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  • 351.
    Tokuno, Craig D
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Carpenter, M G
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Garland, S J
    Cresswell, Andrew G
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Control of the triceps surae during the postural sway of quiet standing.2007In: Acta Physiologica, ISSN 1748-1708, E-ISSN 1748-1716, Vol. 191, no 3, p. 229-36Article in journal (Refereed)
    Abstract [en]

    AIM: The present study investigated how the triceps surae are controlled at the spinal level during the naturally occurring postural sway of quiet standing. METHODS: Subjects stood on a force platform as electrical stimuli were applied to the posterior tibial nerve when the center of pressure (COP) was either 1.6 standard deviations anterior (COP(ant)) or posterior (COP(post)) to the mean baseline COP signal. Peak-to-peak amplitudes of the H-reflex and M-wave from the soleus (SOL) and medial gastrocnemius (MG) muscles were recorded to assess the efficacy of the Ia pathway. RESULTS: A significant increase in the H(max) : M(max) ratio for both the SOL (12 +/- 6%) and MG (23 +/- 6%) was observed during the COP(ant) as compared to the COP(post) condition. The source of the modulation between COP conditions cannot be determined from this study. However, the observed changes in the synaptic efficacy of the Ia pathway are unlikely to be simply a result of an altered level of background electromyographic activity in the triceps surae. This was indicated by the lack of differences observed in the H(max) : M(max) ratio when subjects stood without postural sway (via the use of a tilt table) at two levels of background activity. CONCLUSIONS: It is suggested that the phase-dependent modulation of the triceps surae H-reflexes during the postural sway of quiet standing functions to maintain upright stance and may explain the results from previous studies, which, until now, had not taken the influence of postural sway on the H-reflex into consideration.

  • 352.
    Tokuno, Craig D
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Carpenter, Mark G
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Cresswell, Andrew G
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    The influence of natural body sway on neuromuscular responses to an unpredictable surface translation.2006In: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 174, no 1, p. 19-28Article in journal (Refereed)
    Abstract [en]

    Previous research has shown that the postural configuration adopted by a subject, such as active leaning, influences the postural response to an unpredictable support surface translation. While those studies have examined large differences in postural conditions, it is of additional interest to examine the effects of naturally occurring changes in standing posture. Thus, it was hypothesized that the normal postural sway observed during quiet standing would affect the responses to an unpredictable support surface translation. Seventeen young adults stood quietly on a moveable platform and were perturbed in either the forward or backward direction when the location of the center of pressure (COP) was either 1.5 standard deviations anterior or posterior to the mean baseline COP signal. Postural responses, in the form of electromyographic (EMG) latencies and amplitudes, were recorded from lower limb and trunk muscles. When the location of the COP at the time of the translation was in the opposite, as compared to the same, direction as the upcoming translation, there was a significantly earlier onset of the antagonists (10-23%, i.e. 15-45 ms) and a greater EMG amplitude (14-39%) in four of the six recorded muscles. Stepping responses were most frequently observed during trials where the position of the COP was opposite to the direction of the translation. The results support the hypothesis that postural responses to unpredictable support surface translations are influenced by the normal movements of postural sway. The results may help to explain the large variability of postural responses found between past studies.

  • 353. Tokuno, Craig D
    et al.
    Cresswell, Andrew G
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Carpenter, Mark G
    Age-related changes in postural responses revealed by support-surface translations with a long acceleration-deceleration interval.2010In: Clinical Neurophysiology, ISSN 1388-2457, E-ISSN 1872-8952, Vol. 121, no 1, p. 109-17Article in journal (Refereed)
    Abstract [en]

    Translations with longer acceleration-deceleration intervals reveal more age-related differences in postural control, which are otherwise masked by the deceleration effects inherent to shorter translations.

