Balance Capacity Research Articles

Repeated exposure to virtual reality decreases reliance on visual inputs for balance control in healthy adults

Postural control may encounter acute challenges when individuals are immersed in a virtual reality (VR) environment, making VR a potential pertinent tool for enhancing balance capacity. Nonetheless, the effects of repeated exposure to VR on balance control remain to be fully elucidated. Fifty-five healthy participants stood upright for six bouts of 90 s each in an immersive virtual reality (VR) environment using a head-mounted display (repeated VR exposure). During these bouts, participants experienced simulated forward and backward displacements. Before and after the repeated VR exposure, the center of pressure mean velocity (VELCOP) was measured in response to simulated forward and backward displacement in VR, as well as during quiet upright standing with eyes open (EO) and closed (EC) in the real environment. The results revealed a significant decrease in VELCOP for forward and backward simulated displacements in both antero-posterior and medio-lateral directions (p < 0.01) after compared to before repeated VR exposure. Furthermore, VELCOP significantly decreased when participants stood upright in EC (−5%; p = 0.004), but not EO (+3%; p > 0.05) in the real environment after repeated VR exposure. The Romberg ratio (EC/EO) was reduced in both antero-posterior and medio-lateral directions (p < 0.05) after VR exposure. This study indicates that repeated exposure to VR induces changes in balance control in both virtual and real environments. These changes may be attributed, in part, to a reduction in the weighting of visual inputs in the multisensory integration process occurring during upright standing. Accordingly, these findings highlight VR as a potentially effective tool for balance rehabilitation. Significance statementThis study indicates that repeated exposure to VR induces changes in balance control in both virtual and real environments that can rely, in part, on a reduction in the weighting of visual inputs in the multisensory integration process occurring during upright standing.

Reticular syntheses of hydrogen-bonded organic frameworks based on pyrazole tetramers with tunable electrostatic potential for enhanced C2H2/CO2 separation

Reticular chemistry has been widely used to predict and design structures of MOFs and COFs, but it still limited in HOFs due to the flexible and fragile nature of hydrogen bonding. Herein, by employing the N-H···N hydrogen-bonding tetramers to connect the pyrazole monomers, we realize the reticular syntheses of three isostructural HOFs (HOF-FJU-45, HOF-FJU-46 and HOF-FJU-47) with tunable pore environments and explore their separation performance toward C2H2/CO2 mixtures. Among these three HOFs, the electrostatic potential of pore surface in HOF-FJU-47a with tetraphenyladamantane core is complementary to C2H2, enabling it to perform better C2H2/CO2 separation performance than HOF-FJU-45a with tetraphenylmethane core and HOF-FJU-46a with tetraphenylsilane core. Dynamic breakthrough experiments also confirm that HOF-FJU-47a can achieve superior C2H2/CO2 separation performance with a balanced C2H2 working capacity (1.98 mmol g−1) and separation factor (5.5) in HOFs materials. The multiple host–guest interactions between C2H2 and the framework of HOF-FJU-47a are further revealed by theoretical calculations.

Low Red to Far-Red Light Ratio Promoted Growth and Fruit Quality in Salt-Stressed Tomato Plants Based on Metabolomic Analysis

Salt stress poses a serious threat to tomato production. Red to far-red light ratio (R/FR) is actively involved in the regulation of tomato growth and development; however, it is still uncertain whether and how R/FR improves fruit quality under salt stress. Thus, we conducted metabolomic analysis of tomato fruits under four treatments, including R/FR = 7 (CK), R/FR = 0.7 (L), R/FR = 7 and 100 mmol·L−1 NaCl (Na), and R/FR = 0.7 and 100 mmol·L−1 NaCl (Na+L). Metabolomic analysis indicated that both low R/FR and salt stress enhanced organic acids and phenols accumulation; however, additional low R/FR mainly improved carbohydrates, organic acids, phenols and amino acids accumulation in salt-stressed tomato fruit. Physiological studies were consistent with the above results and further revealed that additional low R/FR drastically promoted plant growth, soluble sugar, total phenol and flavonoid contents, improved osmotic pressure balance and antioxidant capacity, and notably relieved the salt stress-induced suppressions. This study proved the importance of applying light quality regulation in salt-resistant tomato production.

