.242, p = .006) or for transport (β = 0.141, p = .046) more often, and walked for transport for longer (β = 0.129, p = .024) on weekdays. For girls this variable was related to cycling for recreation on weekends (β = 0.164, p = .006) and walking to school (β = 0.118, p = .002). Adolescents who waved/talked to neighbors walked for transport more often (boys, β = 0.149, p = .037; girls, β = 0.119, p = .012). Girls who perceived local roads to be safe spent more time walking for transport on weekdays (β = 0.183, p = .007) and for exercise on weekends (β = 0.184, p = .034). Parents' perception of heavy traffic was negatively associated with boys' walking for transport (β = −0.138, p = .037) and many aspects of girls' walking and cycling. Conclusion. Social interaction and road safety may be important predictors of adolescents' walking and cycling in their neighborhood. Limitations are the use of self-report and cross-sectional data. Longitudinal studies may clarify these relations.
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Nykiforuk, Candace I. J., Laura M. Nieuwendyk, Shaesta Mitha, and Ian Hosler. "Examining Aspects of the Built Environment: An Evaluation of a Community Walking Map Project." Canadian Journal of Public Health 103, S3 (November 2012): S67—S72. http://dx.doi.org/10.1007/bf03403838.
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Ramstrand, N., and K. Å. Nilsson. "Validation of a patient activity monitor to quantify ambulatory activity in an amputee population." Prosthetics and Orthotics International 31, no. 2 (June 2007): 157–66. http://dx.doi.org/10.1080/03093640600988617.
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The ability to objectively measure an amputee's walking activity over prolonged periods can provide clinicians with a useful means of evaluating their patients' outcomes. The present study aimed to validate the temporospatial data output from a commercially available ambulatory activity monitor (PAM, Össur) fitted to trans-tibial and trans-femoral amputees, against data that was simultaneously captured from a three dimensional motion analysis system (Qualisys Medical AB, Gothenburg, Sweden). Results indicate that the PAM monitor provides accurate measures of temporospatial aspects of amputee gait for walking speeds above 0.75 m/s.
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MILLER, PAUL B., and NUALA P. KENNY. "Walking the Moral Tightrope: Respecting and Protecting Children in Health-Related Research." Cambridge Quarterly of Healthcare Ethics 11, no. 3 (May 17, 2002): 217–29. http://dx.doi.org/10.1017/s096318010211303x.
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Special moral, regulatory, and scientific questions surround the inclusion of children in health-related research. These questions arise from a fundamental moral tension between the obligation to expose children to research participation to ensure that they share in the benefits that arise from it and the obligation to protect them from the harms associated with their inappropriate involvement in research. This tension is felt in the development of moral and regulatory frameworks for the protection of child research subjects and in the implementation and interpretation of these frameworks by institutional review boards (IRBs).
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Miller Renfrew, Linda, Anna C. Lord, Jake Warren, and Rebecca Hunter. "Evaluating the Effect of Functional Electrical Stimulation Used for Foot Drop on Aspects of Health-Related Quality of Life in People with Multiple Sclerosis." International Journal of MS Care 21, no. 4 (July 1, 2019): 173–82. http://dx.doi.org/10.7224/1537-2073.2018-015.
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Abstract Background: Multiple sclerosis (MS) is a common degenerative neurologic condition resulting in walking difficulties. Foot drop is a common walking impairment in MS that can affect health-related quality of life (HRQOL). Functional electrical stimulation (FES) can improve walking in people with MS, but its effect on HRQOL is not well established. This review investigated the effect of FES used for foot drop on HRQOL in adults with MS. Methods: A systematic search was performed using CINAHL, MEDLINE, Cochrane Library, PubMed, and PEDro online databases. Inclusion and exclusion criteria were applied to select eligible studies. Data were extracted, and two reviewers independently rated the quality of the studies using the Effective Public Health Practice Project assessment tool. Results: Eight studies were eligible for review; seven were of moderate-to-strong methodological quality and one was weak. Seven studies demonstrated significant positive effects of FES on different aspects of HRQOL as measured by the 29-item Multiple Sclerosis Impact Scale, 36-item Short Form Health Status Survey, Canadian Occupational Performance Measure, and Psychosocial Impact of Assistive Devices Scale. Conclusions: This review provides preliminary evidence that FES has a positive effect on aspects of HRQOL in people with MS; however, the variety of HRQOL outcomes used makes it difficult to determine definitive conclusions. Future larger-scale randomized studies with long-term follow-up are recommended to better understand the effect of FES on HRQOL. This will inform prescribing decisions and support compliance with FES over the longer-term.
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Yang, Peng, Shanshan Dai, Honggang Xu, and Peng Ju. "Perceived Environmental, Individual and Social Factors of Long-Distance Collective Walking in Cities." International Journal of Environmental Research and Public Health 15, no. 11 (November 4, 2018): 2458. http://dx.doi.org/10.3390/ijerph15112458.
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Long-distance collective walking is a popular activity in cities across China. However, related research is limited, creating a research gap to explore participants’ dynamic experience and related influential factors. Therapeutic mobilities theory explores the relationships among walking, health, and well-being from a qualitative perspective. Based on therapeutic mobilities theory, following a systematic process, this study develops a scale to quantitatively estimate the perceived environmental, personal, and social factors that may influence health and well-being. By applying construal level theory, this paper further hypothesizes that personality traits and familiarity moderate environmental, personal, and social perceptions. Data were collected with a paper survey (n = 926) from the “Shenzhen 100 km Walking” event. The findings highlight that long-distance collective walkers have comparatively greater experiences of health and well-being in three aspects: positive social interaction, individual development, and environmental understanding. Personality traits, familiarity, and gender moderate this well-being experience. Theoretical and managerial implications are discussed.
