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1.
Physiol Rep ; 12(13): e16034, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38949844

ABSTRACT

This study compared the joint kinematics between the front squat (FS) conducted in the upright (natural gravity) position and in the supine position on a short arm human centrifuge (SAHC). Male participants (N = 12) with no prior experience exercising on a centrifuge completed a FS in the upright position before (PRE) and after (POST) a FS exercise conducted on the SAHC while exposed to artificial gravity (AG). Participants completed, in randomized order, three sets of six repetitions with a load equal to body weight or 1.25 × body weight for upright squats, and 1 g and 1.25 g at the center of gravity (COG) for AG. During the terrestrial squats, the load was applied with a barbell. Knee (left/right) and hip (left/right) flexion angles were recorded with a set of inertial measurement units. AG decreased the maximum flexion angle (MAX) of knees and hips as well as the range of motion (ROM), both at 1 and 1.25 g. Minor adaptation was observed between the first and the last repetition performed in AG. AG affects the ability to FS in naïve participants by reducing MAX, MIN and ROM of the knees and hip.


Subject(s)
Centrifugation , Exercise , Knee Joint , Range of Motion, Articular , Humans , Male , Range of Motion, Articular/physiology , Biomechanical Phenomena , Adult , Knee Joint/physiology , Exercise/physiology , Young Adult , Hip Joint/physiology , Posture/physiology , Gravity, Altered
2.
J Wound Care ; 33(7): 509-514, 2024 Jul 02.
Article in English | MEDLINE | ID: mdl-38967347

ABSTRACT

OBJECTIVE: Medical adhesive-related skin injuries (MARSI), defined as skin damage associated with the use of medical adhesive products or devices, are a common and under-reported condition that compromises skin integrity. The prevention and management of MARSI that can occur around the needle insertion site of a chest wall implantable port in hospitalised patients with a tumour remain challenging issues. The aim of this study was to explore whether the incidence of MARSI could be reduced by changing the body position during dressing changes. METHOD: Participants were recruited between May 2019 and November 2020 in the oncology department of a tertiary hospital. Patients were randomly assigned to Group AB (supine followed by semi-recumbent position) and Group BA (semi-recumbent followed by supine position) with a standard intervening recovery interval of 21-28 days. Assessments for typical MARSI included itching, the combination of erythema and oedema, and blisters in the port area, and were graded according to the level of severity. RESULTS: The itch intensity was significantly lower in phase B (semi-recumbent) compared to phase A (supine) (2.35±1.985 versus 5.31±1.332, respectively; p<0.01). Similarly, the severity of erythema and oedema was less severe when comparing phase B to phase A: grade 0 (64.9% versus 10.5%, respectively); grade 1 (28.1% versus 19.3%, respectively); grade 2 (3.5% versus 7.0%, respectively); grade 3 (1.8% versus 45.6%, respectively); and grade 4 (1.8% versus 17.5%, respectively) (Z=5.703; p<0.01). Blisters were found far less frequently in phase B than phase A (1.8% versus 56.1%, respectively; p<0.01). CONCLUSION: The study provided statistically significant evidence that patients in a semi-recumbent position receiving dressing at a chest wall implantable port had fewer and less severe injection site MARSI than when in a supine position. DECLARATION OF INTEREST: The authors have no conflicts of interest to declare.


Subject(s)
Adhesives , Humans , Female , Male , Middle Aged , Incidence , Aged , Adult , Adhesives/adverse effects , Bandages , Skin/injuries , Patient Positioning/adverse effects , Posture
3.
Sci Rep ; 14(1): 15238, 2024 07 02.
Article in English | MEDLINE | ID: mdl-38956282

ABSTRACT

The vector forces at the human-mattress interface are not only crucial for understanding the distribution of vertical and shear forces exerted on the human body during sleep but also serves as a significant input for biomechanical models of sleeping positions, whose accuracy determines the credibility of predicting musculoskeletal system loads. In this study, we introduce a novel method for calculating the interface vector forces. By recording indentations after supine and lateral positions using a vacuum mattress and 3D scanner, we utilize image registration techniques to align body pressure distribution with the mattress deformation scanning images, thereby calculating the vector force values for each unit area (36.25 mm × 36.25 mm). This method was validated through five participants attendance from two perspectives, revealing that (1) the mean summation of the vertical force components is 98.67% ± 7.21% body weight, exhibiting good consistency, and mean ratio of horizontal component force to body weight is 2.18% ± 1.77%. (2) the predicted muscle activity using the vector forces as input to the sleep position model aligns with the measured muscle activity (%MVC), with correlation coefficient over 0.7. The proposed method contributes to the vector force distribution understanding and the analysis of musculoskeletal loads during sleep, providing valuable insights for mattress design and evaluation.