Salicylic Acid and Calcium Chloride Seed Priming: A Prominent Frontier in Inducing Mineral Nutrition Balance and Antioxidant System Capacity to Enhance the Tolerance of Barley Plants to Salinity.

The current investigation aims to underline the impact of salicylic acid or calcium chloride seed pre-treatments on mineral status and oxidative stress markers, namely levels of electrolyte leakage (EL) and lipid peroxidation levels, measured as thiobarbituric reactive substances (TBARS), and the activity of some antioxidant enzymes in roots and leaves of plants in two barley species grown under various salt treatments. Overall, our results revealed that salinity inhibits essential nutrient absorption such as iron, calcium, magnesium and potassium and stimulates the absorption of sodium. Also, this environmental constraint induced oxidative stress in plants in comparison with the control conditions. This state of oxidative stress is reflected by an increase in TBARS content as well as the stimulation of EL values. In addition, salinity induced disturbances in the activity of antioxidant enzymes, which were mainly dependent on the applied salt concentration and the species. In addition, Hordeum marinum maintained high antioxidant enzyme activity and low levels of oxidative stress parameters, which reinforces its salt-tolerant character. Importantly, salicylic acid or calcium chloride seed priming alleviated the mineral imbalance and the oxidative damage induced by salinity. Moreover, seed priming improves iron, calcium magnesium and potassium content and limitsthe accumulation of sodium. Also, both treatments not only decrease TBARS levels and limit EL, but they also stimulate the antioxidant enzyme activities in the leaves and roots of the stressed plants as compared with stressed plants grown from non-primed seeds. Interestingly, the beneficial effects of the mentioned treatments were more notable on Hordeum vulgare species.

Enhancing Electrochemical Stability of Silicon-Carbon and NMC based Lithium-Ion Batteries through the Synergistic Impact of Charge Balance and Direct-Contact Pre-Lithiation Strategy

The commercial feasibility of silicon (Si) anodes (≥ 30%) in full-cell systems is constrained by poor cyclic stability and capacity balancing due to continuous active lithium (Li) consumption in each cycle. We proposed a capacity balancing approach by adding additional Li at the cathode side (i.e., ratio of capacity at negative to positive electrode (N/P) ∼ 0.9) and anode side (i.e., pre-lithiated Si) before full-cell fabrication. This approach provided a capacity-balanced full-cell with 91.7% of initial Coulombic efficiency (ICE) and stability up to 50 cycles. In-situ electrochemical impedance spectroscopy (EIS) and distribution of relaxation times (DRT) analysis have been utilized to examine the interface of bare and balanced full cells. In a large format cell, electrolyte wettability is an issue and it has been investigated even at high temperature (50 °C). The post-cycle investigation also indicates the Si particles retained their integrity after cycling. A 110 mAh pouch cell has been constructed, and the pouch cell demonstrated exceptional cyclic stability up to 200 cycles, with a capacity retention of 83.2% at a current rate of 0.1 C. These findings present a capacity balancing approach for high-loading silicon-based anodes that eventually can scale up to high-quality and long-cycle life lithium-ion batteries.

HEALTHY LIFESTYLES PROGRAM IN AN OUTPATIENT SETTING (HELPOUT)

INTRODUCTION AND AIMS Substance use disorder is a major public health concern and is associated with elevated rates of physical illnesses. It is known that exercise is safe in a substance use population, with engagement in exercise being reported to increase periods of abstinence, metabolic health, and physical capacity. There is little evidence exploring the willingness and capacity of a substance use patient to perform exercise. This study explores the physical activity habits and preferences of substance use patients, their capacity to perform exercise and the impact of acute exercise on psychological outcomes. METHODS Participants accessing opioid maintenance therapy were recruited from drug and alcohol clinics in metropolitan Sydney. 98 participants completed questionnaires assessing recent exercise and diet, quality of life, and anthropometry. Of these, 22 participants also completed fitness testing with changes in mood assessed acutely. RESULTS 46% of participants reported planned physical activity however only 32% met ACSM guidelines. Higher levels of perceived physical health and quality of life had a notable positive association with volume of planned exercise completed. 95% of the cohort were interested in participating in an exercise program, with a lack of motivation and having an injury being the primary barriers to participation. 19.6% reported levels of extreme pain compared to 6.4% of the Australian population. Exercise capacity varied, with average performance in upper body endurance and hand grip strength assessments, but poor capacity in lower limb strength, balance and functional capacity. An acute bout of exercise lead to an increase in positive affect (p&amp;lt;0.001) and a decrease in negative affect (p=0.011). CONCLUSIONS Exercise therapy has the potential to offer numerous benefits to patients seeking treatment for opioid use disorder, with planned physical activity correlation with improved physical and mental health outcomes. Clinical support from exercise physiologists is needed to assist in overcoming barriers to exercise and managing comorbid medical conditions.

