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Papers by Chutima Jalayondeja

BMC Geriatrics, 2020

Background Walking is the most common population-wide campaign for health promotion in older peop... more Background Walking is the most common population-wide campaign for health promotion in older people. However, the cutoff threshold for walking steps/day to identify the older people who are at risk of falling is not recommended. Therefore, the objectives were to investigate the association between all possible risk factors including physical performance, physical activity and fall incidence over the six-month in community-dwelling older people who had low-risk of falling and to identify walking threshold (steps/day) for reducing risk of fall. Methods The older people who aged ≥60 years and had free of falling for 1 year were invited to participate in this study. They lived in five communities in Bangkok Thailand. Demographics and physical performances were collected at baseline. Walking (step/day) and 24-h physical activity (PA) were monitored for 5 consecutive days by the Actical® accelerometer wrapped on non-dominant wrists. The Physical Activity Scale for the Elderly (PASE) quest...

Additional file 3. 2016 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes... more Additional file 3. 2016 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes and movement categories assigned to 2016 Inte.rnational Classification of Activities for Time-Use Statistics (ICATUS) activities.

Additional file 2. 2005 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes... more Additional file 2. 2005 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes and movement categories assigned to 2005 International Classification of Activities for Time-Use Statistics (ICATUS) activities.

Additional file 1. ICATUS Assessment and Harmonisation Tables. The full assessment and harmonisat... more Additional file 1. ICATUS Assessment and Harmonisation Tables. The full assessment and harmonisation tables of ICATUS activities.

International Journal of Industrial Ergonomics, 2021

Abstract This study aimed to assess fatigue among onshore oil rig shift workers in a petroleum co... more Abstract This study aimed to assess fatigue among onshore oil rig shift workers in a petroleum company working in swing shifts. The work schedule consisted of 12 h of night shifts for one week followed by 12 h of day shifts for one week. Fatigue was assessed using both subjective and objective measurements which were visual analogue fatigue scale (VAFS) and simple reaction time (SRT) test, respectively. A total of 38 male onshore oil rig shift workers participated in this study. Fatigue assessment was conducted at the start and at the end of workdays on nights 1, 4 and 7, and days 1, 4 and 7. The results showed that there were significant differences of VAFS and SRT at the end of workdays, compared with at the start of workdays (p

Pediatrics International, 2020

This study aimed to translate the original version of the Cumberland Ankle Instability Tool (CAIT... more This study aimed to translate the original version of the Cumberland Ankle Instability Tool (CAITY) into a Thai version by using cross‐cultural adaptation, and to examine the psychometric properties and cut‐off score of the CAITY – Thai version (CAITY‐T).

Objective: To determine physical capacity and quality of life after surgery of patients with coro... more Objective: To determine physical capacity and quality of life after surgery of patients with coronary artery and valvular heart diseases. Materials and Methods: Six-minute walk test and SF-12 were estimated at the fifth day after coronary artery bypass graft and valvular surgery in cardiac patients (n = 25). Descriptive statistical analysis and Pearson’s product-moment correlation was used to evaluate the relationship of parameters. Results: Mean of six-minute walk distance after five day surgery were 204.25 meters and mean scores of SF-12 were 58.78. The six-minute walk distance and SF-12 showed significantly correlation but fairly correlated (r = 0.14, p < 0.05). Conclusion: At the fifth day after surgery, the physical capacity and quality of life of patients were quite low. Therefore, the early post-operative rehabilitation is needed to recover the functional status of patients including physical, emotional and social dimensions.

Spinal Cord Series and Cases, 2021

Study design Descriptive study. Objectives To describe functional outcomes using Spinal Cord Inde... more Study design Descriptive study. Objectives To describe functional outcomes using Spinal Cord Independence Measure III (SCIM III) following inpatient rehabilitation among individuals with complete spinal cord injury (SCI) in the low-income setting of Nepal; to evaluate functional changes from rehabilitation admission to discharge and to compare functional outcomes between neurological levels of injury (NLI) at discharge. Setting Spinal Injury Rehabilitation Centre (SIRC), Kavrepalanchowk, Nepal. Methods We present data of all individuals with complete SCI who completed rehabilitation at SIRC in 2017. Data collected included: demographics, aetiology, neurological assessment, admission/discharge SCIM III scores, and length of stay. Data were analyzed using descriptive statistics. Pre/post-SCIM III scores were analyzed using Related-Samples Wilcoxon signed-rank test. Comparative analysis between NLIs was done using the Kruskal Wallis ANOVA test followed by pairwise Mann–Whitney U tests. Results Ninety-six individuals were included. Mean (SD) age was 33.5 (14.2) years, with a male/female ratio of 3.4:1. Median admission and discharge total SCIM III scores for cervical, thoracic and lumbosacral levels were 10 and 21, 16 and 61, and 41 and 79.5, respectively. Median total SCIM III score change between admission and discharge were 11 ( p = 0.003), 43 ( p < 0.001) and 40 ( p = 0.068) for cervical, thoracic and lumbar groups, respectively. Conclusions This study is the first of its kind to describe functional outcomes among individuals with complete SCI in the low-income setting of Nepal. All SCI groups showed a positive trend in SCIM III from admission to discharge, with improvements reaching statistical significance among groups with cervical and thoracic NLIs.

