Role In Walking Research Articles

The efficacy of shoes modification and orthotics in hallux valgus deformity: a comprehensive review of literature.

Hallux valgus (HV) is a frequent forefoot deformity affecting about 23% of adults and 35.7% of people over 65. The exact etiology is not fully understood. The first ray plays a significant role in walking cause it bears the principal amount of weight and maintains the position of the medial arch. Several factors that deteriorate the integrality of the first ray, such as foot deformities, restrictive footwear, and pes planus, may be ascribed to the HV occurrence. Before any surgical correction, conservative treatment should always be initiated first. Currently, there is no consensus that conservative management by shoe modification and foot orthoses could correct the pathology or terminate the clinical worsening of the condition.From a careful analysis of the literature, proper footwear should be a shoe with an adequate length, wide toe box, cushioned sole, and a lowered heel to not increase the load on the metatarsal heads and cause pain. Personalized 3D printed customized toe spreaders may be applied in patients with HV, improving symptoms and bringing pain relief. Compensating the subtalar joint hyperpronation through foot orthoses plays a fundamental role in the HV development, preventing or at least controlling the condition's progress; this, along with weight reduction and regular physical activity.Data obtained suggest that dynamic foot orthoses prefer a biomechanical type with 3/4-length, which is less likely to negatively affect the dorsal or medial pressures, which instead were noted to increase with the sulcus- and full-length orthoses.Although some studies suggest that foot orthoses would favor the correction of HV deformity, results have been very variable and just in few studies appear to correct HV or reduce its progression, improving symptoms and bringing pain relief. In the case of HV surgical correction, orthoses seem to maintain the correct position acquired over time.

Understanding distracted pedestrians’ risky behaviour: The role of walking and visual characteristics through a field study

Use of mobile phones while crossing the road has become a growing safety concern among pedestrians. Though recently, some studies have attempted to understand risky behaviour of distracted pedestrians by analyzing impacts of distraction on pedestrians’ walking and visual characteristics, the impacts were measured individually. Moreover, most of the existing findings are based on lab-based experiments, whereas the real-world conditions are quite dynamic in nature. Hence, to overcome these gaps, the current study aims to understand to what extent different potential factors (such as distraction, walking characteristics, visual behaviour, etc.) affect the risk of unsafe pedestrian-vehicle interactions in real-world settings. For this purpose, a field experiment was designed to understand the impact of distraction on pedestrians’ risky behaviour using an eye-tracker at an unsignalized intersection in Delhi. The risk assessment was done using Post-Encroachment Time (PET) measure. The results indicate that the use of mobile phone while crossing the road increased the chances of unsafe (PET < 1.5 s) pedestrian-vehicle interactions by approximately eight folds. Surprisingly, pedestrians who crossed the intersection at high speed had higher chances of unsafe interactions, whereas their increased crossing initiation time reduced the probability of unsafe interactions. Moreover, increased pupil diameter and fixating more on vehicles approaching from the right side resulted in a reduced probability of unsafe interactions. However, the high frequency of saccades and higher fixations on the crosswalk's right side negatively affected unsafe interactions. This study highlights that it is important to consider visual characteristics along with demographic and walking and traffic characteristics as they can provide in-depth insights into pedestrians’ road crossing behaviour that are required to design and implement effective countermeasures and policies.

A robotic emulator for the systematic exploration of transtibial biarticular prosthesis designs.

People with transtibial limb loss frequently experience suboptimal gait outcomes. This is partly attributable to the absence of the biarticular gastrocnemius muscle, which plays a unique role in walking. Although a recent surge of biarticular prostheses aims to restore gastrocnemius function, the broad design space and lack of consensus on optimal hardware and control strategies present scientific and engineering challenges. This study introduces a robotic biarticular prosthesis emulator, comprising a uniarticular ankle-foot prosthesis and knee flexion exoskeleton, each actuated by a custom off-board system. Benchtop experiments were conducted to characterize the emulator's mechatronic performance. Walking experiments with one transtibial amputee demonstrated the system's capability to provide knee and ankle assistance. The -3dB bandwidths for the knee exoskeleton's torque and motor velocity controllers were measured at approximately 5Hz and 100Hz, respectively. A feedforward iterative learning controller reduced the root-mean-squared torque tracking error from 6.04Nm to 0.99Nm in hardware-in-the-loop experiments, an 84% improvement. User-preference-based tuning yielded a peak knee torque of approximately 20% of the estimated biological knee moment. This biarticular prosthesis emulator demonstrates significant potential as a versatile research platform that can offer valuable insights for the advancement of lower-limb assistive devices.