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Stam, H. J., F. Eijskoot, and J. B. J. Bussmann. "A Device for Long Term Ambulatory Monitoring in Trans-tibial Amputees." Prosthetics and Orthotics International 19, no. 1 (April 1995): 53–55. http://dx.doi.org/10.3109/03093649509078232.
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Long term monitoring of walking in trans-tibial amputees (TTA) is considered important for prosthetic prescription and therapy evaluation. The purpose of this study was to develop a device with the following design criteria: lightweight, easy attachment to the prosthesis, energy and memory capacity for five days and practical in clinical use. The prototype (CAMP: Continuous Ambulatory Monitoring of Prosthetic walking) consists of a cylindrical unit containing an accelerometer, a miniature computer and six batteries. Specifications, data acquisition and processing, instructions for users and first results are presented and discussed. The CAMP prototype proved to be a useful device for measuring relevant aspects of prosthetic use for up to five days.
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Upeniece, Irēna, Indra Vīnberga, Voldemārs Arnis, and Renārs Erts. "WOMEN`S MOTIVATION TO ENGAGE WITH THE NORDIC WALKING." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 3 (May 26, 2016): 581. http://dx.doi.org/10.17770/sie2016vol3.1474.
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Physical activity beneficial effects on human health in various aspects are proved by many research. In woman's health status maitenance and strengthening the important role has physical activitities. People engage with physical activities encourages a number of factors. Nordic walking as a physical activity has many benefits that would motivate women of different ages to engage with the Nordic walking. The research group was formed of 100 women between the ages of 25 -82 years. According to the World Health Organisation female age division (20), was created the following age groups (women from 25 to 44 years, 32 participants, women from 45 to 59 years, 35 participants, women from 60 to 82 years, 33 participants). Respondents attitude measurement was used Likert scale (Likert Scale, 2007) with 15 allegations. The obtained results show that the motivating factors as location outdoors in the fresh air, the joy of physical activity and health improvement is important for women of any age to engage with the Nordic walking. There are more differences between the participants of the age groups view about the factors as a stress reduction, pleasant instructor presence, society attitude, socialization process. For the younger women more important motivating factor is a stress reduction, middle-aged women, the weight adjustment, and older women, the opportunity to socialize or meet other people, compared with the other age groups. Literature data and the results of research allow to recommend Nordic walking for women regardless of age.
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Lazzaretto-Green, Danille, Wendy Austin, Erika Goble, Lisa Buys, Tom Gorman, and Marlene Rankel. "Walking a fine line." Journal of Forensic Nursing 7, no. 3 (September 2011): 109–19. http://dx.doi.org/10.1111/j.1939-3938.2011.01107.x.
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Moudon, Anne Vernez, and Chanam Lee. "Walking and Bicycling: An Evaluation of Environmental Audit Instruments." American Journal of Health Promotion 18, no. 1 (September 2003): 21–37. http://dx.doi.org/10.4278/0890-1171-18.1.21.
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Purpose. This paper reviews existing environmental audit instruments used to capture the walkability and bikability of environments. The review inventories and evaluates individual measures of environmental factors used in these instruments. It synthesizes the current state of knowledge in quantifying the built environment. The paper provides health promotion professionals an understanding of the essential aspects of environments influencing walking and bicycling for both recreational and transportation purposes. It serves as a basis to develop valid and efficient tools to create activity-friendly communities. Data Sources. Keyword searches identified journal articles from the computer-based Academic Citation Databases, including the National Transportation Library, the Web of Science Citation Database, and MEDLINE. Governmental publications and conference proceedings were also searched. Study Inclusion and Exclusion Criteria. All instruments to audit physical environments have been included in this review, considering both recreation- and transportation-related walking and bicycling. Excluded are general methods devised to estimate walking and cycling trips, those used in empirical studies on land use and transportation, and research on walking inside buildings. Data Extraction Methods. Data have been extracted from each instrument using a template of key items developed for this review. The data were examined for quality assurance among three experienced researchers. Data Synthesis. A behavioral model of the built environment guides the synthesis according to three components: the origin and destination of the walk or bike trip, the characteristics of the road traveled, and the characteristics of the areas surrounding the trip's origin and destination. These components, combined with the characteristics of the instruments themselves, lead to a classification of the instruments into the four categories of inventory, route quality assessment, area quality assessment, and approaches to estimating latent demand for walking and bicycling. Furthermore, individual variables used in each instrument to measure the environment are grouped into four classes: spatiophysical, spatiobehavioral, spatiopsychosocial, and policy-based. Major Conclusions. Individually, existing instruments rely on selective classes of variables and therefore assess only parts of built environments that affect walking and bicycling. Most of the instruments and individual measures have not been rigorously tested because of a lack of available data on walking and bicycling and because of limited research budgets. Future instrument development will depend on the acquisition of empirical data on walking and bicycling, on inclusion of all three components of the behavioral model, and on consideration of all classes of variables identified.
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Albergoni, Andrea, Florentina J. Hettinga, Wim Stut, and Francesco Sartor. "Factors Influencing Walking and Exercise Adherence in Healthy Older Adults Using Monitoring and Interfacing Technology: Preliminary Evidence." International Journal of Environmental Research and Public Health 17, no. 17 (August 24, 2020): 6142. http://dx.doi.org/10.3390/ijerph17176142.
