Publications by authors named "Kensuke Oshima"

Article Synopsis
  • The study examines the 3-minute walk test (3MWT) to assess walking distance and its connections to motor and respiratory functions in healthy older adults compared to younger individuals.
  • A total of 206 older adults and 27 younger adults participated, with the 3MWT results showing significant variation across different age groups, indicating how walking ability decreases as age increases.
  • Results revealed that 3MWT distances were significantly correlated with factors such as body mass index (BMI) and various motor function tests, suggesting that 3MWT is a useful measure of overall functional capacity in older adults.*
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Background: Both multiple fall experiences and fear of falling (FoF) would make people susceptible to another fall; however, the associations are unknown. This study investigates the association of FoF with fall occurrence among older adults according to their fall history.

Methods: In this study, we adopted a longitudinal observational design.

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Objective: Lower extremity force steadiness has been shown to decrease with aging and neuromotor dysfunction and to be associated with physical function and fall. Although patients with Parkinson's disease (PD) experience decreased force steadiness, whether the extent of force steadiness differs according to target force or whether this steadiness is associated with postural control remain unclear. Therefore, this study aimed to compare the force steadiness while steadily exerting low and moderate levels of knee extensor force between individuals with and without PD and to examine the association between force steadiness and postural instability against mechanical perturbation in PD.

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This study aimed to investigate whether abnormal gait patterns are associated with experiencing an elevated degree of pain after daily walking. In this preliminary, cross-sectional study, 223 community-dwelling older adults were assessed for pain experienced after daily walking using a simple question that involved asking the subject about their past experiences of an elevated degree of pain after walking for 400 m or more. Gait patterns were assessed using the Comprehensive Gait Assessment using InerTial Sensor score (C-GAITS score), derived from the data measured by Inertial sensors attached to the lower trunk and heel when subjects walked along a 15 m walkway at a self-selected preferred speed.

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[Purpose] In this study, we verified the validity of the step time and walking speed obtained from the smartphone gait analysis application CareCoaching. [Participants and Methods] The participants were 66 independent, community-dwelling adults aged 65 years or older who performed a 10-m walking test twice each under preferred- and slow-speed conditions. We concurrently measured gait motions using CareCoaching and the OptoGait system for reference data.

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Background: Fear of falling (FoF) is a common psychological problem in community-dwelling older adults. However, which mobility function relate to newly developed FoF and persistent FoF are unknown.

Aims: We aimed to clarify which baseline mobility function is an independent predictor of one-year change in FoF.

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Article Synopsis
  • The study aimed to investigate how aging affects cough peak flow (CPF) in older adults living in the community and how physical fitness relates to CPF levels.
  • A total of 222 older adults were assessed on their cough function, respiratory strength, and physical fitness, revealing a significant decline in CPF for those aged 75-89 compared to younger groups, particularly in men and women.
  • The findings concluded that as people age, their cough function decreases, and better physical fitness is linked to better cough function.
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Background: Previous studies using relatively large samples and longitudinal observational designs reported dual-tasking had additional value in timed "up and go" test (TUG) for falls assessment among well-functioning older adults.

Aim: To elucidate the additional value of dual-tasking in TUG for predicting the occurrence of falls among community-dwelling older adults by age group using a predictive model.

Methods: This longitudinal observation study included 987 community-dwelling older adults at baseline.

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Individuals are exposed to repetitive dual-task-like situations in daily life, particularly while walking, and falls among community-dwelling older adults typically occur in such situations. Thus, understanding how individuals adapt their walking-related motion under dual-task conditions is of clinical importance. The present study was conducted to investigate the association between dual-task-related changes (DT-changes) in lower-limb gait parameters and DT-changes in lower-trunk sway.

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Aim: To investigate the associations between fall history and the Timed Up and Go (TUG) test (single-TUG test), TUG test while counting aloud backwards from 100 (dual-TUG test) and the dual-task cost (DTC) among independent community-dwelling older adults.

Methods: This cross-sectional study included 537 older adults who lived independently in the community. Data on fall history in the previous year were obtained by self-administrated questionnaire.

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