29 results on '"Mansoubi, Maedeh"'
Search Results
2. In-shoe plantar shear stress sensor design, calibration and evaluation for the diabetic foot.
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Haron, Athia H., Li, Lutong, Shuang, Jiawei, Lin, Chaofan, Dawes, Helen, Mansoubi, Maedeh, Crosby, Damian, Massey, Garry, Reeves, Neil, Bowling, Frank, Cooper, Glen, and Weightman, Andrew
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DIABETIC foot ,SHEARING force ,STRAIN gages ,AREA measurement ,COUPLINGS (Gearing) - Abstract
Plantar shear stress may have an important role in the formation of a Diabetic Foot Ulcer, but its measurement is regarded as challenging and has limited research. This paper highlights the importance of anatomical specific shear sensor calibration and presents a feasibility study of a novel shear sensing system which has measured in-shoe shear stress from gait activity on both healthy and diabetic subjects. The sensing insole was based on a strain gauge array embedded in a silicone insole backed with a commercial normal pressure sensor. Sensor calibration factors were investigated using a custom mechanical test rig with indenter to exert both normal and shear forces. Indenter size and location were varied to investigate the importance of both loading area and position on measurement accuracy. The sensing insole, coupled with the calibration procedure, was tested one participant with diabetes and one healthy participant during two sessions of 15 minutes of treadmill walking. Calibration with different indenter areas (from 78.5 mm
2 to 707 mm2 ) and different positions (up to 40 mm from sensor centre) showed variation in measurements of up to 80% and 90% respectively. Shear sensing results demonstrated high repeatability (>97%) and good accuracy (mean absolute error < ±18 kPa) in bench top mechanical tests and less than 21% variability within walking of 15-minutes duration. The results indicate the importance of mechanical coupling between embedded shear sensors and insole materials. It also highlights the importance of using an appropriate calibration method to ensure accurate shear stress measurement. The novel shear stress measurement system presented in this paper, demonstrates a viable method to measure accurate and repeatable in-shoe shear stress using the calibration procedure described. The validation and calibration methods outlined in this paper could be utilised as a standardised approach for the research community to develop and validate similar measurement technologies. [ABSTRACT FROM AUTHOR]- Published
- 2024
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3. The effect of calcaneus and metatarsal head offloading insoles on healthy subjects' gait kinematics, kinetics, asymmetry, and the implications for plantar pressure management: A pilot study.
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Shuang, Jiawei, Haron, Athia, Massey, Garry, Mansoubi, Maedeh, Dawes, Helen, Bowling, Frank L., Reeves, Neil D., Weightman, Andrew, and Cooper, Glen
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FOOT ,ANKLE ,KINEMATICS ,HEEL bone ,MOTION capture (Human mechanics) ,DIABETIC foot ,PEOPLE with diabetes - Abstract
Background: The global number of people with diabetes is estimated to reach 643 million by 2030 of whom 19–34% will present with diabetic foot ulceration. Insoles which offload high-risk ulcerative regions on the foot, by removing insole material, are the main contemporary conservative treatment to maintain mobility and reduce the likelihood of ulceration. However, their effect on the rest of the foot and relationship with key gait propulsive and balance kinematics and kinetics has not been well researched. Purpose: The aim of this study is to investigate the effect of offloading insoles on gait kinematics, kinetics, and plantar pressure throughout the gait cycle. Methods: 10 healthy subjects were recruited for this experiment to walk in 6 different insole conditions. Subjects walked at three speeds on a treadmill for 10 minutes while both plantar pressure and gait kinematics, kinetics were measured using an in-shoe pressure measurement insole and motion capture system/force plates. Average peak plantar pressure, pressure time integrals, gait kinematics and centre of force were analysed. Results: The average peak plantar pressure and pressure time integrals changed by -30% (-68% to 3%) and -36% (-75% to -1%) at the region of interest when applying offloading insoles, whereas the heel strike and toe-off velocity changed by 15% (-6% to 32%) and 12% (-2% to 19%) whilst walking at three speeds. Conclusion: The study found that offloading insoles reduced plantar pressure in the region of interest with loading transferred to surrounding regions increasing the risk of higher pressure time integrals in these locations. Heel strike and toe-off velocities were increased under certain configurations of offloading insoles which may explain the higher plantar pressures and supporting the potential of integrating kinematic gait variables within a more optimal therapeutic approach. However, there was inter-individual variability in responses for all variables measured supporting individualised prescription. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Sedentary behaviour and physical activity in adults : measurement and behaviour change
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Mansoubi, Maedeh