PLOS ONE, 2020

To use structural equation model (SEM) to explain falls at home in individuals with chronic strok... more To use structural equation model (SEM) to explain falls at home in individuals with chronic stroke, based on the International Classification of Functioning, Disability and Health (ICF). Materials and methods A cross sectional observation study was conducted in home-dwelling individuals with chronic stroke (N = 236; 148 non-fallers, 88 fallers). Participants were assessed; structural impairments using Modified Ashworth Scale, Fugl-Meyer Assessment upper (FMA-UE), lower (FMA-LE), and sensory function, ankle plantarflexor strength; activity limitations using Timed Up and Go Test, Step Test, Berg Balance Scale, Barthel Index (BI); participation restrictions using Stroke Impact Scale-participation (SIS-P); and contextual factors using home hazard environments, home safety surroundings, risk behaviors, and Fall-related Self Efficacy. The measurement model was analyzed by confirmatory factor analysis. The SEM was conducted to analyze a structural model of falls at home. Results FMA-UE was significantly (p<0.01) associated with FMA-LE, combining as one variable in the structural impairments. In the measurement model, variables were fit to their domains, except variables of contextual factors, but the ICF domains did not correspond to disability. A structural model of falls at home demonstrated a significant (p<0.01) direct path of contextual factors and activity limitations with falls at home. The structural impairments showed a significant (p<0.01) direct path with activity limitations. All variables, except BI, SIS-P and risk behaviors, related to their domains in the structural model.

Stroke Research and Treatment, 2018

Background. Action-observation-execution (AOE) primes physical training. We examined the immediat... more Background. Action-observation-execution (AOE) primes physical training. We examined the immediate effect of AOE with accelerated skill acquisition program (ASAP) on dexterity in subacute stroke. Methods. Twelve individuals from 1 to 6 months after stroke were allocated into two groups by matching age and side of stroke. After AOE of 30 minutes, the experimental group received ASAP for 60 minutes whereas the control group received dose-equivalent usual care. The movement time (MT) and functional ability (FA) of hand items of the Wolf motor function test (WMFT), hand functions and global recovery of stroke impact scale (SIS), and intrinsic motivation items of stroke rehabilitation motivation scale were assessed at baseline, after training, and during one-week follow-up. Data were analyzed within and between the groups. Results. AOE significantly decreased MT of flipping cards of WMFT and hand functions of SIS. Total MT was markedly reduced. AOE with ASAP demonstrated significant grou...

International Journal of Behavioral Nutrition and Physical Activity, 2019

Background Globally, the International Classification of Activities for Time-Use Statistics (ICAT... more Background Globally, the International Classification of Activities for Time-Use Statistics (ICATUS) is one of the most widely used time-use classifications to identify time spent in various activities. Comprehensive 24-h activities that can be extracted from ICATUS provide possible implications for the use of time-use data in relation to activity-health associations; however, these activities are not classified in a way that makes such analysis feasible. This study, therefore, aimed to develop criteria for classifying ICATUS activities into sleep, sedentary behaviour (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA), based on expert assessment. Method We classified activities from the Trial ICATUS 2005 and final ICATUS 2016. One author assigned METs and codes for wakefulness status and posture, to all subclass activities in the Trial ICATUS 2005. Once coded, one author matched the most detailed level of activities from the ICATUS 2016 with the c...

European Review of Aging and Physical Activity, 2018

Annals of Rehabilitation Medicine, 2018

Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic ... more Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) combined with task-specific training on paretic hand function following subacute stroke. Methods Sixteen participants were randomly selected and grouped into two: the experimental group (real LF-rTMS) and the control group (sham LF-rTMS). All the 16 participants were then taken through a 1-hour taskspecific training of the paretic hand. The corticospinal excitability (motor evoke potential [MEP] amplitude) of the non-lesioned hemisphere, and the paretic hand performance (Wolf Motor Function Test total movement time [WMFT-TMT]) were evaluated at baseline, after the LF-rTMS, immediately after task-specific training, 1 and 2 weeks after the training. Results Groups comparisons showed a significant difference in the MEP after LF-rTMS and after the training. Compared to the baseline, the MEP of the experimental group significantly decreased after LF-rTMS and after the training and that effect was maintained for 2 weeks. Group comparisons showed significant difference in WMFT-TMT after the training. Only in the experimental group, the WMFT-TMT of the can lifting item significantly reduced compared to the baseline and the effect was sustained for 2 weeks. Conclusion The results of this study established that the improvement in paretic hand after task-specific training was enhanced by LF-rTMS and it persisted for at least 2 weeks.

