Height of chair seat and movement characteristics in sit-to-stand by young and elderly adults

The height of a chair seat affects the burden on the lower limbs during the sit-to-stand (STS). To develop an objective test to evaluate muscle function of the lower limbs using floor reaction force during a STS, the relationship between chair-seat height and the burden on the lower legs must be assessed. To examine the influence of the chair-seat height, floor reaction forces during a STS performed with 5 chair heights adjusted to each subject's lower leg length were compared. The force production and quickness of movement tended to decrease in the phases of trunk flexion and knee and hip joint extension when performing a STS from a lower chair, when the chair height differed by 20% (6.2 cm) from the lower leg length, and was marked when the difference between chair height and lower leg length became larger. In 52 elderly and 50 young adults, floor reaction forces during a STS performed from a chair of the same height as subjects' lower leg lengths were compared. Elderly persons were inferior in force production (strength) and quickness of movement, which decreased as elderly stood up from a chair of a lower height.     

Perception of weight-bearing distribution during sit-to-stand task in healthy young and elderly individuals

The first objective was to assess whether healthy individuals could accurately estimate their weight-bearing distribution in sit-to-stand transfers. The second was to evaluate the effect of age on weight-bearing perception. 16 young participants (11 women, 5 men; M age 29 yr., SD = 8.7) and 15 elderly participants (7 women, 8 men; M age 65 yr., SD = 3.8) were recruited. Verbal instructions and visual feedback referring to different percentages of weight-bearing distribution to execute were used to quantify weight-bearing perception in sit-to-stand tasks. For the feedback approach, the perception was assessed with a visual analog scale. For the verbal task, the weight-bearing distribution produced was assessed with force plates. Both young and elderly participants had good perception of weight-bearing distribution, with mean absolute errors of 6.4%. Moreover, their perceived and real weight-bearing distribution showed good agreement (ICC > or = .79).     

Challenging behaviors in young children: the father's role

In this study, the authors examined the parenting practices, developmental expectations, and stress levels of 136 fathers and the challenging and prosocial behaviors of their 1- to 5-year-old children. In addition, the authors systematically addressed fathers' qualitative concerns about their parenting. The authors divided the participants into 4 groups and controlled for family socioeconomic status (SES) and the focus child's gender. Results showed a significantly higher use of corporal and verbal punishment and parenting stress among lower income fathers. Secondary analyses demonstrated a significant effect of paternal disciplinary practices that emphasized the frequent use of corporal and verbal punishment on child behavior problems, regardless of SES level. On a positive note, fathers from both lower and higher SES groups had reasonable developmental expectations for their boys and girls, and they reported similar frequencies of their children's prosocial behavior. The authors discuss the need for early parent education programs that include fathers and that teach specific strategies to address child behavior problems.     

Evaluation of key points in the sit-to-stand movement using two force platforms

Three key points of the sit-to-stand (STS) movement were confirmed as aspects of the ground reaction force (GRF): the onset, maximum GRF, and seat-off. 46 healthy subjects (M age = 22.2 yr., SD = 4.4) participated. During the STS movement, two vertical force platforms were used to measure the resultant GRF, defined as the whole-body force, and its two components, the buttock and leg GRFs. The onsets of the component GRFs identified the sequence of the important time points in the STS movement more precisely than the onset of the resultant GRF. Data showed that the maximum whole-body GRF, the maximum GRF of both legs, and seat-off appeared in sequence and not simultaneously.     

Form and variability during sit-to-stand transitions: children versus adults

In performing the sit-to-stand transition, young children (6- to 7-year-olds) were expected to display a movement form similar to that of adults. However, movement consistency was predicted to be poorer in children than in adults because they lack refinement of motor control processes. Kinematic analysis of 10 repetitions of the sit-to-stand movement was carried out for 6 typically developing children and 6 adults. Supporting the authors' prediction of comparable form, no differences were evident between age groups for sequence of joint onsets, proportional duration of segmental motion, or in angle-angle plots of displacement at 2 segments. In contrast, within-participant variability was found to be higher for children: Coefficients of variation for most kinematic measures were twice those seen for adults. The authors interpret the children's lack of movement consistency as a reflection of inadequate stabilization of an internal model of intersegmental dynamics. Whereas adults have attained a skill level associated with refinement of that model, children have not. Children have an additional control problem because changes in body morphology throughout childhood require ongoing updating of the internal model that controls intrinsic dynamics.     