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613 ,Sedentary behaviour ,Physical activity ,Objective measurement ,Adults - Abstract
The increasing evidence of associations between sedentary behaviour and low levels of physical activity in adults and both immediate and long term health implications is of public health concern. There is a need to further our understanding of adult's health behaviours, to facilitate the development of behaviour change strategies promoting healthy behaviours. This thesis provides four independent but interlinked studies focusing on adult s sedentary behaviour and physical activity in the context of measurement and behaviour change. Chapter 1 provides an introduction to the thesis where the scene is set for the placement of the studies in this thesis in the field of sedentary behaviour, physical activity, and measurement methods. Chapter 2 describes a systematic review of the relationship between sedentary behaviour and physical activity in adults. This systematic review is of primary importance as it was instrumental in shaping and informing the direction of the research described in later chapters. Chapter 3 describes a laboratory study investigating the measurement of energy expenditure during common sitting and standing tasks and also examines the 1.5 MET definition of sedentary behaviour. This study provides evidence that the 1.5 MET threshold for sedentary behaviours seems reasonable however some sitting-based activities may be classified as non-sedentary in people of differing weight status. This study raised some important questions on the validity of objective measurement devices for differentiating between sitting and standing postures. Thus, Chapter 4 of this thesis describes a laboratory study investigating the validity of the ActiGraph inclinometer algorithms for differentiating between sitting and standing postures. Chapter 5 is an intervention investigating sedentary behavior and physical activity compensation outside working hours in a sample of office workers exposed to sit-to-stand desks in the workplace. This thesis found that light physical activity, especially standing, could be one of the most efficient and feasible behaviours to replace sedentary behaviour. Such findings add considerably to the existing literature. Targeting such facets of adults behaviour and specially office workers holds great potential for behaviour change strategies.
- Published
- 2015
5. The MoXFo Initiative: Using consensus methodology to move forward towards internationally shared vocabulary in multiple sclerosis exercise research
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Mansoubi, Maedeh, primary, Learmonth, Yvonne Charlotte, additional, Mayo, Nancy, additional, Collet, Johnny, additional, and Dawes, Helen, additional
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- 2023
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6. The Extent of Evidence Supporting the Effectiveness of Extended Reality Telerehabilitation on Different Qualitative and Quantitative Outcomes in Stroke Survivors: A Systematic Review
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Lazem, Hatem, primary, Hall, Abi, additional, Gomaa, Yasmine, additional, Mansoubi, Maedeh, additional, Lamb, Sallie, additional, and Dawes, Helen, additional
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- 2023
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7. The Effect of a Physical Exercise Package on the Motor Proficiency of Students with Down Syndrome
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Kashi, Ali, primary, Dawes, Helen, additional, Mansoubi, Maedeh, additional, and Sarlak, Zahra, additional
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- 2023
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8. The MoXFo Initiative : using consensus methodology to move forward towards internationally shared vocabulary in multiple sclerosis exercise research
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Mansoubi, Maedeh, Learmonth, Yvonne Charlotte, Mayo, Nancy, Collet, Johnny, Dawes, Helen, Mansoubi, Maedeh, Learmonth, Yvonne Charlotte, Mayo, Nancy, Collet, Johnny, and Dawes, Helen
- Abstract
Background: Multiple sclerosis (MS) exercise terminology lacks consistency across disciplines, hindering research synthesis. Objective: The ‘Moving exercise research in MS forward initiative’ (MoXFo) aims to establish agreed definitions for key MS exercise terms. Methods: The Lexicon development methodology was employed. A three-step process identified key exercise terminology for people with multiple sclerosis (pwMS): (1) consensus and systematic review, (2) Delphi round 1 and consideration of existing definitions and (3) Delphi round 2 for consensus among MoXFo steering group and exercise experts. Final definitions and style harmonisation were agreed upon. Results: The two-stage Delphi process resulted in the selection and scoring of 30 terminology definitions. The agreement was 100% for resistance exercise, balance and physical activity. Most terms had agreement >75%, but ‘posture’ (60%) and ‘exercise’ (65%) had a lower agreement. Conclusion: This study identified key terms and obtained agreement on definitions for 30 terms. The variability in agreement for some terms supports the need for clearly referencing or defining terminology within publications to enable clear communication across disciplines and to support precise synthesis and accurate interpretation of research.
