Level Of Functional Mobility Research Articles

The Influence of Personality Type D and Coping Strategies on Cognitive Functioning in Students.

Academic and emotional challenges faced by medical students can affect their psychological well-being and health. Personal characteristics may also predispose one to the manifestation of distress reactions. Individuals with type D personality have an increased tendency to develop depressive reactions and somatic diseases, including the presence of cognitive dysfunction. In students, the presence of cognitive dysfunction may additionally adversely affect academic and psycho-emotional problems. The purpose of this study was to examine the influence of type D personality and coping strategies on cognitive functioning in medical students. A cross-sectional study included 258 medical students (age 19 ± 1.2 years, 79 men). All participants completed psychological questionnaires (DS-14 to identify type D personality, and The Coping Strategy Indication, CSI-to determine coping strategies), as well as extensive neuropsychological testing of cognitive functions. Among the medical students examined, the frequency of identification of type D personality was 44%. In persons with personality type D, according to psychometric testing, a decrease in the level of functional mobility of nervous processes (FMNP) was noted, which was manifested in an increase in the test completion time (p < 0.001) and an increase in the number of errors (p < 0.001) during the FMNP test, and an increase in the test completion time in the attention concentration test. In addition, in type D participants, an increase in the test execution time during the attention test was noted (p = 0.007). Personality type D was an independent risk factor for cognitive decline in students in multiple linear regression analysis, when type D was analyzed as a dichotomous construct. Assessing personal characteristics and identifying personality type D is advisable for medical students, to develop subsequent programs to increase their resistance to academic challenges, improve cognitive function, and also to prepare for future stress loads during professional activities in the field of healthcare.

Prevalence of physical health comorbidities and long-term functional outcomes among community-reintegrated veterans following lower limb amputation in Sri Lanka

IntroductionLower limb amputation (LLA) poses significant health challenges, including physical health comorbidities (PHCs) and functional limitations. Military veterans, who typically undergo traumatic LLA at a young age, endure these challenges...

Older Hospitalised Patients' Reported Confidence in Managing Discharge Needs: A Retrospective Observational Study.

To evaluate the introduction of a patient-reported outcome measure (PROM) of self-confidence in managing discharge needs in an acutely hospitalised older adult population. A retrospective service evaluation in an English hospital. The PROM measure consisted of a visual analogue scale asking patients to rate their confidence with managing the things that they would need to do at home. This was collected on admission and discharge. Of 923 patients, 461 had both admission and discharge confidence scores. Median confidence was higher at discharge (8.00, IQR: 6.20-9.80) than on admission (7.20, 5.00-9.00) (P<0.001). Predictors of high confidence with managing discharge needs at admission were: being male; having a lower number of morbidities; self-reporting fewer falls over the last year; and a higher level of functional mobility. Low confidence score on admission, being from one's own home, and a higher number of physiotherapy contacts were associated with improvement in PROM scores. Self-confidence in managing discharge needs at discharge was not associated with readmission within 30 days. Measuring patient-reported confidence to manage discharge needs is feasible in an older inpatient population. Confidence improved from admission to discharge, and more frequent physiotherapy input was associated with improved confidence.

The Investigation of Relationship between Functional Mobility Levels of Children with Chronic Disability and Caregivers’ Quality of Life

Purpose: This study aims to look at the relationship between carers' quality of life and the functional mobility levels of children with chronic disabilities.Methods: The study included 30 children (22 boys, 8 girls) with chronic disabilities and their caregivers. The socio-demographic characteristics of the children and caregivers were collected.Caregivers' quality of life was evaluated with the Adult Carer Quality of Life Questionnaire (AC-QoL), and children’s functional mobility was evaluated with the mobility subscale of the Pediatric Evaluation Of Disability Inventory (PEDI-Mobility). Results: The age of the children included in the study was 7.0 (5.0-12.0) years and the age of their caregivers was 38.00 (32.75-41.25) years. The AC-QoL score of caregivers was 85.00 (72.00-93.50) out of a total of 120 points, and the PEDI-Mobility score was 33.00 (3.75-53.00) out of a total of 58 points. In the correlation analysis, no significant correlation was found between the PEDI-Mobility total score and the AC-QoL total score (p&amp;gt;0.05).However, there was a negative correlation between the PEDI-Mobility total score and the AC-QoL “ability to care” subscale score(r= -0.403; p=0.027). Conclusion: According to the results of the study, no relationship was found between the functional levels of children and the quality of life of their caregivers. Studies with a larger sample size and consideration of aspects including sociocultural level, economic considerations, and health services that may affect the quality of life of families are regarded to be necessary in order to achieve more conclusive findings on this subject.