Efficacy of Walking Adaptability Training on Walking Capacity in Ambulatory People With Motor Incomplete Spinal Cord Injury: A Multicenter Pragmatic Randomized Controlled Trial

Background and Objective Balance and walking capacity are often impaired in people with motor incomplete spinal cord injury (iSCI), frequently resulting in reduced functional ambulation and participation. This study aimed to assess the efficacy of walking adaptability training compared to similarly dosed conventional locomotor and strength training for improving walking capacity, functional ambulation, balance confidence, and participation in ambulatory people with iSCI. Methods We conducted a 2-center, parallel-group, pragmatic randomized controlled trial. Forty-one people with iSCI were randomized to 6 weeks of (i) walking adaptability training (11 hours of Gait Real-time Analysis Interactive Lab (GRAIL) training—a treadmill in a virtual reality environment) or (ii) conventional locomotor and strength training (11 hours of treadmill training and lower-body strength exercises). The primary measure of walking capacity was maximal walking speed, measured with an overground 2-minute walk test. Secondary outcome measures included the Spinal Cord Injury Functional Ambulation Profile (SCI-FAP), the Activities-specific Balance Confidence (ABC) scale, and the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P). Results No significant difference in maximal walking speed between the walking adaptability (n = 17) and conventional locomotor and strength (n = 18) training groups was found 6 weeks after training at follow-up (−0.05 m/s; 95% CI = −0.12-0.03). In addition, no significant group differences in secondary outcomes were found. However, independent of intervention, significant improvements over time were found for maximal walking speed, SCI-FAP, ABC, and USER-P restrictions scores. Conclusions. Our findings suggest that walking adaptability training may not be superior to conventional locomotor and strength training for improving walking capacity, functional ambulation, balance confidence, or participation in ambulatory people with iSCI. Trial Registration Dutch Trial Register; Effect of GRAIL training in iSCI.

Effectiveness of a Sustainable Training Program Combining Supervised Outdoor Exercise with Telecoaching on Physical Performance in Elderly People

The decrease in functional abilities can negatively influence quality of life and autonomy in elderly people, and physical exercise plays a crucial role regardless of the type. Among the latter, also due to the COVID-19 pandemic, outdoor exercise and telecoaching are settings that have been widely implemented. Hence, the aim of this study was to investigate the effectiveness of a sustainable training program combining supervised outdoor exercise with telecoaching on physical performance in elderly people. A total of 60 participants were recruited and divided into two groups: a trained group (TG) and an untrained group (UG), based on their participation in an 8-week sustainable training program consisted of five sessions/week, which included two sessions/week of supervised outdoor exercise and three sessions/week of telecoaching. Participants were evaluated before and at the end of the training program using the handgrip test, Timed Up and Go (TUG) test, short physical performance battery (SPPB), and Tinetti scale. In the TG, we found a significant improvement in the following tests: right handgrip (p &lt; 0.001); left handgrip (p &lt; 0.001); TUG (p &lt; 0.001); SPPB (p = 0.01); and Tinetti scale (p = 0.006). A detailed analysis of the SPPB and Tinetti scale showed the lack of significant changes in walking ability: gait speed (p &gt; 0.05) and walking parameters in the Tinetti scale (p &gt; 0.05). Based on our results, we suggest that a sustainable training program combining supervised outdoor exercise with telecoaching could be effective in the elderly population for improving balance capacity and strength.

