Cherng-Yee Leung

Evaluation of key points in the sit-to-stand movement using two force platforms.

Three key points of the sit-to-stand (STS) movement were confirmed as aspects of the ground reaction force (GRF): the onset, maximum GRF, and seat-off. 46 healthy subjects (M age = 22.2 yr. SD = 4.4) participated. During the STS movement, two vertical force platforms were used to measure the resultant GRF, defined as the whole-body force, and its two components, the buttock and leg GRFs. The onsets of the component GRFs identified the sequence of the important time points in the STS movement more precisely than the onset of the resultant GRF. Data showed that the maximum whole-body GRF, the maximum GRF of both legs, and seat-off appeared in sequence and not simultaneously.

Strategies for posture transfer adopted by elders during sit-to-stand and stand-to-sit.

This study investigated whether three posture-transfer strategies, No support, Chair-arm, and Cane, were associated with the smallest hip-compressed angle and the smallest ankle-compressed angle during sit-to-stand and stand-to-sit for 12 elders (M age = 81.3 yr., SD = 5.9) who volunteered to participate. Using an optoelectronic movement analyzer, the smallest compressed angles of the hip and ankle were measured during standing up and sitting down. The adopted strategies had significant effects on the smallest hip-compressed angle, but not the smallest ankle-compressed angle. Although cane use led to a larger trunk angular displacement than did chair-arm use, a cane can provide help during the whole transfer process. These two strategies may be seen as adaptive mechanisms to decrease risk of anterior disequilibrium.

Exploring functions of the lost seeking devices for people with dementia

This paper utilized a user-centered design approach as the foundation for technology in dementia care in order to improve the quality of telemedicine service. A status-quo analysis and questionnaire survey were conducted to explore the actual needs of the elders in using the lost seeking devices and the problems they encountered. In total, 37 caregivers for people with dementia were surveyed (20 female, 17 male, M = 50.08, SD = 15.47). The dementia-patients: 16 are male, 21 female (M = 72.75, SD = 10.23). Through analysis and induction, 3 problems were identified: poor information transmission, low user acceptance, individual material security anxiety. 2-4 improvement proposals are suggested for each problem. Most care-givers hope technological products would increase the efficiency and safety, but they also think its too expensive and lack of computer skills. This result demonstrates the choice of seeking methods depends on the education level of the caregivers and most of them are elders. The concern of data leakage is also related to todays fraud issue, which may be the reason limiting the promotion of electronic products and biometrics. Further research is required, suggesting researchers should pursue improvements in lost seeking design devices in dementia for caregivers.

Vertical force and wrist deviation angle in a sample of elderly people using walkers.

Walkers are frequently used by elderly people with weak lower limbs and limited balance, but the ergonomie relationship between the use of a walker and stress on the upper limbs is relatively unstudied. The current study assessed wrist deviation and vertical force among elderly individuals using a walker for assistance in walking. 60 elderly volunteers (M age = 81.0 yr., SD = 8.8) participated, 30 of whom frequently used a walker, and 30 who had no such prior experience. Data were obtained from four load cells and a twin-axis wrist goniometer during assisted ambulation using the walker. No significant group difference was found in gait cycle. Significant wrist deviation occurred, with ulnar deviation/dorsiflexion of the right hand, which was greater than that of the left. Non-experienced participants had larger dorsiflexion than experienced participants. Experienced participants produced larger vertical force than non-experienced participants. The greater the wrist deviation, the greater was the vertical force. The horizontal handles of most marketed walkers cause wrist deviations. This is a concern for users, clinicians, and related industries. Improvements in walker design should be considered.

Describing force patterns: a method for classifying sit-to-stand movement in elderly people.

The main contribution of this study is that it examined the sit-to-stand movements of elderly people and then established an assessment method to supplement the existing Berg Balance Scale for the risk of falling in elderly individuals. 36 elderly adults (M age = 69.9 yr., SD = 4.0) volunteered to participate in this study. Three key points of the sit-to-stand movement were confirmed as aspects of the ground reaction force: the onset, maximum ground reaction force, and seat-off. Based on the characteristics indicated by the force data, the sit-to-stand movement sequences of those who were evaluated at low fall risk with a Berg Balance Scale score between 41 and 55 were classified into three patterns: typical-modal, multimodal, and incompetent-modal patterns. With this increased accuracy, medical practitioners can determine more clearly those participants who require further immediate medical consultation and those that are not at risk of falling.

Vertical force and wrist deviation angle when using a walker to stand up and sit down.

