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Study aim: The foot has region-specific biomechanical functions for absorbing shock, however, the effects of walking speed on plantar forces in the foot regions are unknown. The purpose of this study was to investigate the measurement repeatability and changes of regional (forefoot, midfoot, and rearfoot) plantar force by a triple-sensor wireless insole by gait speed modifications during treadmill walking.

Light touch contact of the fingertip reduces postural sway. The light touch effect was confirmed in several postural orientations. However, the effect on postural control in the crouching posture remains unclear. This study investigated the effect of a light fingertip touch on the perturbation of the center of pressure in bipedal standing and crouching. Twenty-two healthy participants engaged in eight postural control tasks: standing/crouching (Posture) × eyes opened/eyes closed (Vision) × light touch/no touch (Touch). The total trajectory length and root-mean-square of the center of pressure in the anterior-posterior and medio-lateral directions were analyzed. Light touch reduced the sway of the center of pressure in both the standing and crouching postures, particularly in the anterior-posterior direction. Furthermore, the touch effect on the sway of the center of pressure varied between the standing and crouching postures. Consistent effects were observed in the anterior-posterior direction, but differing effects were observed in the medio-lateral direction. These results indicate that somatosensory input from the fingertip reduces postural sway in both directions in a crouched posture. Variations of the center of pressure disturbances in the medio-lateral direction could originate from differences in postural strategies involving the ankle and hip joints between bipedal standing and crouching positions.

Clinical walk tests may not predict the development of frailty in healthy older adults. With advancements in wearable technology, it may be possible to predict the development of frailty using loading asymmetry parameters during clinical walk tests. This prospective cohort study aimed to test the hypothesis that increased limb loading asymmetry predicts frailty risk in community-living older adults. Sixty-three independently ambulant community-living adults aged ≥ 65 years were recruited, and forty-seven subjects completed the ten-month follow-up after baseline. Loading asymmetry index of net and regional (forefoot, midfoot, and rearfoot) plantar forces were collected using force sensing insoles during a 10 m walk test with their maximum speed. Development of frailty was defined if the participant progressed from baseline at least one grading group of frailty at the follow-up period using the Kihon Checklist. Fourteen subjects developed frailty during the follow-up period. Increased risk of frailty was associated with each 1% increase in loading asymmetry of net impulse (Odds ratio 1.153, 95%CI 1.001 to 1.329). Net impulse asymmetry significantly correlated with asymmetry of peak force in midfoot force. These results indicate the feasibility of measuring plantar forces of gait during clinical walking tests and underscore the potential of using load asymmetry as a tool to augment frailty risk assessment in community-dwelling older adults.

Background: Previous studies have reported that clinical walk tests could not detect differences between fallers and non-fallers in older adults. With advancements in wearable technology, it may be possible to assess differences in loading parameters in clinical settings using portable data collection methods., Research Question: The purpose of this study was to determine if wearable sensors (loadsol®) are reliable for assessing asymmetry of contact time, peak force, loading rate (LR), and impulse in older adults and determine if the insole can detect differences in these parameters between fallers and non-fallers during walking., Methods: Fifty-five older adults (74.1 ± 6.1 years) walked at their maximum speed on a flat floor. Force data were collected from insoles (100 Hz) during a 10-m walk test. To assess reliability, an intraclass correlation coefficient [ICC(2,k)] was generated for each asymmetry variable. To determine differences between fallers and non-fallers, analysis of covariance (ANCOVA; covariate: body mass index) was completed for each variable., Results: The ICC of peak force asymmetry (PFA) was 0.942, but other ICCs were less than 0.75. The ANCOVA results indicate that the loadsol® can detect differences in PFA between fallers and non-fallers. The PFA was significantly greater in fallers than in non-fallers., Significance: The ability to collect force data while walking using loadsol® has the potential to broaden the research questions investigated, explore clinical applications, and increase generalizability., Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest associated with this study., (Copyright © 2023 Elsevier B.V. All rights reserved.)