The impact of climate change on country and community and the role of mental health professionals working with Aboriginal communities in recovery and promoting resilience.

This paper emerged from discussions between the authors about our shared and different perspectives of climate change and its impact on the social, emotional, physical, spiritual and cultural wellbeing of Aboriginal Peoples and mental health services in a rural region, heavily impacted in recent years by bushfires and floods. Here we discuss, from the lead authors personal perspective as a Gamilaraay Woman, the experience of Solastalgia as a critical impact of climate change on wellbeing. Specifically, we discuss the relationship of a connection to country from a Gamilaraay, first person perspective through a series of diary entries from the lead author. Authors are researchers from different cultural backgrounds, connected through a medical research futures fund research project, to promote resilience within Aboriginal communities and the health services sector in the New England, North West region. The lead author has cultural connections to some of the communities we work with and our work is informed by these connections. While this paper was written to express an Aboriginal perspective on climate change and wellbeing, it reflects our shared perspectives of how disasters such as bushfires impact the wellbeing of Aboriginal peoples. We also explore the connection between the impact of localised, recurring natural disasters and the increasing demands on mental health services in regional and rural areas and discuss what this means with Aboriginal and non-Indigenous mental health nurses and researchers working in regional and rural areas where access to mental health services often poses considerable challenges. From our perspective, mental health research and nursing play an important role in walking alongside Aboriginal Peoples as we explore, respond and create resilience to the ever-present influence that climate change is having on our lives, communities, country and workplaces.

A Community Profile of Walking and Cycling for Exercise or Transportation in a Rural County in the Southeastern United States.

People living in rural areas of the United States, especially in the southern region, are much less likely to walk or cycle for leisure time or transportation. The purpose of this study is to provide a more detailed community-level estimate of walking and cycling behaviors and attitudes among adults living in a rural county (Hardeman County, TN) participating in a High Obesity Program (HOP) from the Centers for Disease Control and Prevention. Telephone interviews and online surveys regarding walking and cycling behaviors, attitudes, and perceptions of the built environment were completed by 634 adults. Questions originated from the 2002 National Survey of Bicyclist and Pedestrian Attitudes and Behavior. Respondents were classified as walkers, cyclists, or both. Chi-square and logistic regression were used for data analysis. Of adults in this county, 67.2% were walkers and 16.2% cyclists. Both forms of active living tended to decrease with age, especially after 50 years. Walking was associated with younger ages, 2-person households, positive perceived health, and a feeling that walking was good for them. Cycling was only associated with age. Most people felt that their communities were safe places to walk or bike. Walking was most often done on roads or road shoulder. Social support and intrinsic motivators may also play a role in walking and bicycling in rural areas. Interventions that promote walking and cycling in rural areas should provide a means for social support, creating activity-friendly routes perceived to be safe, and enhanced destinations for places to be physically active.

The role of walking and cycling in sustainable city transformation – Belgrade SUMP case study

Traffic as one of the main drivers of urban life require a modern approach to solve the existing problems instead of the traditional focus on individualities. In order to treat the identified difficulties, cities have started to develop Sustainable Urban Mobility Plans (SUMPs), which focuses on mobility as a whole. Belgrade is one of the cities that received its first SUMP in 2020. In this document, special emphasis is placed on the influence of non-motorized users, as the main drivers of active mobility. The goal of this paper is to present the strategic measures aimed at improving the existing situation for non-motorized transportation modes in the city, which are presented in Belgrade SUMP. The activities presented here can be used as an adequate basis for the problems that Belgrade is currently facing, in order to enhance the quality of the urban environment for all its citizens.