  • 354.
    Tokuno, Craig D
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Garland, S Jayne
    Carpenter, Mark G
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Cresswell, Andrew G
    Sway-dependent modulation of the triceps surae H-reflex during standing.2008In: Journal of applied physiology, ISSN 8750-7587, E-ISSN 1522-1601, Vol. 104, no 5, p. 1359-65Article in journal (Refereed)
    Abstract [en]

    Previous research has shown that changes in spinal excitability occur during the postural sway of quiet standing. In the present study, it was of interest to examine the independent effects of sway position and sway direction on the efficacy of the triceps surae Ia pathway, as reflected by the Hoffman (H)-reflex amplitude, during standing. Eighteen participants, tested under two different experimental protocols, stood quietly on a force platform. Percutaneous electrical stimulation was applied to the posterior tibial nerve when the position and direction of anteroposterior (A-P) center of pressure (COP) signal satisfied the criteria for the various experimental conditions. It was found that, regardless of sway position, a larger amplitude of the triceps surae H-reflex (difference of 9-14%; P = 0.005) occurred when subjects were swaying in the forward compared with the backward direction. The effects of sway position, independent of the sway direction, on spinal excitability exhibited a trend (P = 0.075), with an 8.9 +/- 3.7% increase in the H-reflex amplitude occurring when subjects were in a more forward position. The observed changes to the efficacy of the Ia pathway cannot be attributed to changes in stimulus intensity, as indicated by a constant M-wave amplitude, or to the small changes in the level of background electromyographic activity. One explanation for the changes in reflex excitability with respect to the postural sway of standing is that the neural modulation may be related to the small lengthening and shortening contractions occurring in the muscles of the triceps surae.

  • 355.
    Tokuno, Craig
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Taube, W
    Cresswell, Andrew G
    Changes in cortical and corticospinal excitability during standing2007In: Journal of Physiology, ISSN 0022-3751, E-ISSN 1469-7793Article in journal (Refereed)
  • 356. Tveit, P
    et al.
    Daggfeldt, Karl
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Hetland, S
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Erector spinae lever arm length variations with changes in spinal curvature.1994In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 19, no 2, p. 199-204Article in journal (Refereed)
    Abstract [en]

    Magnetic resonance imaging was used to study the effect of different curvatures in the lumbar spine on lever arm lengths of the erector spinae musculature. Eleven subjects were instructed to simulate static lifts while lying supine in a magnetic resonance camera with the lumbar spine either in kyphosis or lordosis. A sagittal image of the spine was obtained to analyze the lumbosacral angle and to guide the imaging of transverse sections through each disc (L1/L2 to L5/S1). Images were analyzed for lever arm lengths of the erector spinae muscle (ES) and the erector spinae aponeurosis (ESA), the latter functioning as a tendon for superiorly positioned ES muscle portions. The lumbosacral angle (between superior surfaces of S1 and L4) averaged 44 degrees in the lordosed, 26 degrees in the kyphosed and 41 degrees in a neutral supine position. In lordosis, the lever arm lengths were significantly longer than in kyphosis for all levels, averaging 60-63 mm (ES) and 82-86 mm (ESA). The corresponding values for kyphosis were 49-57 mm (ES) and 67-77 mm (ESA), respectively. Thus, there was a considerable effect (10-24%) of lumbar curvature on lever arm lengths for the back extensor muscles. The change in leverage will affect the need for extensor muscle force and thus the magnitude of compression in the lumbar spine in loading situations such as lifting.

  • 357.
    Väisänen, Daniel
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Ekblom, Maria
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Ekblom, Örjan
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology.
    Andersson, Eva
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Validity in Ekblom-Bak Test and its Ability to Track Changes in an Elderly Population2018Conference paper (Refereed)
    Abstract [en]