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Background: Monitoring and interfacing technologies may increase physical activity (PA) program adherence in older adults, but they should account for aspects influencing older adults’ PA behavior. This study aimed at gathering preliminary wrist-based PA adherence data in free-living and relate these to the influencing factors. Methods: Ten healthy older adults (4 females, aged 70–78 years) provided health, fatigue, activity levels, attitude towards pacing, and self-efficacy information and performed a 6 min-walk test to assess their fitness. After a baseline week they followed a two-week walking and exercise intervention. Participants saw their progress via a purposely designed mobile application. Results: Walking and exercise adherence did not increase during the intervention (p = 0.38, p = 0.65). Self-efficacy decreased (p = 0.024). The baseline physical component of the Short Form Health Survey was the most predictive variable of walking adherence. Baseline perceived risk of over-activity and resting heart rate (HRrest) were the most predictive variables of exercise adherence. When the latter two were used to cluster participants according to their exercise adherence, the fitness gap between exercise-adherent and non-adherent increased after the intervention (p = 0.004). Conclusions: Risk of over-activity and HRrest profiled short-term exercise adherence in older adults. If confirmed in a larger and longer study, these could personalize interventions aimed at increasing adherence.
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Khatkova, S. E., E. V. Kostenko, M. A. Akulov, V. P. Diagileva, E. A. Nikolaev, and A. S. Orlova. "Modern aspects of the pathophysiology of walking disorders and their rehabilitation in post-stroke patients." Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 119, no. 12 (2019): 43. http://dx.doi.org/10.17116/jnevro201911912243.
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Marks, Ray. "Physical and Psychological Correlates of Disability among a Cohort of Individuals with Knee Osteoarthritis." Canadian Journal on Aging / La Revue canadienne du vieillissement 26, no. 4 (2007): 367–77. http://dx.doi.org/10.3138/cja.26.4.367.
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ABSTRACTWhile the physical correlates of knee osteoarthritis are well documented, less well documented are aspects of psychological functioning that may affect overall health and functional status. This paper describes the findings of a cross-sectional analysis that examined the strength of the relationship between selected psychological factors and the walking ability of adults with knee joint osteoarthritis. The variables assessed were pain, depression, levels of self-efficacy for pain and other-symptoms management, walking endurance, walking speed, and perceived exertion when walking. The sample, including 57 persons with unilateral and 43 persons with bilateral radiographic and symptomatic knee osteoarthritis, mean age, 69.9 ± 1 years, underwent standard assessment procedures on a single test occasion using several validated questionnaires and a series of walking tests on level ground. Bivariate and multiple regression analyses revealed that (a) higher pain and other-symptoms self-efficacy scores were associated with lower levels of pain (r= −0.29, −0.20.), perceived exertion during a walking task (r= −0.29, −0.31), and depression scores (r= −0.46, −0.54) (p< 0.001); (b) subjects with higher levels of self-efficacy for managing symptoms other than pain also recorded faster and fast speed walking velocities than those with lower self-efficacy scores (r= 0.30, 0.31) (p< 0.001); (c) self-efficacy for pain was the strongest predictor of pain intensity, and self-efficacy for symptom management was the strongest predictor of perceived exertion during walking, depression, and pain self-efficacy. Although no cause–effect relationship can be deduced from a cross-sectional analysis, these data imply that efforts to heighten self-efficacy for pain and other-symptoms management may influence the affective status, function, and effort-related perceptions of people with knee osteoarthritis quite significantly.
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Lipowski, Mariusz, Tamara Walczak-Kozłowska, Małgorzata Lipowska, Jakub Kortas, Jędrzej Antosiewicz, Giancarlo Falcioni, and Ewa Ziemann. "Improvement of Attention, Executive Functions, and Processing Speed in Elderly Women as a Result of Involvement in the Nordic Walking Training Program and Vitamin D Supplementation." Nutrients 11, no. 6 (June 11, 2019): 1311. http://dx.doi.org/10.3390/nu11061311.
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Research indicates that life satisfaction declines with age, and cognitive abilities are gradually reduced—mainly attentional functioning and cognitive processing speed. Therefore, scientists seek to find protective factors and test possible intervention programs; moderately intensive physical activity stands out as particularly promising. In this context, we evaluated the influence of Nordic Walking training supported by vitamin D supplementation (as this nutrient is especially deficient in older people in Poland) on the cognitive and psychological functioning of elderly women. A total of 52 healthy elderly women took part in a Nordic Walking training program complemented by vitamin D supplementation. Cognitive functioning was assessed with the Trail Making Test and the D2 Test of Attention. Quality of life and severity of depressive symptoms were measured with the Short Form Health Survey and the Beck Depression Inventory 2. Significant improvements in all aspects of cognitive functioning was observed (p = 0.01–0.47). The study also showed a decrease in depressive symptoms (p = 0.026). Physical activity and adequate levels of vitamin D can be the key factors in maintaining self-reliance in old age. Involvement in Nordic Walking training, supported by vitamin D supplementation, can strengthen the cognitive functioning of older people—reflected in higher attentional capabilities, better executive functions, and improved cognitive processing speed.
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Dong, Jie, Ya Ran Guo, and Lu Zhen Jiang. "The Public Space Design Based on the Living Needs of the Elderly." Applied Mechanics and Materials 584-586 (July 2014): 796–800. http://dx.doi.org/10.4028/www.scientific.net/amm.584-586.796.
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Based on physiology, psychology and life structure characteristics of the elderly, the corresponding needs of their living space were analyzed firstly. Then public space design principles were put forward considering safety, health, communication, privacy, identifiability, and services as a whole. Finally, classification-design method was developed from four aspects: design for walking space, rest space, activity space and space design in detail according to the investigation results and space design theories.
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Mulder, Inge A., Herman R. Holtslag, Leonardus FA Beersma, and Bart FJM Koopman. "Keep moving forward: A new energy returning prosthetic device with low installation height after Syme or Pirogoff amputation." Prosthetics and Orthotics International 38, no. 1 (April 26, 2013): 12–20. http://dx.doi.org/10.1177/0309364613485112.
