Search Results (568)

Top-view systems for lameness detection have advantages such as easy installation and minimal impact on farm work. However, the unclear lameness motion characteristics of the back result in lower recognition accuracy for these systems. Therefore, we analysed the compensatory behaviour of cows based on top-view walking videos, extracted compensatory motion features (CMFs), and constructed a model for recognising lameness in cows. By locating the hook, pin, sacrum, and spine positions, the motion trajectories of key points on the back were plotted. Based on motion trajectory analysis of 655 samples (258 sound, 267 mild lameness, and 130 severe lameness), the stability mechanisms of back movement posture were investigated, compensatory behaviours in lame cows were revealed, and methods for extracting CMFs were established, including swing and posture features. The feature correlation among differently scoring samples indicated that early-stage lame cows primarily exhibited compensatory swing, while those with severe lameness showed both compensatory swing and posture. Lameness classification models were constructed using machine learning and threshold discrimination methods, achieving classification accuracies of 81.6% and 83.05%, respectively. The threshold method reached a recall rate of 93.02% for sound cows. The proposed CMFs from back depth images are highly correlated with early lameness, improving the accuracy of top-view lameness detection systems. Full article

Background/Objectives: Ocular proprioception is implicated in balance control and heterophoria is associated with abnormal posture, though previous research focused mainly on the role of vertical phoria and the use of vertical prisms. This study aims to evaluate whether ocular misalignment and prismatic correction of horizontal phoria affect posture. Methods: Sixty-nine (N = 69) young healthy subjects were included and equally divided by horizontal distance phoria: orthophoria (n = 23), esophoria (n = 23) and exophoria (n = 23). A prism of low power (two-diopter) was placed base out on the non-dominant eye, reducing misalignment in esophorics and increasing it in exophorics more than in orthophorics. Dynamic computerized posturography was performed with the sensory organization test protocol (SOT) of the EquiTest^® NeuroCom^® version 8 platform both without and with prism, always maintaining subjects unaware of prism use. A mixed model for repeated measures analysis of variance was run to evaluate the main effect of prism and the interaction effect of prism with baseline phoria. Results: Composite movement strategy score without prism was 88.1 ± 2.8% (ankle-dominant strategy) and slightly increased to 89.0 ± 3.1% with prism insertion (p = 0.004), further shifting toward ankle strategy. Composite equilibrium score without prism was 80.3 ± 6.5% and remained stable with prism insertion (81.3 ± 8.2%, p = 0.117), medio-lateral and antero-posterior projection of center of gravity did not displace significantly under prism insertion (p = 0.652 and p = 0.270, respectively). At baseline, posturographic parameters were statistically independent of individual phoria, and no significant interaction between prism insertion and individual phoria was documented for any parameters (p > 0.05 for all). Secondary analysis and pairwise comparisons confirmed that the effect of prism was strongly selective on condition SOT 5 (eyes-closed, platform sway-referenced) with improvement of equilibrium (70.4 ± 9.7% with prism vs. 65.7 ± 11.6% without) and more use of ankle strategy (81.6 ± 5.3% with prism vs. 78.2 ± 6.0% without), without any interaction of phoria and ocular dominance, while the other conditions were comparable with and without prism. Conclusions: A two-diopter prism base out on the non-dominant eye induces the body to use the ankle joint more independently of individual phoria, suggesting a small improvement in postural control, while maintaining oscillations of the center of gravity unaltered. Prism seems to enhance the function of vestibular system selectively. Phoria adjustments with prismatic correction enable intervention in postural behavior. Extraocular muscles could act as proprioceptors influencing postural stability. Full article

Trajectory planning in tight spaces presents a significant challenge due to the complex maneuvering required under kinematic and obstacle avoidance constraints. When obstacles are densely distributed near the target state, the limited connectivity between the feasible states and terminal state can further decrease the efficiency and success rate of trajectory planning. To address this challenge, we propose a novel Dual-Stage Motion Pattern Tree (DS-MPT) algorithm. DS-MPT decomposes the trajectory generation process into two stages: merging and posture adjustment. Each stage utilizes specific heuristic information to guide the construction of the trajectory tree. Our experimental results demonstrate the high robustness and computational efficiency of the proposed method in various parallel parking scenarios. Additionally, we introduce an enhanced driving corridor generation strategy for trajectory optimization, reducing computation time by 54% to 84% compared to traditional methods. Further experiments validate the improved stability and success rate of our approach. Full article

