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Dynamic and Static Posture Influenced by Music Entrainment
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In this paper, a smart office chair with movable textile sensors to monitor sitting position during the workday is presented. The system consists of a presence textile capacitive sensor with different levels of activation with a signal conditioning device. The proposed system was integrated into an office chair to detect postures that could provoke musculoskeletal disorders or discomfort. The microcontroller measured the capacitance by means of a cycle count method and provided the position information in real time. The information could be analysed to set up warnings to prevent incorrect postures or the necessity to move. Five participants assumed a series of postures, and the results showed the workability of the proposed smart chair. The chair can be provided as a new tool for companies, hospitals, or other institutions to detect incorrect postures and monitor the postures of people with reduced mobility. This tool can optimise control procedures or prevent occupational risks.
Background
Video gaming is a recreational activity with yearly increasing popularity. It is mostly a sedentary behavior combined with repetitive movements of the upper limbs. If performed excessively, these movements may promote strain injuries and a sedentary lifestyle is one of the contributing factors to musculoskeletal disorders. Therefore, a systematic review was conducted to evaluate if video gaming negatively affects the musculoskeletal system of video gamers.
Methods
PubMed, Web of Science and The Cochrane Library were systematically searched in order to identify relevant peer reviewed original articles in English published between 2000 and 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was used for the analysis. Studies were included when they contained investigations of changes of the musculoskeletal system due to video gaming in healthy individuals. Studies with participants older than 60 years or solely psychological, social or cardiovascular outcomes were excluded. An adapted version of the Newcastle–Ottawa Scale was used for the risk of bias analysis.
Results
Sixteen observational studies involving a total of 62,987 participants met the inclusion criteria. A majority (11) of the studies reported statistical negative musculoskeletal changes due to video game playtime. Four studies did not report changes and one study found no effect of video game playtime on the musculoskeletal system. Out of the eleven studies, which demonstrated a negative impact of video game playtime on the musculoskeletal system, the most reported painful body parts were the neck ( n = 4), shoulder ( n = 4) and back ( n = 3). Ten studies reported odds ratios (OR) for the dependence of the appearance of musculoskeletal disorders on video game playtime. In eight studies OR were significantly increased (1.3—5.2).
Conclusion
Eleven out of twelve studies demonstrated a negative impact of video game playtime on the musculoskeletal system. In particular, excessive video game playtimes (> 3 h/day) seemed to be a predictor for the appearance of musculoskeletal disorders. Due to their great popularity across multiple generations, specific and tailored prevention and health promotion programs for video gamers need to be developed to counteract this important public health issue.
External cues improve walking by evoking internal rhythm formation related to gait in the brain in patients with Parkinson’s disease (PD). This study examined the usefulness of using a portable gait rhythmogram (PGR) in music therapy on PD-related gait disturbance. A total of 19 subjects with PD who exhibited gait disturbance were evaluated for gait speed and step length during a 10 m straight walking task. Moreover, acceleration, cadence, and trajectory of the center of the body were estimated using a PGR. Walking tasks were created while incorporating music intervention that gradually increased in tempo from 90 to 120 beats per minute (BPM). We then evaluated whether immediate improvement in gait could be recognized even without music after walking tasks by comparing pre- (pre-MT) and post-music therapy (post-MT) values. Post-MT gait showed significant improvement in acceleration, gait speed, cadence, and step length. During transitions throughout the walking tasks, acceleration, gait speed, cadence, and step length gradually increased in tasks with music. With regard to the trajectory of the center of the body, we recognized a reduction in post-MT medio-lateral amplitude. Music therapy immediately improved gait disturbance in patients with PD, and the effectiveness was objectively shown using PGR.
