[Purpose] The purpose of this study was to clarify the difference in gait parameters of at-home walking and the 10-meter walking test results of individuals with hemiparesis. [Subjects] A total of 14 hemiparetic stroke recovery patients participated in this study. Inclusion criteria were: living at home, the ability to walk independently, and demonstrated low extremity on recovery stages III–V on the Brunnstrom Approach. The average age of the subjects was 66 years. [Methods] We used video surveillance and the inked footprint technique to record usual walking speed and maximum speed patterns both in subjects’ homes and during the 10-meter walking test. From these methods, walking speed, stride length, and step rate were calculated. [Results] While both usual and maximum walking speeds of the 10-meter walking test correlated with stride length and step rate, at-home walking speeds only significantly correlated with stride length. [Conclusion] Walking patterns of the 10-meter walking test are quantifiably distinct from those demonstrated in patients’ homes, and this difference is mainly characterized by stride length. In order to enhance in-home walking ability, exercises that improve length of stride rather than step rate should be recommended.

[Purpose] Medial longitudinal arch (MLA) height is associated with various injuries and diseases and gender differences, if any. This study aimed to examine factors affecting the MLA height associated with gender differences in healthy subjects with no orthopedic disorders. [Subjects and Methods] This study included 36 healthy adults (19 males, 17 females; mean age, 21.8 ± 3.6 years; body mass index, 21.1 ± 2.0 kg/m2). Their height, body weight, foot length, muscle strength of the tibialis posterior muscle (TPM), toe-gripping strength, hallux valgus angle, inversion microdactylia angle, angle of leg–heel alignment, femoro-tibial angle, and navicular height were measured. Correlation between the ratio of arch height and other measurement parameters was examined. [Results] In females, the ratio of arch height was significantly positively correlated with muscle strength of the TPM and toe-gripping strength and negatively correlated with the hallux valgus angle and the leg-heel alignment, whereas in males, only a positive correlation between the ratio of arch height and muscle strength of the TPM was observed. [Conclusion] These results reveal that etiological mechanisms determining MLA height are different between males and females. Overall, the present results indicate that further studies identifying causes of MLA height variation must include gender-based analysis.

No abstract

[Purpose] The purpose of this study was to elucidate the cathepsin-D involvement in signaling pathways for the survival and apoptosis of myofibers in rats with hindlimb-unloading in a low-temperature environment. [Subjects and Methods] Wistar rats were divided into two groups: a control group and a group that underwent hindlimb unloading in a low-temperature environment to induce muscle apoptosis. Cathepsin-D localization in the soleus and extensor digitorum longus muscles, along with the expression of cathepsin-D in apoptotic myofibers, was examined. Expression of the active and inactive forms of cathepsin-D was also analyzed. [Results] Cathepsin-D was mainly expressed in type I myofibers and was observed to have punctate patterns in the control group. In the hindlimb unloading in a low-temperature environment group, the type I myofiber composition ratio decreased, and caspase-3 activation and TUNEL-positive apoptotic myofibers were observed. In caspase-3-activated myofibers, cathepsin-D overexpression and leakage of it into the cytoplasm were observed. In the hindlimb unloading in a low-temperature environment group, the amount of inactive cathepsin-D decreased, whereas that of the active form increased. [Conclusion] Cathepsin-D was deduced to be indicative of a myofiber-type classification and a factor related to myofiber type maintenance. In addition, cathepsin-D leakage into the cytoplasm was appeared to be involved in caspase-3 activation in the hindlimb unloading in a low-temperature environment group.

[Purpose] This study examined whether limited mental practice improves the motor performance of poststroke individuals with hemiparesis. [Subjects] Twenty-three participants with poststroke hemiparesis (40–82 years of age) participated in this study. [Methods] The subjects were divided into four groups with respect to a dart-throwing task: the no-practice, physical practice only, mental practice only, and mental and physical practice groups. The groups were compared in terms of gains in motor performance, mental imagery vividness, and level of concentration during mental practice. [Results] No statistically significant difference was found for gains in motor performance among groups, and there was no correlation between imagery vividness and motor performance gains. However, a correlation was found between gains in motor performance and mental concentration during mental practice. [Conclusion] The results suggested that limited mental practice for individuals with poststroke hemiparesis may not improve motor performance. However, a higher degree of concentration during mental practice may improve motor performance.

[Purpose] Antagonistic stretching is an important therapeutic program in rehabilitation. However, if pain occurs during stretching, other methods should be considered. This study aimed to investigate whether antagonistic muscle contraction exercises alone had an effect in expanding the joint range of motion. [Participants and Methods] Participants included 50 healthy males and females (aged 21.0 ± 3.1 years) who were each randomly assigned to one of four groups that performed either active, resistance, phasic, or isometric exercises or a control group that performed no exercise. Each exercise group performed five sets of 30-second ankle dorsiflexion exercises. Active and passive ranges of motion of ankle dorsiflexion were measured using a goniometer, with the participants in the knee extension and flexion positions. [Results] Ankle joint range of motion was increased in the knee extension position in the isometric exercise group. There were no other differences observed in any of the groups. [Conclusion] Our results indicated that isometric exercises had an immediate effect on increasing ankle joint range of motion. This is presumably attributed to the effects of Golgi tendon organ inhibition (Ib inhibition) or stretch tolerance of the gastrocnemius muscle.

The present study examined whether low-temperature (LT) could reduce experimentally-induced atrophy of the skeletal muscle in non-hibernating mammals, as judged by muscle wet-weight, cross-sectional area of muscle fibers, ratio of muscle fiber types, and number of apoptotic myofibers in the soleus muscle of rat. Hindlimb unloading (HU) was carried out for either one or two weeks (1W or 2W, respectively) at room temperature (HU-1W and HU-2W groups) or LT (10C, HULT-1W and HULT-2W groups). Other animals were allowed to move freely at either room temperature (CON-1W and CON-2W groups) or LT (LT-1W and LT-2W groups). Total caloric intake was increased in LT rats compared with the CON, HULT and HU rats. Body weight, muscle wet-weight and cross-sectional area were significantly decreased in HU and HULT rats compared with CON and/or LT rats. Type-I fiber composition in HULT-2W was not significantly reduced compared with those of CON-2W and LT-2W, but that of HU-2W was significantly reduced compared with the other groups. A small number of caspase-3-activated myofibers appeared in HULT-2W and HU-2W, but not in CON-2W and LT-2W. Thus, our results indicate that LT retards the change in the ratio of type-I and type-II fibers, but does not prevent decreases in muscle size and mass, or apoptosis of myofibers.

No abstract