1.Advance in Cognitive and Postural Control Dual-task in Falls of Older People (review)
Leichao LIANG ; Jiaojiao LV ; Lingyan HUANG ; Yu LIU
Chinese Journal of Rehabilitation Theory and Practice 2016;22(11):1289-1293
Dual-task diagram focuses on the interaction between cognition and motor control, and has been applied in falls predictor and training in old people. It was found that dual-task diagram is a more sensitive and useful method than gait test to predict the risk of falls in the older people, especially for those with central nervous system disease. The dual-task training can improve the cognitive and physical abilities of the older adults, but it is argued that combined cognitive and physical exercise is more beneficial than either one individually.
2.Effects of Shoe Type and Walking Speed on Knee Joint Loads
Yong WANG ; Hui REN ; Yunqi TANG ; Leichao LIANG ; Limin ZOU ; Yu LIU ; Lingyan HUANG
Journal of Medical Biomechanics 2021;36(5):E725-E731
Objective To investigate the effects of shoes type (barefoot, ordinary running shoes, minimalist shoes) and walking speed (jogging, walking at normal speed) on biomechanical parameters of knee joint, so as to provide theoretical reference for scientific fitness. Methods Vicon three-dimensional (3D) motion capture system and Kistler 3D force plate were used to collect biomechanical parameters of lower limbs from 10 subjects during walking at different speed with different shoes. Two-way (2 walking conditions × 3 shoe conditions) repeated measures analysis of variance was used to statistically analyze each dependent variable. Results Compared with jogging, the lateral excursion of plantar center of pressure (COP) was greater, the moment arm in frontal plane, the adduction moment and peak loading rate of knee joint were smaller, but the angular impulse of knee joint in frontal plane was greater. Compared with ordinary running shoes, the stride length was decreased, the lateral excursion of COP was greater, and the moment arm of knee joint in frontal plane, the knee adduction moment, the peak load rate and the angular impulse of knee joint in frontal plane were smaller. Conclusions In order to reduce the angular impulse and peak loading rate of knee joint in frontal plane, it is recommended to jog with small strides for ordinary people with minimalist footwear.
3.Advance in Rhythmic Auditory Stimulation to Improve Walking Function in Patients with Hemiplegia after Stroke (review)
Weijia GU ; Xiaoming YU ; Leichao LIANG ; Yan XU ; Xubo WU ; Shangjun HUANG
Chinese Journal of Rehabilitation Theory and Practice 2018;24(12):1408-1412
Through providing rhythmic stimulation to movement center, rhythmic auditory stimulation (RAS) may encourage hemiplegic patients to adjust movement pattern and external rhythm in time to improve the walking function after stroke. As an emerging intervention to treat the hemiplegic patients after stroke, RAS could effectively improve temporospatial gait parameters (gait velocity, stride length, cadence, and symmetry, etc.), joint movement pattern (angle of pelvis anterior tilt, and peak angle of knee flexion in mid-swing, etc.) and balance, which may be related to rhythmic entrainment movement system and the theory of auditory-movement synchronization. Simultaneously, frequency and dosage of RAS and the patient's lesions all have effect on the outcome of intervention.