To the characterization of nervous processes in people with different heat sensitivity

The aim of the study was to diagnose functional mobility and strength of nervous processes in people with different heat sensitivity.Materials and methods. For this study, 150 students aged 17-20 years were involved. The subjects were divided into two groups, according to the questionnaire "Levels of heat sensitivity" and heat test. Diagnosing functional mobility of nervous processes in the feedback mode was conducted using the computer program "Diagnost 1M". The strength of nervous processes was also studied, according to the quality of mental load, using the imposed rhythm mode and in the feedback mode. Results. According to the results of the examination, it was found that participants with lower heat sensitivity (group B) have a higher rate of nervous processes strength according to the criterion of the total number of presented and processed signals within five minutes. They also had an average level of functional mobility of nervous processes. Participants with higher heat sensitivity (group A) had a lower than average level of functional mobility. In addition, a correlation was found between the minimum reaction time to a stimulus and the level of heat sensitivity in people. Regarding the quality of mental load performance using the imposed rhythm mode, a higher than average level of test errors was found in group A, while in group B this indicator was within the average level.Conclusions. Persons with lower heat sensitivity have a higher level of strength of nervous processes and their functional mobility, which results in more successful coping with mental load in the mode of imposed rhythm, compared to participants with higher heat sensitivity. Therefore, in subjects with a higher level of heat sensitivity, compared to those with a lower level, impaired concentration and decreased mental performance occur earlier.

Mudanças na mobilidade funcional de pacientes com tumores sólidos após a alta da unidade de terapia intensiva

ABSTRACT This study aimed to analyze changes in the level of functional mobility (FM) between patients with solid tumors discharged from intensive care units (ICU) and hospital discharge and the possible factors associated with FM recovery. This is a retrospective cohort study based on the analysis of medical records of patients with solid tumors who were discharged from an oncology ICU from January 1, 2018 to February 28, 2020. The primary outcome was the change in FM after ICU discharge, considering the difference between the final score at ICU discharge and the final score at hospital discharge, estimated by the ICU Mobility Scale (IMS). The association between continuous variables and outcomes was performed by univariate linear regression analysis. In total, 65 patients with a median age of 61.4 years (interquartile range - IQR 54-69) were included. The mean length of hospital stay after discharge from the ICU was 19.0 days (±24.04). The mean IMS score at ICU discharge was 2.62 (±2.56) and the mean IMS score at hospital discharge was 6.08 (±3.26). Patients who underwent surgery to treat the primary tumor had a score 1.89 higher compared to those who did not undergo surgery (p=0.048). Therefore, we observed improvement in FM in patients with solid tumors between ICU discharge and hospital discharge, and patients who underwent surgery showed better FM.

Психофизиологические корреляты копинг-поведения у лиц юношеского возраста, перенесших COVID-19

The global nature of the epidemiological situation associated with the spread of the new coronavirus infection COVID-19 and the multidisciplinary nature of the problem of psychophysiological disorders in people who have suffered from this disease has led to the need for a comprehensive study of the factors affecting postcovid recovery. Taking into account the nature of the problem posed, the purpose of the presented work was to study the relationship of psychophysiological parameters with indicators of stress-overcoming (coping) behavior in adolescents who have undergone COVID-19. The study included 54 students of Kemerovo State University, who were divided into a group of COVID-19 patients and a group without symptoms of the disease. To assess coping behavior, the questionnaire «Ways of Coping Question-naire» was used (Folkman, Lazarus; adaptation of Kryukova et al.). An automated computer complex “PFK” was used to study psychophysiological indicators. The following psychophysiological indicators were evaluated: simple visual-motor reaction, complex visual-motor reaction, anticipations and delays in assessing the reaction to a moving object, concentration and volume of attention, brain performance, the level of functional mobility of nervous processes, short-term memory for numbers and words, random access memory. According to the results of the correlation analysis, the interrelations between avoidant forms of coping behavior, such as “distancing”, “escape-avoidance”, “positive reassessment” with indicators of memory, attention, mobility of nervous processes, the number of inaccurate reactions to a moving object and the working capacity of the brain were recorded, which indicates a link between the increase in psychophysiological and cognitive disorders and preference in choosing care from stressful situations after a disease. Deterioration of memory and functioning of the nervous system lead to more frequent requests for support from others to receive additional help from them. The weakening of the nervous system also leads to more frequent use of productive coping strategies “taking responsibility” and “planning problem solving”, which, at the same time, additionally make it possible to compensate for cognitive impairments by performing tasks more accurately. In the group that did not have symptoms of COVID-19, no significant correlations were found between coping avoidance strategies and psychophysiological or cognitive impairments. Based on the results obtained, it can be assumed that the restoration of cognitive functions during psychocorrective work will make it possible to actualize the patient's choice of productive coping strategies and switch to a healthy behavior model.