ASEMPTOMATİK FİZİKSEL İNAKTİF YETİŞKİNLERDE GÖVDE KAS KUVVETİ İLE PELVİK SALINIMLAR ARASINDAKİ İLİŞKİ

Purpose: Pelvis and trunk structure are body segments that are integrated with each other. Collaboration between pelvic mobility and trunk muscles plays a significant role in walking and energy consumption. The aim of this study is to investigate the relationship between trunk muscle strength and pelvic oscillations.&#x0D; Methods: Twenty-eight healthy individuals volunteered for the study (16 women, 12 men; mean age 24.46 ± 2.97 yrs., height 172.03 ± 9.41cm, weight 67.78 ± 16.31 kg). Pelvic oscillations were measured by using a wireless tri-axial accelerometer. Trunk muscle strength was evaluated with Isokinetic Dynamometer (Cybex Humac Norm Testing &amp; Rehabilitation System, USA). The trunk extensors and flexors were tested concentrically at 60°s. Statistically, the direction and level of the relationship were examined by using Spearman Correlation Analysis.&#x0D; Results: Correlation analysis showed significant relationships between concentric strength of trunk flexion and anterior-posterior pelvic tilt (r=-0.419 p

Successful functional salvage of a hindfoot injury with isolated soft tissue reconstruction: a case report

Abstract Calcaneus has an important functional role in walking, running, gait and transferring 80% of total weight. Due to the paramount role of the calcaneus in function, there is a trend toward ‘below knee amputation’ for such heel injuries, associated with complete loss of calcaneus. Complex calcaneal defects represent a reconstructive challenge, due to few reported cases in the literatures, limited surgical options, and lack of long-term outcomes. We present a young patient regaining near normal function, weight bearing and independent walking after sustaining complex hindfoot defect that resulted in total loss of the calcaneus secondary to a landmine blast injury managed by soft tissue reconstruction only without skeletal reconstruction.

Functional connectivity of proximal and distal lower limb muscles and impact on gait variability in stroke

BackgroundHigher gait variability after stroke increases risk of falls and compromises safe community ambulation. Corticomotor connectivity plays an important role in walking after stroke, however, its relation to gait variability remains unknown. Research questionDo corticomotor characteristics of the proximal and distal lower limb muscles predict gait variability in individuals with chronic stroke? MethodsRetrospective analysis of data from 30 individuals with chronic stroke was conducted. Corticomotor characteristics were measured in the paretic and non-paretic tibialis anterior (TA, distal muscle) and rectus femoris (RF, proximal muscle) using transcranial magnetic stimulation. We calculated corticomotor excitability ratio of paretic TA and RF (CMETA/RF), corticomotor excitability symmetry (CMEsym) between hemispheres for the TA and RF, and ipsilateral corticomotor excitability (ICE) of the paretic TA. Gait variability was quantified as the coefficient of variation of the paretic step length (spatial) and step time (temporal) during comfortable walking. Relations between corticomotor characteristics and gait variability were tested with multiple linear regression. ResultsCMETA/RF and CMEsym of RF were significant predictors of spatial gait variability. Greater corticomotor input to the paretic RF compared to the paretic TA and greater symmetry of RF were related to higher spatial gait variability. There were no significant predictors of temporal gait variability. SignificanceCorticomotor inputs to the proximal RF may be important for spatial gait variability, reflecting a compensatory role of RF in walking after stroke. Stroke survivors with relatively greater corticomotor input to the paretic RF may adopt compensatory strategy to enhance propulsion and achieve foot clearance, but it may also increase spatial gait variability, particularly when combined with impaired motor control of the paretic TA. These findings may provide novel rehabilitative targets to decrease gait variability and promote safe ambulation in individuals with stroke.

The Role of Walking in the Relationship between Catastrophizing and Fatigue in Women with Fibromyalgia.