Visual movement perception: A comparison of sensitivity to vertical and horizontal movement

A psychophysical model that provides separate measures of judgmental standards and sensitivity is utilized to compare an O’s visual sensitivity for vertical and horizontal movement. The analysis indicates no consistent difference in sensitivity; those asymmetries that do exist simply appear to be due to idiosyncratic judgmental standards.     

Instruction in reliability and magnitude of evaluation parameters at each phase of a sit-to-stand movement

The sit-to-stand movement strategy of each subject is different depending on whether the subjects perform voluntary movements or have concrete instructions (i.e., stand quickly), which is strongly reflected in the performance of each sit-to-stand movement phase. Thirty young-adult male subjects participated in this study (M age=20.7 yr; SD=2.6). Subjects performed the two movements from a chair height adjusted to the subject's lower thigh length. In the self-administered (SA) condition, subjects voluntarily stood up from the chair without instruction, and in the assigned-ordered (AO) condition subjects stood up from the chair as fast as possible. Vertical floor reaction force and electromyograms of the rectus femoris and tibialis anterior muscles were measured, and 15 parameters were selected. The parameters in the phase between the peak value of the floor reaction force and completion of the movement was highly reliable regardless of instruction. However, other parameters had different reliabilities between the instruction conditions. In particular, the parameters in the phase between starting the movement and the peak value of the floor reaction force under the assigned-order were higher than those of the self-administered condition. Moreover, the sit-to-stand movement was conducted faster in the assigned-order condition during the phase between starting the movement and buttocks-syneresis, and the peak value of the floor reaction force and completion of the movement. From the above, in the assigned-order condition "as fast as possible," the anteflexion bending movement and extension of knee and trunk joints were faster, and anteflexion movement was repeated more similarly under a concrete instruction such as moving as fast as possible.     

Comparison of power spectrum characteristics of body sway during a static upright standing posture in healthy elderly people and young adults

This study was designed to compare peak frequency, mean power frequency, and power spectrum of each frequency band of body-sway time series and velocity time series power spectra between 30 healthy elderly people and 30 young adults and to clarify their frequency characteristics. Peak frequency and mean power frequency differed between groups, being higher for elderly persons, and the difference was marked in the front-back direction. When comparing power spectra of three domains (A: 0.02-0.2 Hz, B: 0.2-2.0 Hz, and C: 2.0-10.0 Hz) of an international standard, a significant age-group difference was found only in the front-back direction. Young adults were higher in the low frequency band (A domain) in sway time series, and the elderly group was higher in the high frequency band (C domain) in body-sway velocity time series. However, almost all power spectra of both groups appeared in the low frequency band. The present results suggested frequency characteristics of healthy people occur in the low frequency band, but the elderly group compared with the young adults had more characteristics in the high frequency band. Their frequency characteristics cannot be properly evaluated by the international standard established to screen disorders. It may be necessary for healthy people to have new evaluation frequency sections when considering power spectrum characteristics of sway time series and sway-velocity time series.     

Rhythmic performance during a whole body movement: dynamic analysis of force-time curves