    Background: Maximal oxygen uptake (VO2max) has a high prognostic value for CVD and all cause mortality, however the test is hard to administer and requires a maximal effort, which can be arduous for an elderly population. The submaximal Ekblom-Bak cycle ergometer test (EB test) has shown to be valid in adults, but its applicability in an elderly population is unknown. Aim: The purpose of this study was to validate the submaximal EB test and to examine its ability to detect changes in VO2max in an elderly population. Methods: The sample consisted of 108 elderly participants; aged 65-75 years (54 women, 54 men) with a measured VO2max of 1.42-3.69 L/min. 34 women and 40 men performed a retest (VO2max 1.45-3.59 L/min) after an intervention period. During the intervention, participants performed 30 training sessions over 12 weeks where they cycled for 30 min at 65-75 % of maximal heart rate. On pre- and retests participants completed a submaximal Ekblom-Bak test. Directly after participants completed an individually adjusted VO2max test on a treadmill where VO2 max was measured using indirect calorimetry. Results: For the validation of the EB-test on an elderly population there was a correlation (R) between measured and estimated VO2max of 0.64 for women and 0.47 for men, mean (95% CI) difference was 0.01 (-0.45 - 0.07) for women and -0.05 (-0.11 - 0.07) for men. Standard error of the estimate was 0.17 for women and 0.31 for men. Coefficient of variation was 10 % for women and 11 % for men. When analyzing the ability of the EB test to track change in VO2max after a 12 week training intervention there was a significant (P<0.001) average increase in estimated VO2max of 0.11 L/min for both genders (CI for women 0.06 - 0.16 and for men 0.08 - 0.15), with no change in the measured values. Changes in the estimated values were linked to a decrease of the submaximal HR on both work rates (3.0 bpm and 3.2 bpm on the standard work rate and 5.4 bpm and 6.4 bpm on the higher work rate, for women and men, respectively) Conclusion: Validity of the EB-test in a population between 65-75 years was fairly good but we found larger standard error of the estimate for the men. The higher error for men in contrast to women could be derived from a difference in change of physiological variables that affect VO2max with increasing age. Since there was no change in measured VO2max while there was an improvement in estimated VO2max after the intervention, the EB-test appears to respond to changes in fitness that are not reflected in a VO2max. Grant funding: European Research Council.

  • 358.
    Väisänen, Daniel
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology.
    Ekblom, Örjan
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, Björn Ekblom's research group.
    Ekblom Bak, Elin
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, Björn Ekblom's research group.
    Andersson, Eva
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control. Karolinska institutet.
    Nilsson, Jonna
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology.
    Ekblom, Maria
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Criterion validity of the Ekblom-Bak and the Åstrand submaximal test in an elderly population.2020In: European Journal of Applied Physiology, ISSN 1439-6319, E-ISSN 1439-6327, Vol. 120, no 2, p. 307-316Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to validate the submaximal Ekblom-Bak test (EB-test) and the Åstrand test (Å-test) for an elderly population.

    METHODS: Participants (n = 104), aged 65-75 years, completed a submaximal aerobic test on a cycle ergometer followed by an individually adjusted indirect calorimetry VO2max test on a treadmill. The HR from the submaximal test was used to estimate VO2max using both the EB-test and Å-test equations.

    RESULTS: The correlation between measured and estimated VO2max using the EB method and Å method in women was r = 0.64 and r = 0.58, respectively and in men r = 0.44 and r = 0.44, respectively. In women, the mean difference between estimated and measured VO2max was - 0.02 L min-1 (95% CI - 0.08 to 0.04) for the EB method and - 0.12 L min-1 (95% CI - 0.22 to - 0.02) for the Å method. Corresponding values for men were 0.05 L min-1 (95% CI - 0.04 to 0.14) and - 0.28 L min-1 (95% CI - 0.42 to - 0.14), respectively. However, the EB method was found to overestimate VO2max in men with low fitness and the Å method was found to underestimate VO2max in both women and men. For women, the coefficient of variance was 11.1%, when using the EB method and 19.8% when using the Å method. Corresponding values for men were 11.6% and 18.9%, respectively.

    CONCLUSION: The submaximal EB-test is valid for estimating VO2max in elderly women, but not in all elderly men. The Å-test is not valid for estimating VO2max in the elderly.