Walking is one of the most beneficial treatments for fibromyalgia patients. However, adherence to walking behavior is low due to the initially associated symptoms (including pain and fatigue). Although the association of catastrophism with greater symptoms is known, the results regarding fatigue have not always been consistent. Nevertheless, it is unknown whether the association between catastrophism and fatigue could, in turn, be conditioned by whether the patients walk or not. Therefore, our goal was to explore the moderating effect of walking on the association between catastrophizing and fatigue in patients with fibromyalgia. A cross-sectional study was carried out with 203 women with fibromyalgia. We used the Multidimensional Fatigue Inventory to assess fatigue and the Pain Catastrophizing Scale to assess pain catastrophizing (differentiating between its three dimensions). An ad hoc item was used to evaluate walking (moderator). Lower scores for fatigue and pain catastrophizing were found among patients who walked versus those who did not. Walking moderated the relationship between rumination and fatigue (Beta = 0.16, t = 1.96, p = 0.049) and between magnification and fatigue (Beta = 0.22, t = 21.83, p = 0.047). Helplessness showed no direct or interaction effect for fatigue. Nevertheless, higher rumination and magnification were associated with higher fatigue only in patients who walked. Therefore, to promote adherence to walking and reduce the effects of catastrophizing on fatigue, it seems necessary to manage rumination and magnification among patients who walk.

Limited Ability to Adjust N2 Amplitude During Dual Task Walking in People With Drug-Resistant Juvenile Myoclonic Epilepsy.

Juvenile myoclonic epilepsy (JME) is one of the most common epileptic syndromes; it is estimated to affect 1 in 1,000 people worldwide. Most people with JME respond well to medication, but up to 30% of them are drug-resistant. To date, there are no biomarkers for drug resistance in JME, and the poor response to medications is identified in retrospect. People with JME have frontal dysfunction manifested as impaired attention and difficulties in inhibiting habitual responses and these dysfunctions are more pronounced in drug-resistant individuals. Frontal networks play an important role in walking and therefore, gait can be used to overload the neural system and expose subtle changes between people with drug-responsive and drug-resistant JME. Electroencephalogram (EEG) is a promising tool to explore neural changes during real-time functions that combine a cognitive task while walking (dual tasking, DT). This exploratory study aimed to examine the alteration in electrical brain activity during DT in people with drug-responsive and drug-resistant JME. A total of 32 subjects (14 males and 18 females) participated: 11 drug-responsive (ages: 31.50 ± 1.50) and 8 drug-resistant (27.27 ± 2.30) people with JME, and 13 healthy controls (29.46 ± 0.69). The participants underwent EEG examination during the performance of the visual Go/NoGo (vGNG) task while sitting and while walking on a treadmill. We measured latencies and amplitudes of N2 and P3 event-related potentials, and the cognitive performance was assessed by accuracy rate and response time of Go/NoGo events. The results demonstrated that healthy controls had earlier N2 and P3 latencies than both JME groups (N2: p = 0.034 and P3: p = 0.011), however, a limited ability to adjust the N2 amplitude during walking was noticeable in the drug-resistant compared to drug-responsive. The two JME groups had lower success rates (drug-responsive p < 0.001, drug-resistant p = 0.004) than healthy controls, but the drug-resistant showed longer reaction times compared to both healthy controls (p = 0.033) and drug-responsive (p = 0.013). This study provides the first evidence that people with drug-resistant JME have changes in brain activity during highly demanding tasks that combine cognitive and motor functions compared to people with drug-responsive JME. Further research is needed to determine whether these alterations can be used as biomarkers to drug response in JME.

Dual-Task Interference in Children with Down Syndrome and Chronological and Mental Age-Matched Healthy Controls.

Background. On the assumption that motor actions result from the interaction between cognitive, perceptual, and neurological mechanisms, neuromotor dysfunction–such as in children with Down Syndrome (DS)–is expected to affect the central coordination processes required for dual-task (DT) performance. There are few dual-task (DT) studies in individuals with DS, so the current study examined the effects of dual-tasking (DT) on walking performance in children with DS. Method. In this study, a motor-cognitive DT was used in 12 children with DS (10.5 ± 1.08 years, 6 female), 12 typically developed (TD) children with the same mental age (TD-MA: 5.98 ± 1.21 years, 6 female), and 12 with the same chronological age (TD-CA: 10.5 ± 1.07 years, 6 female). Children were asked to enumerate animals for one minute while walking straight ahead. Results. All groups showed lower performances under the DT condition than the single-task (ST) condition. Children with DS appear to have the most difficulties in motor and cognitive tasks and ST- and DT-conditions. Concerning the DT costs (DTC), difficulties were mainly observed with the motor task, with motor DTC being greater than cognitive DTC. Conclusion. The interplay of different systems seems to play a crucial role in walking, especially in children with DS. DT walking paradigms with directional changes are recommended for future studies, as this is more appropriate for the everyday demands of children.