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Background:The incidence of foot amputations increased in the Netherlands to 3.3/100,000 people up to 1994. Despite these numbers, only a few basic prosthetic and orthotic devices are available, and all lack functionality to restore ankle and foot mobility.Objectives:The aim of this explorative study was to design and test a unique prosthesis for Syme or Pirogoff amputees with the necessary low installation height but restoring ankle and foot mobility.Study design:A case study was performed.Methods:The new prosthesis was designed and numerically analyzed on aspects concerning strength and deformation. A prototype was tested in a case study to assess the biomechanical behavior of the new foot. As a reference, six Syme/Pirogoff amputees were measured. Additionally, all volunteers filled out a questionnaire to evaluate their prosthetic feet.Results:The self-selected and maximum walking speed of the case subject at 0° and 5° slopes was higher using the new foot (0.36 m/s and 0.53 m/s, respectively) comparing to the Low Rider (Otto Bock HealthCare) (0.31 m/s and 0.31 m/s, respectively). Using the new foot, a more symmetrical walking pattern was achieved.Conclusion:The case study shows that this new prosthetic foot could be an improvement compared to existing prosthetic feet.Clinical relevanceFoot amputees with low available installation height still experience daily the inconvenience of missing ankle and foot mobility. Their low velocity and cosmetically poor walking pattern influence on their sound leg and overall walking functionality. A more functional prosthesis would have a great impact on their daily activities.
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Lu, Shu-rong, Jian Su, Quan-yong Xiang, Feng-yun Zhang, and Ming Wu. "Active Transport and Health Outcomes: Findings from a Population Study in Jiangsu, China." Journal of Environmental and Public Health 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/624194.
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To investigate the prevalence of active transport (AT, defined as walking or bicycling for transport) and to explore the association between AT and health outcomes, we conducted a population-based cross-sectional study in Jiangsu, China, where walking and bicycling are still the main modes of transport. In this study, 8400 community residents aged 18 or above were interviewed following a multistage random sampling method (100% response rate). Face-to-face questionnaire survey data, anthropometric measurements, and biochemical data from blood tests were collected. Results show that 49.6% of the subjects, as part of daily transport, actively traveled on average 5.3 days per week, 53.5 minutes per day, and 300.3 minutes per week. There was an inverse correlation between AT and some health outcomes: AT respondents had a higher prevalence of cholesterol disorder; AT respondents who actively travelled every day had a higher risk of diabetes, whilst AT respondents with shorter daily or weekly duration had a lower risk of obesity, central obesity, and cholesterol disorder. Moreover, AT influences more health aspects among urban residents than among rural residents. Findings of this study do not support the notion that AT is beneficial to population health. Further research is needed in determining the negative side effects of AT.
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Kluge, Felix, Silvia Del Din, Andrea Cereatti, Heiko Gaßner, Clint Hansen, Jorunn L. Helbostad, Jochen Klucken, et al. "Consensus based framework for digital mobility monitoring." PLOS ONE 16, no. 8 (August 20, 2021): e0256541. http://dx.doi.org/10.1371/journal.pone.0256541.
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Digital mobility assessment using wearable sensor systems has the potential to capture walking performance in a patient’s natural environment. It enables monitoring of health status and disease progression and evaluation of interventions in real-world situations. In contrast to laboratory settings, real-world walking occurs in non-conventional environments and under unconstrained and uncontrolled conditions. Despite the general understanding, there is a lack of agreed definitions about what constitutes real-world walking, impeding the comparison and interpretation of the acquired data across systems and studies. The goal of this study was to obtain expert-based consensus on specific aspects of real-world walking and to provide respective definitions in a common terminological framework. An adapted Delphi method was used to obtain agreed definitions related to real-world walking. In an online survey, 162 participants from a panel of academic, clinical and industrial experts with experience in the field of gait analysis were asked for agreement on previously specified definitions. Descriptive statistics was used to evaluate whether consent (> 75% agreement as defined a priori) was reached. Of 162 experts invited to participate, 51 completed all rounds (31.5% response rate). We obtained consensus on all definitions (“Walking” > 90%, “Purposeful” > 75%, “Real-world” > 90%, “Walking bout” > 80%, “Walking speed” > 75%, “Turning” > 90% agreement) after two rounds. The identification of a consented set of real-world walking definitions has important implications for the development of assessment and analysis protocols, as well as for the reporting and comparison of digital mobility outcomes across studies and systems. The definitions will serve as a common framework for implementing digital and mobile technologies for gait assessment and are an important link for the transition from supervised to unsupervised gait assessment.
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Heller, K. D., R. Forst, J. Forst, and K. Hengstler. "Scoliosis in Duchenne muscular dystrophy: Aspects of orthotic treatment." Prosthetics and Orthotics International 21, no. 3 (December 1997): 202–9. http://dx.doi.org/10.3109/03093649709164558.
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The x-linked Duchenne muscular dystrophy (DMD) is the most frequent generalized muscle disorder arising from a lack of the sarcolemmic protein “dystrophin”. Patients with DMD develop in the majority a progressive scoliosis when they cease walking and/or standing at the age of 10 years and become confined to a wheelchair. Increasing muscle weakness leads to a progression of the curvature, the pelvic tilt and problems in sitting. Together with the simultaneous progressive weakness of the respiratory muscles a restrictive pulmonary insufficiency will occur. Surgical stabilization of the spine (> 20° Cobb, forced vital capacity > 35%) by an adequate multisegmental instrumentation enabling early mobilization is now the treatment of choice. However, orthotic treatment may offer an acceptable compromise in exceptional cases, if the patient rejects surgical intervention or is in the late (inoperable) stages of the disease. Such a treatment is superior to a primary sitting support provision with insufficient possibilities of correction. The authors' experiences with 48 scoliosis orthoses made for 28 patients with DMD are reported. A “double plaster” cast has emerged as the best method to optimize adaption, especially in severe curvatures and the time taken for manufacturing the orthosis. A great deal of experience, patience and the consideration of the patients' individual demands are inevitable for a successful orthotic treatment.