Effectiveness of Muscle Energy Technique and Proprioceptive Neuromuscular Facilitation in Knee Osteoarthritis

This study was undertaken to determine the effectiveness of techniques such as muscle energy technique and proprioceptive neuromuscular facilitation in reduction of pain levels, improvement in flexibility of hamstring muscle and functional mobility, in patients with osteoarthritis of knee. An experimental study was carried out using a pre test and post test study design. The study was carried out in Krishna Hospital, Karad with a sample size of 36 individuals suffering from osteoarthritis of knee using a random sampling method. Individuals with Osteoarthritis of knee within the age group 40-60 years have been included. The collected data was analysed using paired and unpaired ‘t’ tests. When the data was analysed, the results showed that the patients in Group A and B receiving PNF stretching and MET respectively, the pain levels measured using NPRS shows more improvement in group A(7.66 ±1.02 ) as compared to group B (3.44 ±0.92). Hamstring flexibility in group A (10.63 ±4.89) was also found to be higher than in group B (4.37±2.01) when Active knee extension test was performed as a measure for hamstring flexibility, when functional mobility was measured using Western Ontario and McMaster universities arthritis index, improvement seen in group A (27.21 ±12.31) was significantly higher than in group B (14.11±7.88). The primary finding was that the patients of group A receiving PNF stretching along with the baseline protocol showed better improvement in pain levels, hamstring flexibility and level of functional mobility as compared to the patients in group B receiving MET along. with baseline protocol

Effect of single-event multilevel surgery on functional mobility of children with cerebral palsy

Introduction. Movement disorders are one of the most common complaints of patients with cerebral palsy. The attending physician needs to evaluate the motor activity of patients after treatment. The Functional Mobility Scale (FMS) is a clinically feasible tool to quantify changes after SEMLS in children with cerebral palsy.Purpose of the study. To evaluate the effect of simultaneous multilevel operations in combination with early rehabilitation treatment on the functional mobility of children with cerebral palsy in comparison with standard surgery.Materials and methods. The criterion for inclusion in the study was age at the time of examination less than 18 years, spastic cerebral palsy, surgical treatment due to orthopedic complications of cerebral palsy in two groups: after SEMLS and standard surgery. All subjects were assessed motor activity on the FMS scale.Results. The analysis performed showed no statistically significant changes in the assessment of functional mobility at a distance of 5 meters after surgical treatment in both study groups (p = 0.143; p = 0.083). A statistically significant improvement in functional mobility according to the FMS scale was found in children after simultaneous multilevel operations at distances of 50 and 500 meters (p = 0.025; p &lt; 0.001). No statistically significant changes were noted after standard operating procedures were carried out at distances of 50 and 500 meters (p = 0,063; p = 0,058).Conclusion. In children with cerebral palsy after simultaneous multilevel operations in combination with a complex of rehabilitation measures, the level of functional mobility improves. The use of the functional mobility scale allows the attending physician to objectify the dynamics of the motor function of patients with cerebral palsy after surgical treatment.

Factors for early postoperative cognitive impairment in patients after coronary bypass surgery and carotid endarterectomy