Prelom petne kosti - Sanders tip III fiksiran angularnom pločom - prikaz slučaja

Introduction. The calcaneus is a tarsal bone which plays a major role in transferring weight from the lower leg down through the ankle joint onto the forefoot and toes. It participates in the formation of the outer and inner longitudinal arch of the foot and has a significant role in walking and transferring body weight. Calcaneal fractures most often occur by jumping, falling from a height, or less often, in traffic accidents. Calcaneal fractures can be extra-articular and intra-articular. Intra-articular fractures can entirely damage joint surfaces, which results in deformity and immobility of the foot. They can be extra-articular and intraarticular, when disruption of the entire articular surfaces, deformity, and weakness of the foot occur. Case report. This case report presents a 40-year-old male with an intra-articular calcaneal fracture. He was injured by falling from a height of 3 meters and sustained an intra-articular fracture type IIIAB where one fracture line went laterally and the other centrally over the posterior calcaneal facet. Surgery was performed on the sixth day after the injury. The prepared locking plate for calcaneus was adapted and fixed with spongy screws in relatively preserved joint fragments: sustentaculum tali, tuberositas lateralis calcanei and tuber calcanei. In this way, we ensured the position of the repaired fragments, and then we placed 4 more spongy screws inside the healthy bone tissue, which was enabled with the use of this plate. With this procedure, the calcaneal axis, i.e. the varus deformity, height, width, length and angles of the bone (Bohler's and Gissane's angle) were corrected. From day one, the patient started to move his toes, and on the third day the patient started to move the ankle and began to walk with the help of props with no support on the leg. Conclusion. The preoperative value of Bohler's angle is a significant correlation between the severity of the injury and displacement of fragments in intra-articular calcaneal fractures. The goal of the surgery was to restore the posterior calcaneal articular facet, avoid soft tissue infection and form a normal shape and position of a foot.

Reflections from the field (mountain, cityscape and park): walking for management development and links to being-in-the world, belonging and “Ba”

PurposeThe purpose of this paper, based on reflections from practice, is to shed light on the realities of using walking as a tool for learning and development. This is done through an initial analysis of longitudinal reflective data spanning seven years and connecting these reflections to the concepts: being-in-the-world, belonging and Ba.Design/methodology/approachThis research takes a practice based phenomenological and reflective approach. The value of this approach is to seek a new understanding, through three distinct conceptual frames, of the effective use of walking within management development.FindingsThe findings connect three conceptual approaches of being-in-the-world, belonging and “Ba” to the practicalities of delivery, thus encouraging practitioners and designers to deeply reflect on the role of walking in management development.Research limitations/implicationsA limitation is that this is largely a personal story exploring the impact of an intuitively developed set of interventions. Despite this, the paper represents a unique and deep interpretation of walking as a mechanism for management development.Practical implicationsThe paper concludes with three recommendations to practitioners wanting to use walking in management development programmes. These are: facilitators need to be familiar with their surroundings; they should look for spaces and places where participants can connect and build relationships; and organisers and sponsors need to recognise how walking not only consolidates knowledge but can help create knowledge too.Originality/valueThis is a unique, seven-year longitudinal study that broadens the theoretical focus of walking as a mechanism for management and leadership development that combines the theoretical lenses of being-in-the-world, belonging and “Ba”, the authors believe, for the first time in research on management development.

