Background. Rhythmic auditory stimulation (RAS) can influence movement during straight line walking and direction transition in individuals with Parkinson disease (PD). Objective. The authors studied whether multidirectional step training with RAS would generalize to functional gait conditions used in daily activities and balance. Methods. In a matched-pairs design, 8 patients practiced externally paced (EP) stepping (RAS group), and 8 patients practiced internally paced (IP) stepping (no RAS group) for 6 weeks. Participants were evaluated on the first and last days of practice, and 1 week, 4 weeks, and 8 weeks after practice termination. Evaluations included a primary measurementthe Dynamic Gait Index (DGI)-and secondary measurements-the Unified Parkinson's Disease Rating Scale (UPDRS), Tinetti-gait and balance tests, Timed-Up-and-Go (TUG), and Freezing of Gait Questionnaire (FOGQ). Results. The RAS group significantly improved performance on the DGI and several secondary measures, and they maintained improvements for the DGI, Tinetti, FOGQ, and balance and gait items of the UPDRS above pretraining values at least 4 weeks after practice termination. The no RAS group revealed several improvements with training but could not maintain these improvements for as long as the other group. Conclusions. Individuals with PD can generalize motor improvements achieved during multidirectional step training to contexts of functional gait and balance. Training with RAS is advantageous for enhancing functional gait improvements and the maintenance of functional gait and balance improvements over 8 weeks.
. Complex movements are generally thought to consist of a series of simpler elements. If this is so, how does the sensorimotor system assemble the pieces? This study recorded and evaluated sequences of arm movements to various targets placed in three-dimensional (3D) space. Subjects performed sequences consisting of single, double, or triple segments with the same first target but with different second targets. The data analysis focused on the first movement segment and evaluated hand path curvature, the hand's final approach to the first target, and the whole arm postures at the beginning and end. Although some idiosyncratic differences in approach were observed, only the final arm posture depended, in a consistent way, on which particular movement was to follow as the second segment. This provided evidence for "coarticulation" of the two segments, only at the level of arm posture, and simulations revealed that this anticipatory modification improved the energetic efficiency of the second segment. Data from movements through five consecutive triple segments (i.e., 5 triangles) were assessed to determine whether kinematic constraints, such as Donders' law, apply to repetitive drawing movements. Although such constraints could prevent the accumulation of changes in arm posture, this was not observed. Instead, in most cases, the elbow was a little bit higher at the end of each triangle than at the beginning. Taken together, the results suggest that coarticulation may facilitate the joining of two segments and the efficiency of the second movement, but does not extend over the drawing of several segments.
Experiments were designed to examine the visual contributions to performance of back aerial double somersaults by collegiate acrobats. Somersaults were performed on a trampoline under three visual conditions: (a) NORMAL acuity; (b) REDUCED acuity (subjects wore special contacts that blocked light reflected onto the central retina); and (c) NO VISION. Videotaped skill performances were rated by two NCAA judges and digitized for kinematic analyses. Subjects' performance scores were similar in NORMAL and REDUCED conditions and lowest in the NO VISION condition. Control of body movement, indicated by time-to-contact, was most variable in the NO VISION condition. Profiles of angular head and neck velocity revealed that when subjects could see, they slowed their heads prior to touchdown in time to process optical flow information and prepare for landing. There was not always enough time to process vision associated with object identification and prepare for touchdown. It was concluded that collegiate acrobats do not need to identify objects for their best back aerial double somersault performance.
Despite the proliferation of theory-based behavior-change programs to promote physical activity, obesity and diabetes rates continue to rise. Given the notable ineffective interventions, it is important to examine why these efforts have been largely unsuccessful and to consider potential alternatives. The purpose of this article is to consider the role of values in understanding decisions about physical activity and to outline a more appropriate framework for investigating them. Aristotle originally proposed that human behavior may be better understood in terms of phronesis (practical reasoning), aimed at realizing valued goals rather than as the product of antecedent causal determinants. Instead of relying exclusively on scientific methodologies, a more comprehensive approach to study physical activity participation would also incorporate analytical processes used in the humanities, especially with respect to conceptualizing the role of values in guiding human behavior. Therefore, revising and expanding the research, teaching, and practice conducted in physical activity education are recommended.
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