Longitudinal change in the physical performance of older adults in the community

The primary purposes of this study were 1) to confirm age-related deterioration of physical performance in older adults longitudinally, and 2) to predict future functional status and mortality by initial level of physical performances. The subjects were 517 older adults examined both in 1992 and 1996 in the Tokyo Metropolitan Institute of Gerontology, Longitudinal Interdisciplinary Study on Aging. The same battery consisting of muscle strength, balance, walking, and manual speed was administered to the subjects in the baseline and follow-up examinations. A significant longitudinal decline was observed in all physical performances except for grip strength. The age-related decline accelerated with aging for preferred walking velocity. Inter-subject variability in walking velocity significantly increased for 4 years period. Maximum walking velocity was a common predictor for functional status and mortality. The results suggest that physical performance measures, especially maximum walking velocity, is a valid means for physical therapy to evaluate physical functioning of community-living older persons.

Interpersonal and intrapersonal variance of exponent of power function observed in grip strength task

For grip strength there is a power function with an exponent of 1.7 between the subjective magnitude and the actual force exerted by a subject, but large variabilities among and within individuals were found. We focused on these variabilities and investigated the relationship between them by conducting a ratio production procedure requiring trials of maximum effort and half of maximum effort. For 30 adults we conducted four measurement trials, two on the same day, and the remaining two trials on a day or two later. The mean value of the exponent, the standard deviation, and the coefficient of variation of the four trials for each subject were calculated. The mean value of the exponent of the power function for all subjects was 1.6. This value approximated the value of 1.7 reported by Stevens and Mack. The values ranged from .50 to 5.39. The correlation between subjects' mean exponent value and standard deviation was .90, and the correlation between the mean value of the exponent and the coefficient of variation was .50. There was a close relationship between interpersonal and intrapersonal variance.

Strategies for reaching by individuals with mental retardation: empty and filled glasses

The purpose of this study was to assess the reaching strategies of individuals with mental retardation under different conditions. Much about reaching has been studied from the points of view of the optimization of the reading performance and the adaptation to the object's attributes. Few studies, however, have concerned reaching among individuals with mental retardation. Eight right-handed individuals with mental retardation reached for two types of glasses, one empty and the other filled with water. We translated the position of the index finger into X-Y-Z coordinate values and examined movement time, length of trajectory, and tangential velocity under the empty and filled conditions. There was no difference between conditions on any of the variables thought in many studies for individuals without mental retardation to indicate differences between attributes. This suggests that the present individuals with mental retardation might have difficulty in using information or context for planning movement and in optimizing their reaching movement for different conditions.

Automatic auditory processing and event-related brain potentials in persons with mental retardation

Measuring event-related brain potentials, this study examined automatic auditory processing in adults with and without mental retardation. Using an auditory oddball paradigm under an inattentive condition, we anticipated that an enhanced negative potential would be followed by a relatively small positive potential. The former was considered as the mismatch negativity and the latter as the P3a. Retarded adults (1 woman, 6 men, defined as a range of moderate to profound retardation) and 8 nonretarded (2 women, 6 men) adults participated. The mismatch negativity showed smaller amplitudes and greater latencies for retarded persons than those for nonretarded adults, whereas the P3a for the groups was comparable. The results may suggest malfunction of automatic auditory change-detection of the brain in mentally retarded persons.

Cognitive influence on motor control in reaching

The purpose of this study was to assess the effects of objects with different attributes on motor control in the act of reaching for them. Much about reaching has been studied from the point of view of spatial relations between objects and subjects, and kinematic approaches have played an important role in this field. Recently, some researchers have proposed that factors other than spatial relations characterize reaching. Therefore, we focused on reaching for an empty glass (empty condition) and a water-filled glass (filled condition) where the positions of the glasses were the same to examine the importance of the objects when reaching for them. Eight young adults participated. We translated the position of the index finger into X-Y-Z coordinate values and examined movement time, length of trajectory, and velocity between the empty and filled conditions. It took longer to reach for an empty than a filled glass, and the filled condition showed a longer trajectory and slower velocity than the empty condition. This indicated that objects with different attributes influenced the reaching and that the role of cognition of attributes is important in the act of reaching.

