Shirley S.M. Fong | The University of Hong Kong (original) (raw)
Papers by Shirley S.M. Fong
Topics in Geriatric Rehabilitation, 2016
Journal of Novel Physiotherapies, 2015
Journal of physical therapy science, 2016
[Purpose] The effectiveness of a smartphone pedometer application was compared with that of a tra... more [Purpose] The effectiveness of a smartphone pedometer application was compared with that of a traditional pedometer for improving the physical activity and weight status of community-dwelling older adults. [Subjects and Methods] This study had a nonequivalent pretest-posttest control group design. Ninety-seven older adults (mean age ± SD, 60.1 ± 5.5 years) joined the smartphone pedometer group and underwent a 2-week walking intervention based on a smartphone pedometer application. Fifty-four older adults (mean age ± SD, 65.3 ± 8.7 years) joined the traditional pedometer group and underwent a 2-week walking intervention based on a traditional pedometer. The participants' physical activity was evaluated using the International Physical Activity Questionnaire-Short Form, and their weight status was quantified by calculating the body mass index. The daily pedometer count was also documented. [Results] No significant time, group, or time-by-group interaction effects were found for any of the outcome variables. However, trends of improvement in physical activity and body mass index were seen only in the smartphone pedometer group. [Conclusion] A smartphone pedometer application might be more favorable than a traditional pedometer in improving physical activity and body mass index in community-dwelling older adults. However, further experimental studies are necessary to confirm the results.
American Journal of Physical Medicine Rehabilitation Association of Academic Physiatrists, Mar 8, 2013
The aim of this study was to investigate the effect of walkway length (5, 8, or 10 m) on measurem... more The aim of this study was to investigate the effect of walkway length (5, 8, or 10 m) on measurements of comfortable and maximum walking speed in healthy older adults. In this cross-sectional study at a university-based rehabilitation center, 25 healthy older adults (mean age, 60.3 ± 8.3 yrs) participated in timed walking at both comfortable and maximum speeds with different walkway lengths (5-, 8-, and 10-m walkway distances) measured by a stopwatch. Walkway length did not affect either comfortable walking speed (P = 0.319) or maximum walking speed (P = 0.568). For all walkway lengths, comfortable speed was significantly different from maximum speed (P < 0.001). Different walkway lengths (5, 8, and 10 m) do not affect both comfortable and maximum walking speed and can yield consistent results in measuring gait speed clinically. A 5-m walkway with standardized 2-m acceleration and 2-m deceleration distances is recommended because it occupies less space and imposes less stress on the healthy older adults.
Journal of Physical Therapy Science, 2016
[Purpose] To investigate the inter-rater and test-retest reliability of the sitting-rising test (... more [Purpose] To investigate the inter-rater and test-retest reliability of the sitting-rising test (SRT), the correlations of sitting-rising test scores with measures of strength, balance, community integration and quality of life, as well as the cut-off score which best discriminates people with chronic stroke from healthy older adults were investigated. [Subjects and Methods] Subjects with chronic stroke (n=30) and healthy older adults (n=30) were recruited. The study had a cross-sectional design, and was carried out in a university rehabilitation laboratory. Sitting-rising test performance was scored on two occasions. Other measurements included ankle dorsiflexor and plantarflexor strength, the Fugl-Meyer assessment, the Berg Balance Scale, the timed up and go test, the five times sit-to-stand test, the limits of stability test, and measures of quality of health and community integration. [Results] Sitting-rising test scores demonstrated good to excellent inter-rater and test-retest reliabilities (ICC=0.679 to 0.967). Sitting-rising test scores correlated significantly with ankle strength, but not with other test results. The sitting-rising test showed good sensitivity and specificity. A cut-off score of 7.8 best distinguished healthy older adults from stroke subjects. [Conclusions] The sitting-rising test is a reliable and sensitive test for assessing the quality of sitting and rising movements. Further studies with a larger sample are required to investigate the test's validity.