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- 2023
9. The development and evaluation of virtual reality-based training on performance and rehabilitation outcomes
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Aminalsharieh Najafi, Ali, Aminalsharieh Najafi, Ali, Delextrat, Anne, Mansoubi, Maedeh, Dawes, Helen, Aminalsharieh Najafi, Ali, Aminalsharieh Najafi, Ali, Delextrat, Anne, Mansoubi, Maedeh, and Dawes, Helen
- Abstract
Sports injuries are types of injuries that usually occur during sports, training, or exercise. Sports injuries often result from poor training methods, inappropriate equipment, lack of fitness, insufficient warm-up, and trauma (Salerno, 2009). Knee injuries are considered one of the most common injuries in athletes and include a large part of the cost of medical care for sports injuries (Loes et al., 2000; Sancheti et al., 2010). The ACL is the most common knee ligament injury in rugby, soccer, ski, volleyball, gymnastics, and basketball players due to quick deceleration movements such as landing, pivoting, cutting, and changing direction in these sports. Despite increased knowledge of ACL injury mechanisms, rehabilitation programmes and surgical techniques, the rates of return-to-sport (RTS) and the subsequent ACL re-injury after ACL reconstruction (ACLR) are not optimal (Buckthorpe, 2019). Therefore, rehabilitation plays a significant role in helping athletes return to sports activities, and inappropriate rehabilitation can even devastate a satisfactory ACLR (Wright et al., 2015). This dissertation consists of two studies, including a systematic review in Chapter 2 that explores the research conducted on the application of immersive technologies for improving the outcome of the rehabilitation phases after ACL reconstruction and examines the correlation between virtual reality, rehabilitation, exercise therapy, and sport-related ACL injuries in patients. The second study in Chapter 3 validates the Microsoft Azure Kinect camera for body tracking of dynamic movements against the gold standard Qualisys system. The findings indicated that VR-based systems could be a considerable alternative to real-world training to improve certain aspects of athletic performance because immersive technologies effectively offer a tool to control virtual environmental features. Finally, immersive technologies and VR-based systems are still in their infancy and will need considerable imp
- Published
- 2023
10. Accuracy of a computer vision system for estimating biomechanical measures of body function in axial spondyloarthropathy patients and healthy subjects.
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Cronin, Neil J, Mansoubi, Maedeh, Hannink, Erin, Waller, Benjamin, and Dawes, Helen
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RELATIVE medical risk , *TELEREHABILITATION , *STATISTICS , *RESEARCH , *CONFIDENCE intervals , *FUNCTIONAL status , *RESEARCH methodology evaluation , *CROSS-sectional method , *PHYSICAL therapy , *ARTIFICIAL intelligence , *MANN Whitney U Test , *SPONDYLOARTHROPATHIES , *T-test (Statistics) , *PEARSON correlation (Statistics) , *RESEARCH funding , *DESCRIPTIVE statistics , *BIOMECHANICS , *BODY mass index , *DATA analysis , *STATISTICAL correlation , *ALGORITHMS - Abstract
Objective: Advances in computer vision make it possible to combine low-cost cameras with algorithms, enabling biomechanical measures of body function and rehabilitation programs to be performed anywhere. We evaluated a computer vision system's accuracy and concurrent validity for estimating clinically relevant biomechanical measures. Design: Cross-sectional study. Setting: Laboratory. Participants: Thirty-one healthy participants and 31 patients with axial spondyloarthropathy. Intervention: A series of clinical functional tests (including the gold standard Bath Ankylosing Spondylitis Metrology Index tests). Each test was performed twice: the first performance was recorded with a camera, and a computer vision algorithm was used to estimate variables. During the second performance, a clinician measured the same variables manually. Main measures: Joint angles and inter-limb distances. Clinician measures were compared with computer vision estimates. Results: For all tests, clinician and computer vision estimates were correlated (r 2 values: 0.360–0.768). There were no significant mean differences between methods for shoulder flexion (left: 2 ± 14° (mean ± standard deviation), t = 0.99, p < 0.33; right: 3 ± 15°, t = 1.57, p < 0.12), side flexion (left: − 0.5 ± 3.1 cm, t = −1.34, p = 0.19; right: 0.5 ± 3.4 cm, t = 1.05, p = 0.30) and lumbar flexion (− 1.1 ± 8.2 cm, t = −1.05, p = 0.30). For all other movements, significant differences were observed, but could be corrected using a systematic offset. Conclusion: We present a computer vision approach that estimates distances and angles from clinical movements recorded with a phone or webcam. In the future, this approach could be used to monitor functional capacity and support physical therapy management remotely. [ABSTRACT FROM AUTHOR]
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- 2023
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11. Validity and feasibility of remote measurement systems for functional movement and posture assessments in people with axial spondylarthritis
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Hannink, Erin, primary, Mansoubi, Maedeh, additional, Cronin, Neil, additional, Wilkins, Benjamin, additional, Najafi, Ali A., additional, Waller, Benjamin, additional, and Dawes, Helen, additional
- Published
- 2022
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12. sj-docx-1-cre-10.1177_02692155221150133 - Supplemental material for Accuracy of a computer vision system for estimating biomechanical measures of body function in axial spondyloarthropathy patients and healthy subjects
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Cronin, Neil J, Mansoubi, Maedeh, Hannink, Erin, Waller, Benjamin, and Dawes, Helen
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FOS: Clinical medicine ,110604 Sports Medicine ,FOS: Health sciences ,110904 Neurology and Neuromuscular Diseases ,110314 Orthopaedics - Abstract
Supplemental material, sj-docx-1-cre-10.1177_02692155221150133 for Accuracy of a computer vision system for estimating biomechanical measures of body function in axial spondyloarthropathy patients and healthy subjects by Neil J Cronin, Maedeh Mansoubi, Erin Hannink, Benjamin Waller and Helen Dawes in Clinical Rehabilitation
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- 2023
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13. The relationship between sedentary behaviour and physical activity in adults: A systematic review
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Mansoubi, Maedeh, Pearson, Natalie, Biddle, Stuart J.H., and Clemes, Stacy
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- 2014
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14. Dietary Patterns and Nonmotor Symptoms in Parkinson's Disease: A Cross-Sectional Analysis.