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da Silva Santana, Rogério Eduardo, Agenor de Toledo Fleury, and Luciano Luporini Menegaldo. "A Low-Cost Anthropometric Walking Robot for Reproducing Gait Lab Data." Applied Bionics and Biomechanics 5, no. 4 (2008): 187–94. http://dx.doi.org/10.1155/2008/530292.
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Human gait analysis is one of the resources that may be used in the study and treatment of pathologies of the locomotive system. This paper deals with the modelling and control aspects of the design, construction and testing of a biped walking robot conceived to, in limited extents, reproduce the human gait. Robot dimensions have been chosen in order to guarantee anthropomorphic proportions and then to help health professionals in gait studies. The robot has been assembled with low-cost components and can reproduce, in an assisted way, real-gait patterns generated from data previously acquired in gait laboratories. Part of the simulated and experimental results are addressed to demonstrate the ability of the biped robot in reproducing normal and pathological human gait.
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Kaplan, David H. "Transportation sustainability on a university campus." International Journal of Sustainability in Higher Education 16, no. 2 (March 2, 2015): 173–86. http://dx.doi.org/10.1108/ijshe-03-2013-0023.
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Purpose – This paper aims to show the present level of sustainable transportation, mainly walking and bicycling, on a large campus in the US Midwest and then analyzes some of the opportunities and impediments in increasing the modal share. Design/methodology/approach – Three types of analysis are used. First, current level of walking and bicycling around the campus are measured during select mornings and afternoons. Second, a survey questionnaire completed by 668 students is tabulated and reported. Third, the campus and environs are inventoried to note those aspects of infrastructure which either facilitate or block walking or cycling. Findings – This paper records generally low existing levels of sustainable transportation among students around a campus. There is a particularly low level of bicycling activity. Reasons have to do with time and convenience (especially among students who work), but also that many students do not enjoy bicycle access. Finally, student attitudes and an inventory of campus indicate that existing infrastructure discourages sustainable transportation activity around campus. Research limitations/implications – This may be biased towards specific circumstances in the one institution we studied. However, there are several important implications on the factors spurring or impeding walking and bicycling which may be applied to other campus communities. Practical implications – Understanding the campus impediments to walking and bicycling may help universities design more attractive and useful facilities. Social implications – Great attention to bicycling and walking can improve the social environment on campus, as well as spur greater health among students and staff. Originality/value – Several methods of measuring existing transportation patterns are applied, canvassing student attitudes towards sustainable transportation and then inventorying and mapping those campus features which could affect walking and bicycling activity.
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MacKay, R. D. "Dangerous Patients. Third Party Safety and Psychiatrists' Duties — Walking the Tarasoff Tightrope." Medicine, Science and the Law 30, no. 1 (January 1990): 52–56. http://dx.doi.org/10.1177/002580249003000111.
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Habibzadeh, Nasim. "To Activate the Brain, Activate the Body First." International Physiology Journal 2, no. 2 (February 26, 2019): 14–16. http://dx.doi.org/10.14302/issn.2578-8590.ipj-19-2679.
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The brain is the most complex organ which governs almost all activities in human body. Thus, the mental fitness has high level of importance in every day workouts. The good activities for long-term brain health include performing regular exercises such as a simple walking for 10 min at each day. More importantly having good level of diet can keep the brain workouts in an ideal situation. Indeed, taking enough rest can enhance the brain performances. Listening to the desirable sound of music could also enhance concentration and improve the mood. In overall, these aforementioned life style modifications significantly can easily boost the brain power and its healthy function through different aspects in daily life.
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Cohen, Cynthia B., Sondra E. Wheeler, and David A. Scott. "Walking a Fine Line: Physician Inquiries into Patients' Religious and Spiritual Beliefs." Hastings Center Report 31, no. 5 (September 2001): 29. http://dx.doi.org/10.2307/3527702.
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Ponte, Mayara Kerly Coelho, Roberto Cleber Silva de Oliveira, Raimunda Hermelinda Maia Macena, Vasco Pinheiro Diógenes Bastos, and Thiago Brasileiro de Vasconcelos. "SAÚDE DO IDOSO: ABORDAGEM PREVENTIVA EM UM GRUPO DE CAMINHADA." Revista Expressão Católica Saúde 4, no. 1 (May 28, 2019): 74. http://dx.doi.org/10.25191/recs.v4i1.2537.
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Introdução: O envelhecimento é definido como um processo multidimensional, e este processo de envelhecimento, salvo ocorrências abreviadoras, são inevitáveis e inerentes a todos. A atividade física é o fator que prediz de forma mais consistente um envelhecimento saudável e qualidade de vida. Objetivo: Verificar o possível benefício das atividades físicas desenvolvidas por uma equipe multidisciplinar em um grupo de idosos. Métodos: Estudo qualitativo, transversal e descritivo, no qual foram acessados múltiplos casos em campo. Realizado através de entrevistas com idosos participantes de um grupo de caminhada. Para análise dos dados foi utilizado análise de conteúdo. Resultados: A análise de depoimentos dos idosos foi dividida em quatro questionamentos: Mudanças após o inicio no grupo – “melhora dos aspectos físico, social e mental”, Quais foram as mudanças - “diminuição das dores, câimbras e aumento do bem estar”, Qual atividade que mais gosta - “o alongamento e a dança, com alegria em mexer o corpo todo” e Como se sente após a atividade - “maior disposição e diminuição da sensação de cansaço”. Conclusão: Evidenciou-se que a prática de atividade física proporciona uma melhor qualidade de vida e bem estar geral. Observou-se também que os idosos tornaram-se mais eficazes e produtivos.