We studied the spatiotemporal variations in 134 Cs, 137 Cs, and 228 Ra concentrations at the sea surface off southeastern Hokkaido, Japan (off-Doto region) from 2018 to 2022 using low-background γ-spectrometry. The 134 Cs concentrations in the off-Doto region, decay-corrected to the date of the Fukushima Dai-ichi Nuclear Power Plant (FDNPP) accident, exhibited wide lateral variation each year (e.g., 0.7-1.1 mBq/L in 2020). By studying the 228 Ra concentrations and salinity, this variation was explained based on the current mixing patterns. Furthermore, the 134 Cs concentrations in the waters highly affected by the Oyashio Current (OYC) gradually increased from 2018 to 2020, and subsequently decreased in 2022. This implies that the water mass maximally contaminated with 134 Cs was transported back to the side of the Japanese islands 10 years after the FDNPP accident along with counter-clockwise currents (e.g., the OYC) in the northern North Pacific Ocean. The 134 Cs concentrations in the OYC-affected waters in the off-Doto region in 2020 were ~ 1/6 times those in the 134 Cs-enriched core of waters off the western American Coast in 2015, which can be ascribed to dilution via spatial dispersion during subarctic current circulation. Overall, we elucidated the ocean-scale subarctic current systems in the northwestern North Pacific Ocean, including water circulation timespans., (© 2023. The Author(s).)

No study has reported a unilateral localized cerebral lesion of the posterior insula bilaterally reducing noxious stimuli perception. A 57-year-old man with an infarct involving the right posterior insula presented with reduced somatosensory response in the upper and lower left extremities. Furthermore, there was a reduced response to noxious stimulation in the right upper and lower limbs. We noted reductions in pain, noxious heat and cold perceptions, and sensitivity to increasing temperature. Other somatic sensations, including non-noxious temperatures, remained intact in the right upper and lower extremities. These findings in our patient with a unilateral insular lesion indicated a bilaterally reduced perception of noxious stimulation.

Background: Shortening of tensor fasciae latae is one factor that causes a functional leg length discrepancy. A shoe lift has been used to correct the compensatory posture resulting from the discrepancy. Despite the potential therapeutic benefit of a shoe lift, the mechanism by which it exerts its effect is unclear., Objective: To investigate the effect of a shoe lift on tensor fasciae latae length during standing with an artificial functional leg length discrepancy using ultrasonic shear wave elastography., Methods: Twenty-two healthy individuals performed static standing under three conditions: drop of the pelvis and flexion of the leg resulting from fixing in the hip abduction position using a hip orthosis (functional leg length discrepancy condition); drop of the pelvis by the orthosis, but no flexion of the leg due to a shoe lift (shoe lift condition); and normal bilateral standing condition. The shear elastic modulus of tensor fasciae latae was calculated using ultrasonic shear wave elastography., Results: The shear elastic modulus was significantly lower in the functional leg length discrepancy condition than in the shoe lift and normal conditions (p= 0.038)., Conclusions: Using a shoe lift for the functional leg length discrepancy can result in a functional hip position that elongates tensor fasciae latae.

Objective: This study was conducted to investigate the effects of restriction of forefoot rocker (FFR) functions by immobilisation of unilateral metatarsophalangeal joints (MPJs) on kinematic and kinetic factors during walking., Methods: Eighteen healthy young adults participated in this study. To immobilise the MPJs of the right leg, an aluminium sole plate (AS) was fixed on the sole of the foot. Kinematic and kinetic data were collected while each subject walked at a comfortable speed with the AS and without., Results: In the AS condition, the walking speed and contralateral step length were significantly decreased, and an asymmetrical centre of mass (COM) movement was observed. The range of plantarflexion motion and positive work by the ankle joint were decreased markedly during the late stance of the AS limb. In contrast, maximum hip and knee flexion angles in the swing phase of the AS limb and positive work by the bilateral hip joints over the gait cycle were increased., Conclusions: The results suggested that MPJ immobilisation may result in marked motion limitation of ankle plantarflexion and inhibition of push-off by the ankle joint despite no restrictions on the ankle joint. These changes may interfere with gait speed and a smooth and symmetrical COM shift during walking., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

The interbasin exchange between the Sea of Okhotsk and the North Pacific governs the intermediate water ventilation and fertilization of the nutrient-rich subpolar Pacific, and thus has an enormous influence on the North Pacific. However, the mechanism of this exchange is puzzling; current studies have not explained how the western boundary current (WBC) of the subarctic North Pacific intrudes only partially into the Sea of Okhotsk. High-resolution models often exhibit unrealistically small exchanges, as the WBC overshoots passing by deep straits and does not induce exchange flows. Therefore, partial intrusion cannot be solely explained by large-scale, wind-driven circulation. Here, we demonstrate that tidal forcing is the missing mechanism that drives the exchange by steering the WBC pathway. Upstream of the deep straits, tidally-generated topographically trapped waves over a bank lead to cross-slope upwelling. This upwelling enhances bottom pressure, thereby steering the WBC pathway toward the deep straits. The upwelling is identified as the source of joint-effect-of-baroclinicity-and-relief (JEBAR) in the potential vorticity equation, which is caused by tidal oscillation instead of tidally-enhanced vertical mixing. The WBC then hits the island chain and induces exchange flows. This tidal control of WBC pathways is applicable on subpolar and polar regions globally.