Subject(s)
Beds , Sleep , Humans , Sleep/physiology , Male , Biomechanical Phenomena , Adult , Female , Posture/physiology , Young Adult , Imaging, Three-Dimensional/methods
4.
Medicine (Baltimore) ; 103(27): e38756, 2024 Jul 05.
Article in English | MEDLINE | ID: mdl-38968488

ABSTRACT

Physical exercise requires integrated autonomic and cardiovascular adjustments to maintain homeostasis. We aimed to observe acute posture-related changes in blood pressure, and apply a portable noninvasive monitor to measure the heart index for detecting arrhythmia among elite participants of a 246-km mountain ultra-marathon. Nine experienced ultra-marathoners (8 males and 1 female) participating in the Run Across Taiwan Ultra-marathon in 2018 were enrolled. The runners' Heart Spectrum Blood Pressure Monitor measurements were obtained in the standing and supine positions before and immediately after the race. Their high-sensitivity troponin T and N-terminal proB-type natriuretic peptide levels were analyzed 1 week before and immediately after the event. Heart rate was differed significantly in the immediate postrace assessment compared to the prerace assessment, in both the standing (P = .011; d = 1.19) and supine positions (P = .008; d = 1.35). Postural hypotension occurred in 4 (44.4%) individuals immediately postrace. In 3 out of 9 (33.3%) recruited finishers, the occurrence of premature ventricular complex signals in the standing position was detected; premature ventricular complex signal effect was observed in the supine position postrace in only 1 participant (11.1%). Premature ventricular complex signal was positively correlated with running speed (P = .037). Of the 6 individuals who completed the biochemical tests postrace, 2 (33.3%) had high-sensitivity troponin T and 6 (100%) had N-terminal proB-type natriuretic peptide values above the reference interval. A statistically significant increase was observed in both the high-sensitivity troponin T (P = .028; d = 1.97), and N-terminal proB-type natriuretic peptide (P = .028; d = 2.91) levels postrace compared to prerace. In conclusion, significant alterations in blood pressure and heart rate were observed in the standing position, and postexercise (postural) hypotension occurred among ultra-marathoners. The incidence of premature ventricular complexes was higher after the race than before.


Subject(s)
Autonomic Nervous System , Blood Pressure , Heart Rate , Marathon Running , Natriuretic Peptide, Brain , Troponin T , Humans , Female , Male , Autonomic Nervous System/physiology , Heart Rate/physiology , Marathon Running/physiology , Adult , Troponin T/blood , Middle Aged , Blood Pressure/physiology , Natriuretic Peptide, Brain/blood , Peptide Fragments/blood , Taiwan , Ventricular Premature Complexes/physiopathology , Ventricular Premature Complexes/diagnosis , Hypotension, Orthostatic/physiopathology , Posture/physiology
5.
Scand J Med Sci Sports ; 34(7): e14691, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38970442

ABSTRACT

Quantifying movement coordination in cross-country (XC) skiing, specifically the technique with its elemental forms, is challenging. Particularly, this applies when trying to establish a bidirectional transfer between scientific theory and practical experts' knowledge as expressed, for example, in ski instruction curricula. The objective of this study was to translate 14 curricula-informed distinct elements of the V2 ski-skating technique (horizontal and vertical posture, lateral tilt, head position, upper body rotation, arm swing, shoulder abduction, elbow flexion, hand and leg distance, plantar flexion, ski set-down, leg push-off, and gliding phase) into plausible, valid and applicable measures to make the technique training process more quantifiable and scientifically grounded. Inertial measurement unit (IMU) data of 10 highly experienced XC skiers who demonstrated the technique elements by two extreme forms each (e.g., anterior versus posterior positioning for the horizontal posture) were recorded. Element-specific principal component analyses (PCAs)-driven by the variance produced by the technique extremes-resulted in movement components that express quantifiable measures of the underlying technique elements. Ten measures were found to be sensitive in distinguishing between the inputted extreme variations using statistical parametric mapping (SPM), whereas for four elements the SPM did not detect differences (lateral tilt, plantar flexion, ski set-down, and leg push-off). Applicability of the established technique measures was determined based on quantifying individual techniques through them. The study introduces a novel approach to quantitatively assess V2 ski-skating technique, which might help to enhance technique feedback and bridge the communication gap that often exists between practitioners and scientists.