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Lawrie, Sophie, Coe, Shelly, Mansoubi, Maedeh, Welch, Jessica, Razzaque, Jamil, Hu, Michele T., and Dawes, Helen
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Evidence-based treatment for nonmotor symptoms in Parkinson's disease (PD) is limited. Lifestyle-based improvements including dietary changes may be a potential management strategy. The intent of this research was to investigate the extent to which 3 dietary indices (Mediterranean-DASH Diet Intervention for Neurodegenerative Delay [MIND], Dietary Inflammation Index [DII], and Healthy Diet Indicator [HDI-2020]) are associated with overall and individual nonmotor symptom severity among individuals with PD. An exploratory cross-sectional analysis of dietary (food frequency questionnaire) and clinical data was undertaken, including measures of overall nonmotor symptom severity, such as fatigue, depression, anxiety, apathy, sleep problems, daytime sleepiness, and cognitive impairment. The relationship between each dietary score and symptom outcome was assessed by linear regression for continuous variables and through general linear model analysis for tertiles of dietary adherence. None of the dietary indices significantly predicted the total nonmotor symptom severity score. The HDI predicted a significant decrease in fatigue scores as measured by the NeuroQoL fatigue item (standardized β = −.19, p = 0.022), after adjusting for age, sex, energy intake, years since diagnosis, physical activity level, education, and smoking. Self-reported depression symptoms reduced by.17 (standardized β) for each unit increase in HDI score (p = 0.035), after controlling for age, gender, energy intake, and years since diagnosis. No other significant associations were evident between dietary scores and any other nonmotor symptoms. Our results indicate that fatigue and depression in PD may be modified by diet; however, more research is needed using a larger sample to replicate these findings. Supplemental data for this article is available online at https://doi.org/10.1080/07315724.2022.2056544. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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15. An investigation into the relationship between nutritional status, dietary intake, symptoms and health-related quality of life in children and young people with juvenile idiopathic arthritis: a systematic review and meta-analysis
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Zare, Najmeh, Mansoubi, Maedeh, Coe, Shelly, Aminalsharieh Najafi, Ali, Bailey, Kathryn, Harrison, Kathryn, Sheehan, Joanna, Dawes, Helen, and Barker, Karen
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Pediatrics, Perinatology and Child Health - Abstract
Background The association between diet, symptoms and health related quality of life in children and young people with Juvenile idiopathic arthritis (JIA) is not clearly understood. The objectives of this systematic review and meta-analysis were to explore the evidence for a relationship between nutritional status, dietary intake, arthritis symptoms, disease activity and health-related quality of life in children and young people with JIA considering both observational and interventional studies separately. Method The databases PubMed, CINAHL, PsycINFO, Web of Science and Cochrane were searched in October 2019, updated in September 2020 and October 2021. Searches were restricted to English language, human and age (2–18 years old). Studies were included if they measured the effect of dietary supplements, vitamins or minerals, or diet in general, on quality of life and/ or arthritis symptom management. Two researchers independently screened titles and abstracts. Full texts were sourced for relevant articles. PRISMA guidelines were used for extracting data. For variables (vitamin D and disease activity), a random-effects meta-analysis model was performed. Two authors using a standardized data extraction form, extracted data independently. Results 11,793 papers were identified through database searching, 26 studies met our inclusion criteria with 1621 participants. Overall studies quality were fair to good. Results from controlled trial and case control studies with total 146 JIA patients, found that Ɯ-3 PUFA improved the mean active joint count (p p p p = 0.029). Conclusions We were only able to include small studies, of lower design hierarchy, mainly pilot studies. We found some evidence of lower height and weight across studies in JIA, but were unable to confirm an association between diet, symptoms and health-related quality of life in children and young people with JIA. Well-designed, carefully measured and controlled interventional studies of dietary patterns in combination with important contributing factors such as medication and lifestyle behaviours, including physical activity, are required to determine the impact of diet in improving symptoms and growth patterns in children and young people with JIA, with an aim to improve the quality of their life. Trial registration PROSPERO [CRD42019145587].