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2017

Purpose Parental perception of their child's weight may be a crucial factor in parental ability f... more Purpose Parental perception of their child's weight may be a crucial factor in parental ability for action with regard to their child's weight problem. This aim of this study was to investigate parental perception of their child's weight status and dietary healthiness, amount of food consumed and physical activity level and its related factors. Methods A cross-sectional survey was conducted among children (Grades 4-6) selected by cluster sampling in two schools. Children were invited to participate in the measurements of anthropometry and their parents were asked to classify their child's weight and health behaviors. Results In total, 41.8% of parents misperceived their child's weight, of which 82% underestimated their child's weight, in particular regarding overweight or obesity. As parents of overweight or obese children underestimated their child's weight, around 65% were not concerned with their child's current weight and about becoming overweight in the future. Factor associated with underestimation of overweight children was not having a sibling, while among children with normal weight, the underestimation was associated with boys, lower body mass index (BMI), maternal employment and low household income. Furthermore, parents underestimating their child's weight were more likely to be optimistic about their child's dietary healthiness, food amount taken, and physical activity level than those with correct child's weight estimates. Conclusions Findings show a high proportion of parental misperception of their child's weight status. Family-based weight control interventions will need to incorporate parental misperceptions of the body weight and health behaviors of their children.

International Journal of Environmental Research and Public Health, 2017

Although prolonged sitting appears as a novel risk factor related to health outcomes for all ages... more Although prolonged sitting appears as a novel risk factor related to health outcomes for all ages, its association needs to be replicated in occupational conditions. This study explored the associations between sedentary behavior and four noncommunicable diseases (NCDs) as well as two cardiometabolic risk factors (CMRFs) among workers in a petroleum company, Thailand. All workers were invited to complete the online self-report questionnaire. Sedentary behavior was measured as the amount of time sitting at work, during recreation, and while commuting. Out of 3365 workers contacted, 1133 (34%) participated. Prevalence of NCDs and CMRFs was 36% and was positively associated with sedentary behavior. After adjusting for age, BMI, and exercise, the risk of NCDs and CMRFs for sedentary office work was 40% greater compared with more active field work. Those who took a break without sitting more than twice a day and commuted by walking or cycling had less risk of NCDs and CMRFs. The total duration of sedentary behavior was 10 h/day, and two-thirds of that total was workplace sitting. This was significantly associated with NCDs and CMRFs (p < 0.001). Day-and-night rotating shiftwork was negatively associated with NCDs and CMRFs (p < 0.001). Sedentary behavior should be considered a health risk among workers. Hence, to promote a healthy lifestyle and safe workplace, organizations should encourage standing activities during break and physically active commutes, and have workers avoid prolonged sitting.

The Japanese journal of ergonomics, 2017

Neck pain is one of main health problems of office workers. They work with computers in the same ... more Neck pain is one of main health problems of office workers. They work with computers in the same position for long period of time. Previous studies show the prevalence of neck pain (45.5%) in office workers. This can lead to direct and indirect costs of health care. It is essential to develop predictors for preventing people from neck pain. Previous studies show that musculoskeletal disorders are related to physical fitness level. Many factors in physical fitness can predict the incident of musculoskeletal disorders.There is still few studies which are specific to neck pain and physical fitness. Therefore, the purpose of the study was to investigate the relation between physical fitness level and prevalence of neck pain in office workers. A preliminary cross-sectional survey study included office workers who work in Faculty of physical therapy, Mahidol University. Participants were advertised with information and advantages of the study. The total of participants in this study were 18 office workers (10 females and 8 males). The test-retest reliability (ICC) of physical fitness tests were between 0.52-0.99. Physical fitness of participants were measured in five domains including 1) range of motion, 2) neck endurance, 3) strengthening of deep neck flexor muscle, 4) grip strength and 5) cardiorespiratory fitness by using cervical range of motion goniometer, neck flexor endurance test, neck flexor strength test by a pressure biofeedback, a hand grip dynamometer and three minutes step test, respectively. Compared the results which norms, subjects can be classified into normal group and below normal group. The Thai version of the modified neck disability index was used for examine the prevalence of neck pain. The neck disability scores were calculated, participants with the score more than 20% of full score were included in neck pain group. Statistic analysis analyzed by SPSS version 20.0. Intraclass correlation coefficient was calculated for testretest reliability. Descriptive statistics showed that neck strength, neck endurance, cardiorespiratory fitness and range of neck flexion in participants with normal physical fitness level tend to have less prevalence of neck pain than that of participants with below normal physical fitness level.

The Japanese journal of ergonomics, 2017

The aim of this study was to determine PA, sitting time at work and WMSDs in computer workers. We... more The aim of this study was to determine PA, sitting time at work and WMSDs in computer workers. We conducted a preliminary cross-sectional study in twenty-one computer workers. Participants age were between 22 to 45 years and were also excluded if they could not stand at work. The online Self-Report Questionnaire on Computer Work-related Expose (OSCWE) was used to assess symptoms of WMSDs during the last 12 months and sitting time at work. Thai Physical Activity Guideline (TPAG) questionnaire was also used to determine physical activity levels and calculate energy expenditure. Twenty-one participants completed the questionnaires. Twenty-eight percent of participants had neck and shoulder WMSDs. Twenty-three percent of participants had PA in level 1 and level 3 defined by TPAG. Energy expenditure of PA and sitting time at work for participants without WMSDs were 1431.48±1721.17 kcal/week and 5.94±1.91 hr/day, respectively. While the above parameters in the WMSDs group were 1324.52±1125.64 kcal/week and 6.83±2.05 hr/day, respectively. Participants without WMSDs had more PA and less sitting time at work than ones who had WMSDs. Although, participants had less PA and more sitting time at work also tended to have WMSDs. Future study should increase the number of subjects to explore the relationship between PA, sitting time at work and WMSDs. Decreasing sitting time at work can also prevent WMSDs in computer workers. Therefore, PA and sitting time at work should be concerned in workplaces.