Subject(s)
Posture , Principal Component Analysis , Skiing , Skiing/physiology , Humans , Male , Posture/physiology , Biomechanical Phenomena , Adult , Movement/physiology , Female , Young Adult , Arm/physiology , Shoulder/physiology , Rotation
6.
J Indian Prosthodont Soc ; 24(3): 273-278, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38946511

ABSTRACT

AIM: The aim of this study is to evaluate the influence of occlusion on body posture and plantar arch pressure. SETTINGS AND DESIGN: An Observational analysis to Analyze the Influence of Occlusion on Plantar Pressure and Body Posture. MATERIALS AND METHODS: A total of 30 asymptomatic subjects were selected for the study including 18 females and 12 males from age group 22 years to 28 years with a mean age of 24.83 years. Each subject underwent evaluation of occlusion at MIP using a Digital Occlusal analyzer (T-Scan III). At this point, the subjects were made to stand on a mat scan which consisted of a large postural platform sensor and a computer that displayed the plantar pressure data. The computer connected to the T Scan displayed the occlusal pressure analysis. This was followed by an evaluation of body posture using a posture grid where the photographs were taken and an evaluation of the frontal and lateral photos was done using the APECS - posture analysis app. STATISTICAL ANALYSIS USED: Statistical package for social sciences (SPSS) for windows version 22.0 Released 2013, Armonk, N Y: IBM Corp., was used to perform Statistical Analysis. A chi-square test was applied for qualitative variables to find the association. Paired t-test was applied to compare the changes in the quantitative parameters in eye-open and eye-closed conditions. The level of significance was set at 5%. RESULTS: As observed from the results, occlusion for 40% of the subjects, where n = 12, was dominant on the right side. Occlusion for 23.3% of subjects, where n = 7, was dominant on the left side. Whereas, for 36.7% of subjects, where n = 11, the pressure distribution was almost equal on both sides. The inclination of body posture for 23.3% of subjects, where n = 7, was towards the right side. The inclination of body posture for 50% of subjects, where n = 11, was towards the left side. And, the inclination of body posture for 26.7% of subjects, where n = 8, was neutral i.e., balanced on the right and left side. Plantar pressure for 6.7% of subjects, where n = 2, was dominant on the right side. Plantar pressure for 36.7% of subjects, where n = 11, was dominant on the left side. Whereas, for 56.7% of subjects, where n = 17, the plantar pressure distribution was almost equal on both sides. CONCLUSION: On correlating the three parameters, it was found that occlusion for most of the subjects dominated on the right side, while body posture and plantar pressure dominated on the contralateral i.e., left side.


Subject(s)
Foot , Posture , Pressure , Humans , Male , Female , Posture/physiology , Adult , Young Adult , Foot/physiology , Dental Occlusion
8.
BMC Geriatr ; 24(1): 586, 2024 Jul 08.
Article in English | MEDLINE | ID: mdl-38977995

ABSTRACT

OBJECTIVE: Through a randomized controlled trial on older adults with sarcopenia, this study compared the training effects of an AI-based remote training group using deep learning-based 3D human pose estimation technology with those of a face-to-face traditional training group and a general remote training group. METHODS: Seventy five older adults with sarcopenia aged 60-75 from community organizations in Changchun city were randomly divided into a face-to-face traditional training group (TRHG), a general remote training group (GTHG), and an AI-based remote training group (AITHG). All groups underwent a 3-month program consisting of 24-form Taichi exercises, with a frequency of 3 sessions per week and each session lasting 40 min. The participants underwent Appendicular Skeletal Muscle Mass Index (ASMI), grip strength, 6-meter walking pace, Timed Up and Go test (TUGT), and quality of life score (QoL) tests before the experiment, during the mid-term, and after the experiment. This study used SPSS26.0 software to perform one-way ANOVA and repeated measures ANOVA tests to compare the differences among the three groups. A significance level of p < 0.05 was defined as having significant difference, while p < 0.01 was defined as having a highly significant difference. RESULTS: (1) The comparison between the mid-term and pre-term indicators showed that TRHG experienced significant improvements in ASMI, 6-meter walking pace, and QoL (p < 0.01), and a significant improvement in TUGT timing test (p < 0.05); GTHG experienced extremely significant improvements in 6-meter walking pace and QoL (p < 0.01); AITHG experienced extremely significant improvements in ASMI, 6-meter walking pace, and QoL (p < 0.01), and a significant improvement in TUGT timing test (p < 0.05). (2) The comparison between the post-term and pre-term indicators showed that TRHG experienced extremely significant improvements in TUGT timing test (p < 0.01); GTHG experienced significant improvements in ASMI and TUGT timing test (p < 0.05); and AITHG experienced extremely significant improvements in TUGT timing test (p < 0.01). (3) During the mid-term, there was no significant difference among the groups in all tests (p > 0.05). The same was in post-term tests (p > 0.05). CONCLUSION: Compared to the pre-experiment, there was no significant difference at the post- experiment in the recovery effects on the muscle quality, physical activity ability, and life quality of patients with sarcopenia between the AI-based remote training group and the face-to-face traditional training group. 3D pose estimation is equally as effective as traditional rehabilitation methods in enhancing muscle quality, functionality and life quality in older adults with sarcopenia. TRIAL REGISTRATION: The trial was registered in ClinicalTrials.gov (NCT05767710).