- Published
- 2022
16. Dietary Patterns and Nonmotor Symptoms in Parkinson’s Disease: A Cross-Sectional Analysis
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Lawrie, Sophie, primary, Coe, Shelly, additional, Mansoubi, Maedeh, additional, Welch, Jessica, additional, Razzaque, Jamil, additional, Hu, Michele T., additional, and Dawes, Helen, additional
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- 2022
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17. An investigation into the relationship between dietary intake, symptoms and health- related quality of life in children and young people with juvenile idiopathic arthritis: A systematic review and meta-analysis
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Zare, Najmeh, primary, Mansoubi, Maedeh, additional, Coe, Shelly, additional, Najafi, Ali Aminalsharieh, additional, Bailey, Kathryn, additional, Harrison, Kathryn, additional, Sheehan, Joanna, additional, Dawes, Helen, additional, and Barker, Karen, additional
- Published
- 2022
- Full Text
- View/download PDF
18. Dietary patterns and non-motor symptoms in Parkinson’s : a cross-sectional analysis
- Author
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Lawrie, Sophie, Coe, Shelly, Mansoubi, Maedeh, Welch, Jessica, Razzaque, Jamil, Hu, Michele T., and Dawes, Helen
- Abstract
Objective: Evidence-based treatment for non-motor symptoms in Parkinson’s (PD) is limited. Lifestyle-based improvements including dietary changes may be a potential management strategy. To investigate the extent to which three dietary indices (Mediterranean-DASH Diet Intervention for Neurodegenerative Delay (MIND), Dietary Inflammation Index (DII), and Healthy Diet Indicator (HDI-2020) are associated with overall and individual non-motor symptom severity amongst individuals with Parkinson’s. Methods: An exploratory cross-sectional analysis of dietary (food frequency questionnaire) and clinical data, including measures of overall non-motor symptom severity, including fatigue, depression, anxiety, apathy, sleep problems, daytime sleepiness, and cognitive impairment. The relationship between each dietary score and symptom outcome were assessed by linear regression for continuous variables and through general linear model analysis for tertiles of dietary adherence. Results: None of the dietary indices significantly predicted the total non-motor symptom severity score. The HDI predicted a significant decrease in fatigue scores as measured by the NeuroQol fatigue item (standardised β= - .19, p= .022), after adjusting for age, gender, energy intake, years diagnosed, physical activity level, education, and smoking. Self-reported depression symptoms reduced by .17 (standardised β) for each unit increase in HDI score (p= .035), after controlling for age, gender, energy intake and years diagnosed. No other significant associations were evident between dietary scores and any other non-motor symptoms. Conclusion: Our results indicate that fatigue and depression in Parkinson’s may be modified by diet; however more research is needed using a larger sample to replicate these findings.
- Published
- 2022
19. Computer-vision aided functional movement measurement in people with and without axial spondyloarthritis – validation and feasibility study protocol
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Hannink, Erin, primary, Mansoubi, Maedeh, additional, Cronin, Neil, additional, Waller, Benjamin, additional, and Dawes, Helen, additional
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- 2021
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20. Using Sit-to-Stand Workstations in Offices: Is There a Compensation Effect?
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MANSOUBI, MAEDEH, PEARSON, NATALIE, BIDDLE, STUART J. H., and CLEMES, STACY A.
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- 2016
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21. Physical Activity and Fatigue in Multiple Sclerosis: Secondary Outcomes from a Double-blinded Randomized Controlled Trial of Cocoa Flavonoid Drinks
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Mansoubi, Maedeh, primary, Coe, Shelly, additional, Cossington, Jo, additional, Collet, Johnny, additional, Clegg, Miriam, additional, Palace, Jacqueline, additional, Cavey, Ana, additional, DeLuca, Gabriele C, additional, Ovington, Martin, additional, and Dawes, Helen, additional
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- 2021
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22. Evaluating of the Axivity accelerometers algorithm in measurement of physical activity intensity in boys and girls
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Mansoubi, Maedeh, primary, Esser, Patrick, additional, Meaney, Andy, additional, Metz, Renske, additional, Beunder, Kyle, additional, and Dawes, Helen, additional
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- 2019
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23. Cognitive Performance, Quality and Quantity of Movement Reflect Psychological Symptoms in Adolescents.
