Proprioceptive changes impair balance control in individuals with chronic obstructive pulmonary disease

Copyright @ 2013 Janssens et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Introduction: Balance deficits are identified as important risk factors for falling in individuals with chronic obstructive pulmonary disease (COPD). However, the specific use of proprioception, which is of primary importance during balance control, has not been studied in individuals with COPD. The objective was to determine the specific proprioceptive control strategy during postural balance in individuals with COPD and healthy controls, and to assess whether this was related to inspiratory muscle weakness. Methods: Center of pressure displacement was determined in 20 individuals with COPD and 20 age/gender-matched controls during upright stance on an unstable support surface without vision. Ankle and back muscle vibration were applied to evaluate the relative contribution of different proprioceptive signals used in postural control. Results: Individuals with COPD showed an increased anterior-posterior body sway during upright stance (p=0.037). Compared to controls, individuals with COPD showed an increased posterior body sway during ankle muscle vibration (p=0.047), decreased anterior body sway during back muscle vibration (p=0.025), and increased posterior body sway during simultaneous ankle-muscle vibration (p=0.002). Individuals with COPD with the weakest inspiratory muscles showed the greatest reliance on ankle muscle input when compared to the stronger individuals with COPD (p=0.037). Conclusions: Individuals with COPD, especially those with inspiratory muscle weakness, increased their reliance on ankle muscle proprioceptive signals and decreased their reliance on back muscle proprioceptive signals during balance control, resulting in a decreased postural stability compared to healthy controls. These proprioceptive changes may be due to an impaired postural contribution of the inspiratory muscles to trunk stability. Further research is required to determine whether interventions such as proprioceptive training and inspiratory muscle training improve postural balance and reduce the fall risk in individuals with COPD.This work was supported by the Research Foundation – Flanders (FWO) grants 1.5.104.03, G.0674.09, G.0598.09N and G.0871.13N

The real time mass evaluation system as a tool for detection of undeclared cascade operation at GCEPs

Given the flexibility of current cascade designs a real time mass monitoring system is preferred for safeguarding Gas Centrifuge Enrichment Plants. However, if such a system is to be installed in a GCEP it must not impinge on plant operation or be intrusive. Since load cells are already part of the operational process and located outside the cascade hall their exploitation for safeguards purposes is an obvious development. The paper describes, through dynamic simulations, how transients would be observed in real-time mass balances when undeclared cascade operation takes place in a declared facility

Impaired Postural Control Reduces Sit-to-Stand-to-Sit Performance in Individuals with Chronic Obstructive Pulmonary Disease

Abstract Background: Functional activities, such as the sit-to-stand-to-sit (STSTS) task, are often impaired in individuals with chronic obstructive pulmonary disease (COPD). The STSTS task places a high demand on the postural control system, which has been shown to be impaired in individuals with COPD. It remains unknown whether postural control deficits contribute to the decreased STSTS performance in individuals with COPD. Methods: Center of pressure displacement was determined in 18 individuals with COPD and 18 age/gender-matched controls during five consecutive STSTS movements with vision occluded. The total duration, as well as the duration of each sit, sit-to-stand, stand and stand-to-sit phase was recorded. Results: Individuals with COPD needed significantly more time to perform five consecutive STSTS movements compared to healthy controls (1966 vs. 1364 seconds, respectively; p = 0.001). The COPD group exhibited a significantly longer stand phase (p = 0.028) and stand-to-sit phase (p = 0.001) compared to the control group. In contrast, the duration of the sit phase (p = 0.766) and sit-to-stand phase (p = 0.999) was not different between groups. Conclusions: Compared to healthy individuals, individuals with COPD needed significantly more time to complete those phases of the STSTS task that require the greatest postural control. These findings support the proposition that suboptimal postural control is an important contributor to the decreased STSTS performance in individuals with COPD

Measuring perceived black economic empowerment in the South African wine industry

The aim of this study is to develop a scale to measure perceived black economic empowerment (BEE) as reported by beneficiaries themselves. Two scale development procedures were carried out on randomly selected samples of 213 and 322 previously disadvantaged individual respondents within 14 and 11wine business that cover the larger part of the wine industry chain. The results led to a 'feeling' self-report scale (5-dimensions) and an ‘evolution’ self-report scale (6-dimensions). The emerged dimensions are: Business ownership and control (BOC), Access to finance (ATF), Employment and Human Resources Management (EMP) [internal and external], Social capital/enabling environment (SOC) and Lobbying power and collective action (LOB). First measurement results indicate that respondents feel less empowered with respect to BOC and ATF as compared to EMP, SOC and LOB. There appears to be no gender or age differences, but there are geographical differences. The latter is mostly per farm, that is, a lot of variation in BEE is observed at the firm level. The scale can be used at the firm and industry level as a diagnostic tool to monitor BEE progress as a complementary and not a substitutive framework to the wine industry scorecard as an objective measure of BEE. Future research should focus on the gap between the two definitions and assessment tools in order to comprehensively capture BEE in its entirety. The scale can also be adapted to fit the context, for example, its use in the agricultural sector at large.Agribusiness,

Origin and emergence of entrepreneurship as a research field

This paper seeks to map out the emergence and evolution of entrepreneurship as an independent field in the social science literature from the early 1990s to 2009. Our analysis indicates that entrepreneurship has grown steadily during the 1990s but has truly emerged as a legitimate academic discipline in the latter part of the 2000s. The field has been dominated by researchers from Anglo-Saxon countries over the past 20 years, with particularly strong representations from the US, UK, and Canada. The results from our structural analysis, which is based on a core document approach, point to five large knowledge clusters and further 16 sub-clusters. We characterize the clusters from their cognitive structure and assess the strength of the relationships between these clusters. In addition, a list of most cited articles is presented and discussed

Research Conducted Using Data Obtained through Online Communities: Ethical Implications of Methodological Limitations

An Essay by A. Cecile Janssens and Peter Kraft discusses the limitations inherent in research involving collection of self-reported data by self-selected participants, and makes proposals for upfront communication of such limitations to study participants

Comorbidities in Chronic Obstructive Pulmonary Disease from Assessment to Treatment.

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