The purpose of this study was to investigate rhythmic performance during two-legged hopping in place. In particular, it was tested whether (a) timing control is independent of force control, (b) a dynamic timer model explains rhythmic performance, and (c) it is a force related parameter that carries the timing information. Eleven participants performed two-legged hopping at their preferred hopping frequency (PHF) and at two hopping frequencies set by an external rhythmic stimulus as lower (LHF) and higher (HHF) than their PHF, respectively. A force plate was used to record the ground reaction force (GRF) time curves during two-legged hopping. The primary temporal and force related parameters determined from the GRF-time curves were the durations of the cycle of movement (t(cycle)), of the contact phase (t(contact)), of the flight phase (t(flight)), the magnitude of peak force (Fz(peak)) and the rate of peak force development (RFD). Control of t(cycle) was independent of force control as shown by the non-significant correlations between t(cycle) and the force parameters of the GRF-time curve. Lag 1 autocorrelations of t(cycle) were not significant in any of the HF, thereby a dynamic timer model is considered to explain the timing of t(cycle) during two-legged hopping. RFD varied more than any other GRF-time curve parameter, exhibited consistent significant strong correlations with the GRF-time curve parameters and significant negative lag 1 autocorrelations in PHF, thus, it was highlighted as the potent timing control parameter. Finally, we provide a practical application for the optimization of rhythmic performance.     

Effect of a terminal constraint on control of balance during sit-to-stand

The speed at which sit-to-stand (STS) motions are performed and the subsequent terminal constraint upon upright stance can present subjects with contradictory goals. Previous findings suggested that subjects might adopt a strategy of limiting the peak horizontal momentum of the center of mass (CM), and perhaps of body segments as well, regardless of the speed of ascent. The primary purpose of this study was to test the hypothesis that the limitation in CM momentum is related to the constraint on upright stance at the termination of the task. The secondary purpose was to describe the contribution of the shank, thigh, and upper body (head-arm-trunk) to the peak horizontal momentum of the CM under each test condition. Nine healthy adult males rose from a seated position under the following three conditions: (a) at natural speeds (natural STS); (b) as fast as possible (fast STS); and (c) as fast as possible, followed by falling forward while keeping the feet fixed and using the arms on a support bar to stop the fall (fast STS+fall). The results showed that the peak horizontal momentum of the CM did not change substantially from the natural to fast STS, but increased significantly from the fast STS to the fast STS+fall. These findings are consistent with the hypothesis that limiting peak horizontal momentum of the CM may reflect a movement control strategy related to maintaining equilibrium at the termination of the voluntary task of rising from a chair. The momentum profile of the upper body, but not of the thigh or shank, remained constant across all experimental conditions, suggesting that the motion of the upper body may be tightly controlled in STS, regardless of the altered constraint on balance.     

EMG and kinematics analysis of the trunk and lower extremity during the sit-to-stand task while wearing shoes with different heel heights in healthy young women

This study investigated the EMG characteristics and the kinematics of the trunk and lower extremity during the sit-to-stand (STS) task while wearing 1-, 4-, and 8-cm high-heeled shoes. We examined differences in the EMG data of the internal oblique, erector spinae, medial hamstring, and rectus femoris muscles during the STS task. The motion of the hip joint during an STS task was measured with a NorAngle Electrogoniometer System. Twelve young healthy women were recruited to this study. EMG characteristics and the hip joint angle were recorded during the performance of an STS task by subjects wearing high-heeled shoes of three different heel heights. The muscle onset time and EMG activity during this task were analyzed. In 8-cm high-heeled shoes, the onset time for the erector spinae muscle was significantly delayed, and the onset latency for the medial hamstring and the rectus femoris was significantly decreased. There was increased activity in the erector spinae and rectus femoris muscle during this task when wearing 8-cm high-heeled shoes. The initial hip flexion angle at the start point of the STS task did not differ among the 1-, 4-, and 8-cm heel-height conditions, but the trunk flexion angle, corresponding to the displacement between the peak hip flexion and initial hip flexion, was significantly larger in the 8-cm heel-height condition than in the 1- and 4-cm heel-height conditions. The findings suggest that excessive heel height has the potential to induce muscle imbalance during the STS task.     

Speech-related body movement in aphasia: period analysis of upper arms and head movement.