Sex differences in facial skin temperature when exposed to darkness with and without warning

The changes in skin temperature under anxiety were investigated by noninvasive measurements. The nasal skin temperature of 20 subjects was assessed by thermography. The measurement of the skin temperature by thermistor causes stress in subjects. The primary advantages of a thermography over use of a thermistor are noninvasive and accurate. Each subject was made anxious under the 2 conditions of sudden darkness (Sudden darkness condition) or experienced darkness (Experienced darkness condition). Under former, after a baseline facial skin temperature was established, the room light was suddenly turned off. The subject remained seated in darkness for 2 min. The time-series changes were significant for women, but not for men. For women, skin temperature significantly declined in sudden darkness. Experiments on experienced darkness were performed a week later. After a baseline facial skin temperature was established, the subject was told; "The room light would be turned off from now on, but please remain seated without moving". After the instruction, the room light was turned off. The subject remained seated in darkness for 2 min. The resultant time-series changes in skin temperatures were significant in neither men nor women.

Postural and gait disturbance correlated with decreased frontal cerebral blood flow in Alzheimer disease

In a group of 45 patients with Alzheimer disease (AD) and 15 control subjects, we studied the relationship between parameters showing postural and gait disturbance and regional cerebral blood flow (rCBF) measured with N-isopropyl-p-[123I]iodoam-phetamine single photon emission computed tomography at different clinical stages. Patients with AD with mild dementia exhibited only increased postural sway associated with a reduced mean value of rCBF in the cortex. At a moderate stage, the reduced mean values of rCBF in the cortex and in the frontal lobe were associated with increased postural sway and stride length variability and with decreased stride length. At a severe stage, reduced rCBF in the basal ganglia and in the frontal lobe additionally were associated with increased postural sway, double support time, and stride length variability, and with decreased walking speed and stride length. In multiple regression analysis, there was a high contribution by rCBF in the frontal lobe to account for postural and gait disturbance in AD. We propose that impaired frontal lobe circulation is an important factor causing postural and gait disturbance as AD progresses.

Relationship between age and head movement during stepping in place by nonhandicapped children and persons with mental retardation

We investigated developmental changes in head movement during stepping in place by nonhandicapped children and clarified the relationship between chronological or mental age and head movement of persons with mental retardation. 39 nonhandicapped children aged 3 to 6 years, 13 adults aged 19 to 22 years, and 10 persons with mental retardation (range of chronological age: 17 to 22 years, range of mental age: 3 to 8 years) participated. The total extent of head movement in the frontal plane during ordinary stepping in place for 20.48 sec. was measured to assess the magnitude of head movement. Changes in the magnitude of head movement of children are noticeable across ages, and the magnitude clearly was smaller at the age of 6 years. For subjects with mental retardation, no relationship has been found between chronological age and the magnitude of head movement but rather between mental age and the magnitude of head movement.

Comparison of postural control of children with Down syndrome and those with other forms of mental retardation

To confirm the 1994 findings of Okuzumi, Haishi, and Kokubun, the displacement of the center of foot pressure, one-foot balance and head sway were measured in children with Down syndrome (n = 11) compared to those with other types of mental retardation (n = 17). The magnitudes of the displacement of the center of foot pressure and head sway were not significantly different between the Down group and other forms of mental retardation, whereas the performance of one-foot balance was significantly lower in the Down group. The mean frequencies of sway waves were generally higher in the Down group, and the differences between the two groups were significant except for sagittal head sway. The results generally supported the prior findings. We proposed that it was not the magnitude of the displacement of the center of foot pressure but rather the manner of the whole body's sway which might be related to postural control.

Characteristics of postural control and locomotion of patients with vascular and Alzheimer-type dementias

The postural control and locomotion of patients with Alzheimer-type senile dementia (n = 20) or vascular dementia (n = 20) were investigated. Patients with both types of senile dementia, especially patients with vascular dementia, generally showed lower scores than healthy old people (n = 53). Moreover, deterioration of locomotion was more remarkable.