Objective: This study investigates the relationship between lower limb strength and postural stability in single-leg stance using the Balance Master system. Methods: The research involved 64 participants divided into sedentary and physically active groups based on metabolic equivalents of task (METs) values, normal weight, overweight, and obese according to body composition. Postural control was evaluated using the Sensory Organization Test. Results: The results showed that there were no significant differences in mean and maximum lower limb strength between the groups. Furthermore, postural stability in open and closed eyes conditions did not show significant differences between the groups. However, a significant positive correlation was observed between lower limb strength and stability in single-leg stance with eyes open. Conclusions: These findings suggest that lower limb muscle strength is essential for postural stability, especially when vision is available to aid balance. The study highlights the importance of interventions focused on strengthening muscles to improve physical functionality in adults. Full article

The rapid spread of micromobility vehicles such as bicycles and electric scooters poses new challenges to urban transportation systems, particularly in terms of road safety and infrastructure integration. This study investigates the driving behavior of micromobility users at a mini-roundabout, focusing on their speed profiles and their position within the lane during the entry, circulation, and exit phases. A structured recruitment process was used to select 20 participants with previous micromobility experience. Participants performed crossing maneuvers at a mini-roundabout in Gravina di Catania, Italy, which were monitored using drone footage and analyzed with tracking software to extract trajectories and speed data. The results show significant differences between e-scooter and bicycle users, with bicycles showing less speed variability, especially during the crossing and exit phases, while e-scooters showed greater variability, especially during the entry and exit phases. The results highlight the influence of vehicle stability and user posture on riding behavior and emphasize the need for infrastructure adaptations to increase safety. Mini-roundabouts designed for moderate speed are identified as a promising solution to improve the coexistence of micromobility and motor vehicles. This research identifies key differences in speed profiles and behavioral patterns between e-scooter and bicycle users, offering actionable insights and recommendations for safer and more efficient urban infrastructure. These contributions provide valuable guidance for urban planners and policymakers in promoting safer and more sustainable urban mobility. Full article

The demand for non-invasive, real-time health monitoring has driven advancements in wearable sensors for tracking biomarkers in sweat. Ammonium ions (NH₄⁺) in sweat serve as indicators of metabolic function, muscle fatigue, and kidney health. Although current ion-selective all-solid-state printed sensors based on nanocomposites typically exhibit good sensitivity (~50 mV/log [NH₄⁺]), low detection limits (LOD ranging from 10⁻⁶ to 10⁻⁷ M), and wide linearity ranges (from 10⁻⁵ to 10⁻¹ M), few have reported the stability test results necessary for their integration into commercial products for future practical applications. This study presents a highly stable, wearable electrochemical sensor based on a composite of metal–organic frameworks (MOFs) and reduced graphene oxide (rGO) for monitoring NH₄⁺ in sweat. The synergistic properties of Ni-based MOFs and rGO enhance the sensor’s electrochemical performance by improving charge transfer rates and expanding the electroactive surface area. The MOF/rGO sensor demonstrates high sensitivity, with a Nernstian response of 59.2 ± 1.5 mV/log [NH₄⁺], an LOD of 10^−6.37 M, and a linearity range of 10⁻⁶ to 10⁻¹ M. Additionally, the hydrophobic nature of the MOF/rGO composite prevents water layer formation at the sensing interface, thereby enhancing long-term stability, while its high double-layer capacitance minimizes potential drift (7.2 µV/s (i = ±1 nA)) in short-term measurements. Extensive testing verified the sensor’s exceptional stability, maintaining consistent performance and stable responses across varying NH₄⁺ concentrations over 7 days under ambient conditions. On-body tests further confirmed the sensor’s suitability for the continuous monitoring of NH₄⁺ levels during physical activities. Further investigations are required to fully elucidate the impact of interference from other sweat components (such as K⁺, Na⁺, Ca²⁺, etc.) and the influence of environmental factors (including the subject’s physical activity, posture, etc.). With a clearer understanding of these factors, the sensor has the potential to emerge as a promising tool for wearable health monitoring applications. Full article