The Japanese journal of ergonomics, 2017

Physical inactivity is revealed as the global health problem that contributes to noncommunicable ... more Physical inactivity is revealed as the global health problem that contributes to noncommunicable diseases (NCDs). High technological developments including smart phones or computers can cause of increased sedentary work and decreased leisure time of activities in healthy adults particularly in office workers. Sitting at desk or computer is routine in office workers. They did not require moderate or high physical workload. These caused of physical inactivity in office workers. Therefore, the facilitating factors or barriers related to physical activity (PA) participation should be identified. The purpose of this study was to assess the level of PA and to determine the facilitating factors and barriers associated to PA participation in office workers. Two study design were conducted: cross sectional survey and qualitative research. First, PA was collected by Thai version of short-form International Physical Activity Questionnaire (IPAQ). The participants were classified into high and low level of PA. Second, the facilitating factors and barriers of individual and environmental perspectives associated to PA participation in each level of PA were determined for 15-30 minutes. Data were analyzed by the descriptive statistics and content analysis. Our results found 18 of 22 office workers completed the IPAQ. Their mean ages were 32.61±4.62 years and spent 1585.89±1140.74 MET-min/wk. Of 18 office workers, 2 from low PA and 4 from moderate to high PA participated the in-depth interview. The health appearances and facilities could facilitate them to participate PA while lack of time and motivation were identified as the barriers. Our findings indicated the factors influenced on PA participation, therefore, it useful for planning the new strategy of PA promotion.

The Japanese journal of ergonomics, 2017

Shiftwork is associated with negative impact on workers' performance, safety and health due to ci... more Shiftwork is associated with negative impact on workers' performance, safety and health due to circadian rhythms disturbance and sleep deficit. The purpose of this study was to assess performance and sleepiness among Thai oil rig onshore shift workers. Healthy Thai onshore shift workers who work on a 12-hour swing shift in an oil and gas company in Thailand participated in this study. The work cycle started from one week of night shifts followed by one week of day shifts. All participants were asked to rate their sleepiness using the Epworth Sleepiness Scale (ESS) questionnaire at the first visit. Furthermore, the participants performed the finger tapping (FT) test in an android application at the pre-and post-shift at the beginning and end of "Night" and "Day" shift period. For the FT test, each participant was instructed to use the index finger to tap on a response button as fast as possible within a 10-second time interval. The total of 38 male-shift workers with a mean age of 36.1±7.87 years participated in this study. The results showed that the mean ESS score was 8.84±4.03 and 63.2% of the participants had an ESS score in the normal range (ESS = 0-10), 31.6% had mild to moderate degree of sleepiness (ESS = 11-15), and 5.3% had severe degree of sleepiness (ESS > 16). For the "Night" shift period, the mean left FT rates on "Night 1"and "Night 7" of the pre-shift were 60.32±6.21 times/10 seconds and 61.39±7.43 times/10 seconds, respectively and of the post-shift were 56.24±5.43 times/10 seconds and 58.76±6.93 times/10 seconds, respectively. The mean right FT rates on "Night 1 and "Night 7" of the pre-shift were 65.11±6.49 times/10 seconds and 65.79±7.82 times/10 seconds, respectively and of the post-shift were 61.08±7.23 times and 63.5±7.44 times/10 seconds, respectively. The results showed that, for the "Night" shift period, the mean left and right FT rates of the post-shift were significantly less than those of the pre-shift (p < 0.05). For the "Day" shift period, the mean left FT rates on "Day 1" and "Day 8" of the pre-shift were 60.08±6.98 times/10 seconds and 61.03±6.73 times/10 seconds, respectively and of the post-shift were 62±6.54 times/10 seconds and 61.76±6.87 times/10 seconds, respectively. The mean of right FT rates on "Day 1" and "Day 8" of the pre-shift were 64.74±7.94 times/10 seconds and 65.97±7.82 times/10 seconds, respectively and of the post-shift were 65.68±10.35 times/10 seconds and 67.66±8.06 times/10 seconds, respectively. The results showed that in general, for the "Day" shift period, the mean left and right FT rates of the post-shift were significantly greater than those of the pre-shift (p < 0.05). The onshore shift workers revealed poorer performance during the "Night" shift period than the "Day" shift period which might be due to the perturbation of circadian rhythms and sleep loss. It might lead to poor quality of life and higher risk of accident in shift workers. Thus, work scheduling and effective assessment of performance and sleepiness should be of concern to the organization.