Subject(s)
Sarcopenia , Telerehabilitation , Humans , Sarcopenia/physiopathology , Sarcopenia/rehabilitation , Sarcopenia/therapy , Aged , Male , Female , Middle Aged , Posture/physiology , Imaging, Three-Dimensional/methods , Quality of Life , Deep Learning
9.
Crit Care ; 28(1): 228, 2024 Jul 09.
Article in English | MEDLINE | ID: mdl-38982466

ABSTRACT

BACKGROUND: Adjusting trunk inclination from a semi-recumbent position to a supine-flat position or vice versa in patients with respiratory failure significantly affects numerous aspects of respiratory physiology including respiratory mechanics, oxygenation, end-expiratory lung volume, and ventilatory efficiency. Despite these observed effects, the current clinical evidence regarding this positioning manoeuvre is limited. This study undertakes a scoping review of patients with respiratory failure undergoing mechanical ventilation to assess the effect of trunk inclination on physiological lung parameters. METHODS: The PubMed, Cochrane, and Scopus databases were systematically searched from 2003 to 2023. INTERVENTIONS: Changes in trunk inclination. MEASUREMENTS: Four domains were evaluated in this study: 1) respiratory mechanics, 2) ventilation distribution, 3) oxygenation, and 4) ventilatory efficiency. RESULTS: After searching the three databases and removing duplicates, 220 studies were screened. Of these, 37 were assessed in detail, and 13 were included in the final analysis, comprising 274 patients. All selected studies were experimental, and assessed respiratory mechanics, ventilation distribution, oxygenation, and ventilatory efficiency, primarily within 60 min post postural change. CONCLUSION: In patients with acute respiratory failure, transitioning from a supine to a semi-recumbent position leads to decreased respiratory system compliance and increased airway driving pressure. Additionally, C-ARDS patients experienced an improvement in ventilatory efficiency, which resulted in lower PaCO2 levels. Improvements in oxygenation were observed in a few patients and only in those who exhibited an increase in EELV upon moving to a semi-recumbent position. Therefore, the trunk inclination angle must be accurately reported in patients with respiratory failure under mechanical ventilation.


Subject(s)
Respiratory Insufficiency , Humans , Respiratory Insufficiency/physiopathology , Respiratory Insufficiency/therapy , Respiration, Artificial/methods , Respiratory Mechanics/physiology , Posture/physiology , Patient Positioning/methods , Torso/physiopathology , Torso/physiology
10.
Pediatr Surg Int ; 40(1): 178, 2024 Jul 06.
Article in English | MEDLINE | ID: mdl-38970642

ABSTRACT

PURPOSE: The study aimed to compare spinal posture, mobility, and position sense in adolescents with pectus excavatum (PE), pectus carinatum (PC), and healthy control (HC). METHODS: 22 with PE, 22 with PC, and 21 HC were included in the study. The spinal posture (thoracic kyphosis, lumbar lordosis, pelvic tilt, thoracic, lumbar, pelvic lateral tilt angles) and mobility (thoracic, lumbar, hip/sacral, and overall, in the sagittal and frontal plane) with the spinal mouse, and spinal position sense (repositing errors) with the inclinometer were assessed. RESULTS: The thoracic kyphosis angle of PE and PC was higher than in HC (p < 0.001; p = 0.001). Hip/sacral mobility in the sagittal plane was lower in the PE and PC than control, respectively (p < 0.001; p < 0.001). Overall sagittal spinal mobility (p:0.007) and hip/sacral mobility in the frontal plane (p:0.002) were lower in the PC than in HC. Overall frontal spinal mobility was lower in the PE and PC than in HC (p:0.002; p:0.014). The PE and PC repositing errors were higher (p < 0.001; p:0.014). CONCLUSION: The study found that adolescents with PE and PC had decreased spinal mobility, spinal alignment disorders, and a decline in spinal position sense. It is important not to overlook the spine during physical examinations of adolescents with chest wall deformities. In clinical practice, we suggest that adolescents with chest deformities should undergo a spine evaluation and be referred for physical therapy to manage spinal disorders.