Aim. To determine the relationship between perioperative factors and cognitive function in patients after coronary bypass grafting (CABG) in combination with unilateral carotid endarterectomy (CE).Material and methods. We examined 56 men in the perioperative period with CABG combined with unilateral CE (mean age, 64,0±7,1 years). Cognitive assessment was performed before and 5-7 days after surgery with Status PF program. An advanced psychometric examination included an assessment of voluntary attention (Bourdon test), short-term memory (tests on memorizing 10 numbers, 10 words, and 10 syllables), neurodynamics (visual-motor reaction time, level of functional mobility of nervous processes, brain performance, as well as the number of errors in these tasks and missed positive signals). The concentration of neuron-specific enolase (NSE) and S100β protein in the blood serum of patients before surgery, 24 hours and 5-7 days after surgery was determined using enzyme immunoassay.Results. In the early postoperative period, an increase in reaction time (p=0,031) was accompanied by an increase in errors in this test (p=0,042) and a decrease in the number of memorized numbers (p=0,022). Twenty four hours and 5-7 days after surgery, there were no differences between the perioperative NSE level (p1-2-3&gt;0.05). Twenty four hours after CABG surgery, the level of S100β protein increased by 9,0% (p=0,001), while regression of S100β protein to the preoperative level was observed 5-7 days after operation.Conclusion. A relationship was found between the CABG factor and the attention level (r=-0,518; p=0,031), functional mobility reaction time (r=0,476; p=0,041), and the number of errors (r=0,449; p=0,032). A correlation was found between the factor of neurochemical markers, the number of processed letters on the 1st minute of Bourdon test (r=-0,642; p=0,014), the total number of processed letters in Bourdon test (r=-0,617; p=0,017). The combined factor of perioperative period was associated with functional mobility reaction time (r=0,609; p=0,041), the number of processed letters at 4 min (r=-0,490; p=0,017), and the total number of processed letters in the Bourdon test (r=-0,334; p=0,006).

Functional Status and Discharge Location of Patients Post–Left Ventricular Assist Devices Surgery in the Acute Care Setting

Purpose: Left ventricular assist devices (LVAD) are an alternative treatment for patients with heart failure. The purposes of this study were to describe patients immediately post-LVAD surgery, determine differences between functional outcome measures and discharge location, and the potential for initial Functional Status Score of the Intensive Care Unit (FSS-ICU) to assist in discharge recommendations. Methods: A retrospective study (n = 100) was conducted with the following data obtained: general demographics, FSS-ICU, ICU Mobility Scale (IMS), maximal ambulation distance, and discharge location. Patients were divided into 2 groups based on discharge location (home vs facility). Results: The mean age was 52.8 years, with 64% male. A significant improvement in all functional outcomes was observed from evaluation to discharge. Patients discharged home (76%) exhibited significantly higher FSS-ICU and IMS scores and tolerated out-of-bed activity and ambulation earlier. A score of 14 or higher on the initial FSS-ICU was predictive for discharge to home recommendation. Conclusion: Patients post-LVAD implantation exhibited low levels of functional mobility initially, yet were able to tolerate early activity. Patients discharged home had higher functional scores during the initial evaluation. Using the results of the FSS-ICU may assist in discharge recommendations; further research is needed.

Patient and Geographical Disparities in Functional Outcomes After Major Lower Limb Amputation in Australia

Major lower limb amputations are associated with considerable disability, low quality of life, and poor rates of returning to work, all of which are often attributed to the poor level of functional mobility that amputees experience postoperatively. This study aimed to quantify ambulatory outcomes after major lower limb amputation and identify potential prognostic factors for patients most likely to achieve ambulation and prosthesis use, with the hypothesis that variation in outcomes correlates to age, level of amputation, and place of residence at the time of amputation. This retrospective cohort study identified functional outcomes for patients who had lower limb amputations between 2012 and 2020. Patients were identified from the 10th revision of the International Classification of Diseases Australian Modification (ICD-10-AM)-coded state-wide government-maintained hospital administrative data by procedure codes for lower limb amputation. The primary outcomes were ambulation at the time of discharge from acute hospital stay, discharge destination, and prosthesis use. Variables for adjustment included patient age, comorbidity, level of amputation, and place of residence. Three-hundred and seventeen amputations were performed in 269 patients. Most procedures were transtibial amputations (56.4%) and for ischemic/infective indications (84%). Thirty-seven percent of patients were ambulating independently at the time of discharge and 55.9% demonstrated independent mobility with prosthesis at follow-up. Ambulation at the time of discharge predicted patients who were more likely to return home rather than residential or hospital care (odds ratio [OR] 1.8 95%; confidence interval [CI] 1.0-3.2). Patients with transtibial amputation were more likely to achieve prosthesis use than transfemoral (OR 4.4, 95% CI 2.1-9.5), after adjusting for age, comorbidity, and geographical factors. Mobility and prosthesis use was lowest in patients who were older, had transfemoral amputations, and resided in regional or rural areas. The significant outcome disparities identified in this cohort study highlight the need for targeted quality interventions aimed at improving functional outcomes for patients undergoing major amputation for peripheral artery disease.