Difference in balance capacity for Special Olympics athletes and non-athletes with intellectual disabilities

Difference in balance capacity for Special Olympics athletes and non-athletes with intellectual disabilities

Muscular strength, balance, and functionality in post-COVID-19 patients: An observational case-control protocol

Background: Persistent and systemic impairments have been reported in individuals recovering from COVID-19, including balance and muscle strength dysfunctions. However, the implications for static and dynamic Balance and their potential associations with muscle strength and functional assessments in patients with severe disease during the acute phase remain poorly understood in the existing scientific literature. Objectives: This study evaluates static and dynamic balance, lower limb muscle strength, and physical capacity in post COVID volunteers who experienced severe and critical forms of the disease. Additionally, it seeks to identify potential correlations between functional outcomes and demographic characteristics. Methods: This observational case-control study will enroll individuals who had experienced severe and critical forms of COVID-19 during the acute phase of the illness. Static Balance will be assessed using a Portable Baropodometry and Stabilometry platform, while dynamic Balance will be evaluated through the MiniBest Test. Muscle strength will be measured by Isometric Quadriceps Muscle Strength during contraction of knee extension, flexion, and physical capacity utilizing the 1-minute Sit-to-Stand Test (1MST). Hypothesis: We hypothesize that Long COVID volunteers who endured severe and critical forms of the disease during the acute phase will exhibit: 1)Impaired static and dynamic Balance compared to a control group of individuals without a history of COVID-19, as evidenced by significantly different scores on Baropodometry and Stabilometry assessments, as well as the MiniBest Test. 2)Reduced lower limb muscle strength compared to the control group. 3) Decreased physical capacity as assessed by the 1-minute Sit-to-Stand Test (1MST) when compared to individuals without a history of COVID-19. 4) Possible associations between demographic characteristics (age, gender, and physical activity level) and the observed functional outcomes. We anticipate that these findings will contribute to a better understanding of the long-term effects of severe and critical COVID-19 on Balance, muscle strength, and physical capacity.

Https://fizjoterapiapolska.pl/en/article/wirtualna-rzeczywistosc-a-drazek-rownowazny-w-poprawie-chodu-u-dzieci-z-porazeniem-mozgowym-spastycznym-typu-hemiplegicznego-randomizowane-badanie-porownawcze/

Background. Virtual reality and balancing beam are widely acknowledged as a highly successful approach for improving balance as well as walking performance among children suffering from hemiplegic cerebral palsy (CP). Purpose. The aim of this study was to compare between the impact of virtual reality and balance beam on walking performance (balance and functional walking capacity) in children with hemiplegic CP. Subjects and methods. A total of seventy-five children with hemiplegic CP, comprising 31 boys and 44 girls, aged between 7 and 11 years of both genders, were included in this study. The participants were allocated randomly into three groups (n = 25), A (control group) and B, C (study groups). All children received designed physical therapy programs based on neurodevelopmental technique, in addition to balance and gait training exercises for control group A, virtual reality training for group B and balance beam training for group C. The treatment program was administered to each group three times weekly for three consecutive months, lasting one hour each session. All children were examined clinically pre- and post-treatment using HUMAC balance and tilt system, and 6- minutes walking test (6mWT) to assess balance, walking functional capacity respectively. Results. There was a significant improvement in balance and 6MWT of three groups post treatment when contrasted with that pretreatment (p &lt; 0.001). Furthermore, group B and C's measured variables showed a substantial improvement over group A's when compared (p &lt; 0.01), while group B and C did not differ significantly (p &gt; 0.05). Conclusions. Virtual reality and balance beam training have an effective influence on the improvement of balance and walking performance.