OLDER ADULT HEALTH: PREVENTIVE APPROACH IN A WALKING GROUP
ABSTRACT
Ageing is defined as a multidimensional process and, this ageing process, except abridged occurrences, is inevitable and inherent to all people. Physical activity is a very important factor to a healthy ageing and to quality of life. This study aimed at verifying the possible benefits of physical activities developed by a multidisciplinary team in the perception of a group of older people. It is a qualitative, transversal and descriptive study, in which many cases were accessed. It was carried out through interviews with older adults who participate in a walking group. Content analysis was used for data analysis. For the present study, 10 older adults (2 men and 8 women) were evaluated; they participate in a walking group in the city of Sobral/CE. According to their opinion, regular physical activity designated to older population contributes to the improvement of health conditions in many aspects as physical, social and mental, according to the following statements: “improvement of physical, social and mental aspects”, “decreased pain and cramps and increased well-being”, "Stretching and dancing, with joy in moving the whole body" and "more disposition and decrease of the sensation of fatigue". It is evident that the practice of physical activity affords a better quality of life and well-being. It is also observed that the older people became more efficient and productive according to their own perception.
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Anitha Rani, M., and Vanishree Shriraam. "Are Patients With Type 2 Diabetes Not Aware or Are They Unable to Practice Self-Care? A Qualitative Study in Rural South India." Journal of Primary Care & Community Health 10 (January 2019): 215013271986582. http://dx.doi.org/10.1177/2150132719865820.
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Background: Lack of awareness and poor adherence to dietary, lifestyle modifications, and medications among patients with diabetes result in poor health outcomes. Aim: This study aimed to understand patients’ perceptions about barriers to self-management of diabetes. Materials and Methods: This was a descriptive qualitative study among patients with diabetes attending a rural health center. Five focus group discussions were conducted with 8 to 11 participants using a topic guide. Results: Many were unaware of target levels and complications of diabetes. Some aspects of the dietary information were found to be quite confusing. Physical constraints prevented many from going for outdoor walking. They have not received any information on foot care. Conclusions: Understanding the barriers for self-care will help health care workers manage diabetes better.
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Göransson, Lina, Jenny Yngvesson, and Stefan Gunnarsson. "Bird Health, Housing and Management Routines on Swedish Organic Broiler Chicken Farms." Animals 10, no. 11 (November 11, 2020): 2098. http://dx.doi.org/10.3390/ani10112098.
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Slower-growing broilers on organic farms have replaced fast-growing hybrids to increase bird welfare. Due to limited knowledge of broiler welfare and management on organic farms in Sweden, the study aim was to gather information regarding health, housing and management routines, in order to describe the current situation on these. Farm visits performed in 2018 included 8 out of 12 established organic farms, on which either Rowan Ranger or HubbardJA57/HubbardJA87 were reared. Chickens in the observed flocks were 55 ± 6 (44–62) days of age. Observations included farmer interviews, indoor environment assessments, clinical examinations and gait scoring. Clinical examinations revealed no severe remarks, however minor to moderate plumage dirtiness, food pad dermatitis and hock burns were found in 47%, 21% and 13% of the birds, respectively. Although no severe walking impairments were observed, minor to moderate gait abnormalities were seen in two-thirds of the birds. Gait in birds assessed outdoors was significantly better than in birds observed indoors. Body weight uniformity was low in all flocks. This study provides increased knowledge of certain chicken health and welfare aspects, housing and management on Swedish organic farms. Future research should further investigate important aspects related to bird welfare, such as the high mortality rates observed.
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Kesselring, Jürg. "Disease Progression in Multiple Sclerosis II. Methods for the Determination of Walking Impairment and Its Impact on Activities and Social Participation." European Neurological Review 5, no. 1 (2010): 61. http://dx.doi.org/10.17925/enr.2010.05.01.61.
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Walking ability is a vital component of validated test procedures to assess mobility impairment in multiple sclerosis (MS). The methods used to assess walking ability vary widely between treatment centres, and the accuracy of the methods used and numbers of parameters determined to analyse specific aspects of walking and gait are often limited. The questionnaire- and task-based methods used to assess walking in MS can be divided into different categories. First, there are the general-purpose tests such as the Expanded Disability Status Scale (EDSS), the Multiple Sclerosis Functional Composite (MSFC), the Family Assessment of Multiple Sclerosis Trial Outcome Index (FAMS-TOI) and the Short Form-36 (SF-36). These, particularly EDSS, are widely used in MS to assess limitations of all activities and social participation, of which walking is only a part. Others, such as SF-36, assess health-related quality of life (HRQoL). Second, there are methods designed to specifically assess walking or gait, including the timed 25-foot walk (T25FW), the Dynamic Gait Index (DGI), the 12-Item MS Walking Scale (MSWS-12) and the Timed Up and Go Test (TUGT). These test methods require minimal equipment to perform such as a stopwatch, a hallway or a chair, and can be completed at a medical centre in a few minutes. Most of these tests provide reliable and valid data but some lack accurate assessment of gait and some require clinician training. Third, there are tests that specifically measure balance, such as the Berg Balance Test, in which the patient completes a series of balance exercises while being observed. A recent development is the use of accelerometers to monitor MS patients over extended periods; these can provide more accurate data than patient self-report tools. In future, it is likely that more specific tests of walking ability will be more widely used as an important part of MS diagnosis and to more precisely monitor disease progression and assess patient needs.