BMC Geriatrics, 2020

Background Walking is the most common population-wide campaign for health promotion in older peop... more Background Walking is the most common population-wide campaign for health promotion in older people. However, the cutoff threshold for walking steps/day to identify the older people who are at risk of falling is not recommended. Therefore, the objectives were to investigate the association between all possible risk factors including physical performance, physical activity and fall incidence over the six-month in community-dwelling older people who had low-risk of falling and to identify walking threshold (steps/day) for reducing risk of fall. Methods The older people who aged ≥60 years and had free of falling for 1 year were invited to participate in this study. They lived in five communities in Bangkok Thailand. Demographics and physical performances were collected at baseline. Walking (step/day) and 24-h physical activity (PA) were monitored for 5 consecutive days by the Actical® accelerometer wrapped on non-dominant wrists. The Physical Activity Scale for the Elderly (PASE) quest...

Additional file 3. 2016 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes... more Additional file 3. 2016 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes and movement categories assigned to 2016 Inte.rnational Classification of Activities for Time-Use Statistics (ICATUS) activities.

Additional file 2. 2005 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes... more Additional file 2. 2005 ICATUS Assignment Table. Metabolic equivalent (MET) values, summary codes and movement categories assigned to 2005 International Classification of Activities for Time-Use Statistics (ICATUS) activities.

Additional file 1. ICATUS Assessment and Harmonisation Tables. The full assessment and harmonisat... more Additional file 1. ICATUS Assessment and Harmonisation Tables. The full assessment and harmonisation tables of ICATUS activities.

International Journal of Industrial Ergonomics, 2021

Abstract This study aimed to assess fatigue among onshore oil rig shift workers in a petroleum co... more Abstract This study aimed to assess fatigue among onshore oil rig shift workers in a petroleum company working in swing shifts. The work schedule consisted of 12 h of night shifts for one week followed by 12 h of day shifts for one week. Fatigue was assessed using both subjective and objective measurements which were visual analogue fatigue scale (VAFS) and simple reaction time (SRT) test, respectively. A total of 38 male onshore oil rig shift workers participated in this study. Fatigue assessment was conducted at the start and at the end of workdays on nights 1, 4 and 7, and days 1, 4 and 7. The results showed that there were significant differences of VAFS and SRT at the end of workdays, compared with at the start of workdays (p

Pediatrics International, 2020

This study aimed to translate the original version of the Cumberland Ankle Instability Tool (CAIT... more This study aimed to translate the original version of the Cumberland Ankle Instability Tool (CAITY) into a Thai version by using cross‐cultural adaptation, and to examine the psychometric properties and cut‐off score of the CAITY – Thai version (CAITY‐T).

Objective: To determine physical capacity and quality of life after surgery of patients with coro... more Objective: To determine physical capacity and quality of life after surgery of patients with coronary artery and valvular heart diseases. Materials and Methods: Six-minute walk test and SF-12 were estimated at the fifth day after coronary artery bypass graft and valvular surgery in cardiac patients (n = 25). Descriptive statistical analysis and Pearson’s product-moment correlation was used to evaluate the relationship of parameters. Results: Mean of six-minute walk distance after five day surgery were 204.25 meters and mean scores of SF-12 were 58.78. The six-minute walk distance and SF-12 showed significantly correlation but fairly correlated (r = 0.14, p < 0.05). Conclusion: At the fifth day after surgery, the physical capacity and quality of life of patients were quite low. Therefore, the early post-operative rehabilitation is needed to recover the functional status of patients including physical, emotional and social dimensions.

Spinal Cord Series and Cases, 2021

Study design Descriptive study. Objectives To describe functional outcomes using Spinal Cord Inde... more Study design Descriptive study. Objectives To describe functional outcomes using Spinal Cord Independence Measure III (SCIM III) following inpatient rehabilitation among individuals with complete spinal cord injury (SCI) in the low-income setting of Nepal; to evaluate functional changes from rehabilitation admission to discharge and to compare functional outcomes between neurological levels of injury (NLI) at discharge. Setting Spinal Injury Rehabilitation Centre (SIRC), Kavrepalanchowk, Nepal. Methods We present data of all individuals with complete SCI who completed rehabilitation at SIRC in 2017. Data collected included: demographics, aetiology, neurological assessment, admission/discharge SCIM III scores, and length of stay. Data were analyzed using descriptive statistics. Pre/post-SCIM III scores were analyzed using Related-Samples Wilcoxon signed-rank test. Comparative analysis between NLIs was done using the Kruskal Wallis ANOVA test followed by pairwise Mann–Whitney U tests. Results Ninety-six individuals were included. Mean (SD) age was 33.5 (14.2) years, with a male/female ratio of 3.4:1. Median admission and discharge total SCIM III scores for cervical, thoracic and lumbosacral levels were 10 and 21, 16 and 61, and 41 and 79.5, respectively. Median total SCIM III score change between admission and discharge were 11 ( p = 0.003), 43 ( p < 0.001) and 40 ( p = 0.068) for cervical, thoracic and lumbar groups, respectively. Conclusions This study is the first of its kind to describe functional outcomes among individuals with complete SCI in the low-income setting of Nepal. All SCI groups showed a positive trend in SCIM III from admission to discharge, with improvements reaching statistical significance among groups with cervical and thoracic NLIs.