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Mansoubi, Maedeh, Weedon, Benjamin David, Esser, Patrick, Mayo, Nancy, Fazel, Mina, Wade, Will, Ward, Tomas E., Kemp, Steve, Delextrat, Anne, and Dawes, Helen
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- *
ALEXITHYMIA , *ANALYSIS of variance , *COGNITIVE testing , *DIAGNOSIS , *GAIT in humans , *HIGH schools , *REACTION time , *STATISTICS , *DATA analysis , *BODY movement , *ACCELEROMETRY , *CROSS-sectional method , *PHYSICAL activity , *ADOLESCENCE - Abstract
The presentation of unhealthy psychological symptoms are rising sharply in adolescents. Detrimental lifestyle behaviours are proposed as both possible causes and consequences. This study set out to compare selected measures of quality and quantity of movement between adolescents with and without unhealthy psychological symptoms. Using a cross sectional design, 96 participants completed the study from a whole year group of 166, age (13.36 ± 0.48) male 50.6% from a secondary school in Oxfordshire, England as a part of a larger study (EPIC) between January and April 2018. Measures were taken of quality and quantity of movement: reaction/movement time, gait pattern & physical activity, alongside psychological symptoms. Differences in movement behaviour in relation to psychological symptom and emotional problem presentation were determined using ANOVA. In the event of a significant result for the main factor of each parameter, a Bonferroni -corrected post hoc test was conducted to show the difference between categories in each group. Results for both unhealthy psychological symptoms and emotional problems were grouped into four categories ('Close to average', 'slightly raised', 'high' and 'very high'). Early adolescents with very high unhealthy psychological symptoms had 16.79% slower reaction times (p = 0.003, ηp2 = 0.170), 13.43% smaller walk ratio (p = 0.007, ηp2 = 0.152), 7.13% faster cadence (p = 0.005, ηp2 = 0.149), 6.95% less step time (p = 0.007, ηp2 = 0.153) and 1.4% less vigorous physical activity (p = 0.04, ηp2 = 0.102) than children with close to average psychological symptoms. Early adolescents with very high emotional problems had 12.25% slower reaction times (p = 0.05, ηp2 = 0.081), 10.61% smaller walk ratio (p = 0.02, ηp2 = 0.108), 6.03% faster cadence (p = 0.01, ηp2 = 0.134), 6.07% shorter step time (p = 0.007, ηp2 = 0.141) and 1.78% less vigorous physical activity (p = 0.009, ηp2 = 0.136) than children with close to average emotional problems. Different movement quality and quantity of was present in adolescents with unhealthy psychological symptoms and emotional problems. We propose movement may be used to both monitor symptoms, and as a novel therapeutic behavioural approach. Further studies are required to confirm our findings. [ABSTRACT FROM AUTHOR]
- Published
- 2020
24. Energy expenditure during common sitting and standing tasks: examining the 1.5 MET definition of sedentary behaviour
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Mansoubi, Maedeh, primary, Pearson, Natalie, additional, Clemes, Stacy A, additional, Biddle, Stuart JH, additional, Bodicoat, Danielle H, additional, Tolfrey, Keith, additional, Edwardson, Charlotte L, additional, and Yates, Thomas, additional
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- 2015
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25. EvolvRehab-MoveWell telerehabilitation for stroke survivors: study protocol for a feasibility with embedded initial proof-of-concept study.