Research investigating walkers suggests that safety and assistance for the elderly with weak lower limbs were important. However, the relationship between the use of a walker and the upper limbs has received little investigation. Standing up and sitting down are important daily activities. Therefore, the aim of this study was to explore wrist deviation and vertical force among elderly individuals using a walker for assistance to stand up and sit down. In total, 64 elderly volunteers (M age = 80.22, SD = 9.36) were enrolled. Data were obtained from four load cells and a twin-axis wrist goniometer. Wrist deviation and vertical force were examined when participants used a walker with horizontal handles to assist in standing up and sitting down. Significant wrist angle deviation occurred with the use of a walker, with dorsiflexion of the right hand greater than that of the left. Males exerted significantly greater vertical force. In the sitting position, greater ulnar deviation was seen among experienced walker users, whereas during standing, experienced users exhibited greater dorsiflexion. The horizontal handles of most marketed walkers may cause user wrist deviations, suggesting researchers should pursue improvements in walker design.

Effects of Cane Length and Diameter and Judgment Type on the Constant Error Ratio for Estimated Height in Blindfolded, Visually Impaired, and Sighted Participants

The purpose of this study was to assess the ability of blindfolded, visually impaired, and sighted individuals to estimate object height as a function of cane length, cane diameter, and judgment type. 48 undergraduate students (ages 20 to 23 years) were recruited to participate in the study. Participants were divided into low-vision, severely myopic, and normal-vision groups. Five stimulus heights were explored with three cane lengths, varying cane diameters, and judgment types. The participants were asked to estimate the stimulus height with or without reference to a standard block. Results showed that the constant error ratio for estimated height improved with decreasing cane length and comparative judgment. The findings were unclear regarding the effect of cane length on haptic perception of height. Implications were discussed for designing environments, such as stair heights, chairs, the magnitude of apertures, etc., for visually impaired individuals.

Research the mobile phone operation interfaces for vision-impairment

Due to the vision-impaired users commonly having difficulty with mobile-phone function operations and adaption any manufacturers user interface design, the goals for this research are established for evaluating how to improve for them the function operation convenience and user interfaces of either mobile phones or electronic appliances in the market currently. After applying collecting back 30 effective questionnaires from 30 vision-impairment, the comments have been concluded from this research include: (1) All mobile phone manufactures commonly ignorant of the vision-impairment difficulty with operating mobile phone user interfaces; (2) The vision-impairment preferential with audio alert signals; (3) The vision-impairment incapable of mobile-phone procurement independently unless with assistance from others; (4) Preferential with adding touch-usage interface design by the vision-impairment; in contrast with the least requirement for such functions as braille, enlarging keystroke size and diversifying-function control panel. With exploring the vision-impairments necessary improvements and obstacles for mobile phone interface operation, this research is established with goals for offering reference possibly applied in electronic appliance design and . Hopefully, the analysis results of this research could be used as data references for designing electronic and high-tech products and promoting more usage convenience for those vision-impaired.

A study on the straight-line drawing tasks for the non-sighted people

A new ruler employs the finger touch to be the main pointing sensor with two locators at the two ends, and a unique pen in a smooth track to draw a line. The tasks of making straight line with two difference rulers (Ruler S: ruler used at school; Ruler C: new touch ruler) between non-sighted people (blindfolds and blinds) were observed: (1) free-line; (2) constrained-line; (3) extension-line; (4) closing-line; and (5) conjoining-line. Stages of those tasks were measured: searching, positioning, plotting, and checking, with reacting time and the deviation. The Paired t-test shown Ruler S had a larger reacting time for blinds at task (4), (5). MANOVA shown the blinds had larger reacting time at task (3), while (5) on deviation; Ruler C had a larger error at start- point of task (3) and a larger length error of task (3); while Ruler S had a larger error at end-point of task (4). Conclude that some revised design of the ruler really affected the performance of the straight-line tasks, while some did not.

PC-Based Warning Mechanism System of Fall Risk in Elderly

It is difficult to recognize and classify movement patterns correctly. We have developed and evaluated a method to classify movement using contact forces during sit-to-stand (STS) movement in elderly people. We used the key points of the ground reaction force (GRF) to identify the sequence of important time points in the STS movement of elderly people. The data showed that the reaction forces had three distinctive patterns: typical-modal (t-modal), multi-modal (m-modal), and incompetent-modal (i-modal). This is the first study to identify STS patterns based on objective force data and key points. The STS patterns can be used to supplement the subjective Berg Balance Scale (BBS) score to provide a more precise analysis of STS movement in the elderly.