PLOS ONE, 2020

To use structural equation model (SEM) to explain falls at home in individuals with chronic strok... more To use structural equation model (SEM) to explain falls at home in individuals with chronic stroke, based on the International Classification of Functioning, Disability and Health (ICF). Materials and methods A cross sectional observation study was conducted in home-dwelling individuals with chronic stroke (N = 236; 148 non-fallers, 88 fallers). Participants were assessed; structural impairments using Modified Ashworth Scale, Fugl-Meyer Assessment upper (FMA-UE), lower (FMA-LE), and sensory function, ankle plantarflexor strength; activity limitations using Timed Up and Go Test, Step Test, Berg Balance Scale, Barthel Index (BI); participation restrictions using Stroke Impact Scale-participation (SIS-P); and contextual factors using home hazard environments, home safety surroundings, risk behaviors, and Fall-related Self Efficacy. The measurement model was analyzed by confirmatory factor analysis. The SEM was conducted to analyze a structural model of falls at home. Results FMA-UE was significantly (p<0.01) associated with FMA-LE, combining as one variable in the structural impairments. In the measurement model, variables were fit to their domains, except variables of contextual factors, but the ICF domains did not correspond to disability. A structural model of falls at home demonstrated a significant (p<0.01) direct path of contextual factors and activity limitations with falls at home. The structural impairments showed a significant (p<0.01) direct path with activity limitations. All variables, except BI, SIS-P and risk behaviors, related to their domains in the structural model.

Stroke Research and Treatment, 2018

Background. Action-observation-execution (AOE) primes physical training. We examined the immediat... more Background. Action-observation-execution (AOE) primes physical training. We examined the immediate effect of AOE with accelerated skill acquisition program (ASAP) on dexterity in subacute stroke. Methods. Twelve individuals from 1 to 6 months after stroke were allocated into two groups by matching age and side of stroke. After AOE of 30 minutes, the experimental group received ASAP for 60 minutes whereas the control group received dose-equivalent usual care. The movement time (MT) and functional ability (FA) of hand items of the Wolf motor function test (WMFT), hand functions and global recovery of stroke impact scale (SIS), and intrinsic motivation items of stroke rehabilitation motivation scale were assessed at baseline, after training, and during one-week follow-up. Data were analyzed within and between the groups. Results. AOE significantly decreased MT of flipping cards of WMFT and hand functions of SIS. Total MT was markedly reduced. AOE with ASAP demonstrated significant grou...

International Journal of Behavioral Nutrition and Physical Activity, 2019

Background Globally, the International Classification of Activities for Time-Use Statistics (ICAT... more Background Globally, the International Classification of Activities for Time-Use Statistics (ICATUS) is one of the most widely used time-use classifications to identify time spent in various activities. Comprehensive 24-h activities that can be extracted from ICATUS provide possible implications for the use of time-use data in relation to activity-health associations; however, these activities are not classified in a way that makes such analysis feasible. This study, therefore, aimed to develop criteria for classifying ICATUS activities into sleep, sedentary behaviour (SB), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA), based on expert assessment. Method We classified activities from the Trial ICATUS 2005 and final ICATUS 2016. One author assigned METs and codes for wakefulness status and posture, to all subclass activities in the Trial ICATUS 2005. Once coded, one author matched the most detailed level of activities from the ICATUS 2016 with the c...

European Review of Aging and Physical Activity, 2018

Annals of Rehabilitation Medicine, 2018

Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic ... more Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) combined with task-specific training on paretic hand function following subacute stroke. Methods Sixteen participants were randomly selected and grouped into two: the experimental group (real LF-rTMS) and the control group (sham LF-rTMS). All the 16 participants were then taken through a 1-hour taskspecific training of the paretic hand. The corticospinal excitability (motor evoke potential [MEP] amplitude) of the non-lesioned hemisphere, and the paretic hand performance (Wolf Motor Function Test total movement time [WMFT-TMT]) were evaluated at baseline, after the LF-rTMS, immediately after task-specific training, 1 and 2 weeks after the training. Results Groups comparisons showed a significant difference in the MEP after LF-rTMS and after the training. Compared to the baseline, the MEP of the experimental group significantly decreased after LF-rTMS and after the training and that effect was maintained for 2 weeks. Group comparisons showed significant difference in WMFT-TMT after the training. Only in the experimental group, the WMFT-TMT of the can lifting item significantly reduced compared to the baseline and the effect was sustained for 2 weeks. Conclusion The results of this study established that the improvement in paretic hand after task-specific training was enhanced by LF-rTMS and it persisted for at least 2 weeks.