Journal of Science and Medicine in Sport, 2016
Postural control strategy and balance performance of rugby players are important yet under-examin... more Postural control strategy and balance performance of rugby players are important yet under-examined issues. This study aimed to examine the differences in balance strategy and balance performance between amateur rugby players and non-players, and to explore training- and injury-related factors that may affect rugby players' balance outcomes. Cross-sectional and exploratory study. Forty-five amateur rugby players and 41 healthy active individuals participated in the study. Balance performance and balance strategies were assessed using the sensory organization test (SOT) of the Smart Equitest computerized dynamic posturography machine. Rugby training history and injury history were solicited from the participants. The SOT strategy scores were 1.99-54.90% lower in the rugby group than in the control group (p<0.05), and the equilibrium scores were 1.06-14.29% lower in the rugby group than in the control group (p<0.05). After accounting for age, sex and body mass index, only length of rugby training (in years) was independently associated with the SOT condition 6 strategy score, explaining 15.7% of its variance (p=0.006). There was no association between SOT condition 6 strategy/equilibrium scores and injury history among the rugby players (p>0.05). Amateur rugby players demonstrated inferior balance strategy and balance performance compared to their non-training counterparts. Their suboptimal balance strategy was associated with insufficient training experience but not with history of injury.
Scientific reports, Jan 11, 2016
Sensory organisation of balance control is compromised in children with developmental coordinatio... more Sensory organisation of balance control is compromised in children with developmental coordination disorder (DCD). A randomised controlled trial involving 88 children with DCD was conducted to evaluate the efficacy of a task-specific balance training (functional-movement training, FMT) programme in improving balance deficits in a DCD population. The DCD participants were randomly assigned to either a FMT group or a control group. The FMT group received two training sessions/ week for 3 months. Measurements of the participants' sensory organisation (somatosensory, vestibular and visual ratios), balance and motor proficiency (Movement Assessment Battery for Children, MABC scores) and center of pressure sway velocity (Unilateral Stance Test, UST scores) were taken at baseline, immediately after FMT and 3 months after FMT. The FMT group showed greater improvements than the controls in somatosensory ratio at 3 and 6 months (all P < 0.001), but the within-group changes were not sig...
Archives of physical medicine and rehabilitation, Jan 13, 2015
To investigate (1) the intra-rater, inter-rater and test-retest reliability of the Timed 360° tur... more To investigate (1) the intra-rater, inter-rater and test-retest reliability of the Timed 360° turn test for subjects with stroke; (2) their correlations with stroke specific impairment; and (3) the cutoff times that best discriminate individuals with stroke from healthy elderly subjects. Cross-sectional study SETTING: University-based rehabilitation center PARTICIPANTS: Seventy-two individuals with chronic stroke and thirty-five healthy individuals of similar age. Not applicable MAIN OUTCOME MEASURES: The timed 360° turn test was administered along with the Fugl-Meyer lower extremity assessment (FMA-LE), handheld dynamometer measurement of ankle dorsi-flexors and plantar-flexors muscle strength, Berg Balance Scale (BBS), Limit of Stability (LOS) test, Five Time Sit to Stand (FTSTS) Test, 10-Meter Walk Test (10-MWT), as well as Timed Up and Go (TUG) test. The 360° turn times showed excellent intra-rater, inter-rater and test-retest reliability within individuals with stroke. A minima...
Gait & Posture, 2016
Limit of stability (LOS) is an important yet under-examined postural control ability in children ... more Limit of stability (LOS) is an important yet under-examined postural control ability in children with developmental coordination disorder (DCD). This study aimed to (1) compare the LOS and fall frequencies of children with and without DCD, and (2) explore the relationships between LOS parameters and falls in the DCD population. Thirty primary school-aged children with DCD and twenty age- and sex-matched typically-developing children participated in the study. Postural control ability, specifically LOS in standing, was evaluated using the LOS test. Reaction time, movement velocity, maximum excursion, end point excursion, and directional control were then calculated. Self-reported fall incidents in the previous week were also documented. Multivariate analysis of variance results revealed that children with DCD had shorter LOS maximum excursion in the backward direction compared to the control group (p=0.003). This was associated with a higher number of falls in daily life (rho=-0.556, p=0.001). No significant between-groups differences were found in other LOS-derived outcomes (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;0.05). Children with DCD had direction-specific postural control impairment, specifically, diminished LOS in the backward direction. This is related to their falls in daily life. Therefore, improving LOS should be factored into rehabilitation treatment for children with DCD.