Body composition, balance, functional capacity and falls in older women

BackgroundThe aim of this study was to examine the association of body composition, muscle strength, balance, and functional capacity on falls and fall injuries among community-dwelling older women.MethodsThe study comprised of a 2-year randomized controlled trial involving 914 women with an average age of 76.5 (SD = 3.3) years at baseline. The women were assigned to exercise intervention (n = 457) and control groups (n = 457). Clinical measurements were conducted at baseline, 12 months and 24 months.ResultsDuring the 2-year follow up, total of 546 women (59.7%) sustained a fall. The total number of falls was 1380 and out of these, 550 (40%) of falls were non-injurious and 745 (54%) were injurious. Higher femoral neck bone mineral density (BMD) was associated with a higher overall risk of falls [RR = 2.55 (95% CI = 1.70–3.84, p < 0.001)], but was a protective factor for severe fall injuries [RR = 0.03 (95% CI = 0.003–0.035, p < 0.01)]. Slower Timed Up and Go (TUG) was associated with an increased overall risk of falls [RR = 1.07 (95% CI = 1.05–1.10, p < 0.001)] and injuries requiring medical attention [RR = 1.10 (95% CI = 1.02–1.19, p = 0.02)]. Longer single leg standing time was a protective factor for falls [RR = 0.99 (95% CI = 0.99–1.00, p < 0.01)] and overall injurious falls [RR = 0.99 (95% CI = 0.99–1.00, p = 0.02)].ConclusionFor postmenopausal women with higher femoral neck BMD appear to sustain more falls, but have a lower risk of severe fall injuries. Better TUG and single leg standing time predict lower risk of falls and fall injuries.

Improvement of gait and balance function in chronic post-stroke patients induced by Lower Extremity – Constraint Induced Movement Therapy: a randomized controlled clinical trial

ABSTRACT Objective To evaluate the effects of Lower Extremity – Constraint Induced Movement Therapy on gait function and balance in chronic hemiparetic patients. Methods Randomized, controlled, single-blinded study. We recruited chronic post stroke patients and allocated them to Lower Extremity – Constraint Induced Movement Tharapy (LE-CIMT) or Control Group. The LE-CIMT group received this protocol 2.5 hour/day for 15 followed days, including: 1) intensive supervised training, 2) use of shaping as a strategy for motor training, and 3) application of a transfer package. The control group received conventional physiotherapy for 2.5 hours/day for 15 followed days. Outcomes were assessed at baseline, after the interventions, and after 6 months, through 6-minute walk test and Mini-Balance Evaluation Systems Test; 10-meter walk test, Timed Up and Go, 3-D gait analysis, and Lower Extremity – Motor Activity Log. Results LE-CIMT was superior on the Assistance and confidence subscale of Lower Extremity – Motor Activity Log, Mini-BESTest and 6-minute walk test. The effect size for all outcomes was small when comparing both groups. LE-CIMT showed clinically significant differences in daily activities, balance, and gait capacity, with no clinically significant difference for spatiotemporal parameters. Conclusion The LE-CIMT protocol had positive outcomes on balance, performance, and confidence perception.

Virtual Power Plant’s Optimal Scheduling Strategy in Day-Ahead and Balancing Markets Considering Reserve Provision Model of Energy Storage System

In recent years, with the rapid increase in renewable energy sources (RESs), a Virtual Power Plant (VPP) concept has been developed to integrate many small-scale RESs, energy storage systems (ESSs), and customers into a unified agent in the electricity market. Optimal coordination among resources within the VPP will overcome their disadvantages and enable them to participate in both energy and balancing markets. This study considers a VPP as an active agent in reserve provision with an upward reserve capacity contract pre-signed in the balancing capacity (BC) market. Based on the BC contract’s requirements and the forecasted data of RESs and demand, a two-stage stochastic optimization model is presented to determine the VPP’s optimal scheduling in the day-ahead (DA) and balancing energy (BE) markets. The probability of reserve activation in the BE market is considered in this model. The ESS’s reserve provision model is proposed so as not to affect its schedule in the DA market. The proposed optimal scheduling model is applied to a test VPP system; then, the effects of the BC contract and the probability of reserve activation on the VPP’s trading schedule are analyzed. The results show that the proposed model has practical significance.