Subject(s)
Funnel Chest , Pectus Carinatum , Posture , Humans , Adolescent , Funnel Chest/physiopathology , Funnel Chest/complications , Male , Pectus Carinatum/physiopathology , Female , Posture/physiology , Spine/abnormalities , Spine/physiopathology , Thoracic Wall/abnormalities , Thoracic Wall/physiopathology , Child , Proprioception/physiology , Case-Control Studies
11.
Clin Biomech (Bristol, Avon) ; 117: 106297, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38954887

ABSTRACT

BACKGROUND: Long-leg frontal radiographs of the lower extremities are used to assess knee osteoarthritis. Given the three-dimensional (3D) nature of alignment changes in osteoarthritis, postural alterations in the femur and tibia extend beyond the coronal plane (in-plane) to include the transverse and sagittal planes (out-of-plane). This study investigates the impact of these out-of-plane factors on in-plane knee alignment parameters observed in frontal radiographs. METHODS: A total of 97 osteoarthritic knees in women were examined. Using a 3D-to-two-dimensional (2D) image matching technique, we evaluated the 3D postures of the femur and tibia in the standing position as viewed from frontal radiographs in the world coordinate system. Statistical analyses were conducted to explore associations between these 3D postures and 2D alignment parameters obtained from frontal radiographs under identical conditions. FINDINGS: The femur exhibited a medial inclination of 2.7°, a posterior inclination of 3.9°, and an internal rotation of 4.2°, whereas the tibia showed a lateral inclination of 6.4°, an anterior inclination of 6.7°, and an internal rotation of 6.7°. Both coronal and rotational postures of femur and tibia influenced the hip-knee-ankle angle, mechanical axis percentage, and medial proximal tibial angle. However, only coronal factors of tibia impacted tibial joint line obliquity relative to the floor. INTERPRETATION: Attention should be paid to the potential impact of the out-of-plane postures of the femur and tibia on parameters assessed in plain frontal radiographs of the lower extremities.


Subject(s)
Femur , Imaging, Three-Dimensional , Osteoarthritis, Knee , Posture , Radiography , Tibia , Humans , Female , Osteoarthritis, Knee/diagnostic imaging , Osteoarthritis, Knee/physiopathology , Tibia/diagnostic imaging , Tibia/physiopathology , Femur/diagnostic imaging , Femur/physiopathology , Aged , Imaging, Three-Dimensional/methods , Knee Joint/diagnostic imaging , Knee Joint/physiopathology , Standing Position , Aged, 80 and over , Middle Aged
12.
Clinics (Sao Paulo) ; 79: 100439, 2024.
Article in English | MEDLINE | ID: mdl-38996722

ABSTRACT

This document presents the ergonomic assessments carried out by Spanish surgeons on the materials used within an operating room. With the objective of disseminating and raising awareness of the importance of ergonomics, this working group has compiled information from a previously conducted survey on musculoskeletal disorders associated with surgical work from the year 2022, obtaining feedback from 131 surgeons from 17 distinct specialties. A noteworthy 80.2 % of surveyed surgeons reported having experienced forced postures during surgery, and 96.9 % believe that their physical discomfort is a result of the posture adopted during operations. Such postures can result in the development of pathologies and may have a direct impact on work performance and even in extreme cases, it can lead to sick leave or early retirement. By providing their insights on electronic devices, surgical furniture, and instrumentation, surgeons can help identify areas for improvement in the practice of their profession.


Subject(s)
Ergonomics , Musculoskeletal Diseases , Occupational Diseases , Operating Rooms , Posture , Humans , Musculoskeletal Diseases/prevention & control , Musculoskeletal Diseases/etiology , Occupational Diseases/prevention & control , Occupational Diseases/etiology , Posture/physiology , Surgeons , Surveys and Questionnaires , Spain
13.
Sci Justice ; 64(4): 421-442, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39025567