Background/Objectives: Recurrent acute otitis media (rAOM) is a common disease in childhood, but its impact on the vestibular system remains poorly understood. The present study aimed to evaluate the long-term effects of rAOM on balance and vestibular function in pediatric patients. Methods: A total of 55 children, aged 8 years (25 males and 30 females), with a documented history of rAOM, no AOM episodes in the past year, and no previous ear surgery were assessed. Static posturography was used to assess postural instability, measuring sway area (SX, mm²) under four conditions: eyes open and eyes closed, with and without foam pads. Vestibular function was evaluated using the video head impulse test (v-HIT) to quantify vestibulo–ocular reflex (VOR) gain and corrective saccades across all six semicircular canals. Results: Children with a history of rAOM demonstrated significantly greater postural instability than healthy controls (p < 0.001 for all test conditions). The number of AOM episodes was the primary factor influencing balance dysfunction, with children who had more than eight episodes showing the most pronounced deficits in postural stability (p < 0.05). In some cases, the v-HIT revealed hypofunction in the right anterior (14.5%), left posterior (7.3%), left lateral (5.5%), left anterior (3.6%), and right posterior (3.6%) semicircular canals. Conclusions: The results of this study suggest that rAOM can lead to lasting balance and vestibular dysfunction, highlighting the importance of early monitoring and potential rehabilitation. Full article

The efficient classification of body position is crucial for monitoring infants’ motor development. It may fast-track the early detection of developmental issues related not only to the acquisition of motor milestones but also to postural stability and movement patterns. In turn, this may facilitate and enhance opportunities for early intervention that are crucial for promoting healthy growth and development. The manual classification of human body position based on video recordings is labour-intensive, leading to the adoption of Inertial Motion Unit (IMU) sensors. IMUs measure acceleration, angular velocity, and magnetic field intensity, enabling the automated classification of body position. Many research teams are currently employing supervised machine learning classifiers that utilise hand-crafted features for data segment classification. In this study, we used a longitudinal dataset of IMU recordings made in the lab in three different play activities of infants aged 4–12 months. The classification was conducted based on manually annotated video recordings. We found superior performance of the CatBoost Classifier over the Random Forest Classifier in the task of classifying five positions based on IMU sensor data from infants, yielding excellent classification accuracy of the Supine (97.7%), Sitting (93.5%), and Prone (89.9%) positions. Moreover, using data ablation experiments and analysing the SHAP (SHapley Additive exPlanations) values, the study assessed the importance of various groups of features from both the time and frequency domains. The results highlight that both accelerometer and magnetometer data, especially their statistical characteristics, are critical contributors to improving the accuracy of body position classification. Full article

Spinal cord injury (SCI) causes major challenges to mobility and daily life activities and maintaining balance becomes a crucial issue. Individuals with SCI often need to adopt new strategies to manage balance with minimal discomfort. Sports and physical activities have become one of the most popular rehabilitation methods for people with SCI. The assessment of balance improvement currently relies on subjective evaluation scales, and this study aims to quantitively assess the efficacy of sports on the balance strategies of people with SCI. Twenty-two SCI people remained seated still for 30 s, with their eyes open and closed, and we recorded trunk kinematics with an optoelectronic system before and after a three-months sports program. We also computed trunk total sway length, mean velocity, and sway density curve. Statistical analyses were performed to compare SCI people before and after the rehabilitation program and to investigate any correlations between the trunk balance parameters and the clinical scales. The results demonstrate improvements in static balance, with significant reductions in sway length and mean velocity. In conclusion, our findings confirm the potential of sports to enhance balance in SCI individuals and suggest that integrating structured sports programs into rehabilitation can improve stability and postural control. Full article

This study analyzed the effects of an 8-week diaphragmatic core training program on postural stability during high-intensity squats and examined its efficacy in injury prevention and performance enhancement. Thirty-seven male participants were randomly assigned to three groups: diaphragmatic core training group (DCTG, n = 12), core training group (CTG, n = 13), and control group (CG, n = 12). Outcome measurements included diaphragm thickness, respiratory function (mean and maximal respiratory pressures), and squat postural stability (distance between the sacral and upper body center points, peak trunk extension moment, peak knee flexion moment, and dynamic postural stability index). Compared to both CTG and CG, DCTG demonstrated significantly greater improvements in diaphragm thickness (DCTG: 34.62% increase vs. CTG: 1.36% and CG: 3.62%, p < 0.001), mean respiratory pressure (DCTG: 18.88% vs. CTG: 1.31% and CG: 0.02%, p < 0.001), and maximal respiratory pressure (DCTG: 18.62% vs. CTG: 0.72% and CG: 1.90%, p < 0.001). DCTG also showed superior improvements in postural stability measures, including reductions in the distance between sacral and upper body center points (DCTG: −6.19% vs. CTG: −3.26% and CG: +4.55%, p < 0.05), peak trunk extension moment (DCTG: −15.22% vs. CTG: −5.29% and CG: +19.31%, p < 0.001), and dynamic postural stability index (DCTG: −28.13% vs. CTG: −21.43% and CG: no change, p < 0.001). No significant between-group differences were observed in peak knee flexion moment. Core training incorporating diaphragmatic strengthening was more effective than conventional training in improving postural stability during high-intensity squats. Core training programs, including diaphragmatic strengthening exercises, may contribute to injury prevention and performance enhancement in exercises requiring lumbar stability, such as squats. Full article