Open Journal of Preventive Medicine, Apr 29, 2014
American Journal of Sports Science, 2014
Medicine, 2015
This cross-sectional, exploratory study aimed to compare neuromuscular performance, balance and m... more This cross-sectional, exploratory study aimed to compare neuromuscular performance, balance and motor skills proficiencies of typically developing children and those with developmental coordination disorder (DCD) and to determine associations of these neuromuscular factors with balance and motor skills performances in children with DCD.One hundred thirty children with DCD and 117 typically developing children participated in the study. Medial hamstring and gastrocnemius muscle activation onset latencies in response to an unexpected posterior-to-anterior trunk perturbation were assessed by electromyography and accelerometer. Hamstring and gastrocnemius muscle peak force and time to peak force were quantified by dynamometer, and balance and motor skills performances were evaluated with the Movement Assessment Battery for Children (MABC).Independent t tests revealed that children with DCD had longer hamstring and gastrocnemius muscle activation onset latencies (P < 0.001) and lower ...
Journal of telemedicine and telecare, Jan 21, 2015
Behavioural feedback can be attained through electronic self-monitoring with teledietetics. This ... more Behavioural feedback can be attained through electronic self-monitoring with teledietetics. This study examined the theoretical framework of the theory of planned behaviour, which suggests that behavioural feedback contributes to the intention to initiate and maintain weight loss. A quasi-experiment involving adults aged 20-50 years with a body mass index greater than 23 kg/m(2) was conducted. The experimental group (EG) comprised 25 participants who used electronic dietary records for self-monitoring. The control group (CG) comprised 25 participants who used paper-format dietary records for self-monitoring. Data pertaining to the theory of planned behaviour were obtained using a self-administered questionnaire. After an initial measurement, each participant's body weight was measured again at Week 12 and at Week 24, following a 12-week observation period. Hierarchical regression analyses of planned behaviour components were conducted for each power to predict the participants&#...
Journal of Physical Therapy Science, 2015
[Purpose] This study investigated the intra-rater, inter-rater and test-retest reliability of the... more [Purpose] This study investigated the intra-rater, inter-rater and test-retest reliability of the sideways step test (SST), its correlation with other indicators of stroke-specific impairment, and the cut-off count best discriminating subjects with stroke from their healthy counterparts. [Subjects and Methods] Forty-three subjects with chronic stroke and 41 healthy subjects older than 50 years participated in this study. The SST was administered along with the Fugl-Meyer motor assessment for the lower extremities (FMA-LE), the five-times sit to stand (5TSTS) test, the Berg Balance Scale (BBS), the movement velocity (MVL) by the limits of stability (LOS) test, the ten-metre walk (10mW) test, the timed &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Up and Go&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (TUG) test and the Activities-specific Balance Confidence (ABC) scale. [Results] The SST showed good to excellent intra-rater, inter-rater and test-retest reliability. The SST counts correlated with 5TSTS times, 10mW times, TUG times, and the FMA-LE and BBS scores. SST counts of 11 for the paretic leg and 14 for the non-paretic leg were found to distinguish the healthy adults from subjects with stroke. [Conclusion] The sideways step test is a reliable clinical test, which correlates with the functional strength, gait speed, and functional balance of people with chronic stroke.