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  • 359. Westing, S H
    et al.
    Cresswell, A G
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Muscle activation during maximal voluntary eccentric and concentric knee extension.1991In: European Journal of Applied Physiology and Occupational Physiology, ISSN 0301-5548, E-ISSN 1432-1025, Vol. 62, no 2, p. 104-8Article in journal (Refereed)
    Abstract [en]

    The aim of this investigation was to study the relationships among movement velocity, torque output and electromyographic (EMG) activity of the knee extensor muscles under eccentric and concentric loading. Fourteen male subjects performed maximal voluntary eccentric and concentric constant-velocity knee extensions at 45, 90, 180 and 360 degrees.s-1. Myoelectric signals were recorded, using surface electrodes, from the vastus medialis, vastus lateralis and rectus femoris muscles. For comparison, torque and full-wave rectified EMG signals were amplitude-averaged through the central half (30 degrees-70 degrees) of the range of motion. For each test velocity, eccentric torque was greater than concentric torque (range of mean differences: 20%-146%, P less than 0.05). In contrast, EMG activity for all muscles was lower under eccentric loading than velocity-matched concentric loading (7%-31%, P less than 0.05). Neither torque output nor EMG activity for the three muscles changed across eccentric test velocities (P greater than 0.05). While concentric torque increased with decreasing velocity, EMG activity for all muscles decreased with decreasing velocity (P less than 0.05). These data suggest that under certain high-tension loading conditions (especially during eccentric muscle actions), the neural drive to the agonist muscles was reduced, despite maximal voluntary effort. This may protect the musculoskeletal system from an injury that could result if the muscle was to become fully activated under these conditions.

  • 360. Westing, Stephen
    et al.
    Seger, Jan
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Effects of electrical stimulation on eccentric and concentric torque-velocity relationships during knee extension in man1990In: Acta Physiologica Scandinavica, ISSN 0001-6772, E-ISSN 1365-201X, Vol. 140, p. 17-22Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to examine the effects of electrical stimulation on torque output during knee extension. Nine well-trained males (19-43 years) performed maximal voluntary, electrically evoked and superimposed eccentric and concentric knee extensions at velocities of 60, 180 and 360 degrees s-1, plus an isometric test (torque was always recorded at a 60 degree knee angle). Fifty-hertz stimulation was applied percutaneously at the maximum tolerated voltage (140-200 V). By superimposing electrical stimulation, eccentric torque could be increased by an average of 21-24% above the voluntary level (P less than 0.05). No corresponding differences were observed between superimposed and voluntary torques under isometric or concentric conditions. Electrically evoked torque also exceeded voluntary torque under eccentric conditions (11-12%, P less than 0.05), but was less under isometric and concentric conditions (-10 to -52%, P less than 0.05). Within the limitations of the study, it was concluded that eccentric knee extension torque under maximal voluntary conditions does not represent the maximal torque-producing capacity. The action of a neural inhibitory mechanism was proposed as an explanation for this finding. If active, this mechanism may protect against the extreme muscle tension that could otherwise develop under truly maximal eccentric conditions.

  • 361. Westing, Stephen
    et al.
    Seger, Jan
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Isoacceleration: a new concept of resistive exercise1991In: Medicine & Science in Sports & Exercise, ISSN 0195-9131, E-ISSN 1530-0315, Vol. 23, no 5, p. 631-635Article in journal (Refereed)
    Abstract [en]

    This study presents the concept of constant (iso-) accelerative and decelerative exercise and compares concentric and eccentric torque output during isoaccelerative and isodecelerative movements with that during comparable constant velocity (isokinetic) conditions. Twelve men (19-42 yr) performed maximal voluntary concentric and eccentric knee extensions at velocities of 120 and 240 degrees.s-1 (isokinetic) and at accelerations of 180 and 720 degrees.s-2 (both isoaccelerative and isodecelerative) between 10 degrees and 90 degrees knee angles. At 50 degrees, the 180 and 720 degrees.s-2 tests had velocities of 120 and 240 degrees.s-1, respectively, and thus torque comparisons could be made at a corresponding position and velocity. No difference was seen among the isoaccelerative, isodecelerative, or isokinetic angle- and velocity-specific torques for either the concentric or eccentric tests (P greater than 0.05). The results demonstrated that, under conditions of maximal voluntary effort, movement speed as such (within the range studied) was the essential determinant of muscle force--not whether this speed was attained during accelerative, decelerative, or constant velocity movements. As a testing and training modality, the controlled acceleration technique, particularly eccentric deceleration and concentric accleration, appears to offer advantages as compared with existing methods, since it more faithfully reflects the contraction conditions during natural strength-requiring movements.

