scholarly journals Incident preclinical mobility disability (PCMD) increases future risk of new difficulty walking and reduction in walking activity

2012 ◽  
Vol 54 (3) ◽  
pp. e329-e333 ◽  
Author(s):  
Carlos O. Weiss ◽  
Jennifer L. Wolff ◽  
Brian Egleston ◽  
Christopher L. Seplaki ◽  
Linda P. Fried
Author(s):  
Christopher Sullivan ◽  
Elizabeth DeBartolo ◽  
Kathleen Lamkin-Kennard

Nearly one million people in 2009 were discharged from the hospital with stroke as the primary diagnosis [1]. One of the many lasting side effects of a stroke can be foot drop, or an inability to dorsiflex the foot. In order to remedy this, many people wear an ankle-foot orthotic (AFO) post-stroke. Interviews with AFO users revealed that they frequently have difficulty walking on stairs and ramps, because the AFO limits the plantarflexion that is natural in navigating those ground types. An active AFO that adapts to changing ground terrain would provide a more natural gait pattern for these individuals, if it could be designed to respond appropriately to upcoming terrain. In order to respond to terrain, the device must first identify the terrain. This paper outlines a system [2] that simultaneously predicts the type of terrain a user is approaching as they walk, and captures information about that user’s walking activity. Such a system can be used as the control system for an active orthotic or prosthetic device. Additionally, this system can be used as a stand-alone gait and terrain monitor to aid in rehabilitation monitoring in between patient visits with a clinician.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e029393 ◽  
Author(s):  
Nancy M Salbach ◽  
Ruth Barclay ◽  
Sandra C Webber ◽  
C A Jones ◽  
Nancy E Mayo ◽  
...  

IntroductionA theory-based, task-oriented, community walking programme can increase outdoor walking activity among older adults to optimise functional independence, social participation and well-being. The study objective is to determine if there is a difference in the change in outdoor walking activity from baseline to 10 weeks, 5.5 months and 12 months after receiving a 1-day interactive workshop and outdoor walking programme (Getting Older Adults Outdoors (GO-OUT)) compared with the workshop and weekly reminders (WR) in older adults with difficulty walking outdoors.Methods and analysisA randomised controlled trial is being conducted in four urban Canadian communities. We will stratify 240 individuals by site and participant type (ie, individual vs spousal/friend pair) and randomise to either the GO-OUT or WR intervention. The GO-OUT intervention involves a 1-day workshop, where participants complete eight interactive stations to build knowledge and skills to walk outside, followed by a 10-week group outdoor walking programme (two 1-hour sessions/week) led by a physiotherapist or kinesiologist in parks. The WR intervention consists of the same workshop and 10 weekly telephone reminders to facilitate outdoor walking. The primary outcome measure is mean outdoor walking time in minutes/week derived from accelerometry and global positioning system data. GO-OUT is powered to detect an effect size of 0.4, given α=0.05, β=0.20, equal number of participants/group and a 20% attrition rate. Secondary outcomes include physical activity, lifespace mobility, participation, health-related quality of life, balance, leg strength, walking self-efficacy, walking speed, walking distance/endurance and mood.Ethics and disseminationGO-OUT has received ethics approval at all sites. A Data Safety Monitoring Board will monitor adverse events. We will disseminate findings through lay summaries, conference presentations and journal articles.Trial registration numberNCT03292510 (Pre-results).


2017 ◽  
Vol 6 (02) ◽  
pp. 35
Author(s):  
William Jakatama ◽  
Sri Wahyudati

Background: Sedentary life style lead to obesity which related into deterioration of cardiac function, anddeconditioning on musculoskeletal system, particularly on walking function. Walking is an important activityin human life, that automatically repeated in daily activity. Doing exercise by walking activity is a simple andsafe exercise. However, in walking exercise prescription, we need to establish what is the objective to achieve.The ten thousand steps of Walking Program (10,000 SWP) is pedometer-based walking program begin in Japanfor adult and elderly, thus the effects in obesity adolescent remains unclear. The aimed of this study was to findthe effect of 10,000 SWP in Cardiorespiratory Endurance (CE) on obese adolescent.Methods:This study was pre and post randomly experimental design with control, in 24 high school obeseadolescent. Subjects divided into two groups, the intervention group that received 10,000 steps walking program5 days in a week for 6 weeks, and the control group that number of step walking recorded by a pedometerwithout daily target. The cardiorespiratory endurance (VO2 max) was evaluated by the six minute walking test(6MWT), that measured before and after intervention.Results: The Intervention and control groups each contain 12 obese high school students, that equal in age,body mass index, and the mean number of walking steps per day. There was no differences between VO2max1 (12.45 ml/Kg ) and VO2max 2 (12.38 ml/Kg ) (p=0.852) in control group, while there was the differencesbetween VO2max 1 (12.44 ml/kg) and VO2max 2 (17.06 ml/kg) (p=0.002) in treatment group.Conclusion: The 10,000 SWP has proven increasing the Cardiorespiratory Endurance of Obese Adolescent.Keywords: 10,000 Steps Walking Program, 6 Minute Walking Test, Cardiorespiratory Endurance, Obese Adolescent.


2014 ◽  
Vol 20 (19) ◽  
pp. 3099-3113 ◽  
Author(s):  
Elisabetta Savino ◽  
Stefano Volpato ◽  
Giovanni Zuliani ◽  
Jack Guralnik

Author(s):  
Alessia Grigoletto ◽  
Mario Mauro ◽  
Pasqualino Maietta Latessa ◽  
Vincenzo Iannuzzi ◽  
Davide Gori ◽  
...  

This systematic review aimed to investigate the type of physical activity carried out in green urban spaces by the adult population and to value its impact on the population’s health. Additionally, another purpose was to examine if the presence of outdoor gyms in green urban spaces can promote participation in physical activity among adults. Searches of electronic databases, with no time restrictions and up to June 2020, resulted in 10 studies meeting the inclusion criteria. A quantitative assessment is reported as effect size. Many people practiced walking activity as a workout, which showed improvements in health. Walking is the most popular type of training due to its easy accessibility and it not requiring equipment or special skills. Outdoor fitness equipment has been installed in an increasing number of parks and has become very popular worldwide. Further, outdoor fitness equipment provides free access to fitness training and seems to promote physical activity in healthy adults. However, other studies about outdoor fitness equipment efficiency are needed. People living near to equipped areas are more likely to perform outdoor fitness than those who live further away. The most common training programs performed in green urban spaces included exercises with free and easy access, able to promote physical health and perception.


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