Journal of Physical Therapy Science, 2015
The five times-sit-to stand test (FTSTS) is a clinical test which is commonly used to assessed th... more The five times-sit-to stand test (FTSTS) is a clinical test which is commonly used to assessed the functional muscle strength of the lower limbs of older adults. The aim of this study was to examine the effect of different arm positions and foot placements on the FTSTS completion times of older female adults. [Subjects and Methods] Twenty-nine healthy female subjects, aged 63.1±5.3 years participated in this cross-sectional study. The times required to complete the FTSTS with 3 different arm positions (hands on thighs, arms crossed over chest, and an augmented arm position with the arms extended forward) and 2 foot placements (neutral and posterior) were recorded. The interaction effect and main effect of arm positions and foot placements were examined using a 3 (arm position) × 2 (foot placement) two-way repeated measures analysis of variance (ANOVA). [Results] There was no interaction effect among the 3 arm positions in the 2 foot placements. A significant main effect was identified for foot placement, but not arm position. Posterior foot placement led to a shorter FTSTS time compared to that of normal foot placement. [Conclusion] With the same arm position, FTSTS completion times with posterior foot placement tended to be shorter. Therefore, the standard foot placement should be used for FTSTS administration.
Evidence-Based Complementary and Alternative Medicine, 2015
This study aimed to examine the effects of kinesiology taping (KT) and different TRX suspension w... more This study aimed to examine the effects of kinesiology taping (KT) and different TRX suspension workouts on the amplitude of electromyographic (EMG) activity in the core muscles among people with chronic low back pain (LBP). Each participant (total n = 21) was exposed to two KT conditions: no taping and taping, while performing four TRX suspension exercises: (1) hamstring curl, (2) hip abduction in plank, (3) chest press, and (4) 45-degree row. Right transversus abdominis/internal oblique (TrAIO), rectus abdominis (RA), external oblique (EO), and superficial lumbar multifidus (LMF) activity was recorded with surface EMG and expressed as a percentage of the EMG amplitude recorded during a maximal voluntary isometric contraction of the respective muscles. Hip abduction in plank increased TrAIO, RA, and LMF EMG amplitude compared with other TRX positions (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.008). Only the hamstring curl was effective in inducing a high EMG amplitude of LMF (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). No significant difference in EMG magnitude was found between the taping and no taping conditions overall (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 0.05). Hip abduction in plank most effectively activated abdominal muscles, whereas the hamstring curl most effectively activated the paraspinal muscles. Applying KT conferred no immediate benefits in improving the core muscle activation during TRX training in adults with chronic LBP.
Topics in Geriatric Rehabilitation, 2016
Journal of Novel Physiotherapies, 2015
Journal of physical therapy science, 2016
[Purpose] The effectiveness of a smartphone pedometer application was compared with that of a tra... more [Purpose] The effectiveness of a smartphone pedometer application was compared with that of a traditional pedometer for improving the physical activity and weight status of community-dwelling older adults. [Subjects and Methods] This study had a nonequivalent pretest-posttest control group design. Ninety-seven older adults (mean age ± SD, 60.1 ± 5.5 years) joined the smartphone pedometer group and underwent a 2-week walking intervention based on a smartphone pedometer application. Fifty-four older adults (mean age ± SD, 65.3 ± 8.7 years) joined the traditional pedometer group and underwent a 2-week walking intervention based on a traditional pedometer. The participants&amp;amp;amp;amp;amp;#39; physical activity was evaluated using the International Physical Activity Questionnaire-Short Form, and their weight status was quantified by calculating the body mass index. The daily pedometer count was also documented. [Results] No significant time, group, or time-by-group interaction effects were found for any of the outcome variables. However, trends of improvement in physical activity and body mass index were seen only in the smartphone pedometer group. [Conclusion] A smartphone pedometer application might be more favorable than a traditional pedometer in improving physical activity and body mass index in community-dwelling older adults. However, further experimental studies are necessary to confirm the results.
American Journal of Physical Medicine Rehabilitation Association of Academic Physiatrists, Mar 8, 2013
The aim of this study was to investigate the effect of walkway length (5, 8, or 10 m) on measurem... more The aim of this study was to investigate the effect of walkway length (5, 8, or 10 m) on measurements of comfortable and maximum walking speed in healthy older adults. In this cross-sectional study at a university-based rehabilitation center, 25 healthy older adults (mean age, 60.3 ± 8.3 yrs) participated in timed walking at both comfortable and maximum speeds with different walkway lengths (5-, 8-, and 10-m walkway distances) measured by a stopwatch. Walkway length did not affect either comfortable walking speed (P = 0.319) or maximum walking speed (P = 0.568). For all walkway lengths, comfortable speed was significantly different from maximum speed (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). Different walkway lengths (5, 8, and 10 m) do not affect both comfortable and maximum walking speed and can yield consistent results in measuring gait speed clinically. A 5-m walkway with standardized 2-m acceleration and 2-m deceleration distances is recommended because it occupies less space and imposes less stress on the healthy older adults.