The effects of aphasia on coverbal body movement have important implications for the understanding of both normal and pathological speech processes. The related findings were often inconsistent, partly due to inherent methodological difficulties which could be reduced by the use of advanced techniques of movement monitoring (Hadar, 1991). The present study employed a new computerized system, CODA-3, which locates small prismatic markers and computes by triangulation their three-dimensional position at 100 Hz. Movement of the head and the upper arms was monitored in 15 aphasic and normal subjects engaged in speech during a naturalistic interview. Movement analysis was based on automatized identification of successive movement extrema ("period analysis") and the computation of amplitude, duration, and velocity of each period. The results showed higher incidence and amplitude of all body movement in the aphasic population. Fluent aphasics showed this particularly with "symbolic," content-bearing movements, while nonfluent aphasics were higher than controls in both symbolic and "motor" (simple and small) movements. No deficit in the internal organization of movement was seen in the aphasic population. These results indicate that aphasics increase their coverbal movement in compensation for their speech impairment: fluent aphasics compensate primarily for a symbolic impairment, while nonfluent aphasics compensate more for a motor impairment.     

The homophile movement: Its impact and implications

Conclusion We do not conclude that homosexuality must be accepted by society. We do hope that society's attitudes towards homosexuals can be more intelligent, less confused. Perhaps our society will reject homosexuality on a basis of manifestly conscious prejudice of the majority who simply find it distasteful; but at least this will be more honest than many current rationalizations. Perhaps it will be possible and desirable because of changing conditions to accept homosexuality in our culture at some future time. Any sincere effort to confront the issues raised by homosexuality in our culture will be rewarded with a deeper understanding of many other aspects of human life.Presented to One Inc., Los Angeles, May 7, 1967.     

Challenging body weight: evidence from a community-based intervention on weight,behaviour and motivation

The objective of this study was to examine the effectiveness of a 12 week weight loss intervention within a commercial fitness centre on body weight, moderate to vigorous physical activity (MVPA), dietary intake, and behavioural regulations for exercise and healthy eating. Using a quasi-experimental design, the intervention group received weekly coaching sessions and bi-weekly seminars designed to increase MVPA and improve dietary intake. Outcome variables were assessed at three time points over a six month period. Results showed a significant interaction for body weight (p = .04) and dietary changes (p < .05) following the weight loss challenge but were not maintained across the six month period. Changes in behavioural regulations favoured the intervention condition. Results imply that a 12 week weight loss challenge within a commercial fitness centre may be effective at prompting short-term weight loss and support the internalization of behavioural regulations specific to healthy eating and exercise.     

Movement structure in young and elderly adults during goal-directed movements of the left and right arm

Elderly adults often exhibit performance deficits during goal-directed movements of the dominant arm compared with young adults. Recent studies involving hemispheric lateralization have provided evidence that the dominant and non-dominant hemisphere-arm systems are specialized for controlling different movement parameters and that hemispheric specialization may be reduced during normal aging. The purpose was to examine age-related differences in the movement structure for the dominant (right) and non-dominant (left) during goal-directed movements. Young and elderly adults performed 72 aiming movements as fast and as accurately as possible to visual targets with both arms. The findings suggest that previous research utilizing the dominant arm can be generalized to the non-dominant arm because performance was similar for the two arms. However, as expected, the elderly adults showed shorter relative primary submovement lengths and longer relative primary submovement durations, reaction times, movement durations, and normalized jerk scores compared to the young adults.     

Development of movement schema in young children

To examine the development of movement schema in young school-age children, i.e., whether principles which govern fine eye-hand coordination skill learning as suggested by Schmidt's schema theory apply to the learning of gross motor skills Exp. 1 involved 48 right-handed first-grade children. On a modification of the Fitts Reciprocal Tapping task children moved a stylus (held in the hand or attached to a special shoe worn on the foot) between two metal targets separated by different distances. Children were randomly assigned to one of eight groups: two control or no-practice groups and six experimental or transfer groups. A one-way analysis of variance followed by appropriate Scheffé post hoc tests indicated that movements of the lower limbs were not organized into a movement schema, but a pattern of schema of movement for the upper limbs developed. That no movement schema developed for lower limb movements suggests development of movement schema is intricately linked to both the existing as well as the potential for developing precise movement in those limbs. Exp. 2 involved 40 first-grade children who were randomly assigned to perform a gross-motor agility task under one of three conditions: direct practice on the criterion task, constant practice on a modification of the criterion task, or variable practice on several different modifications of the criterion task. A groups X trials analysis of variance with appropriate post hoc tests indicated that there were no significant differences among direct, constant, or variable practice groups. Data suggest that the amount of practice may be as important as the type of practice in developing movement schema involved in gross motor skills in young children.     