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Hollander, Justin B., Sara C. Folta, Erin Michelle Graves, Jennifer D. Allen, and Minyu Situ. "A Fitness App for Monitoring Walking Behavior and Perception (Runkeeper): Mixed Methods Pilot Study." JMIR Formative Research 5, no. 3 (March 1, 2021): e22571. http://dx.doi.org/10.2196/22571.
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Background Physical activity has a strong positive impact on both physical and mental health, and public health interventions often encourage walking as a means to promote physical activity. Social connectivity, such as that among spouses, families, friends, and colleagues, highly influences physical activity. Although technology-based interventions have some influence on human behavior, they have not been fully implemented and evaluated for their influence on walking through social connectivity. Objective We aimed to pilot-test the organization of neighborhood walking clubs and use of a mobile app (Runkeeper) to encourage social connectedness and neighborhood cohesion, as well as to increase physical activity. Methods We used a convenience sampling method to recruit 46 adults from an urban location in Greater Boston, Massachusetts. We assigned participants to teams based on their geographic location and neighborhood and required them to use the app (Runkeeper). Participants completed 2 self-administered web-based surveys before and after the intervention period. The surveys included standard measures to evaluate physical activity, social connectedness, perceived social support, and neighborhood cohesion (Buckner Neighborhood Cohesion Scale) before and after the intervention. Following the intervention, we randomly selected 14 participants to participate in postintervention, in-depth phone interviews to gain an understanding of their experiences. Results This study was approved by the institutional review board in June 2018 and funded in January 2018. Recruitment started in May 2019 and lasted for 2 months. Data were collected from July 2019 to January 2020. In this study, Runkeeper was of limited feasibility as an app for measuring physical activity or promoting social connectedness. Data from the app recorded sparse and uneven walking behaviors among the participants. Qualitative interviews revealed that users experienced difficulties in using the settings and features of the app. In the questionnaire, there was no change between pre-post assessments in walking minutes (b=−.79; 95% CI −4.0 to 2.4; P=.63) or miles (b=−.07; 95% CI −0.15 to 0.01; P=.09). We observed a pre-post increase in social connectedness and a decrease in neighborhood cohesion. Both quantitative and qualitative results indicated that the psychosocial aspects of walking motivated the participants and helped them relieve stress. Interview results showed that participants felt a greater virtual connection in their assigned groups and enhanced connections with friends and family members. Conclusions Our study found that Runkeeper created a virtual connection among walking group members and its data sharing and ranking motivated walking. Participants felt that walking improved their mental health, helped to relieve stress, and made them feel more connected with friends or family members. In future studies, it will be important to use an app that integrates with a wearable physical activity device. There is also a need to develop and test intervention components that might be more effective in fostering neighborhood cohesion.
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Rowland, Ruth M., K. John Fisher, Mandy Green, Adam M. Dunn, Michael A. Pickering, and Fuzhong Li. "Recruiting inactive older adults to a neighborhood walking trial: The SHAPE project." Journal of Aging Studies 18, no. 3 (August 2004): 353–68. http://dx.doi.org/10.1016/j.jaging.2004.03.001.
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Astana, Suhendra, Sriyono, and Joni Haryanto. "Morning Walking and Sleep Disorders in the Elderly." Journal of Computational and Theoretical Nanoscience 17, no. 7 (July 1, 2020): 2989–92. http://dx.doi.org/10.1166/jctn.2020.9122.
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One of the main aspects of improving health for the elderly is the maintenance of sleep to ensure recovery of bodily functions to an optimal functional level. The elderly will experience physical, psychosocial and spiritual changes with age. One of those changes is the change in sleep quality. Changes in sleep quality is one of the problems caused by the degeneration process in the elderly. Determining the effect of morning walking on the latency and duration of sleep in the elderly. This type of research is a “pre-experiment” research with one group pre-post-test design research design. A total of 20 study subjects carried out walking interventions in the morning as far as 1,800 meters. Before the intervention is pre-tested, then the walking exercise intervention was carried out 5 times a week in the range of 07.00 am-08.00 am. It was observed and accompanied by researchers together with the research team. The intervention was carried out for 2 weeks and continued with a post-test given to respondents to determine the latency and duration of sleep by asking respondents to return the questionnaire filled out by researchers. The results of the latency variable before the intervention were dominated by less categories i.e., 50% but after the intervention the good category increased by 25% the statistical test results showed a p value of 0.001. Sleep duration which was initially dominated by bad category, after intervention the good category became 10% and has a p value of 0.002. Morning walking exercise influences the latency and duration of sleep in the elderly.
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Postema, K., H. J. Hermens, J. De Vries, H. F. J. M. Koopman, and W. H. Eisma. "Energy storage and release of prosthetic feet Part 2: Subjective ratings of 2 energy storing and 2 conventional feet, user choice of foot and deciding factor." Prosthetics and Orthotics International 21, no. 1 (April 1997): 28–34. http://dx.doi.org/10.3109/03093649709164527.
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This paper is the second part of a study on biomechanical and functional properties of prosthetic feet. The first part dealt with a biomechanical analysis related to user benefits. This part deals with subjective ratings and deciding factors for trans-tibial amputees using 2 energy storing feet (ESF) and 2 conventional feet (CF). The Otto Bock Dynamic Pro and Hanger Quantum feet were used as ESF and the Otto Bock Multi Axial and Otto Bock Lager feet were used as CF. Ten trans-tibial amputees, active walkers, without stump problems, were selected (mean age: 49 years old). The study was designed as a double-blind, randomised trial and for each foot there was a habituation period of 2 weeks. Two questionnaires were designed. (A) concerned information about the preference of the subjects and (B) concerned the order of importance of difference aspects concerning a prosthesis. Results indicated that no clear preference for either the ESF or the CF existed and that the individual preference is not related to age. The items ‘ability to walk fast’ and ‘no fatigue during walking’, score statistically significantly worse for the CF2. With the small contrast between the ESF and CF, in relation to energy storing capacities, the subjects cannot distinguish between the ESF and CF. The ‘absence of stump pain’ and ‘stability while walking’ are ranked as most important aspects concerning a prosthesis. The perception of stability is likely to be related to the level and kind of activities the subject performs.