  • 362.
    Wolf, Peter
    et al.
    ETH Zürich, Switzerland.
    Arndt, Anton
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Nester, Christopher
    Liu, Anmin
    Jones, Richard
    Lundgren, Paul
    Lundberg, Arne
    In vivo Bewegungen der Fussknochen im Gehen und langsamen Joggen2012In: Orthopädieschuhtechnik, ISSN 0344-6026, no 2, p. 24-27Article in journal (Other academic)
  • 363.
    Yan, S
    et al.
    Royal Institute of Technology, Stockholm, Sweden.
    Schlippe, M
    Royal Institute of Technology, Stockholm, Sweden.
    Tarassova, Olga
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Pennati, G V
    Karolinska institutet, Stockholm, Sweden.
    Arndt, Anton
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Yang, L
    Sichuan University, Chengdu, China.
    Shi, B
    Sichuan University, Chengdu, China.
    Wang, R
    Royal Institute of Technology, Stockholm, Sweden.
    P 158 - A method to estimate passive mechanical properties of the soleus and gastrocnemius aspects of Achilles tendon.2018In: ESMAC 2018 abstracts: special issue of Gait & Posture, 2018, Vol. 65 Suppl 1, p. 501-502, article id S0966-6362(18)31146-9Conference paper (Refereed)
  • 364.
    Zhou, Guang-Quan
    et al.
    Southeast University, Nanjing, China.
    Zhang, Yi
    Southeast University, Nanjing, China.
    Wang, Ruo-Li
    Karolinska Institute & Royal Institute of Technology, Stockholm.
    Zhou, Ping
    Southeast University, Nanjing, China.
    Zheng, Yong-Ping
    The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
    Tarassova, Olga
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Arndt, Anton
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control. Karolinska Institute.
    Chen, Qiang
    Southeast University, Nanjing, China.
    Automatic Myotendinous Junction Tracking in Ultrasound Images with Phase-Based Segmentation.2018In: BioMed Research International, ISSN 2314-6133, E-ISSN 2314-6141, article id 3697835Article in journal (Refereed)
    Abstract [en]

    Displacement of the myotendinous junction (MTJ) obtained by ultrasound imaging is crucial to quantify the interactive length changes of muscles and tendons for understanding the mechanics and pathological conditions of the muscle-tendon unit during motion. However, the lack of a reliable automatic measurement method restricts its application in human motion analysis. This paper presents an automated measurement of MTJ displacement using prior knowledge on tendinous tissues and MTJ, precluding the influence of nontendinous components on the estimation of MTJ displacement. It is based on the perception of tendinous features from musculoskeletal ultrasound images using Radon transform and thresholding methods, with information about the symmetric measures obtained from phase congruency. The displacement of MTJ is achieved by tracking manually marked points on tendinous tissues with the Lucas-Kanade optical flow algorithm applied over the segmented MTJ region. The performance of this method was evaluated on ultrasound images of the gastrocnemius obtained from 10 healthy subjects (26.0±2.9 years of age). Waveform similarity between the manual and automatic measurements was assessed by calculating the overall similarity with the coefficient of multiple correlation (CMC).<italic> In vivo</italic> experiments demonstrated that MTJ tracking with the proposed method (CMC = 0.97±0.02) was more consistent with the manual measurements than existing optical flow tracking methods (CMC = 0.79±0.11). This study demonstrated that the proposed method was robust to the interference of nontendinous components, resulting in a more reliable measurement of MTJ displacement, which may facilitate further research and applications related to the architectural change of muscles and tendons. [ABSTRACT FROM AUTHOR]