ABSTRACT

In today's biometric and commercial settings, state-of-the-art image processing relies solely on artificial intelligence and machine learning which provides a high level of accuracy. However, these principles are deeply rooted in abstract, complex "black-box systems". When applied to forensic image identification, concerns about transparency and accountability emerge. This study explores the impact of two challenging factors in automated facial identification: facial expressions and head poses. The sample comprised 3D faces with nine prototype expressions, collected from 41 participants (13 males, 28 females) of European descent aged 19.96 to 50.89 years. Pre-processing involved converting 3D models to 2D color images (256 × 256 px). Probes included a set of 9 images per individual with head poses varying by 5° in both left-to-right (yaw) and up-and-down (pitch) directions for neutral expressions. A second set of 3,610 images per individual covered viewpoints in 5° increments from -45° to 45° for head movements and different facial expressions, forming the targets. Pair-wise comparisons using ArcFace, a state-of-the-art face identification algorithm yielded 54,615,690 dissimilarity scores. Results indicate that minor head deviations in probes have minimal impact. However, the performance diminished as targets deviated from the frontal position. Right-to-left movements were less influential than up and down, with downward pitch showing less impact than upward movements. The lowest accuracy was for upward pitch at 45°. Dissimilarity scores were consistently higher for males than for females across all studied factors. The performance particularly diverged in upward movements, starting at 15°. Among tested facial expressions, happiness and contempt performed best, while disgust exhibited the lowest AUC values.


Subject(s)
Algorithms , Automated Facial Recognition , Facial Expression , Humans , Male , Female , Adult , Automated Facial Recognition/methods , Young Adult , Middle Aged , Imaging, Three-Dimensional , Image Processing, Computer-Assisted/methods , Biometric Identification/methods , Face/anatomy & histology , Head Movements/physiology , Posture/physiology
14.
Med Sci Monit ; 30: e944810, 2024 Jul 20.
Article in English | MEDLINE | ID: mdl-39030675

ABSTRACT

BACKGROUND This study aimed to evaluate frontal plane body posture parameters as injury risk factors during physical activity in the previous 12 months. MATERIAL AND METHODS The study sample consisted of 41 males aged 21.3±1.1 years old and 48 females aged 20.8±0.6. To evaluate body posture, we assessed differences in the height of the acromion process (SSA) and differences in the height of the shoulder blades (LSAS), differences in the distance of the lower angles of the shoulder blades and spine (LSPD), differences in the height of the posterior superior iliac spine (PSIS), and the maximum deflection of spinous process line from the line C7-S1 (PTA). The Injury History Questionnaire was used for injury data collection from the previous 12 months. The parameters were assessed for their ability to distinguish between injured and non-injured individuals using the receiver operating characteristic (ROC) method. RESULTS The results suggest that LSPD is a significantly (P=0.028) better predictor of injury than other body posture parameters. The cut-off points for risk of injury based on the assessed body posture parameters demonstrated a diagnostic accuracy higher than chance, except for LSAS and PTA (AUC >0.5). In addition, there were no sex differences in the predictive potential of detecting injuries between males and females. CONCLUSIONS The LSPD has the greatest predictive value for musculoskeletal injuries. Our results suggest that body posture parameters, irrespective of sex, independently influence injury risk, emphasizing the need for preventive strategies targeting athletes' trunk and shoulder regions.


Subject(s)
Athletes , Posture , Humans , Male , Female , Posture/physiology , Young Adult , Risk Factors , Athletic Injuries/physiopathology , Adult , ROC Curve , Musculoskeletal System/injuries , Exercise/physiology , Shoulder/physiopathology
15.
Int J Behav Nutr Phys Act ; 21(1): 77, 2024 Jul 17.
Article in English | MEDLINE | ID: mdl-39020353

ABSTRACT

BACKGROUND: The more accurate we can assess human physical behaviour in free-living conditions the better we can understand its relationship with health and wellbeing. Thigh-worn accelerometry can be used to identify basic activity types as well as different postures with high accuracy. User-friendly software without the need for specialized programming may support the adoption of this method. This study aims to evaluate the classification accuracy of two novel no-code classification methods, namely SENS motion and ActiPASS. METHODS: A sample of 38 healthy adults (30.8 ± 9.6 years; 53% female) wore the SENS motion accelerometer (12.5 Hz; ±4 g) on their thigh during various physical activities. Participants completed standardized activities with varying intensities in the laboratory. Activities included walking, running, cycling, sitting, standing, and lying down. Subsequently, participants performed unrestricted free-living activities outside of the laboratory while being video-recorded with a chest-mounted camera. Videos were annotated using a predefined labelling scheme and annotations served as a reference for the free-living condition. Classification output from the SENS motion software and ActiPASS software was compared to reference labels. RESULTS: A total of 63.6 h of activity data were analysed. We observed a high level of agreement between the two classification algorithms and their respective references in both conditions. In the free-living condition, Cohen's kappa coefficients were 0.86 for SENS and 0.92 for ActiPASS. The mean balanced accuracy ranged from 0.81 (cycling) to 0.99 (running) for SENS and from 0.92 (walking) to 0.99 (sedentary) for ActiPASS across all activity types. CONCLUSIONS: The study shows that two available no-code classification methods can be used to accurately identify basic physical activity types and postures. Our results highlight the accuracy of both methods based on relatively low sampling frequency data. The classification methods showed differences in performance, with lower sensitivity observed in free-living cycling (SENS) and slow treadmill walking (ActiPASS). Both methods use different sets of activity classes with varying definitions, which may explain the observed differences. Our results support the use of the SENS motion system and both no-code classification methods.