In this study, we investigated the fluctuation characteristics of micro vertical acceleration of center of mass (vCOMacc) in standing and examined the usefulness of vCOMacc as an aging marker for standing control abilities. Sixteen young and 18 older adults participated in this experiment. Data for vCOMacc were calculated as the vertical ground reaction force value divided by each participant's body mass using a force plate. The COMacc frequency structure was determined using the continuous wavelet transform to analyze the relative frequency characteristics. For time domain analysis, we determined the root mean square (RMS) and maximum amplitude (MA) of the integrated power spectral density. We also analyzed the correlation between vCOMacc and lower limb muscle activity. The relative frequency band of vCOMacc was higher in older than young adults, and the time domain indicators were sufficient to distinguish the effects of aging. Regarding the relationship between vCOMacc during standing and muscle activity, a correlation was found with the soleus muscle in young adults, while it was moderately correlated with the gastrocnemius muscle in older adults. The cause of vCOM may be related to differences in muscle activity, and vCOMacc may be utilized to more easily assess the effects of aging in standing control.

Quadratus plantae (QP), one of the plantar intrinsic foot muscles, assist plantarflexion of the lesser toes. QP has medial and lateral muscle heads with different anatomical structures. The two heads of this muscle may have different roles in foot function. Ultrasound real-time tissue elastography (RTE) measurements have allowed quantitative assessment of deep-layer muscle elasticity. The purpose of this study was to determine the activity of the QP in flexion movements of the lateral four toes using RTE. Thirteen healthy subjects performed maximal voluntary contractions using a hand-held dynamometer with external belt fixation for each toe flexion movement. The elasticity of the muscles were measured using RTE during rest and flexion of each toe. The strain ratio of the muscle to that in an acoustic coupler was calculated as an index of muscle elasticity. Higher strain ratio values imply lower elasticity. The strain ratio of the medial head of QP for second toe flexion (0.10±0.11) was significantly stiffer than at rest (0.34±0.33). The strain ratios of the lateral head of QP for flexion of the second (0.32±0.19), third (0.41±0.37), fourth (0.33±0.26), and fifth (0.45±0.39) toes were significantly stiffer than at rest (1.02±0.68). These results suggest that the medial head of QP has a role in assisting second-toe flexion, and the lateral head has a role in assisting flexion of all four lateral toes., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

The aim of this study was to evaluate the influence of rider's skill on the plasma cortisol levels of trekking horses on two courses, walking on field and forest courses (about 4.5 to 5.1 km each). Three riders of different skills did horse trekking (HT) in a tandem line under a fixed order: advanced-leading, beginner-second and intermediate-last. A total of six horses were used and they experienced all positions in both courses; a total of 12 experiments were done. Blood samples were obtained before HT, immediately after and 2 h after HT. As a control, additional blood samples were obtained from the same horses on non-riding days. Irrespective of the course and the rider's skill, the cortisol level before HT was higher than that of control (P < 0.05). In both courses, the cortisol levels immediately after HT ridden by the advanced rider were higher than that of control (P < 0.05). However, in every case, the cortisol level 2 h after HT was closely similar to the level of the control. Thus, we concluded the stress of trekking horse was not sufficient to disturb the circadian rhythm of the cortisol level, irrespective of the course and the rider's skill., (© 2017 Japanese Society of Animal Science.)

The aim of this study was to determine whether autonomic nervous activity of a rider with no disability was altered by one practical and applicable horse trekking (HT) exercise. Changes in autonomic nervous activity were analyzed by heart rate variability (HRV). Twenty-three participants with no disability rode horses along a predetermined HT course at trotting and walking for 60 min. HRV was sampled at 60 min before and immediately, following 60 min, and 120 min after HT. As a control, the same measurements were performed for 22 age-matched participants during their rest. Only in the HT group, the value of normalized unit in high frequency component (HF nu), an index of parasympathetic nervous activity, was higher at 120 min after treatment than before HT (P < 0.05). The low / high frequency ratio (LF / HF), believed to reflect sympathetic nervous activity, was lower in the HT group than those in the control group at 60 min (P < 0.05) and 120 min after treatment (P < 0.01). These findings suggest that a single HT shifted the autonomic nervous balance of a rider toward parasympathetic dominance. The results obtained by the present study could accelerate the use of horses for human health., (© 2016 Japanese Society of Animal Science.)