Gait and balance impairments are common after stroke. This study aimed to evaluate the effect of a music-based rhythmic auditory stimulation (RAS) in combination with conventional physiotherapy on gait parameters and walking ability in subacute stroke. This single-blind, historical controlled trial, included 55 patients who had suffered a stroke within the three weeks prior to enrolment. Patients from 2018 (n = 27) were assigned as the historical control group whereas 2019 patients (n = 28) received music-based RAS three times a week. Both groups received 11 h of conventional physiotherapy per week during hospitalization. Primary outcomes were gait and balance parameters (Tinetti test and Timed Up&Go test) and walking ability (Functional Ambulation Category scale). Secondary outcomes were trunk control, assistive devices, functional independence (Functional Independence Measure, Barthel index), and stroke severity and disability (modified Rankin scale, National Institutes of Health Stroke Scale). Results: No between-group differences were identified for gait and balance parameters nor for secondary outcomes. Significant between-group differences were observed in the Functional Ambulation Category: the intervention group (Δmean ± SD; 3.43 ± 1.17) showed greater improvement (p = 0.002) than the control group (Δmean ± SD; 2.48 ± 1.09). Compared with conventional physiotherapy alone, our results suggest that the walking ability of subacute stroke patients might be improved with music-based RAS combined with conventional physiotherapy, but this treatment is not more effective than conventional physiotherapy in obtaining gait and balance gains.
Every human spends most of their time remain seated especially students. A good posture during seated is important to determine the human health, while a bad posture during seated posture can lead to numerous diseases. This paper explained the design and development of wearable posture identification system using accelerometers to determine the good human posture in seated position. Two accelerometers were used to determine the posture of an individual. The first accelerometer was placed on the human lumbar spine while the second accelerometer was placed on the human cervical spine. The calculation of the angle in determining the posture was processed using Arduino. There are three experiment were conducted: calibration test, performance measurement test and real-time analysis test. The calibration test was conducted to determine the percentage error of the accelerometer when compared with goniometer at static condition. The second experiment was conducted to determine the percentage error of between accelerometer and electrogoniometer at dynamic condition. The third experiment was conducted to test the accelerometer in real life environment. The result shown that accelerometer have the percentage error less than 3% when compare to goniometer and electrogoniometer. This system is able to monitor and identify the good and bad sitting posture.
A total of 22 RCTs comprising 1,209 participants were identified for inclusion in the review. There was a high risk of bias across most of the included studies (12 studies). Only two studies were classified as low risk of bias, and eight studies were classified as moderate risk of bias. The intervention duration ranged from 2 to 13 weeks, frequency from 2 to 4 days per week, and duration of each session between 15 to 60 min. The insufficiency and quality of included studies did not allow an integrated assessment of the efficacy of exercise interventions on postural malalignments; however, the positive effects noticed in most of the studies indicate some advantages but underscores the necessity of adequately designed RCTs in this field.
Back pain is one of the leading causes of disability-adjusted life year globally and the most common cause of low back pain is poor sitting posture. There are several actions that can be adopted proactively to avoid poor sitting posture induced back pain including behavioral change, regular exercise, and use of an ergonomic chair. However, these are either expensive and/or difficult to execute for prolonged periods. Sitting posture monitoring systems continuously observe the sitting pattern of a person in real-time and give feedback/alert poor sitting posture is observed. In this study, a real-time posture monitoring system has been designed and a functional prototype has been developed using simple electrical elements and an android application. Appropriate position of the sensor in the spine to measure the degree of bending and the threshold sensor values for good posture sittings have been determined based on the results from healthy volunteers of different ages and height. The android application continuously monitors the degree of bending and provides vibration when the bending reaches the threshold of bad posture or the duration of the sitting crosses the clinically recommended time limit to prevent prolonged sitting. Positive user feedback has been received in terms of comfortability, effectiveness, and satisfaction levels. The manufacturing cost of the developed monitoring system is minimal compared to the available expensive systems in the market and the cost would further go down if it is produced in bulk. This device efficiently monitors the sitting posture pattern to prevent back pain and within the affordable price range for the people from middle to under-developed countries.
The concept of the conditioned reflex is based upon the principle that if two stimuli, one of which is the definite stimulus to any reflex action and the other any indifferent stimulus to this reaction, are administered jointly and many times under the same conditions, the latter (the indifferent or negative stimulus) will eventually be grafted on to the ordinary positive stimulus which produces the usual reflex act, i. e., the indifferent stimulus will gradually become the stimulus to a reflex action, even when the usual stimulus to this reflex is not present. The advent of the conditioned reflex into the field of psychology has suggested a study and analysis of this interesting phenomenon. This monograph is intended to present the results and conclusions of such an experimental investigation. The work was performed in the psychological laboratory of the Catholic University of America during the years 1916-17 and 1917-18. (PsycINFO Database Record (c) 2012 APA, all rights reserved)