The efficacy of change in limb volume on functional mobility, health-related quality of life, social appearance anxiety, and depression in patients with lower extremity lymphedema.

This study aims to investigate the impact of change in limb volume on the levels of functional mobility, health-related quality of life, social appearance anxiety, and depression before and after complex decongestive physiotherapy in patients with lower extremity lymphedema. Twenty-seven patients with unilateral lower extremity lymphedema were included. The treatment period was 20 sessions. The outcome measures were the limb volume, the Timed Up and Go test, the Short Form-36, the Social Appearance Anxiety Scale, and the Beck Depression Inventory. A statistically significant decrease in the limb volume (p < 0.001) and statistically significant improvements in the Timed Up and Go test performance (p < 0.001), the Short Form-36 Physical Component Summary score (p < 0.01), the Social Appearance Anxiety Scale score (p < 0.001), and the Beck Depression Inventory score (p < 0.001) were found. No statistically significant difference was found on the Short Form-36 Mental Component Summary score (p > 0.05). The decrease in the limb volume improves the functional mobility, physical health-related quality of life, social appearance anxiety, and depression in patients with lower extremity lymphedema, but not the mental health-related quality of life.

ФУНКЦИОНАЛЬНАЯ ОРГАНИЗАЦИЯ КОГНИТИВНОЙ ДЕЯТЕЛЬНОСТИ УЧАЩИХСЯ СТАРШЕГО ШКОЛЬНОГО ВОЗРАСТА, ОБУСЛОВЛЕННАЯ ТИПОМ МЕЖПОЛУШАРНОЙ АСИММЕТРИИ ГОЛОВНОГО МОЗГА

Objective : Set functional peculiarities of the organization of cognitive activity of the high-school students caused by the type of interhemispheric asymmetry of the brains. Methods : Comparative analysis of central nervous system was conducted among 250 students (9–11 grades) using variational chronoreflexometry, computer test “Landolt ring” and intelligence test. Results : Teenagers having left hemisphere type of functional brain asymmetry prevailed (56%). The number of schoolchildren with the domination of right hemisphere didn’t exceed 40.4%. Equi-hemispheric students made 3.6%. Higher level of functional mobility of the nervous system was detected among children having left hemisphere type of functional brain asymmetry. It defined the optimal level of cognitive performance. Conclusions : Low level of the development of cognitive functions’ dynamics among students having right hemisphere domination determines the necessity of training games usage for the purposes of the development and improvement of the cognitive abilities defining the level of academic performance of the students.

Disability in Uganda: a medical intervention to measure gendered impacts on functional independence and labour-market outcomes

ABSTRACT Using data from an orthotic intervention in Kampala, Uganda, this paper estimates the health and economic impacts of providing orthotic equipment to adults with lower limb disabilities. We examine changes to: (i) functional mobility and (ii) labour market outcomes, including type of employment and monthly earnings. One year after the intervention, the effects are noticeably gendered; men exhibit an improvement in their level of functional mobility, while women face little change or a reduction in their levels. In terms of labour market outcomes, for men the intervention leads to an increase in monthly earnings, which is partly due to a switch from self- to wage employment. Effects on female labour market outcomes generate more nuanced results. Earnings increase for women, although the overall effect is much smaller. Taking into account the intensity of equipment use, our Wald estimates reveal larger marginal effects on both mobility and earnings.

Reliability, concurrent validity and minimal detectable change of the L test in patients with total knee arthroplasty

Purpose The L test is a modified version of the timed up and go test (TUG), extending the walking distance from 6 to 20 meters and also requiring participants to make four turns in both (right/left) direction. It could be a useful measurement method in assessment of functional mobility for patients with Total Knee Arthroplasty (TKA). The aim of the study was to determine reliability, concurrent validity, and minimal detectable change (MDC) of L test in patients with TKA. Materials and methods The study included 43 patients with TKA. The Intraclass Correlation Coefficient (ICC) was used to assess the intra-rater reliability of the L test. The correlations of the L test with TUG were assessed for concurrent validity. Results Intra-rater (ICC 0.97) reliability of the L test was determined to be excellent. The SEM and MDC95 values of intra-rater reliability were 1.03 and 2.84, respectively. A high correlation was found between the L test and TUG (r: 0.75). Conclusion The L test is a valid and reliable method in the assessment of functional mobility in patients with TKA. The L test can be used to quantify changes in functional mobility level in patients with TKA. Implications for rehabilitation The L test is a reliable and valid measurement tool that can be used to assess functional mobility in patients with TKA. Clinicians and researchers can use a greater change than 2.84 seconds for the L test as a meaningful change in patients with TKA.