Walking, knowing, and the limits of the map: performing participatory cartographies in Indigenous landscapes

Post-representational cartography views maps as inherently unstable and unfinished, always in the making and thus singularly open for refolding and re-presentation. This perspective on maps calls for greater attention to the performances, negotiations, and contestations that occur during the ongoing production of maps, particularly in cases where maps are developed during collective, collaborative, and participatory processes in Indigenous landscapes riven by conflict and struggle. In the following, we examine the role of walking for the continual (re)making of participatory maps, specifically engaging with work in Indigenous methodologies to consider how an emphasis on performativity in map-makings may foster a post-representational perspective on Indigenous cartographies. We understand walking as map-making, a form of knowledge production generated by performative and situated storytelling along paths and in places filled with meaning. Drawing on a critical understanding of ‘invitation’ and ‘crossing’, we build on our experiences from participatory mapping projects in Mexico, Venezuela, Ecuador, and Brazil to explore the ways in which the material, performative crossings of bodies through Indigenous landscapes may inspire new forms of knowledge production and destabilize Cartesian cartographic colonialities.

In Vivo Foot and Ankle Kinematics During Activities Measured by Using a Dual Fluoroscopic Imaging System: A Narrative Review.

Foot and ankle joints are complicated anatomical structures that combine the tibiotalar and subtalar joints. They play an extremely important role in walking, running, jumping and other dynamic activities of the human body. The in vivo kinematic analysis of the foot and ankle helps deeply understand the movement characteristics of these structures, as well as identify abnormal joint movements and treat related diseases. However, the technical deficiencies of traditional medical imaging methods limit studies on in vivo foot and ankle biomechanics. During the last decade, the dual fluoroscopic imaging system (DFIS) has enabled the accurate and noninvasive measurements of the dynamic and static activities in the joints of the body. Thus, this method can be utilised to quantify the movement in the single bones of the foot and ankle and analyse different morphological joints and complex bone positions and movement patterns within these organs. Moreover, it has been widely used in the field of image diagnosis and clinical biomechanics evaluation. The integration of existing single DFIS studies has great methodological reference value for future research on the foot and ankle. Therefore, this review evaluated existing studies that applied DFIS to measure the in vivo kinematics of the foot and ankle during various activities in healthy and pathologic populations. The difference between DFIS and traditional biomechanical measurement methods was shown. The advantages and shortcomings of DFIS in practical application were further elucidated, and effective theoretical support and constructive research direction for future studies on the human foot and ankle were provided.

Experimental characterization of the T-FLEX ankle exoskeleton for gait assistance

Designing robotic devices to assist or emulate the ankle is challenging due to the joint’s complexity and the fundamental role in walking. T-FLEX is an ankle exoskeleton based on vsa for rehabilitation and assistance of people with ankle dysfunctions. This device has presented promising motor recovery results for a stroke patient during a rehabilitation program. However, human walking applications require an electromechanical characterization to measure the device’s capabilities and determine the suitable configuration that responds to this complex task. This work presents T-FLEX’s experimental characterization carried out in a test bench structure. The results showed alterations in system times and actuators’ bandwidth because of the tendons’ force levels. Furthermore, this study determined the most appropriate T-FLEX configuration to obtain the best performance. Thus, this work also presents a preliminary validation under that configuration on a healthy subject in gait assistance to assess the device’s response in different velocities and measure the effects on the user. In conclusion, T-FLEX can assist the human gait for gait cycle duration greater than 0.74 s providing torque on the ankle of up to 12 Nm in propulsion and 20 Nm in dorsiflexion. Nevertheless, it should include an adaptable stage in the control architecture to counteract the stabilization time for providing the maximum torque at the right time.

Hemodynamic and behavioral changes in older adults during cognitively demanding dual tasks.