Subject(s)
Accelerometry , Exercise , Thigh , Walking , Humans , Female , Male , Adult , Accelerometry/methods , Exercise/physiology , Walking/physiology , Young Adult , Algorithms , Software , Running/physiology , Bicycling/physiology , Posture
16.
J Clin Hypertens (Greenwich) ; 26(7): 867-871, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38980266

ABSTRACT

Accurate arm circumference (AC) measurement is required for accurate blood pressure (BP) readings. Standards stipulate measuring arm circumference at the midpoint between the acromion process (AP) and the olecranon process. However, which part of the AP to use is not stipulated. Furthermore, BP is measured sitting but arm circumference is measured standing. We sought to understand how landmarking during AC measurement and body position affect cuff size selection. Two variations in measurement procedure were studied. First, AC was measured at the top of the acromion (TOA) and compared to the spine of the acromion (SOA). Second, standing versus seated measurements using each landmark were compared. AC was measured to the nearest 0.1 cm at the mid-point of the upper arm by two independent observers, blinded from each other's measurements. In 51 participants, the mean (±SD) mid-AC measurement using the anchoring landmarks TOA and SOA in the standing position were 32.4 cm (±6.18) and 32.1 cm (±6.07), respectively (mean difference of 0.3 cm). In the seated position, mean arm circumference was 32.2 (±6.10) using TOA and 31.1 (±6.03) using SOA (mean difference 1.1 cm). Kappa agreement for cuff selection in the standing position between TOA and SOA was 0.94 (p < 0.001). The landmark on the acromion process can change the cuff selection in a small percentage of cases. The overall impact of this landmark selection is small. However, standardizing landmark selection and body position for AC measurement could further reduce variability in cuff size selection during BP measurement and validation studies.


Subject(s)
Arm , Blood Pressure Determination , Humans , Arm/anatomy & histology , Male , Female , Blood Pressure Determination/methods , Blood Pressure Determination/instrumentation , Blood Pressure Determination/standards , Reproducibility of Results , Middle Aged , Adult , Observer Variation , Blood Pressure/physiology , Anatomic Landmarks , Aged , Posture/physiology , Anthropometry/methods , Acromion/anatomy & histology
17.
Sensors (Basel) ; 24(13)2024 Jun 21.
Article in English | MEDLINE | ID: mdl-39000837

ABSTRACT

Sleep quality is an important issue of public concern. This study, combined with sensor application, aims to explore the determinants of perceived comfort when using smart bedding to provide empirical evidence for improving sleep quality. This study was conducted in a standard sleep laboratory in Quanzhou, China, from March to April of 2023. Perceived comfort was evaluated using the Subjective Lying Comfort Evaluation on a seven-point rating scale, and body pressure distribution was measured using a pressure sensor. Correlation analysis was employed to analyze the relationship between perceived comfort and body pressure, and multiple linear regression was used to identify the factors of perceived comfort. The results showed that body pressure was partially correlated with perceived comfort, and sleep posture significantly influenced perceived comfort. In addition, height, weight, and body mass index are common factors that influence comfort. The findings highlight the importance of optimizing the angular range of boards based on their comfort performance to adjust sleeping posture and equalize pressure distribution. Future research should consider aspects related to the special needs of different populations (such as height and weight), as well as whether users are elderly and whether they have particular diseases. The design optimization of the bed board division and mattress softness, based on traditional smart bedding, can improve comfort and its effectiveness in reducing health risks and enhancing health status.