Predictive value of age of walking for later motor performance in children with mental retardation

The purpose of the present study was to clarify the predictive value of age of walking for later motor performance in children with mental retardation. While paying due attention to other factors, our investigation focused on the relationship between a subject's age of walking, and his or her subsequent beam-walking performance. The subjects were 85 children with mental retardation with an average age of 13 years and 3 months. Beam-walking performance was measured by a procedure developed by the authors. Five low beams (5 cm) which varied in width (12.5, 10, 7.5, 5 and 2.5 cm) were employed. The performance of subjects was scored from zero to five points according to the width of the beam that they were able to walk without falling off. From the results of multiple regression analysis, three independent variables were found to be significantly related to beam-walking performance. The age of walking was the most basic variable: partial correlation coefficient (PCC) = -45; standardized partial regression coefficient (SPRC) = -0.41. The next variable in importance was walking duration (PCC = 0.38; SPRC = 0.31). The autism variable also contributed significantly (PCC = 0.28; SPRC = 0.22). Therefore, within the age range used in the present study, the age of walking in children with mental retardation was thought to have sufficient predictive value, even when the variables which might have possibly affected their subsequent performance were taken into consideration; the earlier the age of walking, the better the beam-walking performance.

Computer use in schools for the blind in Japan

In a school for the blind, computer use and feelings toward computers by 34 visually impaired students receiving secondary education and by their 42 teachers were investigated with a questionnaire. Most subjects used computers effectively, but some students who had low vision did not wish to use them to avoid strain on their eyes. The computers allowed use of Kanji (Chinese characters) by the blind students, providing a new tool in their learning of Kanji. In classes, it is necessary to maintain and customize the computers continuously.

Age-related changes in postural control and locomotion

Age-related changes in both postural control and locomotion were investigated. Postural control was evaluated by magnitude of body sway for 131 healthy persons aged 21 to 84 years. Locomotion was evaluated by walking velocity for 217 healthy persons aged 21 to 88 years. Analysis showed that both abilities deteriorated for older persons and particularly age-related changes were more remarkable in locomotion.

Effect of tone on directional orientation during stepping in place with eyes closed

To examine the effect of a tone on directional orientation during stepping in place with eyes closed 10 healthy adults ages 20 to 27 years stepped in place for 120 seconds with eyes closed in 3 conditions: without a tone, with 1000-Hz pure tone, and with white noise. To examine how the subject rotated in stepping, both range and dispersion of the head's angular displacement were measured by a compass sensitive to terrestrial magnetism. Analysis showed that white noise was effective for directional orientation during stepping. Also, in the pure-tone condition, angular displacement of the head was similar to that in the no-tone condition. This result may have been due to the fact that the stationary wave created by the interference wave made sound normalization impossible.

Gait disturbance of patients with vascular and Alzheimer-type dementias

The gaits of 15 patients with senile dementia of the Alzheimer type and 15 with vascular dementia were compared with those of 15 healthy control subjects. Patients with senile dementia showed significantly slower velocity and shorter step length than the healthy controls, and those with vascular dementia exhibited a reduction on these two variables relative to patients with senile dementia of the Alzheimer type.

Factors affecting age of walking by children with mental retardation

The relationship between age of walking and two factors of severity of intellectual disability and clinical types (autism, Down syndrome, epilepsy, and "residual") in children with mental retardation was investigated. Subjects were 118 children whose disabilities ranged from severe to mild. Measures by clinical type were significant, and the differences of any two clinical types except between children with epilepsy and the "residual" group were significant, but severity of intellectual disability was not significant. Most children with autism (27 subjects, 93%) walked by the normal time limit of 18 months. Only 3 children (11%) with Down syndrome began to walk within that limit, and 9 of them (33%) walked after 2 years of age. In the "residual" group (including children with epilepsy), 37 children (60%) walked within the normal limit but 15 (25%) only after 2 years of age.

Age-related changes in natural and fast walking

Age-related changes in the relation between natural and fast walking were investigated for 69 healthy women aged 21 to 88 years. The ratio (fast/natural) of both walking velocity and cadence declined significantly across age groups.