Multi-faceted spatio-temporal network for weather-aware air traffic flow prediction in multi-airport system

As one of the core modules for air traffic flow management, Air Traffic Flow Prediction (ATFP) in the Multi-Airport System (MAS) is a prerequisite for demand and capacity balance in the complex meteorological environment. Due to the challenge of implicit interaction mechanism among traffic flow, airspace capacity and weather impact, the Weather-aware ATFP (Wa-ATFP) is still a nontrivial issue. In this paper, a novel Multi-faceted Spatio-Temporal Graph Convolutional Network (MSTGCN) is proposed to address the Wa-ATFP within the complex operations of MAS. Firstly, a spatio-temporal graph is constructed with three different nodes, including airport, route, and fix to describe the topology structure of MAS. Secondly, a weather-aware multi-faceted fusion module is proposed to integrate the feature of air traffic flow and the auxiliary features of capacity and weather, which can effectively address the complex impact of severe weather, e.g., thunderstorms. Thirdly, to capture the latent connections of nodes, an adaptive graph connection constructor is designed. The experimental results with the real-world operational dataset in Guangdong-Hong Kong-Macao Greater Bay Area, China, validate that the proposed approach outperforms the state-of-the-art machine-learning and deep-learning based baseline approaches in performance. The case study of convective weather scenarios further proves the adaptability of the proposed approach.

A simple approach to balancing conductivity and capacity fade in vanadium redox flow batteries by the tunable pretreatment of polybenzimidazole membranes

The membrane, a critical component of a vanadium redox flow battery (VRFB) cell, largely governs the battery performance through its barrier properties and ohmic resistance, as well as contributes substantially to cell stack cost in commercial systems. Polybenzimidazole (PBI) is emerging as a promising commercially available material for VRFB membranes with properties that can be tailored through suitable low-cost pretreatments. Herein, we demonstrate how pre-swelling in blended alkaline solutions can be a highly effective and accessible strategy to improve PBI conductivity for application as a VRFB membrane, whilst enabling the tunable balancing of trade–off relations with electrolyte crossover that lead to undesirable capacity fade. A figure of merit is determined, showing that the inclusion of fractions of both NaOH and KOH in the pretreatment mixture is deemed necessary to ensure that both vanadium permeability and area-specific resistance are sufficiently minimized, respectively, in the membrane by achieving optimal, intermediate levels of swelling. By applying blended pretreatments, PBI membranes could be tailored to result in high performance cell tests, exhibiting stable and high energy efficiencies of ∼85 % with minimal capacity fade over 100 cycles at 120 mA·cm−2.

Efficacy of hippotherapy simulator exercise program in patients with stroke: a randomized single-blind clinical trial

ABSTRACT Objectives The aim of this study was to investigate the effect of hippotherapy simulator on balance, postural control, mobility, functional capacity and independence level in people with stroke. Methods This study involved 26 people with stroke aged 18–65, who were randomly assigned to a Hippotherapy Simulator Group (HSG; n = 13) and a Conventional Exercise Group (CEG; n = 13). Patients underwent assessments using the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PAS-S), Timed Up and Go Test (TUG), Rivermead Mobility Index (RMI), 2-Minute Walking Test (2-MWT), and Barthel Daily Living Activity Index (BI) to evaluate balance, postural control, mobility, functional capacity, and independence before and after treatment. In the HSG, participants received 30 sessions of conventional exercises and hippotherapy simulator – a mechanical and robotic equipment with a dynamic saddle simulating horse movement – exercises over 6 weeks. Meanwhile, the CEG underwent 30 sessions of conventional exercises alone for 6 weeks. Results In the post-therapy evaluation between groups, BBS (p = 0.004) and 2-MWT (p < 0.001) scores were higher in HSG compared to CEG. However, no statistically significant difference was found between the two groups in terms of PAS-S, RMI, TUG and BI scores (p > 0.05). Statistically significant differences were found between BBS, PAS-S, RMI, TUG, BI and 2-MWT scores before and after treatment in both groups (p < 0.05). Conclusions Hippotherapy simulator can be added to conventional exercises to improve balance and functional capacity in people with stroke.