ASSESSMENT OF THE FUNCTIONAL STATE OF THE CENTRAL NERVOUS SYSTEM IN ADOLESCENTS LIVING IN THE NORTH

Background. The function of the central nervous system in adolescents reflects the complex influence of climatic and social conditions, as well as morphofunctional lability characteristic of puberty. Studying the functional state of the central nervous system in adolescents living at high latitudes is important for forming a region-dependent norm of the functional state of the body. Aim. The paper aims to reveal the features of sensorimotor integration as an indicator of the functional state of the central nervous system in 11–14-year-old students living in the North. Materials and methods. 88 schoolchildren from Surgut (46 males and 42 females) aged 11–12 years (1 group, n = 33) and 13–14 years (2 group, n = 55) were examined. Psychophysiological testing was carried out with the help of the NS-Psychotest hardware and software (Neurosoft, Ivanovo). The following methods were used: simple visual and motor reaction, complex visual and motor reaction – choice reaction. Mathematical and statistical processing was carried out in Microsoft Excel and Statistica 10.0. Results. Sex-related differences in neurodynamic data were revealed: average parameters of boys of both groups in comparison with girls are characteristic of a more active and mobile central nervous system. The functional state of the central nervous system in males is higher than that of females in both age groups, though, sensorimotor responses of females are more stable. Age-related improvements in sensorimotor integration were noted due to improved cerebral processing of sensory information by reducing latency time of sensorimotor responses. In males, depending on age, there was a tendency to negative changes in the functional state of the central nervous system. Conclusions. The results obtained describe the average level of activation and a high level of functional mobility of nervous processes in all adolescents. The average level of the functional state of the central nervous system reflects the optimal functional capabilities of the participants, which is the basis for effective psychophysiological adaptation to living conditions and educational activities.

Do the results of the sensomotor response reflect the typological properties of the central nervous system?

Introduction.During the study, we tried to find out whether the temporal characteristics of sensory-motor response can reflect the typological properties of the central nervous system. Such research is essential to reveal the mechanisms of development of higher mental functions and mental capacity.Purpose.To establish the relationship between the speed characteristics of visual-motor reaction different complexity and individual-typological properties of the central nervous system.Methods.Individual differences of sensorimotor reaction and the properties of the main nervous processes were determined by the method of M. V. Makarenko [8] using the computer system "Diagnost-1". 32 teenagers aged 10-11 were examined. During the study, the indicators of latent periods of simple (SVMR) and complex visual-motor reactions of choice (RC1-2, RC2-3), functional mobility of nervous processes (FMNS) were investigated. Results.Speed characteristics of simple (SVMR) and complex visual-motor reactions of choice of one (RC1-3) and choice of two (RC2-3) excitatory and inhibitory signals were studied in order to 202177use them to assess individual typological properties of the central nervous system (CNS) in adolescents 10-11 years old. There is no evidence of a relationship between the rate of SVMR with different levels of functional mobility (FMNS) of nervous processes in adolescents 10-11 years old.The reaction rate did not differ statistically and was the same in representatives with high, medium and low levels oftypological properties of nervous system. The results of the correlation analysis between SVMR and FMNP were r = 0.13 (p = 0.59), which indicated no relationship between them. The relationship of sensorimotor response time with individual-typological features of the CNS was established in complex information differentiation RC2-3. The temporal characteristics of RC2-3 were dependent on the individual-typological properties of the CNS.The reaction rate of RC2-3 was higher in adolescents 10-11 years old with high levels of -3 were r = 0.35 (p = 0.034).The results show that the velocity characteristics of complex neurodynamic acts, in contrast to simple ones, can be used as quantitative characteristics of the typological properties of the CNS.Originality.The results of our research may be evidence that the indicator RC2-3 can be used as an additional informative criterion for assessing the individual-typological properties of the higher parts of the central nervous system.Conclusion. The temporal characteristics of SVMR and RC1-3 cannot be considered as informative criteria for assessing the individual-typological properties of CNS in adolescents 10-11 years. Time characteristics of RC2-3 differentiation reactions can be used as additional indicators for assessing the individual-typological properties of higher nervous activity in adolescents 10-11 years, namely, the level of functional mobility of nervous processes.Key words:processing of information of various complexity, speed characteristics of simple reactions, motor acts of choice and differentiation, individual-typological properties, functional mobility of nervous processes