Journal of Physical Therapy Science, 2016
[Purpose] To investigate the inter-rater and test-retest reliability of the sitting-rising test (... more [Purpose] To investigate the inter-rater and test-retest reliability of the sitting-rising test (SRT), the correlations of sitting-rising test scores with measures of strength, balance, community integration and quality of life, as well as the cut-off score which best discriminates people with chronic stroke from healthy older adults were investigated. [Subjects and Methods] Subjects with chronic stroke (n=30) and healthy older adults (n=30) were recruited. The study had a cross-sectional design, and was carried out in a university rehabilitation laboratory. Sitting-rising test performance was scored on two occasions. Other measurements included ankle dorsiflexor and plantarflexor strength, the Fugl-Meyer assessment, the Berg Balance Scale, the timed up and go test, the five times sit-to-stand test, the limits of stability test, and measures of quality of health and community integration. [Results] Sitting-rising test scores demonstrated good to excellent inter-rater and test-retest reliabilities (ICC=0.679 to 0.967). Sitting-rising test scores correlated significantly with ankle strength, but not with other test results. The sitting-rising test showed good sensitivity and specificity. A cut-off score of 7.8 best distinguished healthy older adults from stroke subjects. [Conclusions] The sitting-rising test is a reliable and sensitive test for assessing the quality of sitting and rising movements. Further studies with a larger sample are required to investigate the test&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s validity.
Journal of Science and Medicine in Sport, 2016
Postural control strategy and balance performance of rugby players are important yet under-examin... more Postural control strategy and balance performance of rugby players are important yet under-examined issues. This study aimed to examine the differences in balance strategy and balance performance between amateur rugby players and non-players, and to explore training- and injury-related factors that may affect rugby players&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; balance outcomes. Cross-sectional and exploratory study. Forty-five amateur rugby players and 41 healthy active individuals participated in the study. Balance performance and balance strategies were assessed using the sensory organization test (SOT) of the Smart Equitest computerized dynamic posturography machine. Rugby training history and injury history were solicited from the participants. The SOT strategy scores were 1.99-54.90% lower in the rugby group than in the control group (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.05), and the equilibrium scores were 1.06-14.29% lower in the rugby group than in the control group (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.05). After accounting for age, sex and body mass index, only length of rugby training (in years) was independently associated with the SOT condition 6 strategy score, explaining 15.7% of its variance (p=0.006). There was no association between SOT condition 6 strategy/equilibrium scores and injury history among the rugby players (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;0.05). Amateur rugby players demonstrated inferior balance strategy and balance performance compared to their non-training counterparts. Their suboptimal balance strategy was associated with insufficient training experience but not with history of injury.
Scientific reports, Jan 11, 2016
Sensory organisation of balance control is compromised in children with developmental coordinatio... more Sensory organisation of balance control is compromised in children with developmental coordination disorder (DCD). A randomised controlled trial involving 88 children with DCD was conducted to evaluate the efficacy of a task-specific balance training (functional-movement training, FMT) programme in improving balance deficits in a DCD population. The DCD participants were randomly assigned to either a FMT group or a control group. The FMT group received two training sessions/ week for 3 months. Measurements of the participants' sensory organisation (somatosensory, vestibular and visual ratios), balance and motor proficiency (Movement Assessment Battery for Children, MABC scores) and center of pressure sway velocity (Unilateral Stance Test, UST scores) were taken at baseline, immediately after FMT and 3 months after FMT. The FMT group showed greater improvements than the controls in somatosensory ratio at 3 and 6 months (all P < 0.001), but the within-group changes were not sig...