Unveiling the sodium adsorption behavior of controlled NaTi2(PO4)3 on Ti3C2Tx MXene for balanced salt adsorption capacity and cycling stability

Capacitive deionization (CDI) is considered a promising desalination technology with advantages of low cost, high-energy efficiency, and easy regeneration. However, the insufficient ion capacity of conventional electrode materials is limiting the large-scale application of CDI. Herein, a new design of NaTi2(PO4)3 (NTP) on Ti3C2Tx MXene (NTP@MXene) using an in-situ growth method assisted by polyvinylpyrrolidone as a structural stabilizer is proposed to tune the reaction kinetics and structural stability. The in-situ grown nanocubes-on-MXene structure and Ti-O bonding rivets between NTP and MXene greatly improve the structural stability and CDI performance. Electrochemical tests and kinetic analysis reveal the effect on reaction kinetics by tuning particle size and composition ratio: the increased NTP ratio enhances the reaction kinetics yet decreases the cycling stability. With an optimal ratio of 50% NTP to MXene, the NTP@MXene electrode demonstrates an outstanding salt removal capacity of 171.43 mg g−1, a fast ion adsorption rate of 4.37 mg g−1 min−1, and excellent cycling performance (85% capacity retention after 100 cycles). This work provides insight into the properties-performance correlation of CDI electrodes to balance the Na+ adsorption kinetics and stability for practical CDI applications.

Assessments Used by Athletic Trainers to Decide Return-to-Activity Readiness in Patients With an Ankle Sprain.

Athletic trainers (ATs) often care for patients with ankle sprains. Expert consensus has been established for rehabilitation-oriented assessments (ROASTs) that should be included in ankle-sprain evaluations. However, the methods ATs use to determine return-to-activity readiness after an ankle sprain are unknown. To identify ATs' methods for determining patients' return-to-activity readiness after an ankle sprain and demographic characteristics of the ATs and their methods. Online survey. Cross-sectional study. We recruited 10 000 clinically practicing ATs. A total of 676 accessed the survey, 574 submitted responses (85% completion rate), and 541 respondents met the inclusion criteria. We distributed an online survey to ATs that asked about their assessment of pain, swelling, range of motion, arthrokinematics, strength, balance, gait, functional capacity, physical activity level, and patient-reported outcomes in deciding return to activity. Descriptive statistics were used to characterize participant demographics and frequencies of the assessment measures used by ATs. Chi-square analysis was conducted to identify relationships between the demographics and assessment selection. Pain, swelling, range of motion, strength, balance, gait, and functional capacity were assessed by 76.2% to 96.7% of ATs. Arthrokinematics, physical activity level, and patient-reported outcomes were assessed by 25.3% to 35.1% of participants. When selecting specific assessment methods, ATs often did not use recommended ROASTs. Athletic trainers with higher degrees, completion of more advanced educational programs, employment in nontraditional settings, more clinical experience, and familiarity with expert consensus recommendations were more likely to use ROASTs. Before approving return to activity for patients with ankle sprains, ATs did not use some recommended outcomes and assessment methods. Practice in nontraditional settings, more advanced degrees, more clinical experience, and familiarity with expert consensus guidelines appeared to facilitate the use of ROASTs.

Impairments of functional exercise capacity, muscle strength, balance and kinesiophobia in patients with chronic kidney disease: a cross-sectional study

BackgroundMuscle weakness, balance, and functional capacity are affected in patients with chronic kidney disease (CKD) in dialysis. However, studies about kinesiophobia, peripheral and respiratory muscle strength, balance, exercise capacity, fatigue, and physical activity level in patients with CKD 3–4 are limited. The study aimed to compare the functional exercise capacity, peripheral and respiratory muscle strength, pulmonary function, balance, kinesiophobia, physical activity, fatigue, and dyspnea between patients with CKD 3–4 and controls.MethodsThis cross-sectional study included 43 patients and 45 controls. Functional exercise capacity [6-Minute Walking Test (6MWT)], peripheral and respiratory muscle strength, pulmonary function, dyspnea, fatigue, physical activity, balance [Berg Balance Scale (BBS)], and kinesiophobia were evaluated.ResultsDemographic characteristics were similar in patients [53(50–57) y, 26 M/17F] and controls [51(4.506-55) y, 33 M/12F] (p > 0.05). The 6MWT, respiratory and peripheral muscle strength, pulmonary function, physical activity, and BBS were significantly lower, and the level of dyspnea and kinesiophobia were higher in patients compared with controls (p < 0.05).ConclusionsPatients had impaired functional exercise capacity, upper and lower extremity muscle strength, respiratory muscle strength, pulmonary function, and balance, increased perception of dyspnea and kinesiophobia, and reduced physical activity level compared with controls. Patients should be directed to cardiopulmonary rehabilitation programs.