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Oschütz, H., B. Weisser, M. Finck, J. Hurtmanns, and H. J. Schaller. "Entwicklung eines Power-Walking-Stufen-Tests (PWT) für ältere Menschen." Zeitschrift für Gerontologie und Geriatrie 38, no. 2 (April 2005): 139–50. http://dx.doi.org/10.1007/s00391-005-0234-9.
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De Souza, Bárbara Capitanio, Randhall Bruce Carteri, and André Luiz Lopes. "Impact of oral health on physical fitness for the master category." Revista Brasileira de Fisiologia do Exercício 19, no. 6 (December 24, 2020): 507. http://dx.doi.org/10.33233/rbfex.v19i6.3947.
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Objective: To carry out a literature review on the influence of oral health status on the physical fitness of individuals over 40 years old and to discuss its importance for good sports development. Methods: A literature review was carried out in the Medline database via Pubmed, considering the articles published from the year 2000 onward. The search was carried out using combinations of terms in English: tooth loss, oral health, fitness physics, master athlete, elderly, athlete. Articles that did not address the proposed theme, that evaluating other populations or dependent elderly people, institutionalized or bedridden, that had no relationship with aspects between oral health and physical fitness, review studies and case reports were excluded. At the end, 20 studies were selected. Results: It was possible to observe an interesting association between different oral health conditions and characteristics of physical fitness, in subjects over 40 years old. The variables corresponding to oral health included tooth loss, occlusal aspects, prosthetic rehabilitation and oral infectious and inflammatory diseases. The analyzed variables associated with physical fitness included the strength and power of lower limbs, static balance, walking speed and handgrip strength. Conclusion: The impact of oral health can have a negative influence in the physical fitness, especially on athletes of the master categories, as they are subjected to a situation conditioned by the effects of aging. Oral health care strategies are important tools to assist in maintaining sports performance.Keywords: physical functional performance, preventive dentistry, physical education and training.
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De Souza, Bárbara Capitanio, Randhall Bruce Carteri, and André Luiz Lopes. "Impact of oral health on physical fitness for the master category." Revista Brasileira de Fisiologia do Exercício 19, no. 6 (December 24, 2020): 507. http://dx.doi.org/10.33233/rbfex.v19i6.3947.
Full textAbstract:
Objective: To carry out a literature review on the influence of oral health status on the physical fitness of individuals over 40 years old and to discuss its importance for good sports development. Methods: A literature review was carried out in the Medline database via Pubmed, considering the articles published from the year 2000 onward. The search was carried out using combinations of terms in English: tooth loss, oral health, fitness physics, master athlete, elderly, athlete. Articles that did not address the proposed theme, that evaluating other populations or dependent elderly people, institutionalized or bedridden, that had no relationship with aspects between oral health and physical fitness, review studies and case reports were excluded. At the end, 20 studies were selected. Results: It was possible to observe an interesting association between different oral health conditions and characteristics of physical fitness, in subjects over 40 years old. The variables corresponding to oral health included tooth loss, occlusal aspects, prosthetic rehabilitation and oral infectious and inflammatory diseases. The analyzed variables associated with physical fitness included the strength and power of lower limbs, static balance, walking speed and handgrip strength. Conclusion: The impact of oral health can have a negative influence in the physical fitness, especially on athletes of the master categories, as they are subjected to a situation conditioned by the effects of aging. Oral health care strategies are important tools to assist in maintaining sports performance.Keywords: physical functional performance, preventive dentistry, physical education and training.
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Thagunna, RK, DK Yadav, and RK Yadav. "Experiences of Women Affected with Uterine Prolapse: A Qualitative Study from Baitadi District." Journal of Manmohan Memorial Institute of Health Sciences 5, no. 1 (May 14, 2019): 42–56. http://dx.doi.org/10.3126/jmmihs.v5i1.24073.
Full textAbstract:
Background: Women with uterine prolapse often suffer in silence as it negatively influences their physical, psychological as well as social well-being. This study aimed to explore the social and reproductive health problems associated with uterine prolapse.
Methods: Using a purposive sampling, we conducted 16 in-depth interviews with uterine prolapse affected women in October 2016. Semi-structuredinterviews took place in women’s familiar environment i.e. the participant’s house in Baitadi district.Interviews were audio taped, transcribed and analyzed according to semantic and latent thematic analysis.
Results:The theme describing the women’s experiencesregarding uterine prolapse was labeled as ‘experience of living with uterine prolapse’. The theme constitutes three categories: physical, psychological and social health. The category physical health constitutes five subcategories that represent how physical health of women was affected by uterine prolapse and their consequences: pain, discharge and itching, bleeding and dizziness, difficulty in walking, lifting and sitting, reduction in food intake. The category psychological health comprises three subcategories that define women’s feeling, thought and behaviour towards their prolapsed uterus: anxiety, stress and depressive feeling, fear of death, cancer and surgery.
Conclusion: All physical, psychological and social aspects of women’s health are affected by uterine prolapse. Due to prolapse walking, sitting, working and lifting activities are become challenging for women. Women can become victims of violence due to their disability and less productivity. Uterine prolapse seriously compromises the sexual life of women affected.