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Perks J, McBride P, Mansoubi M, Clatworthy P, Hulme C, Taylor G, Warner M, and Dawes H
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- Humans, Proof of Concept Study, Upper Extremity physiopathology, Stroke physiopathology, Stroke Rehabilitation methods, Telerehabilitation methods, Feasibility Studies
- Abstract
Introduction: Stroke is a leading cause of disability throughout the world. Unilateral upper limb impairment is common in people who have had a stroke. As a result of impaired upper limb function, people who have had a stroke often employ abnormal 'compensatory' movements. In the short term, these compensatory movements allow the individual to complete tasks, though long-term movement in this manner can lead to limitations. Telerehabilitation offers the provision of rehabilitation services to patients at a remote location using information and communication technologies. 'EvolvRehab' is one such telerehabilitation system, which uses activities to assess and correct compensatory upper body movements, although the feasibility of its use is yet to be determined in National Health Service services. Using EvolvRehab, we aim to assess the feasibility of 6 weeks telerehabilitation in people after a stroke., Methods and Analysis: A multisite feasibility study with embedded design phase. Normally distributed data will be analysed using paired samples t-tests; non-normally distributed data will be analysed using related samples Wilcoxon signed rank tests. Thematic content analysis of interview transcripts will be used to investigate the usability and perceived usefulness of the EvolvRehab kit., Ethics and Dissemination: This study has received ethical approval from Solihull Research Ethics Committee (REC reference: 23/WM/0054). Dissemination will be carried out according to the dissemination plan co-written with stroke survivors, including academic publications and presentations; written reports; articles in publications of stakeholder organisations; presentations to and publications for potential customers., Trial Registration Number: NCT05875792., Competing Interests: Competing interests: All authors receive salary funding for his/her work on a company-led but UK government-funded project supporting the development and evaluation of EvolvRehab for NHS use. HD also receives funding from the National Institute for Health and Care Research Exeter Biomedical Research Centre., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2024
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26. The MoXFo Initiative: Using consensus methodology to move forward towards internationally shared vocabulary in multiple sclerosis exercise research.
- Author
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Mansoubi M, Learmonth YC, Mayo N, Collet J, and Dawes H
- Subjects
- Humans, Consensus, Vocabulary, Delphi Technique, Exercise, Multiple Sclerosis
- Abstract
Background: Multiple sclerosis (MS) exercise terminology lacks consistency across disciplines, hindering research synthesis., Objective: The 'Moving exercise research in MS forward initiative' (MoXFo) aims to establish agreed definitions for key MS exercise terms., Methods: The Lexicon development methodology was employed. A three-step process identified key exercise terminology for people with multiple sclerosis (pwMS): (1) consensus and systematic review, (2) Delphi round 1 and consideration of existing definitions and (3) Delphi round 2 for consensus among MoXFo steering group and exercise experts. Final definitions and style harmonisation were agreed upon., Results: The two-stage Delphi process resulted in the selection and scoring of 30 terminology definitions. The agreement was 100% for resistance exercise, balance and physical activity. Most terms had agreement >75%, but 'posture' (60%) and 'exercise' (65%) had a lower agreement., Conclusion: This study identified key terms and obtained agreement on definitions for 30 terms. The variability in agreement for some terms supports the need for clearly referencing or defining terminology within publications to enable clear communication across disciplines and to support precise synthesis and accurate interpretation of research., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
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- 2023
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27. Digital home monitoring for capturing daily fluctuation of symptoms; a longitudinal repeated measures study: Long Covid Multi-disciplinary Consortium to Optimise Treatments and Services across the NHS (a LOCOMOTION study).
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Mansoubi M, Dawes J, Bhatia A, Vashisht H, Collett J, Greenwood DC, Ezekiel L, O'Connor D, Leveridge P, Rayner C, Read F, Sivan M, Tuckerbell I, Ward T, Delaney B, Muhlhausen W, and Dawes H
- Subjects
- Humans, State Medicine, Post-Acute COVID-19 Syndrome, Prospective Studies, Research Design, COVID-19 therapy
- Abstract
Introduction: A substantial proportion of COVID-19 survivors continue to have symptoms more than 3 months after infection, especially of those who required medical intervention. Lasting symptoms are wide-ranging, and presentation varies between individuals and fluctuates within an individual. Improved understanding of undulation in symptoms and triggers may improve efficacy of healthcare providers and enable individuals to better self-manage their Long Covid. We present a protocol where we aim to develop and examine the feasibility and usability of digital home monitoring for capturing daily fluctuation of symptoms in individuals with Long Covid and provide data to facilitate a personalised approach to the classification and management of Long Covid symptoms., Methods and Analysis: This study is a longitudinal prospective cohort study of adults with Long Covid accessing 10 National Health Service (NHS) rehabilitation services in the UK. We aim to recruit 400 people from participating NHS sites. At referral to study, 6 weeks and 12 weeks, participants will complete demographic data (referral to study) and clinical outcome measures, including ecological momentary assessment (EMA) using personal mobile devices. EMA items are adapted from the COVID-19 Yorkshire Rehabilitation Scale items and include self-reported activities, symptoms and psychological factors. Passive activity data will be collected through wrist-worn sensors. We will use latent class growth models to identify trajectories of experience, potential phenotypes defined by co-occurrence of symptoms and inter-relationships between stressors, symptoms and participation in daily activities. We anticipate that n=300 participants provide 80% power to detect a 20% improvement in fatigue over 12 weeks in one class of patients relative to another., Ethics and Dissemination: The study was approved by the Yorkshire & The Humber-Bradford Leeds Research Ethics Committee (ref: 21/YH/0276). Findings will be disseminated in peer-reviewed publications and presented at conferences., Trial Registration Number: ISRCTN15022307., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
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- 2023
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28. Evidence for the Efficacy of Commercially Available Wearable Biofeedback Gait Devices: Consumer-Centered Review.