The use of minimalist shoes can lead to enhanced foot somatosensory activation and postural stability but can also increase the incidence of overuse injuries during high-impact or prolonged activities. Therefore, it appears useful to explore new strategies that employ minimalist shoes to effectively facilitate the somatosensory activation of the foot while minimizing acute and cumulative joint stress and risk of injury. To this purpose, this study introduces a novel exercise paradigm: walking for three minutes in ultra-minimalist shoes on artificial flat surfaces designed to mimic highly rugged natural terrains. The activity of foot muscles and lumbar multifidus, pain perception level, and stabilometric parameters were recorded and analyzed to characterize the novel exercise, comparing it to walking barefoot or in conventional shoes on the same rugged surface. Compared to being barefoot, ultra-minimalist shoes effectively filter nociceptive stimuli from the rugged surface, while compared to conventional shoes, they enhance the somatosensory input supporting static stability. Walking with ultra-minimalist and conventional shoes yielded higher gastrocnemius activity and lower tibialis anterior and multifidus activity compared to barefoot walking. This study highlights a practical and safe framework for enhancing foot somatosensory activation and postural stability. The new intervention is suitable for people of all ages, requires minimal time commitment, and can be performed in controlled environments such as homes, gyms, and healthcare facilities. Full article

Background/Objectives: As musculoskeletal injuries in gastroenterologists related to the performance of endoscopic procedures are on the rise, solutions and new approaches are needed to prevent these undesired outcomes. In our study, we evaluated an approach to ergonomic challenges in the form of a belt-like endoscope holder designed to redistribute the weight of the endoscope across the whole body of the practitioner. The aim of the study was to determine how the use of this holder affected the body posture of practitioners during endoscopy. Methods: We designed a special endoscopic model that emulates basic endoscopic movement and maneuvers. With the use of the MoCap camera system, we recorded experienced endoscopists exercising a standardized set of tasks with and without the holder. Results: Following video and statistical analyses, the most significant differences were observed in the position of the left arm which pointed to a more relaxed arm position. Conclusions: The ergonomic benefits of the belt holder in this model merit testing in the clinical setting to evaluate its effectiveness and prevention of musculoskeletal injuries in GI endoscopy. Full article

The combined effects of transcutaneous electrical stimulation (tES) of the spinal cord and affective sound stimulation on postural control were investigated to elucidate the involvement of spinal networks in the maintenance of vertical stability. Healthy volunteers (n = 27) underwent tES and sound stimulation separately and combined quasi-randomly. All participants were field-dependent; i.e., participants used the exteroceptive afferent stream for spatial orientation. Centre-of-pressure parameters were analysed to assess postural stability. Results showed that tES at the T11–T12 vertebrae stabilised posture, tES at the L1–L2 vertebrae had no postural effect, and sound stimulation from the left destabilised posture. To assess the role of spinal regulation of postural disturbances, we compared the effects of combined tES with sound stimulation to those of sound stimulation alone. Stimulation at the T11–T12 level reduced the lateral sway induced by affective sounds, whereas L1–L2 tES did not. These results suggest that, in healthy individuals, spinal networks located at the T11–T12 and L1–L2 vertebral levels have distinct roles in maintaining upright posture, both when a person is standing still and when they are actively stabilising their posture during destabilising perturbations. T11–T12 spinal networks stabilise upright posture when destabilising information is solely transmitted from the supraspinal level. Full article

Falls among older adults present a major public health challenge, causing significant physical, psychological, and economic consequences. Exercise interventions are a proven strategy to reduce fall risk by targeting biomechanical, physiological, and psychological factors. This review examines evidence from 155 studies published between 2004 and 2024, including systematic reviews, meta-analyses, randomized controlled trials, and cohort studies. Data were rigorously screened and extracted using predefined criteria, with studies sourced from PubMed, MEDLINE, EBSCO (EDS), and additional gray literature identified via Google Scholar. Key findings show that balance and strength training improves postural control, gait stability, and neuromuscular coordination, while resistance training mitigates sarcopenia and enhances joint mobility. Cognitive exercises enhance attention, spatial awareness, decision-making, and psychological benefits like reduced fear of falling and greater social engagement. Multidisciplinary approaches integrating physical, cognitive, and social components deliver the most significant impact. This review underscores the value of evidence-based exercise programs in promoting active aging and enhancing the quality of life for older adults. Full article