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2017

Purpose Parental perception of their child's weight may be a crucial factor in parental ability f... more Purpose Parental perception of their child's weight may be a crucial factor in parental ability for action with regard to their child's weight problem. This aim of this study was to investigate parental perception of their child's weight status and dietary healthiness, amount of food consumed and physical activity level and its related factors. Methods A cross-sectional survey was conducted among children (Grades 4-6) selected by cluster sampling in two schools. Children were invited to participate in the measurements of anthropometry and their parents were asked to classify their child's weight and health behaviors. Results In total, 41.8% of parents misperceived their child's weight, of which 82% underestimated their child's weight, in particular regarding overweight or obesity. As parents of overweight or obese children underestimated their child's weight, around 65% were not concerned with their child's current weight and about becoming overweight in the future. Factor associated with underestimation of overweight children was not having a sibling, while among children with normal weight, the underestimation was associated with boys, lower body mass index (BMI), maternal employment and low household income. Furthermore, parents underestimating their child's weight were more likely to be optimistic about their child's dietary healthiness, food amount taken, and physical activity level than those with correct child's weight estimates. Conclusions Findings show a high proportion of parental misperception of their child's weight status. Family-based weight control interventions will need to incorporate parental misperceptions of the body weight and health behaviors of their children.

International Journal of Environmental Research and Public Health, 2017

Although prolonged sitting appears as a novel risk factor related to health outcomes for all ages... more Although prolonged sitting appears as a novel risk factor related to health outcomes for all ages, its association needs to be replicated in occupational conditions. This study explored the associations between sedentary behavior and four noncommunicable diseases (NCDs) as well as two cardiometabolic risk factors (CMRFs) among workers in a petroleum company, Thailand. All workers were invited to complete the online self-report questionnaire. Sedentary behavior was measured as the amount of time sitting at work, during recreation, and while commuting. Out of 3365 workers contacted, 1133 (34%) participated. Prevalence of NCDs and CMRFs was 36% and was positively associated with sedentary behavior. After adjusting for age, BMI, and exercise, the risk of NCDs and CMRFs for sedentary office work was 40% greater compared with more active field work. Those who took a break without sitting more than twice a day and commuted by walking or cycling had less risk of NCDs and CMRFs. The total duration of sedentary behavior was 10 h/day, and two-thirds of that total was workplace sitting. This was significantly associated with NCDs and CMRFs (p < 0.001). Day-and-night rotating shiftwork was negatively associated with NCDs and CMRFs (p < 0.001). Sedentary behavior should be considered a health risk among workers. Hence, to promote a healthy lifestyle and safe workplace, organizations should encourage standing activities during break and physically active commutes, and have workers avoid prolonged sitting.

The Japanese journal of ergonomics, 2017

Neck pain is one of main health problems of office workers. They work with computers in the same ... more Neck pain is one of main health problems of office workers. They work with computers in the same position for long period of time. Previous studies show the prevalence of neck pain (45.5%) in office workers. This can lead to direct and indirect costs of health care. It is essential to develop predictors for preventing people from neck pain. Previous studies show that musculoskeletal disorders are related to physical fitness level. Many factors in physical fitness can predict the incident of musculoskeletal disorders.There is still few studies which are specific to neck pain and physical fitness. Therefore, the purpose of the study was to investigate the relation between physical fitness level and prevalence of neck pain in office workers. A preliminary cross-sectional survey study included office workers who work in Faculty of physical therapy, Mahidol University. Participants were advertised with information and advantages of the study. The total of participants in this study were 18 office workers (10 females and 8 males). The test-retest reliability (ICC) of physical fitness tests were between 0.52-0.99. Physical fitness of participants were measured in five domains including 1) range of motion, 2) neck endurance, 3) strengthening of deep neck flexor muscle, 4) grip strength and 5) cardiorespiratory fitness by using cervical range of motion goniometer, neck flexor endurance test, neck flexor strength test by a pressure biofeedback, a hand grip dynamometer and three minutes step test, respectively. Compared the results which norms, subjects can be classified into normal group and below normal group. The Thai version of the modified neck disability index was used for examine the prevalence of neck pain. The neck disability scores were calculated, participants with the score more than 20% of full score were included in neck pain group. Statistic analysis analyzed by SPSS version 20.0. Intraclass correlation coefficient was calculated for testretest reliability. Descriptive statistics showed that neck strength, neck endurance, cardiorespiratory fitness and range of neck flexion in participants with normal physical fitness level tend to have less prevalence of neck pain than that of participants with below normal physical fitness level.

The Japanese journal of ergonomics, 2017

The aim of this study was to determine PA, sitting time at work and WMSDs in computer workers. We... more The aim of this study was to determine PA, sitting time at work and WMSDs in computer workers. We conducted a preliminary cross-sectional study in twenty-one computer workers. Participants age were between 22 to 45 years and were also excluded if they could not stand at work. The online Self-Report Questionnaire on Computer Work-related Expose (OSCWE) was used to assess symptoms of WMSDs during the last 12 months and sitting time at work. Thai Physical Activity Guideline (TPAG) questionnaire was also used to determine physical activity levels and calculate energy expenditure. Twenty-one participants completed the questionnaires. Twenty-eight percent of participants had neck and shoulder WMSDs. Twenty-three percent of participants had PA in level 1 and level 3 defined by TPAG. Energy expenditure of PA and sitting time at work for participants without WMSDs were 1431.48±1721.17 kcal/week and 5.94±1.91 hr/day, respectively. While the above parameters in the WMSDs group were 1324.52±1125.64 kcal/week and 6.83±2.05 hr/day, respectively. Participants without WMSDs had more PA and less sitting time at work than ones who had WMSDs. Although, participants had less PA and more sitting time at work also tended to have WMSDs. Future study should increase the number of subjects to explore the relationship between PA, sitting time at work and WMSDs. Decreasing sitting time at work can also prevent WMSDs in computer workers. Therefore, PA and sitting time at work should be concerned in workplaces.