Archives of physical medicine and rehabilitation, Jan 13, 2015
To investigate (1) the intra-rater, inter-rater and test-retest reliability of the Timed 360° tur... more To investigate (1) the intra-rater, inter-rater and test-retest reliability of the Timed 360° turn test for subjects with stroke; (2) their correlations with stroke specific impairment; and (3) the cutoff times that best discriminate individuals with stroke from healthy elderly subjects. Cross-sectional study SETTING: University-based rehabilitation center PARTICIPANTS: Seventy-two individuals with chronic stroke and thirty-five healthy individuals of similar age. Not applicable MAIN OUTCOME MEASURES: The timed 360° turn test was administered along with the Fugl-Meyer lower extremity assessment (FMA-LE), handheld dynamometer measurement of ankle dorsi-flexors and plantar-flexors muscle strength, Berg Balance Scale (BBS), Limit of Stability (LOS) test, Five Time Sit to Stand (FTSTS) Test, 10-Meter Walk Test (10-MWT), as well as Timed Up and Go (TUG) test. The 360° turn times showed excellent intra-rater, inter-rater and test-retest reliability within individuals with stroke. A minima...
Gait & Posture, 2016
Limit of stability (LOS) is an important yet under-examined postural control ability in children ... more Limit of stability (LOS) is an important yet under-examined postural control ability in children with developmental coordination disorder (DCD). This study aimed to (1) compare the LOS and fall frequencies of children with and without DCD, and (2) explore the relationships between LOS parameters and falls in the DCD population. Thirty primary school-aged children with DCD and twenty age- and sex-matched typically-developing children participated in the study. Postural control ability, specifically LOS in standing, was evaluated using the LOS test. Reaction time, movement velocity, maximum excursion, end point excursion, and directional control were then calculated. Self-reported fall incidents in the previous week were also documented. Multivariate analysis of variance results revealed that children with DCD had shorter LOS maximum excursion in the backward direction compared to the control group (p=0.003). This was associated with a higher number of falls in daily life (rho=-0.556, p=0.001). No significant between-groups differences were found in other LOS-derived outcomes (p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;0.05). Children with DCD had direction-specific postural control impairment, specifically, diminished LOS in the backward direction. This is related to their falls in daily life. Therefore, improving LOS should be factored into rehabilitation treatment for children with DCD.
Open Journal of Preventive Medicine, Apr 29, 2014
American Journal of Sports Science, 2014
Medicine, 2015
This cross-sectional, exploratory study aimed to compare neuromuscular performance, balance and m... more This cross-sectional, exploratory study aimed to compare neuromuscular performance, balance and motor skills proficiencies of typically developing children and those with developmental coordination disorder (DCD) and to determine associations of these neuromuscular factors with balance and motor skills performances in children with DCD.One hundred thirty children with DCD and 117 typically developing children participated in the study. Medial hamstring and gastrocnemius muscle activation onset latencies in response to an unexpected posterior-to-anterior trunk perturbation were assessed by electromyography and accelerometer. Hamstring and gastrocnemius muscle peak force and time to peak force were quantified by dynamometer, and balance and motor skills performances were evaluated with the Movement Assessment Battery for Children (MABC).Independent t tests revealed that children with DCD had longer hamstring and gastrocnemius muscle activation onset latencies (P < 0.001) and lower ...
Journal of telemedicine and telecare, Jan 21, 2015
Behavioural feedback can be attained through electronic self-monitoring with teledietetics. This ... more Behavioural feedback can be attained through electronic self-monitoring with teledietetics. This study examined the theoretical framework of the theory of planned behaviour, which suggests that behavioural feedback contributes to the intention to initiate and maintain weight loss. A quasi-experiment involving adults aged 20-50 years with a body mass index greater than 23 kg/m(2) was conducted. The experimental group (EG) comprised 25 participants who used electronic dietary records for self-monitoring. The control group (CG) comprised 25 participants who used paper-format dietary records for self-monitoring. Data pertaining to the theory of planned behaviour were obtained using a self-administered questionnaire. After an initial measurement, each participant's body weight was measured again at Week 12 and at Week 24, following a 12-week observation period. Hierarchical regression analyses of planned behaviour components were conducted for each power to predict the participants&#...