Influence of swing leg movement on running stability

The aim of this study was to investigate the role of the swing leg movement on running stability. A simple model was used describing a forward hopping motion. The model consisted of two sub-models, namely a spring-mass system for the stance phase and a functional control model for the swing phase (represented by a passive or actively driven pendulum). To verify the main simulation results, an experimental study on treadmill running was performed. The results of the model indicated that for certain running speeds and pendulum lengths, the behavior of the mechanical system was stable. The following characteristic dependencies between the model parameters were observed. (1) Pendulum length and hip muscle activity determined running height and therefore swing duration. (2) Horizontal velocity was inversely related to leg angle of attack. Increased speed corresponded to flatter leg angles at touch-down, which is in agreement with experimental studies and previous predictions of spring-mass running. It was shown that a biologically motivated control approach with oscillating leg movements is well capable of generating stable hopping movements. Due to its simplicity, however, the monopedal model failed to explain more detailed mechanisms like the swing-leg to stance-leg interaction or the functional role of the leg segmentation. This simple model is therefore considered as a functional mechanical template for legged locomotion, which could help to build more elaborate models in the future.     

The body in analysis: authentic movement and witnessing in analytic practice

This paper will describe a form of active imagination called authentic movement, in which attention is given to the somatic unconscious. In authentic movement, patients are encouraged to focus inward and attend to any bodily sensations, images and feelings which may arise. In the process of focusing inward on one's bodily-felt experience, images, somatic memory and the accompanying feelings which arise are then available to be explored as a communication from the patient's unconscious. Authentic movement supports the individual in linking image with affect in that the individual re-experiences the somatic aspect of symbolization. What was previously conserved on the somatic level as unmentalized experience, can now begin to be taken up into the mind, thought about, and made available for analysis. In authentic movement, the analyst acts as a silent witness to the patient's explorations. The quiet focused attention of the witness helps to create a secure containing environment in which the person moving can experience a sense of feeling held and seen. The function of the witness is to hold the patient's experience in his own mind, particularly what is not yet mentalized. The witness utilizes his somatic countertransference, including any images, feelings and bodily responses which are generated by what is being communicated non-verbally, as a means of understanding and responding to the patient's material.     

Hearing what the body feels: auditory encoding of rhythmic movement

Phillips-Silver and Trainor (Phillips-Silver, J., Trainor, L.J., (2005). Feeling the beat: movement influences infants' rhythm perception. Science, 308, 1430) demonstrated an early cross-modal interaction between body movement and auditory encoding of musical rhythm in infants. Here we show that the way adults move their bodies to music influences their auditory perception of the rhythm structure. We trained adults, while listening to an ambiguous rhythm with no accented beats, to bounce by bending their knees to interpret the rhythm either as a march or as a waltz. At test, adults identified as similar an auditory version of the rhythm pattern with accented strong beats that matched their previous bouncing experience in comparison with a version whose accents did not match. In subsequent experiments we showed that this effect does not depend on visual information, but that movement of the body is critical. Parallel results from adults and infants suggest that the movement-sound interaction develops early and is fundamental to music processing throughout life.     

Effectiveness of the Challenging Horizons After-School Program for young adolescents with ADHD

There are no empirically supported psychosocial treatments for adolescents with attention-deficit hyperactivity disorder (ADHD). This study examined the treatment benefits of the Challenging Horizons Program (CHP), a psychosocial treatment program designed to address the impairment and symptoms associated with this disorder in young adolescents. In addition to evaluating social and academic functioning outcomes, two critical questions from previous studies pertaining to the timing, duration, and family involvement in treatment were addressed. Forty-nine students recruited in two cohorts were randomly assigned to receive either the CHP or a community care condition. Outcomes suggested that students who received the CHP improved compared to students in the control condition on measures of symptoms and impairment. Implications related to timing, duration, and family involvement are reported, as well as recommendations for future studies.