The Japanese journal of ergonomics, 2017

Physical inactivity is revealed as the global health problem that contributes to noncommunicable ... more Physical inactivity is revealed as the global health problem that contributes to noncommunicable diseases (NCDs). High technological developments including smart phones or computers can cause of increased sedentary work and decreased leisure time of activities in healthy adults particularly in office workers. Sitting at desk or computer is routine in office workers. They did not require moderate or high physical workload. These caused of physical inactivity in office workers. Therefore, the facilitating factors or barriers related to physical activity (PA) participation should be identified. The purpose of this study was to assess the level of PA and to determine the facilitating factors and barriers associated to PA participation in office workers. Two study design were conducted: cross sectional survey and qualitative research. First, PA was collected by Thai version of short-form International Physical Activity Questionnaire (IPAQ). The participants were classified into high and low level of PA. Second, the facilitating factors and barriers of individual and environmental perspectives associated to PA participation in each level of PA were determined for 15-30 minutes. Data were analyzed by the descriptive statistics and content analysis. Our results found 18 of 22 office workers completed the IPAQ. Their mean ages were 32.61±4.62 years and spent 1585.89±1140.74 MET-min/wk. Of 18 office workers, 2 from low PA and 4 from moderate to high PA participated the in-depth interview. The health appearances and facilities could facilitate them to participate PA while lack of time and motivation were identified as the barriers. Our findings indicated the factors influenced on PA participation, therefore, it useful for planning the new strategy of PA promotion.

The Japanese journal of ergonomics, 2017

Shiftwork is associated with negative impact on workers' performance, safety and health due to ci... more Shiftwork is associated with negative impact on workers' performance, safety and health due to circadian rhythms disturbance and sleep deficit. The purpose of this study was to assess performance and sleepiness among Thai oil rig onshore shift workers. Healthy Thai onshore shift workers who work on a 12-hour swing shift in an oil and gas company in Thailand participated in this study. The work cycle started from one week of night shifts followed by one week of day shifts. All participants were asked to rate their sleepiness using the Epworth Sleepiness Scale (ESS) questionnaire at the first visit. Furthermore, the participants performed the finger tapping (FT) test in an android application at the pre-and post-shift at the beginning and end of "Night" and "Day" shift period. For the FT test, each participant was instructed to use the index finger to tap on a response button as fast as possible within a 10-second time interval. The total of 38 male-shift workers with a mean age of 36.1±7.87 years participated in this study. The results showed that the mean ESS score was 8.84±4.03 and 63.2% of the participants had an ESS score in the normal range (ESS = 0-10), 31.6% had mild to moderate degree of sleepiness (ESS = 11-15), and 5.3% had severe degree of sleepiness (ESS > 16). For the "Night" shift period, the mean left FT rates on "Night 1"and "Night 7" of the pre-shift were 60.32±6.21 times/10 seconds and 61.39±7.43 times/10 seconds, respectively and of the post-shift were 56.24±5.43 times/10 seconds and 58.76±6.93 times/10 seconds, respectively. The mean right FT rates on "Night 1 and "Night 7" of the pre-shift were 65.11±6.49 times/10 seconds and 65.79±7.82 times/10 seconds, respectively and of the post-shift were 61.08±7.23 times and 63.5±7.44 times/10 seconds, respectively. The results showed that, for the "Night" shift period, the mean left and right FT rates of the post-shift were significantly less than those of the pre-shift (p < 0.05). For the "Day" shift period, the mean left FT rates on "Day 1" and "Day 8" of the pre-shift were 60.08±6.98 times/10 seconds and 61.03±6.73 times/10 seconds, respectively and of the post-shift were 62±6.54 times/10 seconds and 61.76±6.87 times/10 seconds, respectively. The mean of right FT rates on "Day 1" and "Day 8" of the pre-shift were 64.74±7.94 times/10 seconds and 65.97±7.82 times/10 seconds, respectively and of the post-shift were 65.68±10.35 times/10 seconds and 67.66±8.06 times/10 seconds, respectively. The results showed that in general, for the "Day" shift period, the mean left and right FT rates of the post-shift were significantly greater than those of the pre-shift (p < 0.05). The onshore shift workers revealed poorer performance during the "Night" shift period than the "Day" shift period which might be due to the perturbation of circadian rhythms and sleep loss. It might lead to poor quality of life and higher risk of accident in shift workers. Thus, work scheduling and effective assessment of performance and sleepiness should be of concern to the organization.