Objective: This study investigated the effectiveness of a specific exercise approach (SEA) or modifiable heel lift (MHL) to improve functional leg length discrepancy (LLD) after total hip arthroplasty (THA)., Methods: The study was a randomized controlled trial with a PROBE (prospective, randomized, open, blinded-endpoint) design trial. Patients (n=33) with both functional and perceived LLDs, 1 week after THA, were randomized to the SEA, MHL, or control groups. Patients in the SEA group performed 2 weeks of exercises to improve hip contracture and lumbar scoliosis. Patients in the MHL group used an insole-type heel lift to correct functional LLD. The control group received normal postoperative care, comprising standard rehabilitation after THA. The primary outcomes were functional LLD, measured by a block test, and patient-perceived LLD at 3 weeks after the surgery. Secondary outcomes included the visual analog scale (VAS) for pain, the Timed Up and Go (TUG) test, and the Western Ontario and McMaster Universities Osteoarthritis index (WOMAC) at 3 weeks after the surgery., Results: The functional LLDs (mean ± SD) for the SEA (3.3 ± 3.1 mm) and MHL (2.2 ± 2.1 mm) groups were significantly smaller than for the control group (6.4 ± 4.0 mm). The degree of patient-perceived LLD differed significantly between the SEA and the control groups (p=.005)., Conclusions: SEA and MHL use, during early post-operative recovery, can produce relevant changes in functional LLD after THA.

Background and Purpose: The associations between leg length discrepancy (LLD) and patient-perceived inequality and functional outcomes after total hip arthroplasty (THA) are unclear in the literature. The aim of this study was to determine the types of LLD after THA and to identify the best predictor of patient-perceived LLD and functional outcome in the short term after THA., Methods: We subdivided LLD into true and apparent types and prospectively studied 53 consecutive patients undergoing unilateral primary THA to determine whether there is an association between the type of LLD and functional outcome 2 months after the operation. Apparent LLD was measured by the block test and true LLD was measured by hip radiography. We classified the patients into 4 groups: true, apparent, mixed, and no-LLD groups. The questionnaire included a visual analog scale of pain, the Western Ontario and McMaster Universities Osteoarthritis Index, and patient-perceived inequality. Physical performance was measured using walking speed and the Timed Up and Go test., Results: The apparent and mixed LLD groups had a higher prevalence of patient-perceived inequality than the true and no-LLD groups. The results of physical performance showed that the walking speed of the mixed LLD group and the results of the Timed Up and Go Test of the apparent LLD group were significantly slower than those of the true LLD group., Discussion: We suggested that the true LLD group may have a weak relationship with functional outcome after THA while the apparent LLD resulting from pelvic obliquity due to hip contracture or scoliosis is correlated with the short-term functional outcome after THA., Conclusion: Apparent LLD can be a better predictor of patient-perceived inequality and physical performance than true LLD.

The aim of this study was to establish a method for estimating loading capacity for Japanese native horses by gait analysis using an accelerometer. Six mares of Japanese native horses were used. The acceleration of each horse was recorded during walking and trotting along a straight course at a sampling frequency of 200 Hz. Each horse performed 12 tests: one test with a loaded weight of 80 kg (First 80 kg) followed by 10 tests with random loaded weights between 85 kg and 130 kg and a final test with a loaded weight of 80 kg again. The time series of acceleration was subjected to fast Fourier transformation, and the autocorrelation coefficient was calculated. The first two peaks of the autocorrelation were defined as symmetry and regularity of the gait. At trot, symmetries in the 100, 110, and 125 kg tests were significantly lower than that in First 80 kg (P < 0.05, by analysis of covariance and Sidak's test). These results imply that the maximum permissible load weight is less than 100 kg, which is 29% of the body weight of Japanese native horses. Our method is a widely applicable and welfare-friendly method for estimating maximum permissible load weights of horses., (© 2012 The Authors. Animal Science Journal © 2012 Japanese Society of Animal Science.)

Horse trekking (HT) is having a stroll on a horse along a walking trail in a forest, field, and/or sandy beach. Generally in HT, horses exercise in tandem line outside the riding facilities. Because the leading horse will be confronted with stressors in the forefront, we hypothesized that the leading horse shows higher stress responses than the following one. In order to verify the hypothesis, we compared short-term stress responses between each position in six horses. Exercise consisted of 15 min of ground riding and 45 min of HT with walking and trotting. Heart rate variability was analyzed for 5 min at 30, 60, and 90 min after the exercising period. There was no significant difference in heart rate during exercise between leading and following positions. The high frequency / low frequency power band of heart rate variability, an index of sympathetic nervous activity, after exercise, tended to be higher in the leading position than following one (P < 0.1). The result in this study can suggest that the leading horse was in a higher stressed state than the following horse after HT., (© 2010 The Authors; Journal compilation © 2010 Japanese Society of Animal Science.)