IntroductionExecutive functions play a fundamental role in walking by integrating information from cognitive‐motor pathways. Subtle changes in brain and behavior may help identify older adults who are more susceptible to executive function deficits with advancing age due to prefrontal cortex deterioration. This study aims to examine how older adults mitigate executive demands while walking during cognitively demanding tasks.MethodsTwenty healthy older adults (M = 71.8 years, SD = 6.4) performed simple reaction time (SRT), go/no‐go (GNG), n‐back (NBK), and double number sequence (DNS) cognitive tasks of increasing difficulty while walking (i.e., dual task). Functional near infra‐red spectroscopy (fNIRS) was used to measure the hemodynamic response (i.e., oxy‐ [HbO2] and deoxyhemoglobin [HbR]) changes in the prefrontal cortex (PFC) during dual and single tasks (i.e., walking alone). In addition, performance was measured using gait speed (m/s), response time (s), and accuracy (% correct).ResultsUsing repeated measures ANOVAs, neural findings demonstrated a main effect of task such that ∆HbO2 (p = .047) and ∆HbR (p = .040) decreased between single and dual tasks. An interaction between task and cognitive difficulty (p = .014) revealed that gait speed decreased in the DNS between single and dual tasks. A main effect of task in response time indicated that the SRT response time was faster than all other difficulty levels (p < .001). Accuracy performance declined between single and dual tasks (p = .028) and across difficulty levels (p < .001) but was not significantly different between the NBK and DNS.ConclusionFindings suggest that a healthy older adult sample might mitigate executive demands using an automatic locomotor control strategy such that shifting conscious attention away from walking during the dual tasks resulted in decreased ∆HbO2 and ∆HbR. However, decreased prefrontal activation was inefficient at maintaining response time and accuracy performance and may be differently affected by increasing cognitive demands.

طراحی پیاده راه در جاده های عمومی شهری با رویکرد توسعه پایدار شهری مطالعه موردی: خیابان انتیک فروشی و گل فروشی کابل

Following the emergence of air pollution, a policy was formed to reduce the use of personal vehicles and reduce fuel consumption, followed by an urban design and planning approach to revive the concept of increasing pedestrian-orbital capability in cities. Therefore, due to the importance of pedestrians and pedestrians, this study was conducted. This treatise is a research that has been conducted to design sustainable pedestrians in urban spaces. In this research, considering the importance of pedestrians and the role of walking in the quality of life of citizens (instead with the presence of cars and riders that disrupt safety and security) in the form of a concept called pedestrian design on urban public roads with the approach of sustainable urban development has been done. After reviewing the concepts and theories of scientists in the field of urban design related to, by examining the case sample (Antique Street of Kabul) which is commercially strong and at the same time not having enough vitality, the research questions have been proved. As a result, the conceptual model of the research, which actually includes the general model of factors influencing vitality in the pedestrian spaces, has been developed and finally, suggestions and plans have been made to create a sustainable footing for Antique Street selling.

Automated measurement of fat infiltration in the hip abductors from Dixon magnetic resonance imaging

PurposeIntramuscular fat infiltration is a dynamic process, in response to exercise and muscle health, which can be quantified by estimating fat fraction (FF) from Dixon MRI. Healthy hip abductor muscles are a good indicator of a healthy hip and an active lifestyle as they have a fundamental role in walking. The automated measurement of the abductors' FF requires the challenging task of segmenting them. We aimed to design, develop and evaluate a multi-atlas based method for automated measurement of fat fraction in the main hip abductor muscles: gluteus maximus (GMAX), gluteus medius (GMED), gluteus minimus (GMIN) and tensor fasciae latae (TFL). MethodWe collected and manually segmented Dixon MR images of 10 healthy individuals and 7 patients who underwent MRI for hip problems. Twelve of them were selected to build an atlas library used to implement the automated multi-atlas segmentation method. We compared the FF in the hip abductor muscles for the automated and manual segmentations for both healthy and patients groups. Measures of average and spread were reported for FF for both methods. We used the root mean square error (RMSE) to quantify the method accuracy. A linear regression model was used to explain the relationship between FF for automated and manual segmentations. ResultsThe automated median (IQR) FF was 20.0(16.0–26.4) %, 14.3(10.9–16.5) %, 15.5(13.9–18.6) % and 16.2(13.5–25.6) % for GMAX, GMED, GMIN and TFL respectively, with a FF RMSE of 1.6%, 0.8%, 2.1%, 2.7%. A strong linear correlation (R2 = 0.93, p < .001, m = 0.99) was found between the FF from automated and manual segmentations. The mean FF was higher in patients than in healthy subjects. ConclusionThe automated measurement of FF of hip abductor muscles from Dixon MRI had good agreement with FF measurements from manually segmented images. The method was accurate for both healthy and patients groups.