Effect of Intermittent Pneumatic Compression on Functional Level and Quality of Life in Community-Dwelling Older Adults with Limited Ambulation Due to Leg Pain: A Randomized Controlled Trial

Background and Purpose: Walking difficulties are defined as any reduction in speed, balance, or change of gait, causing limited ambulation. These difficulties are a common problem in older adults and may greatly affect their quality of life (QOL) and restrict their personal independence and participation. This study aimed to determine the effect of intermittent pneumatic compression (IPC) on lower leg pain, walking capacity, functional mobility, ankle range of motion (AROM), and QOL of community-dwelling older people with walking difficulties. Methods: In this randomized controlled trial, 34 eligible participants with self-reported lower limb pain and limited ambulation were randomized either to the intermittent pneumatic compression intervention group (IPCIG) or static compression control group (SCCG). The IPCIG and SCCG were trained to receive IPC and SC respectively for both lower legs and instructed to continue the application independently at home for 15 minutes per session, 2 sessions a day, 7 days per week for 4 weeks independently at the home. Outcome measures of lower leg pain, AROM, walking capacity, and functional mobility were assessed at baseline and at the first, second, third, and fourth weeks after randomization. Quality of life was assessed at baseline and immediately after the intervention. Results and Discussion: IPCIG showed a more significant improvement compared to the SCCG at the post-interventional stage for QOL and all the subscales. The findings show that “80% improved QOL” is 53% higher with the application of IPC than with SC for 4 weeks. The IPCIG showed a more significant improvement in the 6-minute walk test (6 MWT) at the third and fourth weeks compared to the SCCG. A pairwise comparison of mean values of 6 MWT over 4 weeks within the IPCIG showed a significant difference between all the weeks. Pairwise comparisons between groups at each time point showed that the IPCIG showed a more significant improvement in the timed up and go (TUG) test at the third and fourth weeks compared to the SCCG. Pairwise comparison of mean values of TUG test within the IPCIG showed a significant difference over 4 weeks, except between the second and third weeks, fourth week, and third and fourth weeks. The IPCIG showed a more significant improvement in lower leg pain between all weeks except the first week compared to the SCCG. Pairwise comparison of mean values of lower leg pain over 4 weeks within the IPCIG showed a significant difference among all weekly outcomes except between 1 and 2 weeks. The IPCIG showed a more significant improvement in left and right ankle dorsiflexion ROM at the third and fourth weeks compared to the SCCG. Conclusions: The IPC was effective in reducing lower leg pain and increasing the AROM and improving the walking capacity, functional mobility level, and QOL of community-dwelling older people with walking disabilities. Walking disability in old age is a common condition requiring physical therapy. Intermittent pneumatic compression can be used as a physical therapy modality for this patient group.

Evaluation of race as a predictor of fear of falling in Black older adults

ABSTRACT Objective Determine whether race predicts fear of falling (FOF) in older adults with a history of previous fall(s) while controlling for mobility performance, activity of daily living (ADL) independence, age, gender, and education. Methods We examined predictors of FOF among community-dwelling older adults using data from two longitudinal randomized controlled trials that implemented fall prevention programs for community-dwelling older adults. Results Two hundred fifty-nine participants were included in the analysis; 145 reported low FOF, while 59 reported high FOF. After controlling for mobility performance, ADL independence, and sociodemographic factors, Black older adults were more likely to report FOF (OR = 2.17) compared to White older adults. Overall, older adults with lower mobility performance/functioning scores were more likely to have FOF (OR = 0.08). Conclusions Older adults (aged ≥65 years) who are at higher risk, based on a prior history of fall(s), are more susceptible to developing FOF, as evidenced by the older adults within this study, due to limited mobility performance and functioning. Clinical Implications Black older adults may be at greater risk of FOF than their White counterparts based on previous fall history and level of functional mobility. Incorporating measures of objective performance-based function along with measures of psychological factors are viable methods to identify and address FOF within Black older adult populations.