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  • 365.
    Åberg, Anna Cristina
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Frykberg, Gunilla Elmgren
    Halvorsen, Kjartan
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Medio-lateral stability of sit-to-walk performance in older individuals with and without fear of falling.2010In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 31, no 4, p. 438-43Article in journal (Refereed)
    Abstract [en]

    Most falls in older people are due to loss of balance during everyday locomotion, e.g., when initiating walking from sitting; sit-to-walk (STW). It has been considered that the broader stride width in walking that is seen in many people with fear of falling (FoF) does not increase stability, but could be predictive of future falls because of increased medio-lateral (ML) velocity of the body centre of mass (CoM). This study was aimed to examine step-, velocity- and stability-related parameters, focusing on ML stability, in STW performance of people with and without FoF. Ten subjects with FoF and 10 matched controls, aged > or = 70 years, were included. Kinematic and kinetic data were collected in a laboratory. Stability parameters were calculated from a formula implying that the vertical projection of the CoM extrapolated by adding its velocity times a factor radicall/g (height of inverted pendulum divided by gravity) should fall within the base of support (BoS). A related spatial margin of stability (SMoS), defined as the minimum distance from the extrapolated CoM (XCoM) to the boundaries of the BoS, was also calculated. In the phase 'seat-off-second-toe-off', the FoF group had significantly (p<0.05) shorter and broader steps, lower forward but similar ML CoM velocity, and broader CoM and XCoM widths. The FoF group therefore exhibited a disproportionately large sideways velocity compared to the controls. This indicates that STW may be a hazardous transfer for older people with FoF, which should be relevant in assessment and training aimed at preventing falls.

  • 366.
    Åberg, Anna Cristina
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Lundin-Olsson, Lillemor
    Rosendahl, Erik
    Implementation of evidence-based prevention of falls in rehabilitation units: a staff's interactive approach.2009In: Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine, ISSN 1651-2081, Vol. 41, no 13, p. 1034-40Article in journal (Refereed)
    Abstract [en]

    A well-developed patient safety culture focusing on prevention of falls will, when successfully achieved, be seen by staff, patients and their significant others as being characteristic of the organization, and will be evident in attitudes, routines and actions. Moreover, it provides potential for positive side-effects concerning organizational and clinical improvements in additional areas.

  • 367.
    Åberg, Anna Cristina
    et al.
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Thorstensson, Alf
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Tarassova, Olga
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Laboratory for Biomechanics and Motor Control.
    Halvorsen, Kjartan
    School of Technology and Health, KTH-Royal Institute of Technology, Stockholm, Sweden.
    Calculations of mechanisms for balance control during narrow and single-leg standing in fit older adults: A reliability study.2011In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 34, no 3, p. 352-7Article in journal (Refereed)
    Abstract [en]

    For older people balance control in standing is critical for performance of activities of daily living without falling. The aims were to investigate reliability of quantification of the usage of the two balance mechanisms M1 ‘moving the centre of pressure’ and M2 ‘segment acceleration’ and also to compare calculation methods based on a combination of kinetic (K) and kinematic (Km) data, (K–Km), or Km data only concerning M2. For this purpose nine physically fit persons aged 70–78 years were tested in narrow and single-leg standing. Data were collected by a 7-camera motion capture system and two force plates. Repeated measure ANOVA and Tukey's post hoc tests were used to detect differences between the standing tasks. Reliability was estimated by ICCs, standard error of measurement including its 95% CI, and minimal detectable change, whereas Pearson's correlation coefficient was used to investigate agreement between the two calculation methods. The results indicated that for the tasks investigated, M1 and M2 can be measured with acceptable inter- and intrasession reliability, and that both Km and K–Km based calculations may be useful for M2, although Km data may give slightly lower values. The proportional M1:M2 usage was approximately 9:1, in both anterio-posterior (AP) and medio-lateral (ML) directions for narrow standing, and about 2:1 in the AP and of 1:2 in the ML direction in single-leg standing, respectively. In conclusion, the tested measurements and calculations appear to constitute a reliable way of quantifying one important aspect of balance capacity in fit older people.

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