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Mate KKV, Abou-Sharkh A, Mansoubi M, Alosaimi A, Dawes H, Michael W, Stanwood O, Harding S, Gorenko D, and Mayo NE
- Abstract
Background: The number of wearable technological devices or sensors that are commercially available for gait training is increasing. These devices can fill a gap by extending therapy outside the clinical setting. This was shown to be important during the COVID-19 pandemic when people could not access one-on-one treatment. These devices vary widely in terms of mechanisms of therapeutic effect, as well as targeted gait parameters, availability, and strength of the evidence supporting the claims., Objective: This study aimed to create an inventory of devices targeting improvement in gait pattern and walking behavior and identify the strength of the evidence underlying the claims of effectiveness for devices that are commercially available to the public., Methods: As there is no systematic or reproducible way to identify gait training technologies available to the public, we used a pragmatic, iterative approach using both the gray and published literature. Four approaches were used: simple words, including some suggested by laypersons; devices endorsed by condition-specific organizations or charities; impairment-specific search terms; and systematic reviews. A findable list of technological devices targeting walking was extracted separately by 3 authors. For each device identified, the evidence for efficacy was extracted from material displayed on the websites, and full-text articles were obtained from the scientific databases PubMed, Ovid MEDLINE, Scopus, or Google Scholar. Additional information on the target population, mechanism of feedback, evidence for efficacy or effectiveness, and commercial availability was obtained from the published material or websites. A level of evidence was assigned to each study involving the device using the Oxford Centre for Evidence-Based Medicine classification. We also proposed reporting guidelines for the clinical appraisal of devices targeting movement and mobility., Results: The search strategy for this consumer-centered review yielded 17 biofeedback devices that claim to target gait quality improvement through various sensory feedback mechanisms. Of these 17 devices, 11 (65%) are commercially available, and 6 (35%) are at various stages of research and development. Of the 11 commercially available devices, 4 (36%) had findable evidence for efficacy potential supporting the claims. Most of these devices were targeted to people living with Parkinson disease. The reporting of key information about the devices was inconsistent; in addition, there was no summary of research findings in layperson's language., Conclusions: The amount of information that is currently available to the general public to help them make an informed choice is insufficient, and, at times, the information presented is misleading. The evidence supporting the effectiveness does not cover all aspects of technology uptake. Commercially available technologies help to provide continuity of therapy outside the clinical setting, but there is a need to demonstrate effectiveness to support claims made by the technologies., (©Kedar K V Mate, Ahmed Abou-Sharkh, Maedeh Mansoubi, Aeshah Alosaimi, Helen Dawes, Wright Michael, Olivia Stanwood, Sarah Harding, Daniel Gorenko, Nancy E Mayo. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org), 19.04.2023.)
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- 2023
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29. The Effect of an Exercise Package for Students with Intellectual Disability on Motor and Social Development.
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Kashi A, Dawes H, Mansoubi M, and Sarlak Z
- Abstract
Objectives: Physical activity and reducing inactivity improve health and well-being and benefit young people's social development with an intellectual disability (ID) lasting into adulthood. Therefore, given the importance of encouraging an active lifestyle in adolescents, researchers developed and evaluated the feasibility and potential effect of a novel "Sport Science Research Institute (SSRI) exercise package for young people with intellectual disability" to improve the motor and social development of these individuals., Materials & Methods: In a Randomised controlled trial between October 2019 to February-2020, Thirty-six 7-18-year-old students with mild intellectual disabilities who were studying in a special school in Tehran received the invitation to the study. Students were randomly divided into intervention (18 students) and control (18 students) groups. Before and after the exercise program, three sessions per week for 12 weeks, motor proficiency was measured using the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2), and social development was measured using the Vineland Social Maturity Scale (VSMS)., Results: Pupils in the intervention group completed 92% of the sessions. The results of the ANCOVA test showed that the exercise program led to a statistically significant improvement in total motor proficiency (P<0.01) and total social maturity score (P<0.015)., Conclusion: According to this study, the SSRI training package achieved good adherence and increased physical activity and showed the potential to improve motor and social skills in young people with an intellectual disability., Competing Interests: None
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- 2023
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