Subject(s)
Bedding and Linens , Humans , Male , Female , Adult , Posture/physiology , Sleep Quality , Beds , China , Sleep/physiology , Equipment Design , Young Adult , Middle Aged , Pressure
18.
Sensors (Basel) ; 24(13)2024 Jul 02.
Article in English | MEDLINE | ID: mdl-39001085

ABSTRACT

Recently, posture recognition technology has advanced rapidly. Herein, we present a novel posture angle calculation system utilizing a single inertial measurement unit and a spatial geometric equation to accurately identify the three-dimensional (3D) motion angles and postures of both the upper and lower limbs of the human body. This wearable system facilitates continuous monitoring of body movements without the spatial limitations or occlusion issues associated with camera-based methods. This posture-recognition system has many benefits. Providing precise posture change information helps users assess the accuracy of their movements, prevent sports injuries, and enhance sports performance. This system employs a single inertial sensor, coupled with a filtering mechanism, to calculate the sensor's trajectory and coordinates in 3D space. Subsequently, the spatial geometry equation devised herein accurately computed the joint angles for changing body postures. To validate its effectiveness, the joint angles estimated from the proposed system were compared with those from dual inertial sensors and image recognition technology. The joint angle discrepancies for this system were within 10° and 5° when compared with dual inertial sensors and image recognition technology, respectively. Such reliability and accuracy of the proposed angle estimation system make it a valuable reference for assessing joint angles.


Subject(s)
Posture , Humans , Posture/physiology , Wearable Electronic Devices , Biomechanical Phenomena/physiology , Movement/physiology , Male , Algorithms , Extremities/physiology
19.
Sensors (Basel) ; 24(13)2024 Jul 05.
Article in English | MEDLINE | ID: mdl-39001157

ABSTRACT

Grasp classification is pivotal for understanding human interactions with objects, with wide-ranging applications in robotics, prosthetics, and rehabilitation. This study introduces a novel methodology utilizing a multisensory data glove to capture intricate grasp dynamics, including finger posture bending angles and fingertip forces. Our dataset comprises data collected from 10 participants engaging in grasp trials with 24 objects using the YCB object set. We evaluate classification performance under three scenarios: utilizing grasp posture alone, utilizing grasp force alone, and combining both modalities. We propose Glove-Net, a hybrid CNN-BiLSTM architecture for classifying grasp patterns within our dataset, aiming to harness the unique advantages offered by both CNNs and BiLSTM networks. This model seamlessly integrates CNNs' spatial feature extraction capabilities with the temporal sequence learning strengths inherent in BiLSTM networks, effectively addressing the intricate dependencies present within our grasping data. Our study includes findings from an extensive ablation study aimed at optimizing model configurations and hyperparameters. We quantify and compare the classification accuracy across these scenarios: CNN achieved 88.09%, 69.38%, and 93.51% testing accuracies for posture-only, force-only, and combined data, respectively. LSTM exhibited accuracies of 86.02%, 70.52%, and 92.19% for the same scenarios. Notably, the hybrid CNN-BiLSTM proposed model demonstrated superior performance with accuracies of 90.83%, 73.12%, and 98.75% across the respective scenarios. Through rigorous numerical experimentation, our results underscore the significance of multimodal grasp classification and highlight the efficacy of the proposed hybrid Glove-Net architectures in leveraging multisensory data for precise grasp recognition. These insights advance understanding of human-machine interaction and hold promise for diverse real-world applications.


Subject(s)
Deep Learning , Hand Strength , Humans , Hand Strength/physiology , Neural Networks, Computer , Fingers/physiology , Male , Posture/physiology , Adult , Female , Robotics/methods
20.
Sensors (Basel) ; 24(13)2024 Jul 08.
Article in English | MEDLINE | ID: mdl-39001202

ABSTRACT

Three-dimensional human pose estimation focuses on generating 3D pose sequences from 2D videos. It has enormous potential in the fields of human-robot interaction, remote sensing, virtual reality, and computer vision. Existing excellent methods primarily focus on exploring spatial or temporal encoding to achieve 3D pose inference. However, various architectures exploit the independent effects of spatial and temporal cues on 3D pose estimation, while neglecting the spatial-temporal synergistic influence. To address this issue, this paper proposes a novel 3D pose estimation method with a dual-adaptive spatial-temporal former (DASTFormer) and additional supervised training. The DASTFormer contains attention-adaptive (AtA) and pure-adaptive (PuA) modes, which will enhance pose inference from 2D to 3D by adaptively learning spatial-temporal effects, considering both their cooperative and independent influences. In addition, an additional supervised training with batch variance loss is proposed in this work. Different from common training strategy, a two-round parameter update is conducted on the same batch data. Not only can it better explore the potential relationship between spatial-temporal encoding and 3D poses, but it can also alleviate the batch size limitations imposed by graphics cards on transformer-based frameworks. Extensive experimental results show that the proposed method significantly outperforms most state-of-the-art approaches on Human3.6 and HumanEVA datasets.


Subject(s)
Algorithms , Imaging, Three-Dimensional , Humans , Imaging, Three-Dimensional/methods , Posture/physiology , Robotics/methods
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