Journal of Physical Therapy Science, 2015
[Purpose] This study investigated the intra-rater, inter-rater and test-retest reliability of the... more [Purpose] This study investigated the intra-rater, inter-rater and test-retest reliability of the sideways step test (SST), its correlation with other indicators of stroke-specific impairment, and the cut-off count best discriminating subjects with stroke from their healthy counterparts. [Subjects and Methods] Forty-three subjects with chronic stroke and 41 healthy subjects older than 50 years participated in this study. The SST was administered along with the Fugl-Meyer motor assessment for the lower extremities (FMA-LE), the five-times sit to stand (5TSTS) test, the Berg Balance Scale (BBS), the movement velocity (MVL) by the limits of stability (LOS) test, the ten-metre walk (10mW) test, the timed &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;Up and Go&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (TUG) test and the Activities-specific Balance Confidence (ABC) scale. [Results] The SST showed good to excellent intra-rater, inter-rater and test-retest reliability. The SST counts correlated with 5TSTS times, 10mW times, TUG times, and the FMA-LE and BBS scores. SST counts of 11 for the paretic leg and 14 for the non-paretic leg were found to distinguish the healthy adults from subjects with stroke. [Conclusion] The sideways step test is a reliable clinical test, which correlates with the functional strength, gait speed, and functional balance of people with chronic stroke.
Journal of Physical Therapy Science, 2015
The five times-sit-to stand test (FTSTS) is a clinical test which is commonly used to assessed th... more The five times-sit-to stand test (FTSTS) is a clinical test which is commonly used to assessed the functional muscle strength of the lower limbs of older adults. The aim of this study was to examine the effect of different arm positions and foot placements on the FTSTS completion times of older female adults. [Subjects and Methods] Twenty-nine healthy female subjects, aged 63.1±5.3 years participated in this cross-sectional study. The times required to complete the FTSTS with 3 different arm positions (hands on thighs, arms crossed over chest, and an augmented arm position with the arms extended forward) and 2 foot placements (neutral and posterior) were recorded. The interaction effect and main effect of arm positions and foot placements were examined using a 3 (arm position) × 2 (foot placement) two-way repeated measures analysis of variance (ANOVA). [Results] There was no interaction effect among the 3 arm positions in the 2 foot placements. A significant main effect was identified for foot placement, but not arm position. Posterior foot placement led to a shorter FTSTS time compared to that of normal foot placement. [Conclusion] With the same arm position, FTSTS completion times with posterior foot placement tended to be shorter. Therefore, the standard foot placement should be used for FTSTS administration.
Evidence-Based Complementary and Alternative Medicine, 2015
This study aimed to examine the effects of kinesiology taping (KT) and different TRX suspension w... more This study aimed to examine the effects of kinesiology taping (KT) and different TRX suspension workouts on the amplitude of electromyographic (EMG) activity in the core muscles among people with chronic low back pain (LBP). Each participant (total n = 21) was exposed to two KT conditions: no taping and taping, while performing four TRX suspension exercises: (1) hamstring curl, (2) hip abduction in plank, (3) chest press, and (4) 45-degree row. Right transversus abdominis/internal oblique (TrAIO), rectus abdominis (RA), external oblique (EO), and superficial lumbar multifidus (LMF) activity was recorded with surface EMG and expressed as a percentage of the EMG amplitude recorded during a maximal voluntary isometric contraction of the respective muscles. Hip abduction in plank increased TrAIO, RA, and LMF EMG amplitude compared with other TRX positions (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.008). Only the hamstring curl was effective in inducing a high EMG amplitude of LMF (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). No significant difference in EMG magnitude was found between the taping and no taping conditions overall (P &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 0.05). Hip abduction in plank most effectively activated abdominal muscles, whereas the hamstring curl most effectively activated the paraspinal muscles. Applying KT conferred no immediate benefits in improving the core muscle activation during TRX training in adults with chronic LBP.