162 research outputs found

    Mechanical work performed by distal foot-ankle and proximal knee-hip segments during anticipated and unanticipated cutting

    Get PDF
    Side-step cutting is a common evasive maneuver which is typically performed without prior anticipation. Studies quantifying joint work and its inter-joint proportions in cutting have not accounted for work done by the foot, even though this segment has been shown to be an important source of mechanical work in walking, running, and landing. The aims of this study were to: (1) quantify the magnitude of foot work performed and provide a more precise account of percentage joint work during cutting, and (2) examine the effect, a lack of anticipation had on these variables. Three-dimensional motion capture with forceplates were used to assess the cutting behaviour of 17 healthy participants. All participants performed a 45° cut with an approach speed of 4 m/s. Hip, knee, and ankle joint work were calculated using inverse dynamics; whilst foot work was quantified using the Unified-Deformable foot method. The foot contributed up to 12.45% and 3.09% of total limb negative and positive work, respectively. Unanticipated cutting significantly reduced ankle positive work (-0.09 J/kg [95% CI −0.13 to −0.06], P < 0.001) and significantly reduced percentage ankle positive work (-2.17% [95% CI −3.47 to −0.86], P = 0.001). The foot performs as much negative work as the hip but had only a minor contribution to positive work during cutting. Anticipation had a negligible influence on joint work and its inter-joint proportions. The foot should not be neglected in understanding whole-body dynamics during cutting, with greater understanding of its function potentially useful for informing athletic footwear design and cutting technique modification

    Feasibility of parent-to-parent support in recently diagnosed childhood diabetes: the PLUS study

    Get PDF
    The purpose of this study was to develop and test the feasibility of a parent-to-parent support intervention for parents whose child has recently been diagnosed with type 1 diabetes in the United Kingdom

    Adaptation of the African Couples HIV Testing and Counseling Model for Men who have Sex with Men in the United States: an Application of the ADAPT-ITT Framework

    Get PDF
    To respond to the need for new HIV prevention services for men who have sex with men (MSM) in the United States, and to respond to new data on the key role of main partnerships in US MSM epidemics, we sought to develop a new service for joint HIV testing of male couples. We used the ADAPT-ITT framework to guide our work. From May 2009 to July 2013, a multiphase process was undertaken to identify an appropriate service as the basis for adaptation, collect data to inform the adaptation, adapt the testing service, develop training materials, test the adapted service, and scale up and evaluate the initial version of the service. We chose to base our adaptation on an African couples HIV testing service that was developed in the 1980s and has been widely disseminated in low- and middle-income countries. Our adaptation was informed by qualitative data collections from MSM and HIV counselors, multiple online surveys of MSM, information gathering from key stakeholders, and theater testing of the adapted service with MSM and HIV counselors. Results of initial testing indicate that the adapted service is highly acceptable to MSM and to HIV counselors, that there are no evident harms (e.g., intimate partner violence, relationship dissolution) associated with the service, and that the service identifies a substantial number of HIV serodiscordant male couples. The story of the development and scale-up of the adapted service illustrates how multiple public and foundation funding sources can collaborate to bring a prevention adaptation from concept to public health application, touching on research, program evaluation, implementation science, and public health program delivery. The result of this process is an adapted couples HIV testing approach, with training materials and handoff from academic partners to public health for assessment of effectiveness and consideration of the potential benefits of implementation; further work is needed to optimally adapt the African couples testing service for use with male–female couples in the United States

    Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

    Get PDF
    Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy
    corecore